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Numesiprenume Calitatea Denumireaunitatii

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3.Aumaiparticipatlareceptie:Nr.crt.

Numesiprenume Calitatea Denumireaunitatii

1 2 3 4

4.Constatarilecomisieidereceptie4.1. Din documentatia scrisa si desenata necesara a fi prezentata au lipsit sau sunt incompletepieselecuprinseinlistaanexanr.1....4.2.Cantitatiledelucraricuprinseinlistaanexanr.2nuaufostexecutate....4.3.Lucrarilecuprinseinlistaanexanr.3nurespectaprevederileproiectului....4.4.Valoareadeclarataainvestitieiestede..................................RON.

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Incalitatede Numesiprenume

Semnatura

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