Unitatea: FUNDATIA INTERNATIONAL FORUM ____________________________________________________________________________ | DISPOZIIE DE PLATA/INCASARE CTRE CASIERIE | nr. ............... din .................. | |

| Numele i prenumele ...................................................... | | Funcia (calitatea) ...................................................... | | Suma ............... lei ................................................. | | (n cifre) (n litere) | | Scopul ncasrii - plii ................................................ | | .......................................................................... | |____________________________________________________________________________| | | | | | | | | | Viza de control | Compartiment | |Conductorul unitii| financiar-preventiv | financiar-contabil | | | | | | | | | | | | | | | | | | | | |

| Semntura |_____________________|_____________________|____________________|

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(verso) ____________________________________________________________________________ | | numai pentru | pli | | | | | | Pltit/ncasat suma de ............................... lei | | | | | Semntura .................... Data ......................... (n cifre) | DATE SUPLIMENTARE PRIVIND BENEFICIARUL SUMEI: | | | | | | | | | | | | | | | Se completeaz | | Am primit suma de .............................. lei | | | CASIER (n cifre) Data ......................... Semntura ....................

| Actul de identitate .......... Seria ..... nr. .......... |

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