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Opłata:
Opłata:
pieczęć, data i podpis(y) zleceniodawcy na ostatnim blankiecie
pieczęć, data i podpis(y) zleceniodawcy na ostatnim blankiecie
nazwa odbiorcy
nazwa odbiorcy cd.
nr rachunku odbiorcy
waluta
nr rachunku zleceniodawcy (przelew) / kwota słownie (wpłata)
nazwa zleceniodawcy
nazwa zleceniodawcy cd.
tytułem
tytułem cd.
W
P
PLN
l.k.
nazwa odbiorcy
nazwa odbiorcy cd.
nr rachunku odbiorcy
waluta
nr rachunku zleceniodawcy (przelew) / kwota słownie (wpłata)
nazwa zleceniodawcy
nazwa zleceniodawcy cd.
tytułem
tytułem cd.
W
P
PLN
l.k.
P
PLN
Opłata:
pieczęć, data i podpis(y) zleceniodawcy na ostatnim blankiecie
nazwa odbiorcy
nazwa odbiorcy cd.
nr rachunku odbiorcy
waluta
nr rachunku zleceniodawcy (przelew) / kwota słownie (wpłata)
nazwa zleceniodawcy
nazwa zleceniodawcy cd.
l.k.
tytułem
tytułem cd.
W