Anexa

La contractual de lucatiune

Nr.__din____________20

ACT DE PREDARE

Localitatea_____________ “__”____________20

Comisia in component:

Presedintele comosiei:_________________________

Membrii comosiei:____________________________

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In temeiul

(hotarirea,decizie,ordinal care a adoptat decizia de primire)

A efectuat____________________________________________________________________________

(gratuit,contra plata, denumirea deplina a mojlocului fix)

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conform situatiei le “__”___________20__ din gestiunea economica/din proprietatea/

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(denumirea autoritatii care transmite sediul)

In gestiunea economica si folosinta temporara la activitatea economico-finanaciara a

I.Caracteristica gnerala a mijlocului fix dat in locatiune:

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II.Starea mojloacelor fixe

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(caracteristica succinta a uzurii fizice si morale)

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III.Informatii privind raparatia bunurilor primate in locatiune, preconizate in contract, termenul si

partea care va suporta chetuielile suportate de realizarea lor:

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IV.Alta informative

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V.Dispozitii finale

Prezentul act este intocmit in exemplare dintre care unul se transmite

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(denumirea institutiei care transmite)

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(denumirea institutiei cere primeste)

Presedintele comosiei ________________ _________________________

de primire (semnatura) (nume.prenume)

Membrii comisiei de la Membrii comosiei de la partea

partea care transmite: care primeste:

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