FACTUR FISCAL Seria, Nr.

Data eliberrii /data livrrii _______________ / _______________

/

1. Furnizor:

2. Cumprtor:

3. Delegaie data _______________ delegatul

5. Punct ncrcare 6. Punct descrcare

10-Jan 10-Feb 10-Mar 10-Apr

Denumirea mrfurilor, serviciilor i cod nomenclator al mrfii Unitate de msur Cantitatea mrfurilor, volumul serviciilor Pre unitar fr TVA, lei

, , ,

,

Ex. _________Nr. exemplarului.

13. Permis eliberarea:

:________________________________________________________________________________________________________________________________________

Funcia, numele, prenumele i semntura

, ,

14. Predat bunurile (serviciile):

() _______________________________________________________________________________________________________________________

Funcia, numele, prenumele i semntura

..

15. Primit bunurile intermediarul (transportatorul):

()________________________________________________________________________________________________________

, ,

16. Predat bunurile intermediarul (transportatorul):

()__________________________________________________________________________________________________________

, ,

17. Primit bunurile (serviciile) cumprtorul:

, ,

18. Timpul de staionare a mijlocului de transport

Operaia Ziua, luna, ora, minutele la

, , ,

Sosire Plecare Staionare

11. TOTAL (pe pagin) / ( )

12. TOTAL (pe factura fiscal) / ( )

L.. , ,

Funcia, numele, prenumele i semntura

Funcia, numele, prenumele i semntura

() __________________________________________________________________________________________________ L..

Funcia, numele, prenumele i semntura ..

ncrcare

Descrcare

20. Forma de plat

21. Meniuni

______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

22. Calculul prestaiilor de transport

______________________________________________________________________________________ ______________________________________________________________________________________

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

6. Punct descrcare 7. Redirijri

10-Apr 10-May 10-Jun 10-Jul 10-Aug 10-Sep

Pre unitar fr TVA, lei Cota TVA,% Suma total a TVA, lei Alt informaie

, , %

8. Foaia de parcurs seria: _________ numr:_____________ data _______________

Valoarea total fr TVA, lei

Valoarea mrfurilor, serviciior, lei

,

,

, ,

x x

x x

13. Permis eliberarea:

:________________________________________________________________________________________________________________________________________

Funcia, numele, prenumele i semntura

, ,

14. Predat bunurile (serviciile):

() _______________________________________________________________________________________________________________________

Funcia, numele, prenumele i semntura

..

15. Primit bunurile intermediarul (transportatorul):

()________________________________________________________________________________________________________

, ,

16. Predat bunurile intermediarul (transportatorul):

()__________________________________________________________________________________________________________

, ,

17. Primit bunurile (serviciile) cumprtorul:

, ,

18. Timpul de staionare a mijlocului de transport 19. Ruta i distana de transport, km

,

_____________________________________Ziua, luna, ora, minutele la Semntura _____________________________________, , , _____________________________________

Staionare _____________________________________

() __________________________________________________________________________________________________ L..

Funcia, numele, prenumele i semntura ..

_____________________________________

20. Forma de plat

21. Meniuni

______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

22. Calculul prestaiilor de transport

______________________________________________________________________________________ ______________________________________________________________________________________

c.f./ nr.TVA

../

c.f./ nr.TVA

../

c.f./ nr.TVA

../

4. Documente anexate

7. Redirijri

10-Oct 10-Nov 10-Dec

Tip ambalaj Numr locuri Masa brut, tone

- ,

x x

x x

13. Permis eliberarea:

:________________________________________________________________________________________________________________________________________

Funcia, numele, prenumele i semntura

, ,

14. Predat bunurile (serviciile):

() _______________________________________________________________________________________________________________________

Funcia, numele, prenumele i semntura

..

15. Primit bunurile intermediarul (transportatorul):

()________________________________________________________________________________________________________

, ,

16. Predat bunurile intermediarul (transportatorul):

()__________________________________________________________________________________________________________

, ,

17. Primit bunurile (serviciile) cumprtorul:

, ,

19. Ruta i distana de transport, km

,

_____________________________________ _____________________________________ _____________________________________ _____________________________________

_____________________________________

20. Forma de plat

21. Meniuni

______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________

22. Calculul prestaiilor de transport

______________________________________________________________________________________ ______________________________________________________________________________________

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