dental

Popescu Liviu-Constantin 10138574 A587207 Das ID: Atos IT Solutions and Serv srl RO - TSR MU Atos IT Solutions and Services SRL Calea Floreasca nr 169 A, etaj 2, Sector 1, 014459 Bucuresti 20.04.2015 Date: 1 Page: 2 / Approver:Brumm Maxim Mihai Please send this expense form plus the original receipts to the expense desk. The address of the expense desk is: TE101385747500015835 Atos IT Solutions and Services SRL Calea Floreasca nr 169 A, etaj 2, Sector 1, 014459 Bucuresti Raport cheltuieli/declaraţie cheltuieli deplasare of Popescu Liviu-Constantin for Trip 7500015835 from 20.04.2015 to 20.04.2015 Trip Reason: Dental services Trip Destination: Settlement Results and Cost Assignment Amount Type Amount (RON) Sum of Receipts to be Reimbursed 2,500.00 Reimbursement Amount 2,500.00 2,500.00 RON of 2,500.00 RON assigned to: 0750 Company Code: Atos IT Sol & Serv s.r.l. RO75021092 Cost Center: Receipts Date No. Expense Type VAT Code Amount (RON) 20.04.2015 001 Dental services V0 2,500.00 Sum of Receipts 2,500.00 2,500.00 Reimbursement Amount: RON No. Receipt Type Content 001 Dental services From 20.04.2015 To 20.04.2015

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Popescu Liviu-Constantin10138574

A587207Das ID:Atos IT Solutions and Serv srlRO - TSR MU

Atos IT Solutions and ServicesSRL Calea Floreasca nr 169 A,

etaj 2, Sector 1,014459Bucuresti

20.04.2015Date:1Page: 2/

Approver:Brumm Maxim Mihai

Please send this expense form plus the original receipts to the expense desk. The address of the expense desk is:

TE101385747500015835

Atos IT Solutions and Services SRL Calea Floreasca nr 169 A, etaj 2, Sector 1, 014459 Bucuresti

Raport cheltuieli/declaraie cheltuieli deplasare of Popescu Liviu-Constantin for Trip 7500015835 from 20.04.2015 to 20.04.2015

Trip Reason: Dental servicesTrip Destination:

Settlement Results and Cost AssignmentAmount Type

Amount (RON)Sum of Receipts to be Reimbursed 2,500.00Reimbursement Amount 2,500.00

2,500.00 RON of 2,500.00 RON assigned to:

0750Company Code: Atos IT Sol & Serv s.r.l.RO75021092Cost Center:

Receipts Date No. Expense Type

VAT Code

Amount (RON)

20.04.2015 001 Dental services V0 2,500.00Sum of Receipts 2,500.00

2,500.00Reimbursement Amount: RONNo. Receipt Type

Content

001 Dental services From 20.04.2015To 20.04.2015
Page : 2 / 2

Personnel number: 10138574

Popescu Liviu-Constantin Report/Trip: 7500015835

Additional Receipt Information No. Receipt Type

Content

Description Dental services