Formular tipizat

$QH[DOD2UGLQXO0LQLVWHUXOXL)LQQDQĠHORUDO5HSXEOLFLL0ROGRYD
nr.118 din 28 august 2017
Ɍɢɩɨɜɚɹɮɨɪɦɚ
ɉɪɢɥɨɠɟɧɢɟɤɩɪɢɤɚɡɭɆɢɧɢɫɬɟɪɫɬɜɚɎɢɧɚɧɫɨɜɊɟɫɩɭɛɥɢɤɢɆɨɥɞɨɜɚ
ʋɨɬɚɜɝɭɫɬɚɝ

)$&785Ă),6&$/Ă Seria, Nr.

ɇȺɅɈȽɈȼȺəɇȺɄɅȺȾɇȺə ɋɟɪɢɹʋ EAA005380828
8. Foaia de parcurs seria: QXPăU data: 30.04.2021
'DWDHOLEHUăULLGDWDOLYUăULL06.05.2021 / 30.04.2021 ɉɭɬɟɜɨɣɥɢɫɬɫɟɪɢɹ ɧɨɦɟɪ ɞɚɬɚ
Ⱦɚɬɚɜɵɩɢɫɤɢɞɚɬɚɩɨɫɬɚɜɤɢ 9. Transportator KAZINST GRUP SRL, Chisinau,str. c.f./ nr.TVA 1017600041235 /
ɉɟɪɟɜɨɡɱɢɤ Lunca Bicului 26/1,000000,MD ɮɤɤɨɞɇȾɋ0209817
1. Furnizor: I.M. ROMPETROL MOLDOVA S.A., Stefan Cel Mare si Sfint,73/1,MD-2001,Chisinau Cont c.f./ nr.TVA 1002600015382 /
ɉɨɫɬɚɜɳɢɤ MD43ML000000002251932251, BC'Moldindconbank'S.A. suc.'Telecomtrans' Chisinau, MOLDMD2X332 ɮɤɤɨɞɇȾɋ0503667

&XPSăUăWRUEHQHILFLDU KAZINST GRUP SRL, Chisinau,str. Lunca Bicului 26/1,000000,MD c.f./ nr.TVA 1017600041235 /
ɉɨɤɭɩɚɬɟɥɶɩɨɥɭɱɚɬɟɥɶ ɮɤɤɨɞɇȾɋ0209817

