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Biroul Avize-Autorizri
Tel/Fax:021.252.80.69; Tel: 021.252.79.78- int.214 ; e-mail: avize@dspb.ro
CERERE
Subsemnatul(a), ......................................................................................................, cu domiciliul n
localitatea
......................................................
sector/judeul...................................
str.
........................
..........................................nr..........,
bl..........sc........et........ap.........
.
posesor/posesoare al/a BI/CI seria ........... nr. ....................., eliberat de ..................................... la data
de
.........................,
n
calitate
de
.......................................................
al
.................................................................................................,
cu
sediul
n ........................................... str...................................................................... nr..........bl..........
sc........et........ap.......sector/judet...........................telefon ..............................., fax................................,
email .........................@..................................., nmatriculat la registrul comerului sub
nr. ........................................, avnd codul fiscal nr. .............................. din ............................, solicit,
Data ....../....../.............
Semntura .................................
MINISTERUL SNTII
DIRECIA DE SNTATE PUBLIC A MUNICIPIULUI BUCURETI
____________________________________________________________________________________
Biroul Avize-Autorizri
Tel/Fax:021.252.80.69; Tel: 021.252.79.78- int.214 ; e-mail: avize@dspb.ro