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["УТВЕРЖДЕНА"]
["приказом Минфина России\nот 09.02.2007 N 14н"]
[]
[]
[{"$nulls":31},"Код формы по ОКУД"]
["Наименование организации"]
["ИНН",{"$nulls":11},"Код по ОКПО",{"$nulls":18},"Код вида услуги по ОКУН",{"$nulls":10},"018303, 018305\n042303, 042305"]
[]
["Место нахождения организации"]
[]
["телефон"]
[]
["КВИТАНЦИЯ"]
["на оплату услуг газификации и газоснабжения N 000 000 Серия"]
[]
["Дата приема заказа ",{"$nulls":9},"\"",null,null,"\"",{"$nulls":8},"2",null,null,null,"г."]
["Заказчик (ФИО)"]
["Адрес заказчика: город (населенный пункт)",{"$nulls":29},", улица",{"$nulls":15},", дом"]
["корп.",{"$nulls":6},", кв.",{"$nulls":5},", подъезд",{"$nulls":8},", код",{"$nulls":6},", этаж",{"$nulls":7},"телефон"]
["Регистрационный номер заказа"]
["Лицо, ответственное за исполнение заказа:"]
[]
["(должность, таб. N, ФИО, реквизиты документа, удостоверяющего допуск"]
[]
["к производству газоопасных работ)"]
[]
["Исполнение заказа"]
["Наименование услуг",{"$nulls":18},"Номер позиции по прейскуранту",{"$nulls":9},"Ед. изм.",null,null,null,"Кол-во",null,null,null,"Цена",{"$nulls":7},"Сумма"]
[{"$nulls":37},"Руб.",null,null,null,"Коп.",null,null,null,"Руб.",null,null,null,"Коп."]
[]
[]
["Итого",{"$nulls":28},"Х",null,null,null,"Х",null,null,null,"Х",null,null,null,"Х"]
[]
["Наименование израсходованных материалов",{"$nulls":18},"Номер позиции по прейскуранту",{"$nulls":9},"Ед. изм.",null,null,null,"Кол-во",null,null,null,"Цена",{"$nulls":7},"Сумма"]
[{"$nulls":37},"Руб.",null,null,null,"Коп.",null,null,null,"Руб.",null,null,null,"Коп."]
[]
[]
["Итого",{"$nulls":28},"Х",null,null,null,"Х",null,null,null,"Х",null,null,null,"Х"]
[]
["Стоимость заказа",{"$nulls":25},"руб.",{"$nulls":4},"коп."]
[{"$nulls":9},"(цифрами)"]
[]
[{"$nulls":40},"руб.",{"$nulls":9},"коп."]
["(прописью)"]
[]
["Заказчик",{"$nulls":18},"Лицо, ответственное за исполнение заказа"]
[{"$nulls":5},"(подпись)",{"$nulls":7},"(дата)",{"$nulls":25},"(подпись)",{"$nulls":7},"(дата)"]
["Оплачено заказчиком: наличными денежными средствами",{"$nulls":39},"руб.",{"$nulls":9},"коп.,"]
[{"$nulls":28},"(сумма прописью)"]
["с использованием платежной карты",{"$nulls":39},"руб.",{"$nulls":9},"коп."]
[{"$nulls":18},"(сумма прописью)"]
["Получено лицом, ответственным за исполнение заказа"]
[]
["(ФИО, должность)",{"$nulls":22},"(подпись)",{"$nulls":11},"(дата)",{"$nulls":10},"М.П. (штамп)"]
[]
["(Сведения об изготовителе бланка: сокращенное наименование, ИНН, место нахождения, номер заказа и год его выполнения, тираж)"]