You are on page 1of 1

JKP „Naissus“ , Niš

Kneginje Ljubice 1/I

Služba naplate potraživanja

IZVEŠTAJ
obilaska poslovnog prostora dana ________________________ 20______ godine

oznaka lokala MB adresa PP

Ime i prezime Adresa JMBG


Vlasnik

Ime firme Adresa sedišta PIB

Ime i prezime Adresa JMBG


Korisnik

Ime firme Adresa sedišta PIB

Vodomer Samostalni Kontrolni Procentualni

_______________________________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
NAPOMENA

_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________
_________________________________________________

Referent __________________________

You might also like