MODELUL ŞI CONŢINUTUL formularului "Raport de eveniment"

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|Denumirea operatorului economic2 ...................... Denumirea operatorului economic/subunitatii4 .................|
|Subunitatea3 .......................................... Primit .......................................................|
| Functia ......................................................|
| Semnatura |
| L.S. |
| | | RAPORT DE EVENIMENT |
|Nr. .............din data ./......../.............. |
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|Subsemnatul, ................................., functia...................., raportez urmatoarele: .........................................|
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| Semnatura |
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