ANEXA 4

    INSPECTIA MUNCII

    Inspectoratul teritorial de munca................

                               REGISTRUL DE EVIDENTA

                        a certificatelor constatatoare emise

+----------------------------------------------------------------------------------------+

¦N ¦     ¦      ¦Acti- ¦    ¦    ¦Adresa¦Activi-¦    ¦Nr.  ¦Activi-¦    ¦Nr.   ¦Data     ¦

¦r.¦Soci-¦Adresa¦vitate¦Cod ¦Nr. ¦sediu ¦tate   ¦Cod ¦de   ¦tate   ¦Cod ¦de    ¦emiterii ¦

¦  ¦eta- ¦sediu ¦auto- ¦CAEN¦de  ¦secun-¦autori-¦CAEN¦lucra¦autori-¦CAEN¦lucra-¦certifi- ¦

¦c ¦tea  ¦      ¦rizata¦    ¦lu- ¦dar   ¦zata la¦    ¦tori ¦zata in¦    ¦tori  ¦catului  ¦

¦r ¦     ¦      ¦  la  ¦    ¦cra-¦      ¦sediu  ¦    ¦     ¦afara  ¦    ¦      ¦         ¦

¦t.¦     ¦      ¦sediu ¦    ¦tori¦      ¦secun- ¦    ¦     ¦sediu  ¦    ¦      ¦         ¦

¦  ¦     ¦      ¦      ¦    ¦    ¦      ¦dar    ¦    ¦     ¦secun- ¦    ¦      ¦         ¦

¦  ¦     ¦      ¦      ¦    ¦    ¦      ¦       ¦    ¦     ¦dar    ¦    ¦      ¦         ¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+--+-----+------+------+----+----+------+-------+----+-----+-------+----+------+---------¦

+----------------------------------------------------------------------------------------+

*ST*