Formular tipizat

Aprobat prin Ordenul comun al Departamentului Statisticii al Republicii Moldova

i Ministerul Finantelor al Republicii Moldova nr.24/36 din 25 martie 1998
24/36 25 1998 .

ex. la expeditor
.

LA FOAIA DE PARCURS SERIA

FACTUR DE EXPEDIIE

Seria

DL

TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
AUTOVEHICUL
marca
remorca (semiremorca) Nr.
Nr.

()

Nr.
din

OFER __________________________________________________________________________________________________________________________________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

LOC NCRCARE

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

DESTINATAR ____________________________________________________________________________________________________________

(numele, prenumele i nr. permisului de conducere . )

EXPEDITOR______________________________________________________________________________________________________________ Cod fiscal____________________ ____________________________

din

Nr.

Cod fiscal________________ ________________________________

LOC DESCRCARE

DOCUMENTE ANEXATE

__________________________________________________________________________________________________________________________________________________

REDIRIJRI

____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA

Cod nomenclator

Denumirea ncrcturii

Unitatea de Cantitatea
Valoarea
msur ncrcturii Pre unitar, lei ncrcturii, lei

- ,
-

10

11

TVA, lei
,

Accize, lei
,

Suma, lei
,

Tipul de
ambalaj

13

14

15

16

12

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
Permis eliberarea_________________ Predat ncrctura, expeditor:__________________ ___________ Predat ncrctura, ofer:______________________

funcia, semntura,
,

, :

numele, prenumele, semntura, tampila,

..., ,

Contabil-ef ____________________ Primit ncrctura, ofer:_______________________________

semntura,

, :

Editura de Imprimate Statistica, a4 (441n). 10.05. t. 2000255

ex. destinatar
.

semntura,

semntura,

Numr
Masa brut,
locuri
Volum, m3
tone
- , 3

,
17

18

19

n baza delegaiei ser. ___ nr.___________ _____ din ___________,

.

eliberat __________ _____________ ______ _______ ______________

Primit ncrctura, destinatar:_____________________ Primit ncrctura ________ ___________________________ _____ ___

, :
semntura, tampila

funcia, numele, prenumele , , ..
,

Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998
24/36 25 1998 .

LA FOAIA DE PARCURS SERIA

FACTUR DE EXPEDIIE

Seria

BB

TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
AUTOVEHICUL
marca
remorca (semiremorca) Nr.
Nr.

()

Nr.
din

OFER __________________________________________________________________________________________________________________________________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

DESTINATAR __________________________________________________________________________________________________________________________

(numele, prenumele i nr. permisului de conducere . )

EXPEDITOR____________________________________________________________________________________________________________________________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

LOC NCRCARE

din

Nr.

Cod fiscal__________________ _______________

Cod fiscal________________ _________________

LOC DESCRCARE

DOCUMENTE ANEXATE

__________________________________________________________________________________________________________________________________________________

REDIRIJRI

____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA

Cod nomenclator

Denumirea ncrcturii

8

Unitatea de Cantitatea
Valoarea
msur ncrcturii Pre unitar, lei ncrcturii, lei

-
- ,

10

11

TVA, lei
,

Accize, lei
,

Suma, lei
,

Tipul de
ambalaj

13

14

15

16

12

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________

funcia, semntura,
,

, :

numele, prenumele, semntura, tampila,

..., ,

Predat ncrctura, ofer:______________________

:

semntura,

Contabil-ef _______________________

Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________

, :

semntura,

Editura de imprimate Statistica, a4 (129n). 03.00. t. 500203

semntura,

, :

semntura, tampila
,

17

18

19

n baza delegaiei ser. ___ nr._____ _____ din ___________,

.

eliberat __________ ____________________ ______________

Primit ncrctura ________ ____________________ ________

funcia, numele, prenumele , , ..

ex. la transportator
.

FACTUR DE EXPEDIIE

Numr
Masa brut,
locuri
Volum, m3
tone
3
- , ,

LA FOAIA DE PARCURS SERIA

Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998
24/36 25 1998 .

Nr.

din

Seria

BB

TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
AUTOVEHICUL
marca
remorca (semiremorca) Nr.
Nr.

()

Nr.
din

OFER __________________________________________________________________________________________________________________________________

EXPEDITOR____________________________________________________________________________________________________________________________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

DESTINATAR __________________________________________________________________________________________________________________________

(numele, prenumele i nr. permisului de conducere . )

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

LOC NCRCARE

Cod fiscal__________________ _______________

Cod fiscal________________ _________________

LOC DESCRCARE

DOCUMENTE ANEXATE

__________________________________________________________________________________________________________________________________________________

REDIRIJRI

____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA

Cod nomenclator

Denumirea ncrcturii

8

Unitatea de Cantitatea
Valoarea
msur ncrcturii Pre unitar, lei ncrcturii, lei

-
- ,

10

11

TVA, lei
,

Accize, lei
,

Suma, lei
,

Tipul de
ambalaj

13

14

15

16

12

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________

Predat ncrctura, ofer:______________________

funcia, semntura,
,

Contabil-ef _______________________

semntura,

, :

, :

semntura,

, :

semntura, tampila
,

17

18

19

n baza delegaiei ser. ___ nr._____ _____ din ___________,

.

eliberat __________ ____________________ ______________

Primit ncrctura ________ ____________________ ________

funcia, numele, prenumele , , ..

ex. la transportator
.

