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Ordinul de plata se va completa cu majuscule corect si lizibil / The form shall be filled in with capitals, correctly and legibly.

13 Nr. / No. PLATITOR / Payer DUMITRACHE BOGDAN IBAN / Payer's IBAN RO94RZBR0000060012086162

Suma / Amount

300.00

RON

BENEFICIAR / Beneficiary IBAN / Beneficiary's IBAN Detalii de plata / Payment details

CIUBOTARU ANA RO46BPOS17001710146RON01

alimentare cont

Data platii / Payment date

22/08/2012

Data debitarii / Debitting date

Pentru platite catre Bugetul de stat completati / For Budget payments fill in the information: Cod de identificare fiscala platitor / Payer's fiscal identification code Cod de identificare fiscala beneficiar / Beneficiary's fiscal identification code Cod BIC banca beneficiar / Beneficiary's bank BIC Code: TREZROBU

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