Ôîðìà N 2-ãàðàíò
ÒΠ"̳ëº" 01033 ì.Êè¿â, âóë.Æèëÿíñüêà, 48,50à
Âèðîáíèê (ïðîäàâåöü) (íàéìåíóâàííÿ ï³äïðèºìñòâà, îðãàí³çàö³¿, þðèäè÷íà àäðåñà)
²äåíòèô³êàö³éíèé êîä çã³äíî ç ªÄÐÏÎÓ
3209997
Êîä çã³äíî ç ÄÊÓÄ
ÃÀÐÀÍÒ²ÉÍÈÉ ÒÀËÎÍ
Íàéìåíóâàííÿ òîâàðó çã³äíî ç íîðìàòèâíèì äîêóìåíòîì, ìàðêà
SDAB0,
SDBB0, SDCB0
Çàâîäñüêèé íîìåð _________________ Äàòà âèãîòîâëåííÿ ___________________
___________________________________________________________ ____________
(ïð³çâèùå, ³ì'ÿ, ïî áàòüêîâ³ â³äïîâ³äàëüíî¿ îñîáè âèðîáíèêà (ïðîäàâöÿ))
(ï³äïèñ)
Ì. Ï.
Ïðîäàâåöü
ÒΠ"̳ëº" 01033 ì.Êè¿â, âóë.Æèëÿíñüêà, 48,50à
Äàòà ïðîäàæó____________________ Ö³íà ____________________
(ãðèâåíü)
___________________________________________________________ ____________
(ïð³çâèùå, ³ì'ÿ, ïî áàòüêîâ³ â³äïîâ³äàëüíî¿ îñîáè âèðîáíèêà (ïðîäàâöÿ))
(ï³äïèñ)
Ì. Ï.
51
