{\rtf1\adeflang1025\ansi\ansicpg1250\uc1\adeff0\deff0\stshfdbch0\stshfloch37\stshfhich37\stshfbi37\deflang1045\deflangfe1045\themelang1045\themelangfe0\themelangcs0{\fonttbl{\f0\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
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{\flomajor\f31500\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fdbmajor\f31501\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fhimajor\f31502\fbidi \froman\fcharset238\fprq2{\*\panose 02040503050406030204}Cambria;}{\fbimajor\f31503\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\flominor\f31504\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\fdbminor\f31505\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\fhiminor\f31506\fbidi \fswiss\fcharset238\fprq2{\*\panose 020f0502020204030204}Calibri{\*\falt Century Gothic};}{\fbiminor\f31507\fbidi \froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}
{\f340\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}{\f339\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\f341\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\f342\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\f343\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\f344\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\f345\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\f346\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f350\fbidi \fswiss\fcharset0\fprq2 Arial{\*\falt Arial};}{\f349\fbidi \fswiss\fcharset204\fprq2 Arial Cyr{\*\falt Arial};}
{\f351\fbidi \fswiss\fcharset161\fprq2 Arial Greek{\*\falt Arial};}{\f352\fbidi \fswiss\fcharset162\fprq2 Arial Tur{\*\falt Arial};}{\f353\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew){\*\falt Arial};}
{\f354\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic){\*\falt Arial};}{\f355\fbidi \fswiss\fcharset186\fprq2 Arial Baltic{\*\falt Arial};}{\f356\fbidi \fswiss\fcharset163\fprq2 Arial (Vietnamese){\*\falt Arial};}
{\f680\fbidi \froman\fcharset0\fprq2 Cambria Math{\*\falt Palatino Linotype};}{\f679\fbidi \froman\fcharset204\fprq2 Cambria Math Cyr{\*\falt Palatino Linotype};}{\f681\fbidi \froman\fcharset161\fprq2 Cambria Math Greek{\*\falt Palatino Linotype};}
{\f682\fbidi \froman\fcharset162\fprq2 Cambria Math Tur{\*\falt Palatino Linotype};}{\f685\fbidi \froman\fcharset186\fprq2 Cambria Math Baltic{\*\falt Palatino Linotype};}
{\f686\fbidi \froman\fcharset163\fprq2 Cambria Math (Vietnamese){\*\falt Palatino Linotype};}{\f710\fbidi \fswiss\fcharset0\fprq2 Calibri{\*\falt Century Gothic};}{\f709\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Century Gothic};}
{\f711\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Century Gothic};}{\f712\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Century Gothic};}{\f715\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Century Gothic};}
{\f716\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Century Gothic};}{\f780\fbidi \fswiss\fcharset0\fprq2 Tahoma{\*\falt Tahoma};}{\f779\fbidi \fswiss\fcharset204\fprq2 Tahoma Cyr{\*\falt Tahoma};}
{\f781\fbidi \fswiss\fcharset161\fprq2 Tahoma Greek{\*\falt Tahoma};}{\f782\fbidi \fswiss\fcharset162\fprq2 Tahoma Tur{\*\falt Tahoma};}{\f783\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew){\*\falt Tahoma};}
{\f784\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic){\*\falt Tahoma};}{\f785\fbidi \fswiss\fcharset186\fprq2 Tahoma Baltic{\*\falt Tahoma};}{\f786\fbidi \fswiss\fcharset163\fprq2 Tahoma (Vietnamese){\*\falt Tahoma};}
{\f787\fbidi \fswiss\fcharset222\fprq2 Tahoma (Thai){\*\falt Tahoma};}{\flomajor\f31510\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\flomajor\f31509\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flomajor\f31511\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flomajor\f31512\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flomajor\f31513\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flomajor\f31514\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flomajor\f31515\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flomajor\f31516\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbmajor\f31520\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhimajor\f31530\fbidi \froman\fcharset0\fprq2 Cambria;}{\fhimajor\f31529\fbidi \froman\fcharset204\fprq2 Cambria Cyr;}
{\fhimajor\f31531\fbidi \froman\fcharset161\fprq2 Cambria Greek;}{\fhimajor\f31532\fbidi \froman\fcharset162\fprq2 Cambria Tur;}{\fhimajor\f31535\fbidi \froman\fcharset186\fprq2 Cambria Baltic;}
{\fhimajor\f31536\fbidi \froman\fcharset163\fprq2 Cambria (Vietnamese);}{\fbimajor\f31540\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fbimajor\f31539\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbimajor\f31541\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbimajor\f31542\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbimajor\f31543\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbimajor\f31544\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbimajor\f31545\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbimajor\f31546\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\flominor\f31550\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\flominor\f31549\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\flominor\f31551\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\flominor\f31552\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\flominor\f31553\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\flominor\f31554\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\flominor\f31555\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\flominor\f31556\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fdbminor\f31560\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\fhiminor\f31570\fbidi \fswiss\fcharset0\fprq2 Calibri{\*\falt Century Gothic};}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr{\*\falt Century Gothic};}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek{\*\falt Century Gothic};}
{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur{\*\falt Century Gothic};}{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic{\*\falt Century Gothic};}
{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese){\*\falt Century Gothic};}{\fbiminor\f31580\fbidi \froman\fcharset0\fprq2 Times New Roman{\*\falt Times New Roman};}
{\fbiminor\f31579\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\fbiminor\f31581\fbidi \froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\fbiminor\f31582\fbidi \froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}
{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}
{\fbiminor\f31586\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;
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\af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5862832 \chftnsep 
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5862832 \chftnsepc 
