S

DELEGATIE

( nr.___/_____________)

Subscrisa societatea comerciala___________________________________ SRL cu sediul in __________________________________________________________________________, J05/_____/_____, CUI _____________reprezentata de _______________________ in calitate de administrator prin prezenta imputernicim pe ___________________________________ identificata cu CI seria ___ nr.________ eliberata de ______________________ la data de ________________, CNP___________________________ pentru ______________________________________ ___________________________________________________________________________

SC ____________________________________ SRL

Semnatura _______________