енование¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
ценности +------------+------+------+------+------+------+------+------+------+------+------+
¦ код ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
-------------+------------+------+------+------+------+------+------+------+------+------+------+
Единица ¦наименование¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
измерения +------------+------+------+------+------+------+------+------+------+------+------+
¦ код ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
-------------+------------+------+------+------+------+------+------+------+------+------+------+----------
-------------------T------T------T------T------T------T------T------T------T------T------T------T----------
Фамилия, И.О. ¦ Код ¦Выдано¦Выдано¦Выдано¦Выдано¦Выдано¦Выдано¦Выдано¦Выдано¦Выдано¦Выдано¦Расписка
получателя ¦строки¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ в
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦получении
-------------------+------+------+------+------+------+------+------+------+------+------+------+----------
1 ¦ 2 ¦ 3 ¦ 4 ¦ 5 ¦ 6 ¦ 7 ¦ 8 ¦ 9 ¦ 10 ¦ 11 ¦ 12 ¦ 13
-------------------+------+------+------+------+------+------+------+------+------+------+------+----------
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
-------------------+------+------+------+------+------+------+------+------+------+------+------+----------
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
-------------------+------+------+------+------+------+------+------+------+------+------+------+----------
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
-------------------+------+------+------+------+------+------+------+------+------+------+------+----------
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
-------------------+------+------+------+------+------+------+------+------+------+------+------+----------
¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
-------------------+------+------+------+------+------+------+------+------+------+------+------+----------
Итого ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
L------+------+------+------+------+------+------+------+------+------+----------
-------T------T------T------T------T------T------T------T------T------T----------
Цена за единицу ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
+------+------+------+------+------+------+------+------+------+------+----------
Сумма ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦ ¦
L------+------+------+------+------+------+------+------+------+------+----------
Утверждаю
Руководитель
учреждения ___________ ______________
(подпись) (расшифровка
подписи)
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