DELEGATIE nr.

__/____________

Subscrisa societate comerciala_____________________________________

S.R.L. – cu sediul in _____________, str. ______________, nr.______, jud. Bihor,
J05/______/________, C.U.I. __________________, reprezentata de
__________________ - administrator – prin prezenta imputernicim pe
________________________________, identificata cu CI seria _____ nr. ___________,
eliberata de_________________ la data de __________, CNP _____________________
pentru ____________________________________________

S.C. __________________________ S.R.L.

Prin ________________________________-administrator