'HOHJDĠLHseria QXPăU data 30.04.2021 delegatul 4. Documente anexate

Ⱦɨɜɟɪɟɧɧɨɫɬɶ ɫɟɪɢɹ ɧɨɦɟɪ ɞɚɬɚ ɞɟɥɟɝɢɪɨɜɚɧɧɵɣ ɉɪɢɥɚɝɚɟɦɵɟɞɨɤɭɦɟɧɬɵ

3XQFWvQFăUFDUH 3XQFWGHVFăUFDUH 5HGLULMăUL

ɉɭɧɤɬɩɨɝɪɭɡɤɢ ɉɭɧɤɬɪɚɡɝɪɭɡɤɢ ɉɟɪɟɚɞɪɟɫɨɜɤɢ

10.1 10.2 10.3 10.4 10.5 10.6 10.7 10.8 10.9 10.10 10.11 10.12
'HQXPLUHDPăUIXULORUDFWLYHORUVHUYLFLLORUúLFRGXOSR]LĠLHL Unitate Cantitatea 3UHĠXQLWDU 9DORDUHDWRWDOă Cota 6XPDWRWDOăD Valoarea $OWă Tip ambalaj 1XPăU Masa
WDULIDUHDOPăUILLDFWLYXOXL de PăUIXULORUDF IăUă79$OHL IăUă79$OHL TVA,% TVA, lei PăUIXULORUDFWLYHORU LQIRUPDĠLH Ɍɢɩɭɩɚɤɨɜɤɢ locuri EUXWăWRQH
ɇɚɢɦɟɧɨɜɚɧɢɟɬɨɜɚɪɨɜɚɤɬɢɜɨɜɭɫɥɭɝɢɤɨɞɬɨɜɚɪɧɨɣ PăVXUă tivelor, ɐɟɧɚ Ɉɛɳɚɹɫɭɦɦɚ ɋɬɚɜɤɚ Ɉɛɳɚɹɫɭɦɦɚ , serviciilor, lei Ⱦɪɭɝɚɹ Ʉɨɥɢ Ɇɚɫɫɚ
ɩɨɡɢɰɢɢɬɨɜɚɪɚɚɫɬɢɜɚ ȿɞɢɧɢɰ volumul ɟɞɢɧɢɰɵɛɟɡ ɛɟɡɇȾɋɥɟɟɜ ɇȾɋ ɇȾɋɥɟɟɜ ɋɬɨɢɦɨɫɬɶ ɢɧɮɨɪɦɚɰɢɹ ɱɟɫɬɜɨ ɛɪɭɬɬɨ
ɚ serviciilor ɇȾɋɥɟɟɜ ɬɨɜɚɪɨɜɚɤɬɢɜɨɜ ɦɟɫɬ ɬɨɧɧ
ɢɡɦɟɪɟ Ʉɨɥɢɱɟɫɬɜɨ ɭɫɥɭɝɥɟɟɜ
ɧɢɹ ɬɨɜɚɪɨɜɚɤɬɢ
ɜɨɜɨɛɴɟɦ
ɭɫɥɭɝ
1 . EFIX MOTORINA 51 L 1116,950 13,67 15264,89 20 3052,98 18317,87
2 . Discount EFIX MOTORINA 51 L 1116,950 -0,50 -558,47 20 -111,70 -670,17
3 . EFIX BENZINA 95 L 516,500 16,29 8414,64 20 1682,94 10097,58
4 . Discount EFIX BENZINA 95 L 516,500 -0,50 -258,25 20 -51,66 -309,91
5 . MOTORINA EURO 5 L 156,780 13,39 2099,34 20 419,87 2519,21
6 . Discount MOTORINA EURO 5 L 156,780 -0,50 -78,40 20 -15,68 -94,08
7 . BENZINA EUROPLUS L 15,000 16,07 241,00 20 48,20 289,20
8 . Discount BENZINA EUROPLUS L 15,000 -0,50 -7,50 20 -1,50 -9,00
727$/SHIDFWXUDILVFDOăȼɫɟɝɨɩɨɧɚɥɨɝɨɜɨɣɧɚɤɥɚɞɧɨɣ 25117,25 X 5023,45 30140,70 X X X 0,00

13. Permis eliberarea: contabil ANGELA OSECA $SOLFDWăVHPQăWXUDGLJLWDOăGHFăWUH)XUQL]RU?ɉɪɢɦɟɧɟɧɚ

Ɉɬɩɭɫɤ ɰɢɮɪɨɜɚɹɩɨɞɩɢɫɶɉɨɫɬɚɜɳɢɤɚ
ɪɚɡɪɟɲɢɥ
)XQFĠLDQXPHOHSUHQXPHOHVHPQăWXUD \ Ⱦɨɥɠɧɨɫɬɶɮɚɦɢɥɢɹɢɦɹɩɨɞɩɢɫɶ

143UHGDWPăUIXULOHDFWLYHOHVHUYLFLLOH contabil ANGELA OSECA $SOLFDWăVHPQăWXUDGLJLWDOăGHFăWUH)XUQL]RU?ɉɪɢɦɟɧɟɧɚ

