Formular tipizat

Ex. _________Nr. exemplarului. Formular tipizat Anexa 1 la Ordinul Ministerului Finnanelor al Republicii Moldova nr.115 din 6 septembrie_2010 1 115 6 2010 .FACTUR FISCAL Seria, Nr. ,

Data eliberrii /data livrrii _______________ / _______________ / 8. Foaia de parcurs seria: _________ numr:_____________ data _______________

9. Transportator c.f./ nr.TVA ../ 1. Furnizor: c.f./ nr.TVA ../ 2. Cumprtor: c.f./ nr.TVA ../ 3. Delegaie data _______________ delegatul 4. Documente anexate 5. Punct ncrcare 6. Punct descrcare 7. Redirijri 10.1Denumirea mrfurilor, serviciilor i cod nomenclator al mrfii , 10.2Unitate de msur 10.3Cantitatea mrfurilor, volumul serviciilor , 10.4Pre unitar fr TVA, lei , 10.5Valoarea total fr TVA, lei ,

10.6Cota TVA,% , %

10.7Suma total a TVA, lei , 10.8Valoarea mrfurilor, serviciior, lei , , 10.9Alt informaie 10.10Tip ambalaj 10.11Numr locuri- 10.12Masa brut, tone ,

11. TOTAL (pe pagin) / ( )

x

xxx

12. TOTAL (pe factura fiscal) / ( )

x

xxx

13. Permis eliberarea: :________________________________________________________________________________________________________________________________________ Funcia, numele, prenumele i semntura , , 14. Predat bunurile (serviciile): () _______________________________________________________________________________________________________________________ Funcia, numele, prenumele i semnturaL.. , , ..15. Primit bunurile intermediarul (transportatorul): ()________________________________________________________________________________________________________ Funcia, numele, prenumele i semntura , , 16. Predat bunurile intermediarul (transportatorul): ()__________________________________________________________________________________________________________ Funcia, numele, prenumele i semntura , , 17. Primit bunurile (serviciile) cumprtorul: () __________________________________________________________________________________________________ L.. Funcia, numele, prenumele i semntura .. , ,

18. Timpul de staionare a mijlocului de transport 19. Ruta i distana de transport, km , _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________Operaia Ziua, luna, ora, minutele la , , , Semntura

Sosire Plecare Staionare

ncrcare

Descrcare

20. Forma de plat 21. Meniuni ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

22. Calculul prestaiilor de transport ______________________________________________________________________________________ ______________________________________________________________________________________