202608030950_IMG_0003.pdf

Formtrtrrip
Alcn I l. O.dliul illnLkr!lcl linn0nlr,i.'t Rcpnbltcit itok
rr.lttdtn 2x rulun I
rrtromr {o0pMoxcnue I x iprxory MuBq.FrBs On&[co! p{nr6xun M;&
ft tl3or23srroa20
FACTUR,i FISCAL,i
HAIIO|OBA' HAKIIAAHA,q
Seria, Nr.
Cepur, Ns
il 11ililili1Itililtililfliltililil
8BG000417883
Data elibcririi /data liYririi t8.03.2026 I 1i,03,2026
.(ara arrnncxr /gara nocraBKH
numatr: data:
9. Transportator
Ilepeno:lrr
c.f./ nr.TVA I
rb.x./ roa HIC
l' Furnizori "lloDAvA PRI j\4" s.R.L., oII.DURLES'l'l l,etru Itares nr.l4l1 cont MD24pR002224192830001498, B.c.'procreditflocrasulux Bank,S.A.,pRCIlMD22
c.f./nr.TVA 1021600052575 /
0.r./ roa HIC
2. cumpirdtor/beneficiar: pRIIVIARIA sATULUI MERENI, S.MERENI stefan cet Mare nr.93Ilorynarcar/noayvarcar
c.f./ nr.TVA 1008601000020 /
(r.r./ xoa HnC
3. Delegafie scria _ numir
fioreperrrrocrr cePunor"p 
-
data _delegatulAara gelcrrrpolarrrrrrii
4. Documente anexate Act
flpuaracuurc 4oxyucurlr
5.Punctincircarc S.MBRENI
flyrKt Iorpy3KI
6. Punct dcscircar.e S.MERENI
flylxr pa:rpy:ru
7. Redirijiri
rIepeaApecoBktr
t0.l
Dennmlrca mirfurilor/actlvclor,scrvlciilor $l codul pozltlci
tarifare al nrtrrfi i/activului
Hauueuoeaaae toeapoB/a$tBos, yoryr ff KoA rcBapHoii
x03uufi tr ToBapll/acrilBa,
10.2
UDitatc
de
mlsuri
EnxHilrl
nrNrepe
II II'
10.3
Cantitatra
illtrrfurilor/nc
tivclor,
volumul
serviciilor
KorxqecBo
ToBapoB/amI
BoB, o61,ctt
ycxyr'
10.4
Pref unitar
firl TVA, lei
IJeua
cArxrrlrr 6el
II.(C. rcco
10.5
Valoarea totnli
ftrrtr TVA, lei
O6qar cyuua
6ca HAC, nccB
10.6
Cota
TVA,y.
CraBEa
HAC,%
10.7
Sunra totalS a
TVA, Iei
O6ua, cyMMa
HI{C, nceB
10.8
Valoarca
10.9
Alrn
informalie
Apyras
ut(!oprraqrr
10.10
'fip anbalaj
Tnn ynakoB(n
10.1r
h*umir
locuri
KonH-
qccTBo
TICCT
lo,t2
MAsa
bruti, to
Macca
6pymo,
TOItrI
, scnlclllor, lcl
CaoxMocr6
ToBapoE/amflDoD,
ycryr, ,eeB
0ra 7 650.00 4550,00 0,0c 4550,00
12, TOTAL (pe factura fiscali) / Bccro (no Harororoi:i uaxraasoii) 4550,0C x 0,00 4550,00 x x x 0,(
13. Pernris eliberarea:
Ornycr
pa3pexruJr:
director GI'IENADIE ROMANESCU Aplicatd semndtura electronicl de cltre Fumizor\\flpuverrerra
3rempoHHas noAnxcb IocraBU{uKa 18.03.2026
l'unc(ia, nuncle, prcnumclc , scmtritura \ AonxHocr6, (bantHnxr, ,tNr, nolilrc6
14. Predat nrirlhrilc/actiyclc (serviciile):
C4al roeaprr/arrruoLr (ycnyrx) dircctor CHENADIE ITOMANESCU Aplicati semndtura electronici de citrc Furnizor\\Ilprrlrerrcua
f,ncKTpoHHa{ troAnIcb flocTaBUlx(a I 8.03.2026
L.$.
I 5. Mrlllrit m:irfurile/activelc internrediarut (transportatorul):
Fun(lia, numele, prenumele, semnltura \,IfonxtocrL, OaMilnHr, !ts , noInHcE
llprrlra lotaplr/arirlrBbr trocpcAHtrK (ncpcno:,rrrr)
I 6. Prcdat nrirfurilc/activclc in(crnlcdilrul
(trrnsportatorul)::
Cgal rooaplr/arr.lulr nocpc2lrrrtr (rrcpeuo:rrrr)
Funcfis, numclc, prcnumelc, s0Drn6tura \AonxHocT6, 4)aMffxHr, ffM, ! IoAnxcL
Funclir, Dumele, prenuntele , semntrturt \ Aorxrroor,, rfauunu, rx, , noAnffcL
17. Prinrit mlrlurilc/actiyclc (scryiciilc)
curnpdritorul/beneiiciarul:
flpurrra ronapr/arrtrRLr (ycnyru

, ffM, ! IoAnxcL
Funclir, Dumele, prenuntele , semntrturt \ Aorxrroor,, rfauunu, rx, , noAnffcL
17. Prinrit mlrlurilc/actiyclc (scryiciilc)
curnpdritorul/beneiiciarul:
flpurrra ronapr/arrtrRLr (ycnyru)
rroxyrralell/trolyvalell
diLcctor ALEXANDRU BIRCA Aplicatl semndtura electronicd dc cetrc Cumpiretor\\IpuMeHcHa
3JreKTpotrrra, trol(trucL IoKyrrarex, 20.03.2026
Funcfla, numele, preDnmele , semnitura \ Aorrxuomr, rlanrlue, ulr, ! noArrc6
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