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| 正面描述 | Blank cheque form printed in red and yellow on cream paper, divided into two numbered sections (I and II) separated by a vertical rule. The left section carries the heading DOCUMENT DE ÎNREGISTRARE with fields for amount in lei, payee (Primitor), locality, county (Județul), account holder (Titularul contului), account number, and CEC branch. The right section, headed REGIM SPECIAL / Viza la C.E.C. / pentru controlul operației / C.E.C., repeats the serial number Seria H and provides fields for amount, date, payee details, authorized signatures, stamp, and Viza de control preventiv; a yellow guilloche underprint covers both sections, and the form code CEC 24.10.3 A6 t2 appears at lower right. |
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| 正面铭文 | DOCUMENT DE ÎNREGISTRARE REGIM SPECIAL Viza la C.E.C. pentru controlul operației C.E.C. Jurnal poz. nr. Seria H Lei Data Casa de Economii și Consemnațiuni va plăti suma de: (in litere) Primitor Localitatea Str. Nr. jud. Titularul contului Cont nr. Unitatea CEC Semnătura titularului contului (conform specimenelor depuse) (ștampila) Viza de control preventiv I.B.M. CEC 24.10.3 A6 t2 |
| 背面描述 | Reverse printed in red on plain cream paper, divided into two panels. The left panel contains a table headed SCOPUL PLĂȚII / SUME with multiple ruled rows for itemized payment purposes and a TOTAL line, followed by fields for authorized issuer signatures (Semnăturile autorizate ale emitentului), identity document details, and a receipt section (Am primit suma de / ACHITAT Casier) with spaces for amount in figures and words, date, and signature. The right panel is a blank bordered box headed Loc pentru comunicări către titular, reserved for notifications to the account holder. |
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