Furnizor: SC Medianet SRL
R.C.: J16/132/2001
CIF: RO 13765307
Adresa: Com Bratovoiesti nr.1, DOLJ
Punct de lucru: Ion Minulescu nr.3-5 sector 3 BUCURESTI
Cont: RO10 BITRDJ 1RON 019868CC01
Banca: Banca Italo Romena, Craiova, jud Dolj
Capital soc: 1000 RON

Cumparator: _company_name_
Reg Comert: _reg_com_
CIF: _cif_
Adresa: _street_address_
Judet: _district_
Cont: _bank_account_
Banca: _bank_name_

Cota T.V.A. _tva_ % _tvaextratext_

FACTURA

Seria: MDNTAAS
Nr. fact. _proforma_invoice_no_
Data: _date_

Nr. crt.	Denumirea produselor sau a serviciilor	U.M.	Cantitatea	Pretul unitar (fara T.V.A.) RON	Valoarea RON	Valoarea T.V.A. RON
0	1	2	3	4	5(3 x 4)	6
_nr_crt_	_product_description_	Buc.	_quantity_	_unit_price_	_price_without_taxes_	_vat_
				TOTAL	_total_price_without_taxes_	_total_vat_
				TOTAL FACTURA		_total_price_

Aceasta factura contine 1 pagina

Data prestarii serviciului: conform contract _contract_no_ / _contract-date_
Date privind expeditie: POSTA
Semnatura si stampila furnizor