I)tacl,AItA'['lE DIi IN'fIiltESIt "': '', ,o'f ,,,,, 6, ,',/{)5

Subsemnatul/Subsqmnata,@r'{,{e/*"-avf,nd1unc!iarr. t'.4Jt)€rr4-i"Ii)rotyt:v' la r zt-"."ff)1-efts/;-rt' 6'-a"4" 'dc agrct. /{rY,:1,-

- la - .:.

.//,.)C,) l \". l/ |./ // r c. C!.".!l( .}l l '

( \p /,!//r17n3f4(':/<, d,,-i.iriu , OIlZ"i:'-2, -D -,r|' 7 /C-/+';K;"^,el z r-=-r ;9 /cp- €l .', a t-) 4 :/__)_ .b*, ,/c _-) __ ,

cunoscincl prcvcdcrilc art. 326 rlin codul fir:nal privind I'alsul in dcclara{ii, dcclar pc proprin riispundcrc:

I t;so.iat *u u.tiorr* lu rr.i.titi **..ciure, co*prriiit""i"tati "a-1ion'ale,

institu(ii de credit, grupuri

[r,!rlttj!9!omic, precuqr-llge lte qrg4443[- "peuY9ry44q.tale:---\:'. tlc p[r1i VJI()JI'clt ltrtlili

dtl

11...

tit-ritatcadcnumirca 5i adrcsa

(lalitatca dclinr-rtl

,4

socialc sau parfilttr socialc

clc aclir-rni ;i/saur a aclir-rnilor

Valoarca bcncitciilor

-')'/csr^

l)"r.ila Valtxur:i

conlractulr-ri totalaa

-/./ /tj'

i

Z. Cuf|@rr.t"-0"-"on0r...., ua*-irrirt-.*. qi .o"t.of-uf"^*ie'te1if* .otn...iuf",-uf"regiilor autonome, ale compiniilor/societi{ilor na{ionale, ale institu{iilor de credit, ale grupurilor de interes

I

eclnomic, ale asociatiilor s3u t!41!al!,-!q1-ori ale altor 9lg-1441fl1!qguY94l3494!4! lL, nitatca

dcnurnirca gi aclresaClal i tatca clctinr.rtd

i

f1L- | .,....

tffi i"a.rr'@1aii1".1rpf *tr[419i"tls.a]-q!q{9-ti-1t--:$.,., V;v1L/' -/*/c', K c,)dt( *( -*( '->cfrLi)c>

._,.-l

fis /r&'.-r" 4a c.4-,'rdd\/

41...... I

'2

t C"rt.".t., tr.l,,rir-..1. at;.-i-tt.n1a juridici, consultanfl iuridicl, consultanfn qi civileo ob(inute ori aflate

in tlerulare in timpul exercitlrii funcfiilor, mandatelor sau demnit:i{ilor publice finan{ate de la bugetul de

stat, local qi din fonduri externe ori incheiate cu societ[{i comerciale cu capital de stat sau unde statul este

lctiona r U4jgl{q f/m inoritar:5. 1 licnclicizur,rl clc unlmcLgulclc.prtnr-n':rcky'dol-nnirur g zrtusa

t\rxuir,uurpnn l'ipirl lldla

unr:a lirs cortttucttilLii irrchci.riihrvitLrlra

cnnlru-timtit-

incndr4acnnlractr-rl

I ilr"rlar .

&,/"$c

I{Lrcic dc gradLri Il'aic titLrlanrluu

*rcicta1i urmcrcizrlC I'}cnxxina fizica

a-[<x7;r15/ Avna{l lamilialC Cabinca

indivicLuilc, cabinc,tc ascridc, sffictaU

civile pnitsionzilc sa"r scrcietili civilc

pnrllsionalc cr-r rf,1pr-uxicrr: limftaa care

dusllyxln poftsia dc avocert/ OBarllr4i

i rcgLverumcrrtrld I ruxlair/ Avu4f )

1)lrrin rude cle graclttl lsc inlclcge parinli pc linic asccnclcnli;i copii pc linic dcscendenti.2) Sc vor clcciara numclc, dcnumirca qi adrcsa bencficiarului dc contract undc, prin calitatca delinuti, titularul.

solul/solia;i n-ulclc cie gradr-rl I oblin contractc, a$a cum sunt dcl'rnitc la pr-rnctr-rl 5. Nr"r sc dcclar[ contractclc

socictdtilor comercialc pe acliuni la carc dcclarantul imprcuni cr-r solul/so1ia gi rudclc de gradul I dclin rnai pulin dc

5%, din capitalul social al socictalii, incliI'crcnt dc modui dc dobAndirc a aciiunilor.

Prczenta dcclaralie constituic act public qi r[spund potrivit lcgii pcnalc pcntru incxactitatca sau

caractcrul incomplct al datclor mcn{ionatc.

I)ata complctlrii I

/ oo ?et€ i

conlrrttiu unlr:r1r-rlui

-1;//

na