Tên đơn vị
thực hiện kê khai giá
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CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM
Độc lập - Tự do - Hạnh phúc
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........., ngày ......tháng ....... năm.......
BẢNG KÊ KHAI MỨC GIÁ CỤ THỂ
(Kèm theo công văn số.........ngày.......tháng.......năm........của.........)
1. Mức giá kê khai:
STT
Tên hàng hóa,
dịch vụ
Quy
cách,
chất
lượng
Đơn vị
tính
Mức giá
kê khai
hiện hành
Mức giá
kê khai
mới Ghi chú
2. Phân tích nguyên nhân điều chỉnh tăng/giảm giá kê khai của từng mặt hàng.
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