Act De Predare.docx

Anexa La contractual de lucatiune Nr.__din____________20

ACT DE PREDARE Localitatea_____________

“__”____________20

Comisia in component: Presedintele comosiei:_________________________ Membrii comosiei:____________________________ _____________________________ _____________________________ _____________________________ In temeiul (hotarirea,decizie,ordinal care a adoptat decizia de primire) A efectuat____________________________________________________________________________ (gratuit,contra plata, denumirea deplina a mojlocului fix) ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________

________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________

conform situatiei le “__”___________20__ din gestiunea economica/din proprietatea/ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ (denumirea autoritatii care transmite sediul)

In gestiunea economica si folosinta temporara la activitatea economico-finanaciara a

I.Caracteristica gnerala a mijlocului fix dat in locatiune: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ II.Starea mojloacelor fixe _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ (caracteristica succinta a uzurii fizice si morale)

_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ III.Informatii privind raparatia bunurilor primate in locatiune, preconizate in contract, termenul si partea care va suporta chetuielile suportate de realizarea lor: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ IV.Alta informative _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ V.Dispozitii finale Prezentul act este intocmit in exemplare dintre care unul se transmite ____________________________________________________________________________________ (denumirea institutiei care transmite)

_____________________________________________________________________________________ (denumirea institutiei cere primeste)

Presedintele comosiei de primire

________________ (semnatura)

_________________________ (nume.prenume)

Membrii comisiei de la

Membrii comosiei de la partea

partea care transmite:

care primeste:

______________________

_________________________

______________________

_________________________

______________________

_________________________

______________________

_________________________

______________________

_________________________