n vi:..

Mu s: 01 - TT
B phn:. (Ban hnh theo Q s: 48/2006/Q- BTC
Ngy 14/9/2006 ca B trng BTC)
PHIU THU Quyn s: ...........
Ngy ...thng ...nm ... S: .........................
N: .........................
C: .........................
H v tn ngi np tin:
....................................................................................
a ch:
............................................................................................................
L do np:
........................................................................................................
S tin: ....................................................(Vit bng ch):
................................
......................................................................................................................
.
Km theo: ............................Chng t gc.
Ngy ...thng ...nm ...
Gim c K ton Ngi np Ngi lp
Th qu
(K, h tn, ng trng tin phiu
(K, h tn)
du) (K, h tn) (K, h tn) (K, h tn)
nhn s tin (vit bng ch):
................................................................................
+ T gi ngoi t (vng, bc, qu):
.............................................................................
+ S tin quy i:
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