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Akacjowa dz. nr 356 obrb Dbrowa) : Rodzaj wykonanych robtWarto[ robt [zB]Data wykonanych robtMiejsce wykonania robtPodmiot, na rzecz ktrego roboty zostaBy wykonane4NZ2 6 8 : l n p  @ v ( < > Z ^ Ѽ質thRJhRJ5CJ\aJhRJha<CJaJhRJhlCJaJhRJhz-CJhRJhCJha<5CJ\h5CJ\ha<hV_6CJaJhV_6CJaJha<ha<6CJaJha<ha<CJaJha<ha<CJaJha<ha<5CJaJ(Z6 8 : n  F v $d$Ifa$gd $da$gd $da$gda< d]gda<  d] gda<dgda< n     " $ ( B D F H V t v x (4BNPRTVXǿԬhqBCJaJha<hCJaJh*CJaJUhTnhCJaJhCJaJha<5CJ\aJh*5CJ\aJhRJhRJ5CJ\aJ@ :+++$d$Ifa$gdkd$$IfFrf}#- t0j$644 lapyt )kd$$IfFrf}#- t0j$644 lapytRJ$d$Ifa$gd $d$Ifa$gd 8)))$d$Ifa$gdkd$$IfFrf}#- t0j$644 lapytRJ )kd$$IfFrf}#- t0j$644 lapytRJ$d$Ifa$gd Pouczony o odpowiedzialno[ci karnej, wynikajcej z o[wiadczenia nieprawdy, na podstawie art. 233 1 Kodeksu Karnego, prawdziwo[ powy|szego o[wiadczenia, potwierdzam: Dokument nale|y wypeBni i podpisa (Wykonawca lub osoba/y uprawniona/e do jego reprezentowania) kwalifikowanym podpisem elektronicznym lub podpisem zaufanym lub podpisem osobistym. 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