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Anexa 20 GM Policy SFM Internal Payment Request 1

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Anexa 20 GM Policy SFM Internal Payment Request 1

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Anexa 20

Soros Foundation - Moldova


Payment Request # 13919

Date of 05.11.2009 Payment 09.11.2009


request: Due Day
Requested by: Capcelea Angela Arcadie
Title: Program Coordinator
Payment type: Cont MDL_Victoriabank Invoice Solicitarea beneficiarului

Grantee Fundatia Filantropica medico-sociala Angelus Moldova


Project title: Organizarea Conferintei Nationale Ingrijirile paliative in
pediatrie, 6 noiembrie 2009
Remarks: Plata partii I a transei I pentru realizarea proiectului organizarea
Conferintei nationale in IP pentru copii. Contract de Grant 12870
din 27.10.2009. Director de proiect Valerian Isac.
Short Description for ACC I parte din transa I

Installment # 1

Amount: 2,252.00 USD


To be paid in: MDL
Activity: Palliative Care Project PD
Signature:

Programs:
Grant Budget Expenses Reserved Requested Available
(12870) Organizarea Conferintei Nation 3,308.00 0.00 0.00 2,252.00 1,056.00

For wire transfer:

Beneficiary Code:G08033
Beneficiary Name: Fundatia Filantropica medico-sociala Angelus Moldova
Bank Details: BC`Victoriabank`SA fil. N12 Chisinau,
BIC VICBMD2X884, SWIFT VICBMD2X, Account
222400010100111

Report
Date Report Type Comment Locked Amount
No

Approved ______________ Authorized by: ______________


by:
/Grants Manager/ /Finance Director/

1 ________________________________
Aprobat la sedinţa Senatului din Noiembrie 2009

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