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\tqc\tx4536\tqr\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\f1\fs18\insrsid15871249\charrsid2577932 PAGE   \\* MERGEFORMAT}}{\fldrslt {\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\lang1024\langfe1024\noproof\insrsid1273656 2}}}\sectd \ltrsect\linex0\headery708\footery708\colsx708\endnhere\sectdefaultcl\sftnbj {
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\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}
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\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 
\f44\fs20\insrsid13266481 \tab \tab \tab \tab \tab \tab \tab        }{\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f0\fs20\insrsid13266481\charrsid13266481  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 Za\'b3\'b9cznik nr 1 do }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \b\f0\insrsid13255047 F}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 ormularza }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid13255047 O}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 ferty
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2647886\charrsid13266481 Znak sprawy: ZP/220/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid13255047 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid1273656 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid8872699 /20}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 
\par }\pard \ltrpar\ql \fi5387\li0\ri0\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16653963 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid2070\charrsid13266481  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid13266481 

\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid13266481\charrsid13266481   }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 Zamawiaj\'b9cy:
\par  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid13266481\charrsid13266481  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 Samodzielny Publiczny }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid13266481\charrsid13266481 
\par   }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 Szpital }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid2070\charrsid13266481   }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid13266481 Kliniczny Nr 2 
\par   PUM w Szczecinie 
\par   Al. Powsta\'f1c\'f3w Wlkp. 72 
\par   70-111 Szczecin
\par }\pard \ltrpar\ql \li0\ri0\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid335709 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \b\f1\fs20\insrsid335709\charrsid10508461 Wykonawca:
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid10508461 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid10508461 
\par }\pard \ltrpar\ql \li0\ri5953\sa160\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin5953\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid10508461 (pe\'b3na nazwa/firma, adres, w zale\'bfno\'9c
ci od podmiotu: NIP/PESEL, KRS/CEiDG)
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\ul\insrsid335709\charrsid4007722 reprezentowany przez:
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid13976888 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid10508461 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709 \'85
\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid10508461 
\par }\pard \ltrpar\ql \li0\ri5953\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin5953\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid10508461 (imi\'ea
, nazwisko, stanowisko/podstawa do }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid12209271 re}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid10508461 prezentacji)
\par }\pard \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid335709 
\par }\pard \ltrpar\qc \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11141999 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\ul\insrsid335709\charrsid15365325 O\'9cwiadczenie wykonawcy }{\rtlch\fcs1 \af1\afs20 
\ltrch\fcs0 \b\f1\fs20\insrsid335709\charrsid5446090  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\ul\insrsid335709\charrsid5580702 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\ul\insrsid335709\charrsid12525375 DOTYCZ\'a5CE PRZES\'a3ANEK WYKLUCZENIA Z POST\'caPOWANIA
\par }\pard \ltrpar\qj \li0\ri0\sa160\sl259\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8991913 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid335709\charrsid3082339 Na potrzeby post\'eapowania o udzielenie zam\'f3
wienia publicznego}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12272239\charrsid3082339  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid335709\charrsid3082339 pn.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid12209271\charrsid3082339  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\insrsid5777550\charrsid13255047 dostawa }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid1273656\charrsid1273656 i monta\'bf sterylizatora gazowego o czynniku roboczym: tlenek etylenu (EO), urz\'b9dzenia do katalitycznego spalania tlenku etylenu, 
systemu monitorowania przekroczenia dopuszczalnego poziomu tlenku etylenu, stolik\'f3w pod sterylizatory/aeratory oraz wykonanie prac adaptacyjno-przy\'b3\'b9czeniowych sterylizatora 5XL oraz 2 aerator\'f3w XL stanowi\'b9cych wyposa\'bfenie Zamawiaj\'b9
cego}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\insrsid335709\charrsid3082339 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid335709\charrsid3082339 o\'9cwiadczam, co nast\'eapuje:}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid335709\charrsid3082339 
\par }\pard \ltrpar\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 \cbpat17 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709 O\'8cWIADCZENIA}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\b\f1\fs21\insrsid335709\charrsid1329403  DOTYCZ\'a5CE WYKONAWCY:
\par }\pard\plain \ltrpar\s15\qj \li720\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid335709\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 
\f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\insrsid335709 
\par {\listtext\pard\plain\ltrpar \s15 \rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \b\f1\fs21\lang1045\langfe1033\langfenp1033\insrsid335709\charrsid4915369 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ltrpar\s15\qj \fi-360\li720\ri0\sl360\slmult1
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin720\itap0\pararsid335709\contextualspace {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid4915369 O\'9cwiadczam, \'bfe nie podlegam wykluczeniu z post\'ea
powania na podstawie \line art. 24 ust 1 pkt 12-23}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709  oraz ust 5 pkt 1 i 4}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid4915369  ustawy Pzp.
