__________________________________________________________________________

| Magazia | BORDEROU DE PREDARE A DOCUMENTELOR Nr. ............. |

|________________| intrate |
| | privind materiale --------- din ziua de ......... |
| | ieşite |
|________________|_________________________________________________________|
| Felul şi nr. | Anexe | Valoarea | Felul şi nr. | Anexe | Valoarea|
| documentului | | | documentului | | |
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
14-3-7 A5 t2
 (verso)
__________________________________________________________________________
| Felul şi nr. | Anexe | Valoare | Felul şi nr. | Anexe | Valoare |
| documentului | | | documentului | | |
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
|________________|_________|___________|________________|________|_________|
| Data | Predător | Primitor |
|__________________________|____________________________|__________________|
| Semnătura | | |
|__________________________|____________________________|__________________|