שם העסק: ____________דף פדיון לחודש : __________ שנה: ______
יום בחודשמס' חשבונית / מס' Zקופה רושמתסכום כולל מע"מ
1 _____________________________________
2 _____________________________________
3 _____________________________________
4 _____________________________________
5 _____________________________________
6 _____________________________________
7 _____________________________________
8 _____________________________________
9 _____________________________________
10 _____________________________________
11 _____________________________________
12 _____________________________________
13 _____________________________________
14 _____________________________________
15 _____________________________________
16 _____________________________________
17 _____________________________________
18 _____________________________________
19 _____________________________________
20 _____________________________________
21 _____________________________________
22 _____________________________________
23 _____________________________________
24 _____________________________________
25 ____________________________________
26 _____________________________________
27 _____________________________________
28 _____________________________________
29 _____________________________________
30 _____________________________________
31 _____________________________________
חתימה___________ סה"כ ____________
|