Formular X FISA DE INTERVENTIE IT

ORDIN DE LUCRU

NR. __________ / _____________

Beneficiar:PRIMARIA MUNICIPIULUI CONSTANTA, contract nr: / ZZ.LL.2011

Aparat:________________________________serie________________________________

Garantie :_DA_∏______NU_∏________locatie ___________________________________

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Defect constatat:____________________________________________________________

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Am predat, Am primit,Reprezentant Birou Informatizare Tehnician service Prestator

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PROCES VERBAL RECEPTIE INTERVENTIE

din data ________________

Manopera:_________________________________________________________

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Piese:____________________________________________________________

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Tehnician service Prestator , Beneficiar,___________________________ ___________________________