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c.f./ nr.TVA I00360009'1438 /
9. Transportator SERVICIUL SPECIAI' PENTRU
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S.r./ xoa HAC2. Cumpiritor/bcncficiar:
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SERVICIUL SPECIAL PENTRU INFLUENTE ACTIVE ASUPRA PROCESELOR' SEC'BOTANICA
4. Documente snexate
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3.Delegatie scria-numir-
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data deleqatul
aara acnertrpoBaHHblH
5. Punct inctrrcare Cimislia
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Cantltatca
mirfurilor/oc
tlvclor,
volumul
senlclilor
Konilqeqto
ToBapos/amH
Boa. o6!eM
ycnyr
l0.l
Dcnumlrea mlrfurllor/octlvelor,scNtclllor fl codul pozl(lel
trrlfare rl mtrrfii/acllvului
Haauenoeaxre roaapos'661xggg, y6nyt' n roq rosapxoil
no3strtru roBapa/acrlBa'
E. fOfal (p. frctura fiscali) / Bccto (no lu'oro"on "a*" Aplicat6 semnatura electronic[ de c6tre Fumizor\\flpuuenexa
,r"*rporru, uoourct Ilocraaurlxa 08'07 202613. Permis eliberarea: contabil ION PUTINA
Otnycx
pa3pcunr: ffiir, nua"l", paatrume lc , scmtrtrturr \,[olxuocrr' tlraurrur' ilM'' noffHcL
14. Predat mtrrfurile/activele (serviciile): contabil ION PUTINA
CAu rosapr/axrusur (YclYru)
ADlicald semnetura electronic6 de citre Fumizor\\flpnueueaa
,r"*pornu" noanlcr flocraautnxa 08 07 2026
Funclia, numele, preoumelc ' seilnitur! \ florxttoctr' tbauuul' xM' ' nonnxc!
L.$.
t s. Vrlf,rit mx.furilc/ac(ivclc intcrmcdiarul (transportatorul):
flpuurr roeaprt/axrxBbr nocpeaHxx (nepeBo3cB()
I 6. Predat mirfurile/activcle intermediarul
Funcfia, numele, prenumcle , somnlturo \ Aorxxocts' (ravrarr' rMr ' noanrcL
(tr! nsporta torul)::
C,au roeapu/arruubl nocpeAHHK (nepeBo3cllX)
17. Primit mirfurile/activele (scniciile)
cumplritorul/bcncfi ciarul:
flpultu roaaplt/axluBLI (ycrylrl)
n orynareru/nolYtatelu
Funclia, n!mele, prenumel€ , semnitura \ Aonxiloml' (baMun{'' uMf, ' nolnilcL
Valid6 numai cu semnErurile electronice ale Cumpiritorului\ -
\.[,ciicraurclrna ronbxo trpu Hutrcnx 3nempoHxblx troanucetr
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Funclia, numele, prenumele , scmntrturo \ Aorxuoos' <baurrur' uu' ' lonnuch
Pagina I din 2
10.12
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Macca
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icraurclrna ronbxo trpu Hutrcnx 3nempoHxblx troanucetr
fl o xyna'rel r
Funclia, numele, prenumele , scmntrturo \ Aorxuoos' <baurrur' uu' ' lonnuch
Pagina I din 2
10.12
Ma3a
ruttr, to
Macca
6pyro,
ronH