______________________________________________________________________________

| CHETA ANAMARIA-GEORGIANA PFA

|Cod fiscal:43518180
| F31/7/2021.. Depus decontul (numărul şi data) |
| (Unitatea) ..................................... |
| |
| ORDIN DE DEPLASARE (DELEGAŢIE) |
| Nr. ....1............... |
| |
| Domnul (a) ...VANCEA SORIN-IONUT............................................ |
| având funcţia de ...................SOFER................................... |
| este delegat pentru ............APROVIZIONARE MARFA................ .........|
| ............................................................................ |
| ............................................................................ |
| ............................................................................ |
| la ....VIENA(AUSTRIA)....................................................... |
| ............................................................................ |
| ............................................................................ |
| Durata deplasării de la ................... la .......................... |
| Se legitimează cu ..CI seria MM numarul 848680........................... |
| Ştampila unităţii şi semnătura |
| |
| |
| Data ................. |
|______________________________________________________________________________|
| Sosit *) ........................... | Sosit *) ............................ |
| Plecat *) .......................... | Plecat *) ........................... |
| Cu (fără) cazare | Cu (fără) cazare |
| Ştampila unităţii | Ştampila unităţii |
| şi semnătura | şi semnătura |
|______________________________________|_______________________________________|
| Sosit *) ........................... | Sosit *) ............................ |
| Plecat *) .......................... | Plecat *) ........................... |
| Cu (fără) cazare | Cu (fără) cazare |
| Ştampila unităţii | Ştampila unităţii |
| şi semnătura | şi semnătura |
|______________________________________|_______________________________________|
*) Se va completa ziua, luna, anul şi ora. 14-5-4 A5 t2
 (verso)
______________________________________________________________________________
| Ziua şi ora plecării ............... | Avans spre decontare: |
| Ziua şi ora sosirii ................ | - Primit la plecare ............. lei |
| Data depunerii decontului .......... | - Primit în timpul |
| Penalizări calculate ............... | deplasării .................... lei |
| | TOTAL ........................... lei |
|______________________________________|_______________________________________|
| CHELTUIELI EFECTUATE CONFORM DOCUMENTELOR ANEXATE |
|______________________________________________________________________________|
| Felul actului şi emitentul | Nr. şi data actului | Suma |
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
|______________________________________|___________________________|___________|
| TOTAL CHELTUIELI | |
|__________________________________________________________________|___________|
| Diferenţa de restituit s-a depus cu | primit |
| chitanţa nr. ....... din .......... | Diferenţa de ----------- lei ........ |
| | restituit |
|______________________________________|_______________________________________|
| Semnătura | Aprobat, | Control | Verificat | Şef | Titular |
| | conducătorul |financiar- | decont | compartiment | avans |
| | unităţii |preventiv | | | |
| |______________|___________|___________|______________|____________|
|___________|______________|___________|___________|______________|____________|