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Buletin de expediție - Poșta Română

Issuer Poșta Română
Year 2026
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Currency Leu (1867-date)
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Obverse description Plain white paper form printed in black ink, divided into two horizontal sections separated by a scissor-cut perforation line. The upper section constitutes the dispatch bulletin proper, bearing the Poșta Română logo and wordmark in the upper left corner, with a reserved barcode label area in the upper right; the body is subdivided into sender and addressee data fields, content declaration, declared insured value, cash-on-delivery service, and supplementary services checkboxes, with a circular stamp space at lower right. The lower section comprises the parcel advice notice (Aviz Colet Poștal), with date/time grid fields, addressee and sender data lines, and a second barcode label reservation area at right, concluding with a printed advisory regarding storage charges and retention period.
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Reverse description Reverse side of the form printed in black ink on white paper, divided into two sections by a scissor-cut perforation line. The upper section is reserved for completion by the addressee, comprising three circular stamp spaces labeled for arrival date, notification, and re-notification, followed by the recipient identification and signature block with fields for identity document details, proxy authorization, and a delivery employee line, with a further stamp space at lower right. Below the perforation, a non-delivery reason section appears twice — accommodating two separate non-delivery attempts — each with checkboxes for reasons including unknown addressee, change of address, incomplete address, refusal, expired retention period, and other causes, with lines for the postal employee and postmaster approval signatures and dates.
Reverse lettering Șt. cu data sosirii
Avizat
Reavizat
Semnătura și datele de legitimare ale destinatarului:
Am primit coletul poștal cu ambalajul în bună stare cântărit în fața mea și având greutatea înscrisă în prezentul buletin de expediție.
Semnătura
Calitatea
Felul actului
Seria
nr.
emis de
la
Împuternicire nr.
emisă de
la
Salariat predător
Șt. cu data predării
Tarife pentru factaj, magazinaj, înapoiere, reexpediere
lei
factura DIV nr.
data
Ramburs lichidat
cu mandat nr.
din
Salariat poștal
Motivul nepredării
Necunoscut
Refuzat
Mutat de la adresă
Expirat termen de păstrare / Nereclamat
Adresă incompletă
Alte motive
Salariat poștal
Aprob înapoierea, diriginte
data
Motivul nepredării
Necunoscut
Refuzat
Mutat de la adresă
Expirat termen de păstrare / Nereclamat
Adresă incompletă
Alte motive
Salariat poștal
Aprob înapoierea, diriginte
data
Cod 29 -1- 12 (200x200 mm) t2
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