Государственный комитет республики узбекистан

_________________ viloyati statistika boshqarmasining 20___ yil ___ __________dagi ___-sonli shartnomasiga 2-ILOVA

20___- yil
“___” _______dagi ___- sonli shartnomaga asosan bajarilgan ishlar to‘g‘risidagi _____-sonli
DALOLATNOMA

_____________ tuman (shahar)

20___- yil “___”_______

Biz quyida imzo chekuvchilar, “Ijrochi” ______________tumani ________________________________________________etib vaqtincha jalb etilgan shaxs ______________ va “Buyurtmachi” ______________viloyati statistika boshqarmasi boshlig‘i _______________ dalolatnoma tuzildi shu haqdakim, 2____ yil ___________ oyida “Ijrochi” tomonidan bajarilgan ishlar to‘g‘risida.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
To‘lab beriladigan haq miqdori ____________________ (_______________________________________________________ ) so‘m.
(so‘z bilan yoziladi)
Yuqoridagilarni to‘g‘ri deb imzo chekuvchilar:

Ijrochi:	Buyurtmachi:
__________ tuman (shahar) ________________________________ ___________________________etib vaqtincha jalb etilgan shaxs	Boshqarma boshlig‘i:
______________________F.I.SH.	___________________F.I.SH.
__________________________ (imzo)	__________________________ (imzo)
	M.O‘.