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(Unitatea)

BORDEROU
DE PRIMIRE A OBIECTELOR ÎN CONSIGNAŢIE
în ziua de ... anul .... raionul ........
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| Număr bon | Valoarea - lei |Descrierea| Deponent |
|de primire-|_____________________|obiectului|_________________________________|
| chitanţă |La primire|La vânzare| | Numele şi | Seria şi |
| | | | | prenumele | nr. buletin |
| | | | | | de identitate |
|___________|__________|__________|__________|_______________|_________________|
| 1 | 2 | 3 | 4 | 5 | 6 |
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
14-6-14 A4 t2

(verso)
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|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
|___________|__________|__________|__________|_______________|_________________|
PREDAT PRIMIT
PREŢUITOR, GESTIONAR,

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