S.C. Fraven S.R.

Sediul Legal, Operativ si Administrativ

Criseni, Nr. 1/C, Judetul Salaj, Romania

Cod postal 457105
Tel. : +40260/606160 -Fax: +40260/606163
Capital social 1238406.15 RON
Cod fiscal: RO16641729
Nr. ORC/an J31/519/2004

DECLARATION RECEIPT OF GOODS

Certification of the entry of the object of an intra-Community supply info another

EU Member State (Entry Certificate)
ILTOM S.P.A- VIA DELLE INDUSTRIE 26/28 26014 ROMANENGO -ITALY
(Name and address of the customer of the intra-community supply)
as the customer of an intra-Community supply, certify that

____________________________ as ___________________________
(identification of the individual accepting the goods) (position within the company)
has receipt the following object

MATERIAL INDICATED IN THE DELIVERY NOTE N. 20000143 DU 23/09/2020

(Quantity of the object of the supply)
in in/at
______________________ ROMANENGO,ITALY_________
(Month and year the object of the supply was received in the Member State of entry) (Member State and place of entry)

23/09/2020
(Date of issue of the certificate) (Signature of the customer or of the authorised representative
As well as the signatory’s name in capitals)

We kindly ask to return this document on following address: Directiune.fdt@fraven.ro