TRM CN T 100 TN - T 0373

BIN BN NGHIM THU, BN GIAO

BM-07/KHVT

Ngy BH16/10/2014

S :../CT-KHVT Trung Sn, ngy thng nm

Vt t: - Cn c: ..........................................................................................................- H s km theo (nu c) ...............................................................................

- Hi ng nghim thu gm:

1. ng (B):.................................................................... Chc v: ............................

2. ng (B):.................................................................... Chc v: ............................

3. ng (B):.................................................................... Chc v: ............................

4. ng (B):.................................................................... Chc v: ............................

5. ng (B):.................................................................... Chc v: ............................6. ng (B):.................................................................... n v giao hng

Cng nhau tin hnh kim nghim cc loi vt t, sn phm, hng ho sau y:

TTM vt tTn, nhn hiu,

Quy cch vt t,

Thit bHngPT kim

nghimVTSL nhpKt qu kim nghim

SL ng QC, PCSL khng ng QC, PC

* Hi ng nghim thu xc nhn:

- V s lng: ................................................................................................................................- V CL v cc y/c KT: ......................................................................................................................* Kt lun ca hi ng nghim thu: ...................................................................................................Bin bn ny c lp thnh ..... bn c gi tr php l nh nhau, mi bn gi ..... bn lm c s nhp kho, thanh ton v thanh l hp ng.

Thnh phn tham gia nghim thu k tn.Bn giaoVt tK tonTh khoK thutCh tch HNT