Factura/Invoice Numar factura/Invoice No.

: EMRO9193
Data (Z, L, A)/Date (D, M, Y) 06-02-2024
Furnizor/Supplier: FILIP MED HELP S.R.L. Cumparator(denumire, forma juridica)/Buyer (name,
Nr. ord.registru com./an/Registration No.: J24/19/2019 legal form)
C.I.F./UIC (Unique Identification Code): 40373777 Acozmei Madalina Mihaela
Cod TVA/VAT No: RO40373777 CNP/Personal identification number: -
Capital social subscris si varsat/Subscribed and paid Tara/Country: RO
capital: 200 Adresa/Address: șoseaua Națională nr 64-66, Iasi, Iasi
Cont/Account: RO95BTRLRONCRT0480262601 Cont/Account:
Banca/Bank: BANCA TRANSILVANIA S.A. Banca/Bank:
Tara/Country: Romania
Sediul/Headquarter: STR. VASILE ALECSANDRI, NR.5

Nr.crt Produse/Descriere servicii UM Cantitate Valoare per Rata TVA Valoare Valoare TVA
No. Products/Services Description Quantity unitate (fara -%- Value VAT Value
TVA) VAT Rate
Unit Value -%-
(without VAT)
0 1 2 3 4 5 6(3x4) 7
1 Aleza bebelusi, 60x60 cm buc 30 0,84 19 25,20 4,80
[8300961013935] pcs

Semnatura si Date privind expeditia / Delivery data Total din 19% 25,20 RON 4,80 RON
stampila Numele delegatului / Delegate name care accize:
furnizorului / Total of Total 25,20 RON 4,80 RON
Supplier ............................................................................. which
signature and B.I./C.I. seria / ID series ..... nr. / no ................... excises:
stamp eliberat(a) / issued .............................................. Semnatura
Mijlocul de transport / Delivery method ............... de primire
nr / no .................................................................. Receival
signature
Expedierea s-a efectuat in prezenta noastra la
data de / The delivery was made in our presence Total de plata
on ............................ ora / hour ........................... (col 6 + col 7)
Semnaturile / Signatures ..................................... Total
(col 6 + col 7) 30,00 RON

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