\par }\pard\plain \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \f37\fs22\lang1045\langfe1033\cgrid\langnp1045\langfenp1033 {\rtlch\fcs1 
\af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid335709 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid335709\charrsid4069136 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid4069136 \'85\'85\'85\'85\'85.\'85\'85. }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid1641838 (miejscowo\'9c\'e6),}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\i\f1\fs18\insrsid335709\charrsid1641838  }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid4069136 dnia \'85\'85\'85\'85.\'85\'85. r. 
\par 
\par \tab \tab \tab \tab \tab \tab \tab \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ltrpar\qj \fi708\li5664\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin5664\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid1641838 (podpis)
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid15940291 O\'9cwiadczam, \'bfe zachodz\'b9
 w stosunku do mnie podstawy wykluczenia z post\'eapowania na podstawie art. \'85\'85\'85\'85. ustawy Pzp}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid398315  }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\i\f1\fs16\insrsid335709\charrsid987689 (poda\'e6 maj\'b9c\'b9 zastosowanie podstaw\'ea wykluczenia spo\'9cr\'f3d wymienionych w art. 24 ust. 1 pkt 13-14, 16-20 lub art. 24 ust. 5 }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709 pkt. 1 i 4 }{
\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid987689 ustawy Pzp).}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid398315  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid15940291 Jednocze\'9c
nie o\'9cwiadczam, \'bfe w zwi\'b9zku z ww. okoliczno\'9cci\'b9, na podstawie art. 24 ust. 8 ustawy Pzp pod}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 j\'b9\'b3em nast\'eapuj\'b9ce \'9crodki }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709\charrsid15940291 naprawcze:}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\'85\'85\'85\'85\'85\'85..
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid992338 
\par \'85\'85\'85\'85\'85.\'85\'85. }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid992338 (miejscowo\'9c\'e6)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid335709\charrsid992338 , }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 
\f1\fs20\insrsid335709\charrsid992338 dnia \'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709 \'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid992338 \'85\'85\'85. r. 
\par \tab \tab \tab \tab \tab \tab \tab \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ltrpar\qj \fi708\li5664\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin5664\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid992338 (podpis)
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 \cbpat17 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709\charrsid3954936 O\'8cWIADCZENIE DOTYCZ\'a5CE PODMIOTU}{
\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709 ,}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709\charrsid3954936  NA KT\'d3REGO ZASOBY POWO\'a3UJE SI\'ca WYKONAWCA:
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16450115 {\rtlch\fcs1 \af44\afs18 \ltrch\fcs0 \b\i\f44\fs18\cf6\insrsid16450115\charrsid1920648 Wype\'b3ni\'e6 tylko w przypadku powo
\'b3ywania si\'ea na zasoby innych podmiot\'f3w.}{\rtlch\fcs1 \af44\afs18 \ltrch\fcs0 \b\i\f44\fs18\cf6\insrsid16450115 
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid335709\charrsid9663979 
\par }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid16074368 O\'9cwiadczam, \'bfe }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 w stosunku do nast\'eapuj\'b9cego/ych}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709\charrsid16074368  podmiot}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 u/t\'f3w}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid16074368 , na kt\'f3rego/ych zasoby powo\'b3uj\'ea}{\rtlch\fcs1 
\af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 \~}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid16074368 si\'ea}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 \~w\~}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709\charrsid16074368 niniejszym}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 \~}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid16074368 post\'eapowaniu}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709 ,\~tj.:\~\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid5927931  }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\i\f1\fs16\insrsid335709\charrsid8741071 (poda\'e6 pe\'b3n\'b9 nazw\'ea/firm\'ea, adres, a tak\'bfe w zale\'bfno\'9cci od podmiotu: NIP/PESEL, KRS/CEiDG)}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid335709\charrsid5927931  }{\rtlch\fcs1 
\af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid16074368 nie }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 zachodz\'b9 podstawy wykluczenia}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid16074368  z post\'ea
powania o udzielenie zam\'f3wienia.}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid12061966 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid5927931 
