Datum: ........................................................................................................
|
ITEM |
AANTAL BESTEL |
PRYS PER ITEM |
TOTAAL |
|
|
1. |
|
|
|
|
|
2. |
|
|
|
|
|
3. |
|
|
|
|
|
4. |
|
|
|
|
|
5. |
|
|
|
|
|
6. |
|
|
|
|
|
7. |
|
|
|
|
|
8. |
|
|
|
|
|
9. |
|
|
|
|
|
10. |
|
|
|
|
|
11. |
|
|
|
|
|
12. |
|
|
|
|
|
13. |
|
|
|
|
|
14. |
|
|
|
|
|
15. |
|
|
|
|
|
Subtotaal |
|
|
|
|
|
Fakshantering |
|
|
|
|
|
Posgeld |
|
|
|
|
|
TOTAAL |
|
|
|
|
| KOMMANDO: | NAAM VAN OFFISIER: |
| HANDTEKENING: | |
| TEL NR: |