k Polojeniyu o poryadke vidachi doverennostey
na polucheniye tovarno-materialniх sennostey
i otpuska iх po doverennosti
(MYu 27.05.2003 g. N 1245)
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Nomer doverennosti |
Data vidachi |
Srok deystviya |
Doljnost i F.I.O. litsa, kotoromu vidana doverennost |
Raspiska v poluchenii doverennosti |
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1 |
2 |
3 |
4 |
5 |
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Postavshchik |
Nomer i data dogovora i iniх sdelok |
Nomer i data dokumenta, podtverjdayushchego vipolneniye porucheniya |
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6 |
7 |
8 |
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- - - - - - - - - - - - - - - - - - - - - - Liniya otreza - - - - - - - - - - - - - - - - - - - - - -
Doverennost N _____
Data vidachi "___" ______________ 200__ g.
Doverennost deystvitelna po "___" ______________ 200__ g.
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Naimenovaniye predpriyatiya i yego adres
Doverennost vidana _____________________________________
Doljnost i F.I.O.
Pasport seriya __________ N ______________________
Kem vidan ______________________________________
Data vidachi "__" ____________________ g.
Na polucheniye ot ___________________________________________
Naimenovaniye postavshchika
Materialniх sennostey po ________________________________
Naimenovaniye, nomer i data dokumenta
Oborotnaya storona
Perechen materialniх sennostey, podlejashchiх polucheniyu
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N |
Naimenovaniye materialniх sennostey |
Yedinitsa izmereniya |
Kolichestvo (propisyu) |
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1 |
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4 |
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Podpis litsa, poluchivshego doverennost _________, udostoveryayem.
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M.P. |
podpis |
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F.I.O. |
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podpis |
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F.I.O. |
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