mirror of
https://github.com/Dolibarr/dolibarr.git
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165 lines
4.1 KiB
HTML
165 lines
4.1 KiB
HTML
<html>
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<head>
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<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1">
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<title>Reçu de don CERFA FR</title>
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</head>
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<body topmargin="0" bottommargin="0" leftmargin="0" rightmargin="0" marginheight="0" marginwidth="0">
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<blockquote>
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<p></p>
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<p></p>
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<p></p>
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<p></p>
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<table width="100%" border="0" cellspacing="0" cellpadding="1" bgcolor="#ffffff">
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<tr>
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<td width="20%" nowrap>Cerfa No 11580 01</td>
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<td nowrap>
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<center>
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<font size="+2">Reçu dons</font>
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<br>
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<font size="+1">
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<b>(Article 200-5 du Code Général des Impôts)</b>
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</font>
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<br>
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+ article 238 bis
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</center>
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</td>
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<td width="15%" nowrap>
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<center>
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Numéro d'ordre du reçu<p></p>
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<table border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
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<tr>
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<td valign="bottom" align="center">
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<table border="0" bgcolor="#ffffff" cellspacing="0" cellpadding="3">
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<tr>
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<td width="20" height="20">No:</td>
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<td width="80" height="20" align="right">__REF__ </td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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</center>
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</td>
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</tr>
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</table>
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<p></p>
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<table width="100%" border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
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<tr>
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<td valign="bottom">
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<table width="100%" border="0" bgcolor="#ffffff" cellspacing="0" cellpadding="3">
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<tr bgcolor="#e0e0e0" align="center">
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<td nowrap>
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<font size="+2">
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<b>Bénéficiaire des versements</b>
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</font>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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<table width="100%" border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
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<tr>
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<td valign="bottom">
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<table width="100%" border="0" bgcolor="#ffffff" cellspacing="0" cellpadding="3">
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<tr>
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<td>
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<b>Nom ou dénomination :</b><br>
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__MAIN_INFO_SOCIETE_NOM__<br>
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<b>Adresse :</b><br>
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__MAIN_INFO_SOCIETE_ADRESSE__<br>
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<b>Code postal</b> __MAIN_INFO_SOCIETE_CP__ <b>Commune</b> __MAIN_INFO_SOCIETE_VILLE__ <br>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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<p></p>
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<table width="100%" border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
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<tr>
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<td valign="bottom">
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<table width="100%" border="0" bgcolor="#ffffff" cellspacing="0" cellpadding="3">
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<tr bgcolor="#e0e0e0" align="center">
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<td nowrap>
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<font size="+2">
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<b>Donateur</b>
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</font>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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<table width="100%" border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
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<tr>
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<td valign="bottom">
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<table width="100%" border="0" bgcolor="#ffffff" cellspacing="0" cellpadding="3">
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<tr>
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<td>
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<b>Nom :</b><br>
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__DONATOR_NAME__<br>
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<b>Adresse :</b><br>
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__DONATOR_ADDRESS__<br>
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<b>Code postal</b> __DONATOR_ZIP__ <b>Commune</b> __DONATOR_TOWN__<br>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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<p></p>
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<table width="100%" border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
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<tr>
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<td valign="bottom">
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<table width="100%" border="0" bgcolor="#ffffff" cellspacing="0" cellpadding="3">
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<tr>
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<td>
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Le bénéficiaire reconnait avoir reçu au titre des
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versements ouvrant droit à réduction d'impôt, la
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somme de : <br>
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<table width="100%">
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<tr align="center">
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<td>
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__AMOUNT__ __CURRENCY__
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</td>
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</tr>
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</table>
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Date du paiement : __DATE__ <br>
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Mode de versement : __PAYMENTMODE_LIB__ <br>
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<table width="100%">
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<tr align="center">
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<td valign="top"> </td>
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<td align="right">
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<table border="0" cellspacing="0" cellpadding="1" bgcolor="#000000">
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<tr>
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<td valign="bottom" align="center">
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<table border="0" bgcolor="#ffffff" cellspacing="0" cellpadding="3">
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<tr>
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<td width="200" height="100" valign="top">
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<center>Date et signature</center>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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</td>
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</tr>
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</table>
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</blockquote>
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</body>
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</html>
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