5708 07.201
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/
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(norâdîts uz maríçðanas uzlîmes)
Cåðèéíûé íîìåð èçäåëèÿ
(yêaçaí ía ìàðêèðîâî÷íîé íàêëåéêå
)______________________
Pârdevçjs /
Ïpoäaâeö
_____________________________
(Uzvârds, paraksts
/ ôàìèëèÿ, ïîäïèñü)
Pârdoðanas datums /
Äaòa ïpoäaæè
“___“_____________20___
V
eikala spiedogs
Øòaìï ìaãaçèía
Apkalpoðanas talona pasaknis
Êîðåøîê ãàðàíòèéíîé êàðòû
Apkalpoðanas talons Nr.
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ía ãapaíòèéíûé peìoíò ðóáàíêà ðó÷íîãî
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Rûpnîcas Nr.
Çaâoäcêoé N¹
_________________________________
uz maríçðanas uzlîmes /
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Pirkuma datums
Äaòa ïîêóïêè “_____”____________________20___
Kases èeka numurs
Íîìåð êàññîâîãî ÷åêà ___________________________
Tirdzniecîbas organizâcijas nosaukums un adrese
Íàèìåíîâàíèå è àäðåñ òîðãóþùåé îðãàíèçàöèè
_____________________________________________
Adrese, telefons, fakss, e-mail / Àäðåñ, òåëåôîí, ôàêñ, e-mail
_______________________________________________
Spiedoga vieta
Ìåñòî øòàìïà
Pârdevçjs ____________________________________
Ïðîäàâåö
Uzvârds
, ôàìèëèÿ / paraksts, ïîäïèñü
Îpaðnieks ____________________________________
Bëaäeëeö
Uzvârds
, ôàìèëèÿ / paraksts, ïîäïèñü
_____________________________________________
Adrese, telefons, fakss, e-mail / Àäðåñ, òåëåôîí, ôàêñ, e-mail
1
REBIR RSEZ AS, Viïakas ielâ 4, Rçzekne
,
LV-4604, Latvija,
tel. 64632913, fakss 64633405, e-mail: [email protected]
REBIR
RSEZ AS, óë. Âèëÿêàñ, 4, Ðåçåêíå, LV-4604,
Ëàòâèÿ,
òåë. +37164632913, ôàêñ +37164633405,
e-mail: [email protected]
Aizpilda, pârdodot
veikalâ
Çaïoëíÿeòcÿ ïpè
ïpoäaæe â ìaãaçèíe: