SC __________________SRL

CUI:____________________

Decont de cheltuieli nr.________din data de_______________

Titularul decontului:_____________________

NR.DOC./
NR. DENUMIRE FURNIZOR DATA SUMA MONEDA EXPLICATIE
1 -
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL CHELTUIELI EFECTUATE -

AVANS PRIMIT - TITULAR,

CHELTUIELI EFECTUATE - _______________________

DIFERENTA DE PRIMIT/RESTITUIT 0.00

APROBAT,
_________________________

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