Formular tipizat

Aprobat prin Ordenul comun al Departamentului Statisticii al Republicii Moldova

1
ex. la expeditor i Ministerul Finantelor al Republicii Moldova nr.24/36 din 25 martie 1998

. 24/36 25 1998 .

FACTUR DE EXPEDIIE LA FOAIA DE PARCURS SERIA Nr. din

Seria DL TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
AUTOVEHICUL marca Nr. remorca (semiremorca) Nr.
Nr. ()
din OFER __________________________________________________________________________________________________________________________________
(numele, prenumele i nr. permisului de conducere . )

1 EXPEDITOR______________________________________________________________________________________________________________ Cod fiscal____________________ ____________________________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
2 DESTINATAR ____________________________________________________________________________________________________________ Cod fiscal________________ ________________________________
(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
3 LOC NCRCARE 4 LOC DESCRCARE

5 DOCUMENTE ANEXATE __________________________________________________________________________________________________________________________________________________

6 REDIRIJRI ____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA
Cod no- Unitatea de Cantitatea Valoarea Tipul de Numr Masa brut,
menclator Denumirea ncrcturii msur ncrcturii Pre unitar, lei ncrcturii, lei TVA, lei Accize, lei Suma, lei ambalaj locuri Volum, m3 tone
- - - , 3 ,
- - , , , ,

,

7 8 9 10 11 12 13 14 15 16 17 18 19

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
n baza delegaiei ser. ___ nr. ___________ _____ din ___________,
Permis eliberarea_________________ Predat ncrctura, expeditor:__________________ ___________ Predat ncrctura, ofer:______________________ .
funcia, semntura, , : numele, prenumele, semntura, tampila, : semntura,
, ..., , eliberat __________ _____________ ______ _______ ______________

Contabil-ef ____________________ Primit ncrctura, ofer:_______________________________ Primit ncrctura, destinatar:_____________________ Primit ncrctura ________ ___________________________ _____ ___
semntura, , : semntura, , : semntura, tampila funcia, numele, prenumele , , ..
,
Editura de Imprimate Statistica, a4 (441n). 10.05. t. 2000255 Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
ex. destinatar
2
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998

. 24/36 25 1998 .
 FACTUR DE EXPEDIIE LA FOAIA DE PARCURS SERIA Nr. din

Seria BB TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
AUTOVEHICUL marca Nr. remorca (semiremorca) Nr.
Nr. ()
din OFER __________________________________________________________________________________________________________________________________
(numele, prenumele i nr. permisului de conducere . )

1 EXPEDITOR____________________________________________________________________________________________________________________________ Cod fiscal__________________ _______________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
2 DESTINATAR __________________________________________________________________________________________________________________________ Cod fiscal________________ _________________
(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
3 LOC NCRCARE 4 LOC DESCRCARE

5 DOCUMENTE ANEXATE __________________________________________________________________________________________________________________________________________________

6 REDIRIJRI ____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA
Cod no- Unitatea de Cantitatea Valoarea Tipul de Numr Masa brut,
menclator Denumirea ncrcturii msur ncrcturii Pre unitar, lei ncrcturii, lei TVA, lei Accize, lei Suma, lei ambalaj locuri Volum, m3 tone
- - - , ,
3
- - , , , ,

,

7 8 9 10 11 12 13 14 15 16 17 18 19

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
n baza delegaiei ser. ___ nr. __________ din ___________,
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________ Predat ncrctura, ofer:______________________ .
funcia, semntura, , : numele, prenumele, semntura, tampila, : semntura,
, ..., , eliberat __________ ____________________ ______________

Contabil-ef _______________________ Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________
semntura, , : semntura, , : semntura, tampila Primit ncrctura ________ ____________________ ________
, funcia, numele, prenumele , , ..
Editura de imprimate Statistica, a4 (129n). 03.00. t. 500203 Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
ex. la transportator
3
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998

. 24/36 25 1998 .

FACTUR DE EXPEDIIE LA FOAIA DE PARCURS SERIA Nr. din

 Seria BB TRANSPORTATOR _______________________________________________________________________________________________________________________
(denumirea, adresa , )
AUTOVEHICUL marca Nr. remorca (semiremorca) Nr.
Nr. ()
din OFER __________________________________________________________________________________________________________________________________
(numele, prenumele i nr. permisului de conducere . )

1 EXPEDITOR____________________________________________________________________________________________________________________________ Cod fiscal__________________ _______________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
2 DESTINATAR __________________________________________________________________________________________________________________________ Cod fiscal________________ _________________
(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
3 LOC NCRCARE 4 LOC DESCRCARE

5 DOCUMENTE ANEXATE __________________________________________________________________________________________________________________________________________________

6 REDIRIJRI ____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA
Cod no- Unitatea de Cantitatea Valoarea Tipul de Numr Masa brut,
menclator Denumirea ncrcturii msur ncrcturii Pre unitar, lei ncrcturii, lei TVA, lei Accize, lei Suma, lei ambalaj locuri Volum, m3 tone
- - - , ,
3
- - , , , ,

,

7 8 9 10 11 12 13 14 15 16 17 18 19

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
n baza delegaiei ser. ___ nr. __________ din ___________,
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________ Predat ncrctura, ofer:______________________ .
funcia, semntura, , : numele, prenumele, semntura, tampila, : semntura,
, ..., , eliberat __________ ____________________ ______________

Contabil-ef _______________________ Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________
semntura, , : semntura, , : semntura, tampila Primit ncrctura ________ ____________________ ________
, funcia, numele, prenumele , , ..
Editura de imprimate Statistica, a4 (129n). 03.00. t. 500203 Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
ex. la transportator
4
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998

. 24/36 25 1998 .

