Aprobat prin Ordinul comun al Departamentului Analize Statistice i Sociologice

i Ministerului Finanelor al Republicii Moldova nr.22/36 din 22 martie 1999

22/36 22 1999 .

ACT DE ACHIZIIE A MRFURILOR seria Nr.

din ___________________ anul _______

Recepionat n baza contractului

___________________________________________ nr.__________ din ____________________
ntreprinderea (organizaia) ()

__________________________________________________________________________________
adresa ntreprinderii (organizaiei) ()

Cod fiscal _______________ Conductorul ntreprinderii (organizaiei) ______________________________

() numele, prenumele ,

Primit marfa __________________________________________________________________________

numele, prenumele ,

Predat marfa _________________________________________________________________________

numele, prenumele ,
______________________________ ____________________________________________
Codul personal sau datele paaportului viza de reedin

Unit. de Preul unitar,
Denumirea mrfurilor msur Cantitatea lei Suma, lei
, ,

1 2 3 4 5

Total

Suma total __________________________________________________________ _____________________

n litere n cifre
Reineri:
:
la buget _________________________________________________ __________________
n litere n cifre

avans n bani ______________________________________________________ _____________________

n litere n cifre

Total de plat _________________________________________________________ _____________________

n litere n cifre

Primit marfa _____________________________ Predat marfa___________________________

semntura semntura