Formular interdepartamental tipizat nr.OC-2

A.P.L.P. 47/__ Aprobat prin Hotrrea D.S.al R.M.

nr.08 din 12 aprilie an.1995

IDNO: 100360_______ Cod CDUM030/51

mun.Bli, str._______, bl.______Dispoziiede plat Nr.__________Nr.

documen-

tuluiData

ntocmirii

documentuluiCont

bancar

corespondentSimbol

de eviden

analiticSuma

A elibera: ________________________________________________________________________________ (denumirea) numele, pronumele n baza: __________________________________________________________________________________

ordonanei, contractului, etc., ___________________________________________________________________________________________

________________________________________________________________________ lei __________ bani

suma n litere Anex: ___________________________________________________________________________________Gestionar ______________________ Contabil-sef______________________ Am primit: ______________________________________________________________ lei ________ bani suma n litere _____ ______________________________ an.2010 ___________________________ data semntura

In baza: _________________________________________________________________________________

denumirea, seria, numrul, data

__________________________________________________________________________________________

emitentul actului de identitate

A pltit casierul _______________________________________ Formular interdepartamental tipizat nr.OC-2

A.P.L.P. 47/__ Aprobat prin Hotrrea D.S.al R.M.

nr.08 din 12 aprilie an.1995

IDNO: 100360_______ Cod CDUM030/51

mun.Bli, str._______, bl.______

Dispoziie

de plat Nr.__________Nr.

documen-

tuluiData

ntocmirii

documentuluiCont

bancar

corespondentSimbol

de eviden

analiticSuma

A elibera: ________________________________________________________________________________

(denumirea) numele, pronumele

n baza: __________________________________________________________________________________

ordonanei, contractului, etc.,

___________________________________________________________________________________________

________________________________________________________________________ lei __________ bani

suma n litere

Anex: ___________________________________________________________________________________

Gestionar ______________________ Contabil-sef______________________ Am primit: ______________________________________________________________ lei ________ bani suma n litere

_____ ______________________________ an.2010 ___________________________

data semntura

In baza: _________________________________________________________________________________

denumirea, seria, numrul, data

__________________________________________________________________________________________

emitentul actului de identitate

A pltit casierul _______________________________________

1