CONTRACTANT $6,*85Ă725

*$5$17$$6,*85Ă5,6$QXPLWăúL
GARANTA
$XWRUL]DWăGH&RPLVLDGH6XSUDYHJKHUHD$VLJXUăULORUSULQ'HFL]LD
1UGHRUGLQH5HJ$VLJXUăWRULORU5$
LANG GABRIELA LIA Nr. de ordine Reg. Com.: J40/7688/1997, Cod Unic:9827029
$GUHVă%G,RQ0LKDODFKHQU%XFXUHúWLVHFWRU
BVD. INDEPENDENTEI nr. 99A, bl. , sc. 2, et. 7, ap. 56 TEL: 004/021/307.99.77
FAX: 004/021/307.99.70
Oras: MUNICIPIUL BISTRITA - BISTRITA
REPREZENTANTA GARANTA:
Judet: BISTRITA Adresa: BUCURESTI, BD. ION MIHALACHE , NR. 19-
21, SECTOR 1
gabrielalang2005@yahoo.com;glang@dgp.ro
TEL: 303.70.41
FAX: 307.99.80

DECONT DE PRIME nr. R6 / 000545 15/04/2019

(zz / ll / aaaa)

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Neplata acestora la termenele convenite prin contractul de asigurare atrage automat rezilierea contractelor.

Nr. Crt. 6HULHúL1XPăU3ROLĠă 1XPăUXO 'DWDVFDGHQWă 9DORDUHUDWă 9DOXWă

Ratei
0 1 2 3 4 5
1 polita de asigurare MAH-000545 6 23/04/2019 59.25 EUR
2 POLITA PAD _ Integral 23/04/2019 20 EUR
TOTAL 79.25 EUR
Plata primei de asigurare se poate efectua
3ULQRUGLQGHSODWă vQWUXQXOGLQFRQWXULOH,%$1DOH*$5$17$$6,*85$5,6$
Deschise la ALPHA BANK Sucursala DOROBANTI
Nr RO36 BUCU 0465 4270 2511 EU01 pentru EUR
Nr RO79 BUCU 0465 4270 2511 RO01 pentru LEI (la cursul BNR din ziua efectuarii platii)
Nr RO93 BUCU 0465 4270 2511 US01 pentru USD
Prima de asigurare PAD se poate achita NUMAI in LEI la cursul BNR din data efectuarii platii.
Va rugam sa specificati in OP pentru ce polita efectuati viramentul.
Comisioanele si spezele bancare sunt in sarcina Asiguratului.
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REPREZENTANT GARANTA ANDREEA COSTACHE

TEL: 0213037054 ; FAX: 0213079995 ; e-mail andreea.costache@garanta.ro

Cod ±R00
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creditului acordat de ALPHA BANK ROMANIA.

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obligatorie PAD.
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S.A. (PAID)
(Bucuresti, Calea Victoriei Nr. 155, Tronson 6, Bl. D1, Et. 6, Sector 1, Tel: 021.9930 /
021.408.61.00 / Orange 0741.08.72.43 / Vodafone 0729.08.72.43; Fax: 031.105.42.62,
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$VLJXUăWRU$XWRUL]DW*$5$17$$6,*85Ă5,6$(cu datele de identificare prezentate mai sus) ±

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naturale

680$$6,*85$7ĂB_20.000 EUR

PRIMA obligatorie:BBBBB(85
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La primirea ofertei personalizate, Asiguratul/Contractantul va confirma corectitudinea datelor.
ATENTIE:
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