Agent economic PROIECT
___________________________________________________
Adresa: _____________________________________________
Verificat ITCSMS
sau LCCSMS
Autorizatia nr.:
_______________________________________
Inspector
responsabil,
Nr. inregistrare: _______________________________________
pentru
schimbarea destinatiei semintei
aprobata
in camp sau certificata final
Specia/ Soiul |
C.B. |
Partida |
Nr. ordine in Registrul de
intrari- iesiri
|
Lotul
|
Destinatia |
|||||
Nr. de identitate |
Supr (ha) |
Cant. (kg, buc) |
|
Nr. de identitate |
Cantit. (kg, buc) |
Cantit. ( kg,
buc) |
Scopul
*) |
Destinatar |
||
Grau /
Ariesan |
C2 |
|
|
|
1236 |
4CJ0856-4CJ01 |
25.000 |
25.000 |
panificatie |
Rompan |
Orz
/ Daciana |
C2 |
1379 |
5 |
20.000 |
|
|
|
10.000 |
furajare |
Zootehnica |
Triticale
/ Tebea |
C1 |
1456 |
10 |
35.000 |
|
|
|
4.000 |
,, |
,, |
,, |
C1 |
|
|
|
1350 |
4CJ0867-4CJ02 |
25.000 |
10.000 |
,, |
Agrozoo
|
,, |
C1 |
|
|
|
1351 |
4CJ0867-4CJ03 |
5.640 |
5.640 |
,, |
,, |
|
|
|
|
|
|
|
|
|
|
|
*) Mod de utilizare: panificatie, furajare,
prelucrare industriala, distrugere, etc.
Data:
____________________
Agent
economic:
____________________________
( functia, nume, prenume, semnatura, stampila)
Observatii ITCSMS sau LCCSMS :
……………………………………………………………………………………………….
…………………………………………………………………………………………………………………………………………