ɋɞɚɥɬɨɜɚɪɵɚɤɬɢɜɵɭɫɥɭɝɢ ɰɢɮɪɨɜɚɹɩɨɞɩɢɫɶɉɨɫɬɚɜɳɢɤɚ

)XQFĠLDQXPHOHSUHQXPHOHVHPQăWXUD \ Ⱦɨɥɠɧɨɫɬɶɮɚɦɢɥɢɹɢɦɹɩɨɞɩɢɫɶ
/ù

Ɇɉ
153ULPLWPăUIXULOHDFWLYHOHLQWHUPHGLDUXOWUDQVSRUWDWRUXO

ɉɪɢɧɹɥɬɨɜɚɪɵɚɤɬɢɜɵɩɨɫɪɟɞɧɢɤɩɟɪɟɜɨɡɱɢɤ

)XQFĠLDQXPHOHSUHQXPHOHVHPQăWXUD\ Ⱦɨɥɠɧɨɫɬɶɮɚɦɢɥɢɹɢɦɹɩɨɞɩɢɫɶ
163UHGDWPăUIXULOHDFWLYHOHLQWHUPHGLDUXO
(transportatorul)::
ɋɞɚɥɬɨɜɚɪɵɚɤɬɢɜɵɩɨɫɪɟɞɧɢɤɩɟɪɟɜɨɡɱɢɤ

)XQFĠLDQXPHOHSUHQXPHOHVHPQăWXUD \ Ⱦɨɥɠɧɨɫɬɶɮɚɦɢɥɢɹɢɦɹɩɨɞɩɢɫɶ
3ULPLWPăUIXULOHDFWLYHOHVHUYLFLLOH contabil Nicoleta Tugulschi $SOLFDWăVHPQăWXUDGLJLWDOăGHFăWUH&XPSăUăWRU?ɉɪɢɦɟɧɟɧɚ
FXPSăUăWRUXOEHQHILFLDUXO ɰɢɮɪɨɜɚɹɩɨɞɩɢɫɶɉɨɤɭɩɚɬɟɥɹ
ɉɪɢɧɹɥɬɨɜɚɪɵɚɤɬɢɜɵɭɫɥɭɝɢ
ɩɨɤɭɩɚɬɟɥɶɩɨɥɭɱɚɬɟɥɶ
)XQFĠLDQXPHOHSUHQXPHOHVHPQăWXUD\ Ⱦɨɥɠɧɨɫɬɶɮɚɦɢɥɢɹɢɦɹɩɨɞɩɢɫɶ

Pagina 1 din 2
)$&785Ă),6&$/Ă Seria, Nr.
ɇȺɅɈȽɈȼȺəɇȺɄɅȺȾɇȺə ɋɟɪɢɹʋ EAA005380828
187LPSXOGHVWDĠLRQDUHDPLMORFXOXLGHWUDQVSRUW 195XWDúLGLVWDQĠDGHWUDQVSRUWNP
ȼɪɟɦɹɩɪɨɫɬɨɹɬɪɚɧɫɩɨɪɬɧɨɝɨɫɪɟɞɫɬɜɚ Ɇɚɪɲɪɭɬɞɜɢɠɟɧɢɹɢɪɚɫɫɬɨɹɧɢɟɩɟɪɟɜɨɡɤɢɤɦ

2SHUDĠLD Ziua, luna, ora, minutele la 6HPQăWXUD

Ɉɩɟɪɚɰɢɹ Ⱦɟɧɶɦɟɫɹɰɱɚɫɦɢɧɭɬɵ ɉɨɞɩɢɫɶ

Sosire Plecare 6WDĠLRQDUH

ɉɪɢɛɵɬɢɹ ɍɛɵɬɢɹ ɉɪɨɫɬɨɹ
ÌQFăUFDUH
ɉɨɝɪɭɡɤɚ
'HVFăUFDUH
Ɋɚɡɝɪɭɡɤɚ
)RUPDGHSODWă
ȼɢɞɨɩɥɚɬɵ
0HQĠLXQL

Ɉɬɦɟɬɤɢ

&DOFXOXOSUHVWDĠLLORUGHWUDQVSRUW
Ɋɚɫɱɟɬɬɪɚɧɫɩɨɪɬɧɵɯɭɫɥɭɝ

4. Documente anexate
ɉɪɢɥɚɝɚɟɦɵɟɞɨɤɭɦɟɧɬɵ

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