ODOBRITEV IZPLAČILA - IZPOLNI JSKD
								Znesek: 					

Datum: 								Podpis: 					

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ZAHTEVEK ZA IZPLAČILO – za leto 2008 

1. Št. pogodbe:												

2. Vlagatelj zahtevka (= investitor): 

3. Kontaktna oseba vlagatelja zahtevka: 				 tel.: 				

Številka transakcijskega računa									  odprt pri

Davčna številka vlagatelja							

4. Obračun stroškov

Delež sredstev JSKD											

Delež sredstev sofinancerjev										

SKUPAJ (vsota predloženih računov)									

5. Priloge
- fotokopije računov
s pripisom: 1. »KOPIJA JE ENAKA IZVIRNIKU«, 2. »DELA SO IZVRŠENA« 
(seznam)
	Izdajatelj računa								znesek

1. 													

2.													

3.													

4.													

5.													

6.													

								SKUPAJ				
Vse priložene fotokopije računov so izvirno žigosane in podpisane.

Datum in kraj:					žig					Podpis

6. Vsebinsko poročilo – lahko tudi kot samostojna priloga:

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