wzór�ktury VAT

vat i N vo i c \i r GiKdu t-g Vcd

Vat invoice number: fK~ ^>4¹

Place and datę of issue: /jjjutjsai    SĆUcOMłcl

Datę of sale: JLO-źct ^pyifc<A>w

Original/copy:    __________________

Customer/buver (name and address) :

*? PCGi-'

Salesperson/sellcr (name and address):

NIP:

I NIP:

i

j Paymcnt tenns: ^;

1

i - due lo/date of payment:

- ęieliyery datę: dJCX£0- w&ŻCZ Ghio j -method of payment:

i    / i ' ~

! - bank:

- account number:

nr ksoihq f)a^ow'^o

^    ' To ta!

scrvice name	on/ PKWiU ]CVXtO fcLx,< ± Uiu - i lA/sneoj	measure .	of units	exclusive of Vat	! price I exclusive of Vat j |		codę/ vai ratę %	a mon n t	amount inelusive of Vat	i 1
	o				[
					i					H
					............_
		.. __ J		_________________	....._
Subtotals:	—			!			22%			”
							7%
							2 0/ Jy /<>
							0%	.. ..		_
	■		____________________ .	. ...			/»......
Totals: L. ..		______________ i		1		!

k^''łv£>+<_j

To 1 a I a in o u ni' p a y a b 1 e: ^]

, ^ 'ctoy^

In worcJs:

Signature of person authorised to issue the invoice:

0S, XXa0OUrG.CU^cMe| JuC Ca>v¹^c^CU^ Cl

Signature of person authorised to collect the inyoice:

'7'C'dy. ^S    P|sOU^ fVVł,GW^J

C>£/4łAC?vu