Formular tipizat

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

)$&785Ă),6&$/Ă Seria, Nr.

ɇȺɅɈȽɈȼȺəɇȺɄɅȺȾɇȺə ɋɟɪɢɹʋ EAA005333049
8. Foaia de parcurs seria: QXPăU data:
'DWDHOLEHUăULLGDWDOLYUăULL30.04.2021 / 30.04.2021 ɉɭɬɟɜɨɣɥɢɫɬɫɟɪɢɹ ɧɨɦɟɪ ɞɚɬɚ
Ⱦɚɬɚɜɵɩɢɫɤɢɞɚɬɚɩɨɫɬɚɜɤɢ 9. Transportator c.f./ nr.TVA /
ɉɟɪɟɜɨɡɱɢɤ ɮɤɤɨɞɇȾɋ
1. Furnizor: S.C. TOTAL SISTEM S.R.L., SEC.BOTANICA Muncesti sos. nr.176 of.90 Cont MD89AG000000022513565120, c.f./ nr.TVA 1005600046202 /
ɉɨɫɬɚɜɳɢɤ BC'MOLDOVA-AGROINDBANK'S.A. suc.nr.4 Chisinau, AGRNMD2X887 ɮɤɤɨɞɇȾɋ0306024

&XPSăUăWRUEHQHILFLDU KAZINST GRUP S.R.L., SEC.CIOCANA Lunca Bicului nr.26 bl.1 c.f./ nr.TVA 1017600041235 /
ɉɨɤɭɩɚɬɟɥɶɩɨɥɭɱɚɬɟɥɶ ɮɤɤɨɞɇȾɋ0209817

'HOHJDĠLHseria QXPăU data delegatul 4. Documente anexate Act de predare-primire

Ⱦɨɜɟɪɟɧɧɨɫɬɶ ɫɟɪɢɹ ɧɨɦɟɪ ɞɚɬɚ ɞɟɥɟɝɢɪɨɜɚɧɧɵɣ ɉɪɢɥɚɝɚɟɦɵɟɞɨɤɭɦɟɧɬɵ

3XQFWvQFăUFDUH Chisinau 3XQFWGHVFăUFDUH Chisinau 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$OHL TVA,% TVA, lei PăUIXULORUDFWLYHORU LQIRUPDĠLH Ɍɢɩɭɩɚɤɨɜɤɢ locuri EUXWăWRQH
ɇɚɢɦɟɧɨɜɚɧɢɟɬɨɜɚɪɨɜɚɤɬɢɜɨɜɭɫɥɭɝɢɤɨɞɬɨɜɚɪɧɨɣ PăVXUă tivelor, ɐɟɧɚ Ɉɛɳɚɹɫɭɦɦɚ ɋɬɚɜɤɚ Ɉɛɳɚɹɫɭɦɦɚ , serviciilor, lei Ⱦɪɭɝɚɹ Ʉɨɥɢ Ɇɚɫɫɚ
ɩɨɡɢɰɢɢɬɨɜɚɪɚɚɫɬɢɜɚ ȿɞɢɧɢɰ volumul ɟɞɢɧɢɰɵɛɟɡ ɛɟɡɇȾɋɥɟɟɜ ɇȾɋ ɇȾɋɥɟɟɜ ɋɬɨɢɦɨɫɬɶ ɢɧɮɨɪɦɚɰɢɹ ɱɟɫɬɜɨ ɛɪɭɬɬɨ
ɚ serviciilor ɇȾɋɥɟɟɜ ɬɨɜɚɪɨɜɚɤɬɢɜɨɜ ɦɟɫɬ ɬɨɧɧ
ɢɡɦɟɪɟ Ʉɨɥɢɱɟɫɬɜɨ ɭɫɥɭɝɥɟɟɜ
ɧɢɹ ɬɨɜɚɪɨɜɚɤɬɢ
ɜɨɜɨɛɴɟɦ
ɭɫɥɭɝ
Deservirea lunara, conform Contractul de servicii IT serv 1 416,67 416,67 20 83,33 500,00
nr.19/02-2020 din 19 februarie 2020, perioada
01.04.2021-30.04.2021
727$/SHIDFWXUDILVFDOăȼɫɟɝɨɩɨɧɚɥɨɝɨɜɨɣɧɚɤɥɚɞɧɨɣ 416,67 X 83,33 500,00 X X X 0,00

13. Permis eliberarea: director DANIIL MOSCO $SOLFDWăVHPQăWXUDGLJLWDOăGHFăWUH)XUQL]RU?ɉɪɢɦɟɧɟɧɚ

Ɉɬɩɭɫɤ ɰɢɮɪɨɜɚɹɩɨɞɩɢɫɶɉɨɫɬɚɜɳɢɤɚ
ɪɚɡɪɟɲɢɥ
)XQFĠLDQXPHOHSUHQXPHOHVHPQăWXUD \ Ⱦɨɥɠɧɨɫɬɶɮɚɦɢɥɢɹɢɦɹɩɨɞɩɢɫɶ

143UHGDWPăUIXULOHDFWLYHOHVHUYLFLLOH director DANIIL MOSCO $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 EAA005333049
187LPSXOGHVWDĠLRQDUHDPLMORFXOXLGHWUDQVSRUW 195XWDúLGLVWDQĠDGHWUDQVSRUWNP
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2SHUDĠLD Ziua, luna, ora, minutele la 6HPQăWXUD

Ɉɩɟɪɚɰɢɹ Ⱦɟɧɶɦɟɫɹɰɱɚɫɦɢɧɭɬɵ ɉɨɞɩɢɫɶ

Sosire Plecare 6WDĠLRQDUH

ɉɪɢɛɵɬɢɹ ɍɛɵɬɢɹ ɉɪɨɫɬɨɹ
ÌQFăUFDUH
ɉɨɝɪɭɡɤɚ
'HVFăUFDUH
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Ɋɚɫɱɟɬɬɪɚɧɫɩɨɪɬɧɵɯɭɫɥɭɝ

4. Documente anexate
ɉɪɢɥɚɝɚɟɦɵɟɞɨɤɭɦɟɧɬɵ
Act de predare-primire

Pagina 2 din 2