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#SQLLista$SQLListaPARTNERINAZIV$

$SQLListaPARTNERIADRESA$
$SQLListaPARTNERIOPSTINA$
$SQLListaOPSTINANAZIV$
$SQLListaDRZAVANAZIV$
JIB: $SQLListaPARTNERIJIB$
PIB: $SQLListaPARTNERIPIB$
Tel.: $SQLListaPARTNERITELEFON$

IOS FORM

Statement according to our bussines book to date $SQLListalDoDatuma$ shows balance of:

Statement Number Date Payment date Debit Credit Balance


#Detaljni $DetaljnikO
$DetaljniPROM $DetaljniPROMDA $DetaljnikO
$DetaljniPROMDOKUM DATUMDOK$ TUMVAL$
POTRAZUJ
DUGUJE$
ENT$ E$
$SQLListak
$SQLListak $SQLListakS
Total: OPOTRAZ
ODUGUJE$ ALDO$
UJE$

FROM SENDER I CONFIRM STATEMENT OF THIS FORM


________________ M.P. ___________________________ M.P.

ADDITION: We are disputing presented state in full – in part for sum of currency $SQLListaVALUTA$
because of these reasons:

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

DEBTOR

M.P.

____________________________________________________________________________________
Adress: Ulica Kralja Aleksandra br. 3, 79101 Prijedor, Bosna i Hercegovina JIB: 4400674180007PIB: 400674180007 Matični broj: 1430297
Tel.: +387 52 232- 211, Faks: + 387 52 232-888