k Polojeniyu o poryadke vidachi doverennostey
na polucheniye tovarno-materialnix sennostey
i otpuska ix po doverennosti
(MYu 27.05.2003 g. N 1245)
Doverennost N _________
Data vidachi "___" ___________20__g.
Doverennost deystvitelna po "___" ___________20__g.
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Naimenovaniye predpriyatiya i yego adres |
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Doverennost vidana |
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Doljnost i F.I.O. |
Pasport seriya ______ N ____________________________
Kem vidan _________________________________________________________
Data vidachi "___" ______________________________g.
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Na polucheniye ot |
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Naimenovaniye postavshchika |
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materialnix sennostey po |
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Naimenovaniye, nomer i data dokumenta |
Oborotnaya storona
Perechen materialnix sennostey,
podlejashchix polucheniyu
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N |
Naimenovaniye materialnix sennostey |
Yedinitsa izmereniya
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Kolichestvo (propisyu)
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1 |
2 |
3 |
4 |
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Podpis litsa, poluchivshego doverennost ___________, udostoveryayem.
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M.P. |
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podpis |
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F.I.O. |
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podpis |
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F.I.O. |
