DEVIZ MANOPERA LUCRARI,

Subsemnatul ______________________________________, domiciliat în

__________________, str. ______________________________, nr. ____, bl. ______, sc. ____,
et. ____, ap. ____, sector ____, posesor la BI/CI seria _______, nr. ____________, eliberat de
___________________, la data de __________________, telefon _________________ declar că
am realizat lucrări de reparaţii la locuinţa domnului/doamnei
___________________________________ situată în __________________________________,
str. ______________________________, nr. ____, bl. ______, sc. ____, et. ____, ap. ____,
sector ____, după cum urmează:
_____________________________________________________________________________
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Valoarea acestor lucrari este de (în cifre şi litere)______________________________________
_____________________________________________________________________________
reprezentând manoperă.

Semnătura, Data,