FACTUR DE EXPEDIIE

Seria

semntura,

Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________

Editura de imprimate Statistica, a4 (129n). 03.00. t. 500203

numele, prenumele, semntura, tampila,

..., ,

Numr
Masa brut,
locuri
Volum, m3
tone
3
- , ,

LA FOAIA DE PARCURS SERIA

Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998
24/36 25 1998 .

Nr.

din

TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )

AUTOVEHICUL

Nr.
din

(numele, prenumele i nr. permisului de conducere . )

EXPEDITOR____________________________________________________________________________________________________________________________
(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

DESTINATAR __________________________________________________________________________________________________________________________

remorca (semiremorca) Nr.

()

Nr.

OFER __________________________________________________________________________________________________________________________________

marca

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

LOC NCRCARE

Cod fiscal__________________ _______________

Cod fiscal________________ _________________

LOC DESCRCARE

DOCUMENTE ANEXATE

__________________________________________________________________________________________________________________________________________________

REDIRIJRI

____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA

Cod nomenclator

Denumirea ncrcturii

8

Unitatea de Cantitatea
Valoarea
msur ncrcturii Pre unitar, lei ncrcturii, lei

-
- ,

10

11

TVA, lei
,

Accize, lei
,

Suma, lei
,

Tipul de
ambalaj

13

14

15

16

12

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________

Predat ncrctura, ofer:______________________

funcia, semntura,
,

Contabil-ef _______________________

semntura,

Editura de imprimate Statistica, a4 (

, :

Nr.
din

semntura,

Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________

, :

). 06.98. t.

x20x5

semntura,

, :

semntura, tampila
,

17

18

19

n baza delegaiei ser. ___ nr._____ _____ din ___________,

.

eliberat __________ ____________________ ______________

Primit ncrctura ________ ____________________ ________

funcia, numele, prenumele , , ..

ex. autorizaie
.
LA FOAIA DE PARCURS SERIA

FACTUR DE EXPEDIIE

Seria

numele, prenumele, semntura, tampila,

..., ,

Numr
Masa brut,
locuri
Volum, m3
tone
3
- , ,

Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998
24/36 25 1998 .

Nr.

din

TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
AUTOVEHICUL
marca
remorca (semiremorca) Nr.
Nr.

()
OFER __________________________________________________________________________________________________________________________________

(numele, prenumele i nr. permisului de conducere . )

EXPEDITOR____________________________________________________________________________________________________________________________

Cod fiscal________________ _________________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

LOC NCRCARE

DESTINATAR __________________________________________________________________________________________________________________________

Cod fiscal__________________ _______________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )

LOC DESCRCARE

DOCUMENTE ANEXATE

__________________________________________________________________________________________________________________________________________________

REDIRIJRI

____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA

Cod nomenclator

Unitatea de Cantitatea
Valoarea
msur ncrcturii Pre unitar, lei ncrcturii, lei

-
- ,

Denumirea ncrcturii

8

10

11

TVA, lei
,

Accize, lei
,

Suma, lei
,

Tipul de
ambalaj

13

14

15

16

12

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________

Predat ncrctura, ofer:______________________

, :

funcia, semntura,
,

Contabil-ef _______________________

semntura,

Editura
20 de imprimate Statistica, a4 (

numele, prenumele, semntura, tampila,

..., ,

Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________

, :

). 06.98. t.

semntura,

x20x5

TIMPUL DE STAIONARE A AUTOVEHICULULUI

ziua, luna, ora, minutele de

operaia

ncrcare

semntura,

, , ,
sosire
plecare
staionare

semntura responsabilului

, :

semntura, tampila
,

Numr
Masa brut,
locuri
Volum, m3
tone
3
- , ,

17

18

19

n baza delegaiei ser. ___ nr._____ _____ din ___________,

.

eliberat __________ ____________________ ______________

Primit ncrctura ________ ____________________ ________

funcia, numele, prenumele , , ..

21 RUTA I DISTANA DE TRANSPORT, km

,

_________________________________

___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

descrcare

22

MENIUNI:
: ___________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________

23 FORMA DE PLAT:
:

24 CALCULUL PRESTAIILOR DE TRANSPORT:

:_________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________