\par \'85\'85\'85\'85\'85.\'85\'85. }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid8741071 (miejscowo\'9c\'e6),}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid335709\charrsid5927931  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709\charrsid1654273 dnia \'85\'85\'85\'85\'85\'85\'85. r.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid5927931  
\par 
\par \tab \tab \tab \tab \tab \tab \tab \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ltrpar\qj \fi708\li5664\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin5664\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid8741071 (podpis)
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 \cbpat17 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709\charrsid13925688 O\'8cWIADCZENIE DOTYCZ\'a5CE PODW}{
\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709 YKONAWCY NIEB\'caD\'a5CEGO PODMIOTEM, }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709\charrsid13925688 NA}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\b\f1\fs21\insrsid335709\charrsid13526016  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709\charrsid13925688 KT\'d3REGO ZASOBY POWO\'a3UJE SI\'ca WYKONAWCA:
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid335709\charrsid9663979 
\par }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid1654273 O\'9cwiadczam, \'bfe }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 w stosunku do nast\'eapuj\'b9cego/ych}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709\charrsid16074368  podmiot}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 u/t\'f3w}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid1654273 , b\'ead\'b9c}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709 ego}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid1654273 /}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 ych}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid1654273  podwykonawc
\'b9/ami: \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..\'85.\'85\'85}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709  }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\i\f1\fs16\insrsid335709\charrsid530420 (poda\'e6 pe\'b3n\'b9 nazw\'ea/firm\'ea, adres, a tak\'bfe w zale\'bfno\'9cci od podmiotu: NIP/PESEL, KRS/CEiDG)}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid335709 ,}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 
\f1\fs16\insrsid335709\charrsid530420  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid12061966 nie}{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \f1\fs16\insrsid335709  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709 zachodz\'b9
 podstawy wykluczenia}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid16074368  z post\'eapowania o udzielenie zam\'f3wienia.}{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid12061966 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid530420 
\par \'85\'85\'85\'85\'85.\'85\'85. }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid530420 (miejscowo\'9c\'e6),}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid335709\charrsid530420  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709\charrsid1654273 dnia \'85\'85\'85\'85\'85\'85\'85. r.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid530420  
\par 
\par \tab \tab \tab \tab \tab \tab \tab \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ltrpar\qj \fi708\li5664\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin5664\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid2051202 (podpis)
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 \cbpat17 {\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \b\f1\fs21\insrsid335709\charrsid1915417 O\'8cWIADCZENIE DOTYCZ\'a5
CE PODANYCH INFORMACJI:
\par }\pard \ltrpar\qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid335709 {\rtlch\fcs1 \af1 \ltrch\fcs0 \b\f1\insrsid335709\charrsid9663979 
\par }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 \f1\fs21\insrsid335709\charrsid1654273 O\'9cwiadczam, \'bfe wszystkie informacje podane w powy\'bfszych o\'9cwiadczeniach s\'b9 aktualne \line i zgodne z prawd\'b9 oraz zosta\'b3y przedstawione z pe\'b3n\'b9 \'9c
wiadomo\'9cci\'b9 konsekwencji wprowadzenia zamawiaj\'b9cego w b\'b3\'b9d przy przedstawianiu informacji.
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709 
\par }{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid2051202 
\par \'85\'85\'85\'85\'85.\'85\'85. }{\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid2051202 (miejscowo\'9c\'e6),}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \i\f1\fs20\insrsid335709\charrsid2051202  }{\rtlch\fcs1 \af1\afs21 \ltrch\fcs0 
\f1\fs21\insrsid335709\charrsid1654273 dnia \'85\'85\'85\'85\'85\'85\'85. r.}{\rtlch\fcs1 \af1\afs20 \ltrch\fcs0 \f1\fs20\insrsid335709\charrsid2051202  
\par 
\par \tab \tab \tab \tab \tab \tab \tab \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par }\pard \ltrpar\qj \fi708\li5664\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin5664\itap0\pararsid335709 {\rtlch\fcs1 \af1\afs16 \ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid2051202 (podpis)}{\rtlch\fcs1 \af1\afs16 
\ltrch\fcs0 \i\f1\fs16\insrsid335709\charrsid12586030 
\par }\pard \ltrpar\ql \li5664\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin5664\itap0\pararsid335709 {\rtlch\fcs1 \af44\afs20 \ltrch\fcs0 \i\f44\fs20\insrsid15619077\charrsid15871249 
\par }{\*\themedata 504b030414000600080000002100e9de0fbfff0000001c020000130000005b436f6e74656e745f54797065735d2e786d6cac91cb4ec3301045f748fc83e52d4a
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