Factura/Invoice Serie/Series: cesk Numar/Invoice No.

: 418
Data (Z, L, A)/Date (D, M, Y) 03-04-2023
Furnizor/Supplier: ČESKý RáJ OUTDOOR SPORTS s.r.o. Cumparator(denumire, forma juridica)/Buyer (name,
C.I.F./UIC (Unique Identification Code): 03975479 legal form)
Cod TVA/VAT No: CZ03975479 Popov Igor
Capital social subscris si varsat/Subscribed and paid CNP/Personal identification number: -
capital: 200 Tara/Country: RO
Cont/Account: CZ7220100000002101203287 Adresa/Address: str. Tecuci, nr. 223, bl. PM3, sc. 1, ap. 10,
Banca/Bank: Fio banka, a.s Galati, Galati
Tara/Country: Cehia Cont/Account:
Sediul/Headquarter: Hradistska 1031 Banca/Bank:

Nr.crt Produse/Descriere servicii UM Cantitate Valoare per Rata TVA Valoare Valoare TVA
No. Products/Services Description Quantity unitate (fara -%- Value VAT Value
TVA) VAT Rate
Unit Value -%-
(without VAT)
0 1 2 3 4 5 6(3x4) 7
1 Sac de dormit Pinguin Expert CCS buc 1 535,99 19 535,99 101,84
(extrem -36°C), gri, 185cm, deschidere pcs
dreapta [7576-Grey-185cm-Right]

2 Discount conform cod reducere: buc 1 -475,81 0 -475,81 0,00

pcs

3 Reducere conform voucher: xxxx-xxxx- buc 1 -55,57 0 -55,57 0,00

xxxx-7177 pcs

4 Reducere conform voucher: xxxx-xxxx- buc 1 -5,64 0 -5,64 0,00

xxxx-9864 pcs

5 Valoare taxa livrare buc 1 32,77 19 32,77 6,23

pcs

6 Discount conform cod reducere: buc 1 -29,09 0 -29,09 0,00

pcs

7 Reducere conform voucher: xxxx-xxxx- buc 1 -3,39 0 -3,39 0,00

xxxx-7177 pcs

8 Reducere conform voucher: xxxx-xxxx- buc 1 -0,34 0 -0,34 0,00

xxxx-9864 pcs

Semnatura si Date privind expeditia / Delivery data Total din 19% 568,76 RON 108,07 RON
stampila Numele delegatului / Delegate name care accize:
0% -569,84 RON 0,00 RON
furnizorului / Total of
Supplier ............................................................................. which Total -1,09 RON 108,07 RON
signature and B.I./C.I. seria / ID series ..... nr. / no ................... excises:
stamp eliberat(a) / issued .............................................. Semnatura
Mijlocul de transport / Delivery method ............... de primire
nr / no .................................................................. Receival
signature
Expedierea s-a efectuat in prezenta noastra la
data de / The delivery was made in our presence Total de plata
on ............................ ora / hour ........................... (col 6 + col 7)
Semnaturile / Signatures ..................................... Total
(col 6 + col 7) 106,98 RON

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