Постановление Правительства Нижегородской области от 11.11.2009 № 821

                       бюджета в 20___ году
 ________________________________________________________________
                        наименование банка
                                                               руб.
+-------+------------+---------+---------------------------------------------------------------------------------------------------------+-------+
|       |            |         |      Расчетная сумма субсидии за                                                                        | Всего |
|       |            |         |                                                                                                       | |       |
|  NN   |  Наимено-  |  Сумма  |                                                                                                       |         |
|  п/п  |   вание    | кредита |                                                                                                       |         |
|       |            |         +--------+---------+------+--------+-----+------+------+--------+----------+---------+--------+---------+         |
|       |  заемщика  |         | январь | февраль | март | апрель | май | июнь | июль | август | сентябрь | октябрь | ноябрь | декабрь |         |
|       |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
|       |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
|       |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
|       |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
+-------+------------+---------+--------+---------+------+--------+-----+------+------+--------+----------+---------+--------+---------+---------+
|   1   |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
+-------+------------+---------+--------+---------+------+--------+-----+------+------+--------+----------+---------+--------+---------+---------+
|   2   |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
+-------+------------+---------+--------+---------+------+--------+-----+------+------+--------+----------+---------+--------+---------+---------+
|  ...  |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
+-------+------------+---------+--------+---------+------+--------+-----+------+------+--------+----------+---------+--------+---------+---------+
| Итого |            |         |        |         |      |        |     |      |      |        |          |         |        |         |         |
+-------+------------+---------+--------+---------+------+--------+-----+------+------+--------+----------+---------+--------+---------+---------+


Руководитель банка ____________________

Главный бухгалтер _____________________

"_____" _____________20___года
М.П.