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|
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|
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|
|
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|
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|
|
P O T W I E R D Z E N I E N A D A N I A |
|
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|
|
P O T W I E R D Z E N I E N A D A N I A |
|
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|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
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|
|
|
|
|
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|
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|
|
|
|
|
|
|
|
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|
|
|
|
|
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|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
P O T W I E R D Z E N I E N A D A N I A |
|
|
|
|
P O T W I E R D Z E N I E N A D A N I A |
|
|
|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
P O T W I E R D Z E N I E N A D A N I A |
|
|
|
|
P O T W I E R D Z E N I E N A D A N I A |
|
|
|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
P O T W I E R D Z E N I E N A D A N I A |
|
|
|
|
P O T W I E R D Z E N I E N A D A N I A |
|
|
|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
przesyłki listowej poleconej nr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
|
|
wypełnia nadawca |
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
NADAWCA |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
Opłata |
|
zł |
|
gr |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
Uwagi |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
ADRESAT |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
kod pocztowy |
|
|
|
|
Podpis przyjmującego |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|