S.C. __________________S.R.L.

Str. ______________, nr.

C.U.I. ______________
J_______________

Nr. 12/09.01.2024

IMPUTERNICIRE

Subsemnatul ___________________, in calitate de administrator al

_____________________________, deleg pe d-na ___________________________ in calitate
de angajat al societatii, domiciliat in ________________, STR ___________________, nr.___,
ap.___, legitimat cu C.I., seria ___, nr. _________, eliberata de SPCLEP __________, la data
de ____________, avand CNP __________________, sa reprezinte societatea la
_________________ in legatura cu furtul din magazinul ________________
adresa___________________________, _________, Jud. ___________.

Administrator,