FOTO AVERS

Fişă analitică de evidenţă nr.__________

Cod deţinător: __________________________ Nr. inv.: _____________________ Nr. inv. vechi: _____________________
Colecţie: ___________________________________________________________ Nr. inv. colecţie: __________________ 
Clasat    Tezaur      Fond         Ordin Nr.: _______________ Data: ___________________ Poziţia: _________________

Deţinător: ____________________________________________________________________________________________

Categorie: ______________________________ Obiectul fişat: ________________________________________________
Denumire: __________________________________________________________________________________________
Semn: _____________________________ Model: ______________ Grad / Clasă: ________________________________
Panglică: _______________________________________ Alte acccesorii: _______________________________________
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Ansamblu: _______________________________________________________________ Nr. piese: __________________

Stat emitent: ________________________________________________________________________________________
Emitent / Instituţie emitentă: ____________________________________________________________________________
Atelier: _____________________________________________________________________________________________
Modelator / Gravor: ______________________________________________ Nr. şi serie decoraţie: ___________________

Nr. inv. piesă ilustrată:  __________________

FOTO REVERS

Persoana decorată: __________________________________________________________________________________
Decret nr._____________din data:______________________emis de:__________________________________________
Brevet nr._____________din data:___________________semnat de:___________________________________________
_________________________________________________________Mon. Of:__________________________________

Datare (text): ________________An de început: _____________________  An de sfârşit: ___________________________

Material/tehnică (text):_________________________________________________________________________________
Material/tehnică (cuvinte cheie): _________________________________________________________________________

Greutate: ____________ Titlu: ______________ Grosime: ______________Formă:________________________________
Diametru: __________________ AV/RV: __________________ Alte dimensiuni: __________________________________

Loc de descoperire: Localitate: _____________________________________ Comună: ____________________________________ Judeţ: ____________________________
Ţară / Zonă: _________________________________________________________ Provincie / Regiune: ________________________________________________________
Achiziţionat de: __________________________________________________________ Data: ________________________________________________________________

Descriere avers: _______________________________________________________________________________________________________________________________
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Legendă avers / Deviză: ________________________________________________________________________________________________________________________
Descriere revers: ______________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________ Legendă revers: _______________________________________________________________________________________________________________________________
Descriere exergă: ______________________________________________________________________________________________________________________________
Elemente în câmp: _____________________________________________________________________________________________________________________________
Muchie: ______________________________________________________________________________________________________________________________________

Marcă / Semnătură: _______________________________________________

Limba inscripţiei: ______________________________________________________

Cuvinte cheie: _________________________________________________________________________________________________________________________________

Bibliografie: __________________________________________________________________________________________________________________________________
Catalog: _____________________________________________________________________________________________________________________________________

Observaţii___________________________________________________________________________________________________________________________________
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Foto: ____________________________
Diap.: ____________________________
Clişeu: ___________________________
Desen: ___________ Schiţă: __________
Digitală:__________ Video: ___________

Expertizat / Verificat: ____________________________________________________
Data / Semnătura: _____________________________________________________

Loc de păstrare: __________________
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Stare conservare: _________________
Bun de expus   
Fişă cons. / rest.:  _________________

Mod deţinere:
achiziţie 	cercetare  
donaţie  	custodie   
transfer  	altele:
_____________________________

Proprietari anteriori:
________________________________
Data intrării: ______________________
Preţ achiziţie: ____________________
Val. nom.: _______________________

Întocmit: __________________________________________________________
Data / Semnătura: ____________  _____________________________________