FACTUR DE EXPEDIIE LA FOAIA DE PARCURS SERIA Nr. din

Seria TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
 AUTOVEHICUL marca Nr. remorca (semiremorca) Nr.
Nr. ()
din OFER __________________________________________________________________________________________________________________________________
(numele, prenumele i nr. permisului de conducere . )

1 EXPEDITOR____________________________________________________________________________________________________________________________ Cod fiscal__________________ _______________

(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
2 DESTINATAR __________________________________________________________________________________________________________________________ Cod fiscal________________ _________________
(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
3 LOC NCRCARE 4 LOC DESCRCARE

5 DOCUMENTE ANEXATE __________________________________________________________________________________________________________________________________________________

6 REDIRIJRI ____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA
Cod no- Unitatea de Cantitatea Valoarea Tipul de Numr Masa brut,
menclator Denumirea ncrcturii
msur ncrcturii Pre unitar, lei ncrcturii, lei TVA, lei Accize, lei Suma, lei ambalaj locuri Volum, m3 tone
- - - , ,
3
- - , , , ,

,

7 8 9 10 11 12 13 14 15 16 17 18 19

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
n baza delegaiei ser. ___ nr. __________ din ___________,
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________ Predat ncrctura, ofer:______________________ .
funcia, semntura, , : numele, prenumele, semntura, tampila, : semntura,
, ..., , eliberat __________ ____________________ ______________

Contabil-ef _______________________ Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________
semntura, , : semntura, , : semntura, tampila Primit ncrctura ________ ____________________ ________
, funcia, numele, prenumele , , ..
Editura de imprimate Statistica, a4 ( ). 06.98. t. x20x5 Formular tipizat

Aprobat prin Ordinul comun al Departamentului Statisticii al Republicii Moldova
ex. autorizaie
5
i Ministerul Finanelor al Republicii Moldova nr.24/36 din 25 martie 1998

. 24/36 25 1998 .

FACTUR DE EXPEDIIE LA FOAIA DE PARCURS SERIA Nr. din

Seria TRANSPORTATOR _______________________________________________________________________________________________________________________

(denumirea, adresa , )
AUTOVEHICUL marca Nr. remorca (semiremorca) Nr.
Nr. ()
din OFER __________________________________________________________________________________________________________________________________
(numele, prenumele i nr. permisului de conducere . )

1 EXPEDITOR____________________________________________________________________________________________________________________________ Cod fiscal__________________ _______________
(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
2 DESTINATAR __________________________________________________________________________________________________________________________ Cod fiscal________________ _________________
(denumirea, adresa, telefon, cont de decontare, denumirea bncii - , , , , )
3 LOC NCRCARE 4 LOC DESCRCARE

5 DOCUMENTE ANEXATE __________________________________________________________________________________________________________________________________________________

6 REDIRIJRI ____________________________________________________________________________________________________________________________________________________________

INFORMAII PRIVIND NCRCTURA
Cod no- Unitatea de Cantitatea Valoarea Tipul de Numr Masa brut,
menclator Denumirea ncrcturii
msur ncrcturii Pre unitar, lei ncrcturii, lei TVA, lei Accize, lei Suma, lei ambalaj locuri Volum, m3 tone
- - - , ,
3
- - , , , ,

,

7 8 9 10 11 12 13 14 15 16 17 18 19

Total eliberat n valoare de ________________________________________ __________________ __________________ _________________

(n litere, )
n baza delegaiei ser. ___ nr. __________ din ___________,
Permis eliberarea____________________ Predat ncrctura, expeditor:__________________ ____________ Predat ncrctura, ofer:______________________ .
funcia, semntura, , : numele, prenumele, semntura, tampila, : semntura,
, ..., , eliberat __________ ____________________ ______________

Contabil-ef _______________________ Primit ncrctura, ofer:_________________________________ Primit ncrctura, destinatar:_____________________
semntura, , : semntura, , : semntura, tampila Primit ncrctura ________ ____________________ ________
, funcia, numele, prenumele , , ..
Editura de imprimate Statistica, a4 ( ). 06.98. t. x20x5
20 TIMPUL DE STAIONARE A AUTOVEHICULULUI 21 RUTA I DISTANA DE TRANSPORT, km
, _________________________________
ziua, luna, ora, minutele de
operaia , , , semntura responsabilului ___________________________________________________________________________
sosire plecare staionare
___________________________________________________________________________
ncrcare
___________________________________________________________________________
descrcare

22 MENIUNI:
: ___________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________________________________________
 23 FORMA DE PLAT:
:

24 CALCULUL PRESTAIILOR DE TRANSPORT:

:_________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________________________________________________