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| BON DE MIŞCARE A MIJLOACELOR FIXE |

|______________________________________________________________________________|
| | Număr | Data eliberării | Cod | Cod | |
| | document | | predător | primitor | |
| |__________|_________________|__________|__________|_________________|
| | | ziua| luna| anul| | | |
| |__________|_____|_____|_____|__________|__________|_________________|
|_________|__________|_____|_____|_____|__________|__________|_________________|
| Subsemnaţii din partea .............................................. şi din |
| partea ............................................ am procedat la predarea- |
| primirea mijloacelor fixe în baza ...................... din ............... |
|______________________________________________________________________________|
| Nr. | Denumirea mijlocului fix şi | Numărul de | Buc. | Valoarea de inventar |
| crt.| caracteristici tehnice | inventar | | |
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
14-2-3A A5 t2
 (verso)
______________________________________________________________________________
| Nr. | Denumirea mijlocului fix şi | Numărul de | Buc. | Valoarea de inventar |
| crt.| caracteristici tehnice | inventar | | |
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
|_____|_____________________________|____________|______|______________________|
| SUBUNITATEA PREDĂTOARE (secţie, atelier etc.) | APROBAT |
|__________________________ _____________________| |
| Numele şi prenumele | Semnătura | |
|__________________________|_____________________|_____________________________|
| | | Data | Semnătura |
|__________________________|_____________________|__________|__________________|
| SUBUNITATEA PRIMITOARE (secţie, atelier etc.) | | |
|__________________________ _____________________| | |

| Numele şi prenumele | Semnătura | | |

|__________________________|_____________________| | |
|__________________________|_____________________|__________|__________________|