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[]
[]
[null,null,null,null,null,"Demande de versement d`honoraires (DVH)"]
[]
[null,null,null,null,null,null,"INSTRUCTIONS "]
[null,null,null,null,null,"1. Joindre un spécimen de chèque si ce n'est pas déjà fait."]
[null,null,null,null,null,"2. Utiliser un formulaire par personne."]
[null,null,null,null,null,"3. Indiquer l'adresse de la résidence de la personne pour chacune des demandes."]
[null,null,null,null,null,"4. Faire un seul chèque pour toutes vos demandes DVH, distinct de tout autre paiement à la CSN."]
[null,null,null,null,null,"5. Conserver une copie pour vos dossiers et transmettre une seule copie au :"]
[null,null,null,null,null,null,"ADMINISTRATION CSN - DVSL"]
[null,null,null,null,null,null,"1601, av. de Lorimier, Montréal QC H2K 4M5   514 598-2403, courriel: dvsl@csn.qc.ca  "]
[]
[null,"Identification du syndicat, de la fédération ou du conseil central :"]
[]
[]
[null,"nom du syndicat ou de l'organisation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"numéro du syndicat ou de l'organisation"]
[]
[]
[null,"adresse du syndicat ou de l'organisation",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ville"]
[]
[]
[null,"prov.",null,null,"code postal",null,null,null,null,null,null,null,"courriel",null,null,null,null,null,null,null,null,null,null,null,null,null,"ind.",null,"téléphone"]
[null,"Veuillez effectuer pour notre compte,"]
[null,"le versement des honoraires pour la personne suivante : "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"numéro d'assurance sociale (obligatoire)"]
[]
[]
[null,null,null,null,"nom",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"prénom"]
[]
[null,null,null,null," -"]
[null,"appartement ",null,null,null,"adresse (SVP précisez s'il s'agit d'une rue, av., boul., place, chemin, etc.) ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ville"]
[]
[null,"Qc"]
[null,"prov.",null,null,"code postal",null,null,null,null,null,null,null,"courriel",null,null,null,null,null,null,null,null,null,null,null,null,null,"ind.",null,"téléphone"]
[]
[null,"Date de l'activité : ",null,null,null,null,null,null,null,null,null,null,null,null,"   Semaine finissant le samedi :",null,null,null,null,null,null,null,null,null,null,null,null,2,0]
[null,null,null,null,null,"jj-mm-aaa",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"jour",null,null,"mois",null,null,"année"]
[]
[null,"A -","Honoraires professionnels",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"$ "," =",{"$f":"P40","v":0},null,null,"$ ","016-"]
[]
[null,null,"Numéro de la facture (si applicable) :     "]
[null,null,"(ou des factures si plus d'une)"]
[null,null,"Date de la facture :     ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," =",{"$f":"U40","v":0},null,null,null,"A"]
[null,null,"(ou des factures)",null,null,null,null,null,null,null,null,"jj-mm-aaaa"]
[]
[null,"B -","Dépenses non imposables",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," +",null,null,null,null,"B",null,"038-"]
[]
[null,"C -","Moins avance déjà versée par l'organisme",null,null,null,null,null,null,null,null,null,null,"No du chèque du syndicat ",null,null,null,null,null,null,null,null,null,null,null," -",null,null,null,null,"C",null,"909-"]
[null,null,"(non obligatorie)"]
[]
[null,"D -","Cotisation syndicale à retenir :",null,null,null,null,null,null,null,null,null,null,"$ ","312"]
[null,null,null,null,null,null,null,null,null,null,"montant",null,null,null,null,null,null,"numéro du syndicat, s'il y a lieu"]
[]
[]
[]
[null,"F -","Frais d'administration",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," +",3,null,null,null,"F"]
[]
[null,"G -","Total (Montant à payer à la CSN)",null,null,null,null,null,null,null,null,null,null,"No du chèque du syndicat ",null,null,null,null,null,null,null,null,null,null,null," =",{"$f":"SUM($AA$44+$AA$47-$AA$49+$AA$57)","v":3},null,null,null,"G",null,"901-"]
[]
[]
[]
[]
[]
[null,"date (jj-mm-aaaa)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"nom du responsable "]