Íàçâà đåôåđạ̀ó: Áđîêåđñüêà çàïèñêà
Đîçä³ë: Ö³íí³ ïàïåđè

Áđîêåđñüêà çàïèñêà

Áđîêåđñüêà çàïèñêà
¹

́.Êè¿â "_____"_______199___đ.

³äïîâ³äíî äî óăîäè ïđî áđîêåđñüêå îáñëóăîâóâàííÿ ¹ __________________________ â³ä "_____"_______199___đ., ____________________________________________________,

ùî çâạ̊üñÿ äàë³ "Ê볺ị́", â îñîá³ _________________________________________________,

ÿêèé 䳺 íà ï³äṇ̃àâ³ ____________________________________________________________,

äîđó÷ຠáđîêåđñüê³é êîị́îđ³ _____________________________________________________,

ùî çâạ̊üñÿ äàë³ "Áđîêåđ", â îñîá³ ________________________________________________,

ÿêèé 䳺 íà ï³äṇ̃àâ³ ____________________________________________________________,

Áđîêåđ çîáîâ’ÿçóº̣üñÿ óêëàṇ̃è íà Óêđà¿íñüê³é ôîíäîâ³é á³đæ³ óăîäó ç ______________

(êóï³âë³-ïđîäàæó)

̣àêîăî ö³ííîăî ïàïåđó: __________________________________________________________.

1. Íàé́åíóâàííÿ ö³ííîăî ïàïåđó _________________________________________________.

2. Ǻ³̣åị́ ö³ííîăî ïàïåđó _______________________________________________________.

3. Íî́³íàë ö³ííîăî ïàïåđó ______________________________________________________.

4. Îäèíèöÿ âè́³đó (ø̣., ăđí.) ____________________________________________________.

Íà ̣àêèơ ó́îâàơ:

5. ̉èï íàêàçó (â³äïîâ³äíî äî ï.9 äîăîâîđó) _________________________________________.

6. ʳëüê³ṇ̃ü ___________ ̀³í³́àëüíà ïàđ̣³ÿ _______________________________________.

7. Ö³íà ö³ííîăî ïàïåđó (ó âèïàäêó ë³́³̣íîăî ÷è ṇ̃îï-íàêàçó) __________________________

______________________________________________________________________________.

(ë³̣åđà́è)

8. Îñîáëèâ³ ó́îâè, çàṇ̃åđåæåííÿ (â³äïîâ³äíî äî ï.10 äîăîâîđó) ___________________

______________________________________________________________________________.

9. Ó́îâà äîṇ̃àâêè _________________________________________________________.

10. Ṇ̃đîê 䳿 áđîêåđñüêî¿ çàïèñêè: ç ́î́åị́ó ï³äïèñàííÿ äî ______________________

______________________________________________________________________________.

11. Ê볺ị́ çîáîâ’ÿçóº̣üñÿ ñïëạ̀ẹ̀è âèíàăîđîäó Áđîêåđó â đîḉ³đ³ _____________ â³ä ôàệè÷íî¿ ñó́è îïåđàö³¿.

12. Ăàđàị́³¿ _______________________________________________________________

______________________________________________________________________________.

13. Ö³íà ö³ííîăî ïàïåđó âèçíà÷àº̣üñÿ Áđîêåđî́ íà ï³äṇ̃àâ³ á³đæî­âèơ ̣îđă³â, ï³ñëÿ ÷îăî âèđà­ơîâóº̣üñÿ ñó́à îïåđàö³¿, ñó́à áđîêåđñüêî¿ âèíàăîđîäè ̣à ñó́à đåºṇ̃đàö³¿ îïåđàö³¿ íà Á³đæ³.

14. Çà ïđîâåäåíî₫ Áđîêåđî́ íà ï³äṇ̃àâ³ ö³º¿ çàïèñêè îïåđàö³º₫ Êë³­ºị́ íàáóâຠïđàâà âëàñ­íèêà ÖÏ.

15. ²íø³ ó́îâè: ____________________________________________________________.

Ê볺ị́ îçíàéî́ëåíèé ç â³äïîâ³äàëüí³ṇ̃₫ çà â³ä́îâó â³ä îïåđàö³¿ ̣à ç đîḉ³đî́ ø̣đàôíèơ ñàíê­ö³é íà êîđèṇ̃ü Á³đæ³, Áđîêåđà ̣à Áđîêåđà-êîị́đ­àăåị́à.