srp
BRD - Groupe Sovidte Générale SA.
‘Ag, 16 DECEMBRIE TIMISOARA, St. 16 Decembrie 1989.01.71
DEPUNERE NUMERAR / CASH DEPOSIT
Data / Date: 31.01.2022
TNF / No: 2201310931190011
Incasati de la / Cashed from: Calitate/Relationship: CNP / PIN: ‘Act de identitate/ Identity Document:
DIROMAN ROBERT GABRIEL — Client / Client 1720516250551 MIT 420811
\Numar cont / Account number: Client Titular / Aecount Holder: Suma / Amount
ROOSBRDE426SV15018784410 J.E.K.A. TURISM SRL 2.534,00 RON,
Referinje Client / Client references: Referinfetranzacie Transaction references:
PLATA FCT PRF PF92975 DIN 26.01.2022 ROMAN MIRELA LILIANA CTRNR__Incasare prin ABB
39293
INCASAT/ CASHED
100 RON - 26x 100,00 2.600,00
50 RON 1x 50,00 50,00-
10 RON 1x 10,00 10,00-
SRON Lx 5,00 5,00-
1RON- Fx 1,00= 1,00-
‘TOTAL RON 2.534,00
Semniturd Banci / Bank signature: SURCA“
‘Administrator Operatiunl Curent
agama Toate
EE
Subsemnatul, am luat cunostinta de documentul "Informare Privind
Prelucrarea Datelor cu Caracter Personal”, versiunea in vigoare la
data completari prezentului formular. Documental este disponibil
‘granu, pe siteul Bancii, ww. bri.ro, precum sila cerere in orice
linitate BRD. /T acknowledged the information from the document
"Information Note on the Processing of Personal Data", version
‘currently in force. The document is available free of charge, on the
bank's website, wwrs.brd.o, as well asin any BRD unit.
‘Semniturd Client / Client signature:D1 ROMAN ROBERT GABRIEL
SPER, apn oe aa BRD pe wT