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  1. <dokument.ACH>
  2. <naglowek.ACH>
  3. ^01^02
  4. <$gcNazwa1//C$>
  5. <$gcNazwa2//C$>
  6. ul.<$gcUlica//C$> <$gcDom//C$>/<$gcLokal//C$>
  7. <$gcKodPoc//C$> <$gcMiejsc//C$>
  8.  
  9.                                                        
  10.  
  11.  
  12.  
  13.  
  14. ..............................
  15.           piecz⌐å
  16.  
  17. ^03^05                                   
  18.  
  19.                        DOKUMENT LIKWIDACJI ùRODKA TRWA¥EGO LT
  20.  
  21.              numer <$LIKWIDOW/XXXXXXXXXXXXXXX/C$> z dnia <$LIKWIDAT/##.##.####/D$>            ^06                  
  22.                                       
  23.  
  24.                                       
  25. Z DNIEM <$DOWOT/XXXXXXXXXXXXXXX/C$> NAST¿PUJE LIKWIDACJA - ZNISZCZENIE ùRODKA TRWA¥EGO O NI╜EJ OKREùLONYCH CECHACH:
  26.  
  27. ^04
  28. _________________________________________________________________________________________________________________________________________________
  29.                           |
  30. NUMER INWENTARZOWY        | <$KTRHID/XXXXXXXXXX/C$>                   
  31. SYMBOL KùT                  |    <$SYMBOLS/XXXX/C$>
  32. CHARAKTERYSTYKA           | <$NZS/XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX/C$>                                         
  33. ROK BUDOWY                | <$BUDOWA/XXXX/C$>                      
  34. NUMER FABRYCZNY           | <$NRFABR/XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX/C$>         
  35. WYKONAWCA                  | <$WYKONA/XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX/C$>                            
  36. __________________________|______________________________________________________________________________________________________________________
  37.                              |    
  38. MIEJSCE U╜YTKOWANIA          | <$ZAKLAD/XXXXXXXXXXXXXXX/C$>
  39. DZIA¥                     | <$DZIAL/XXXXXXXXXXXXXXX/C$>
  40. __________________________|______________________________________________________________________________________________________________________
  41.                           |
  42. WARTOùÅ POCZñTKOWA        |    <$WARTPOCZ//N$>
  43. WARTOùÅ UMORZENIA          | <$IMANA()/999,999,999,999.99/N$>
  44. __________________________|______________________________________________________________________________________________________________________
  45.  
  46. WNIOSEK KOMISJI LIKWIDACYJNEJ
  47.  
  48. ..................................................................................................................................................
  49.  
  50. .................................................................................................................................................
  51. _________________________________________________________________________________________________________________________________________________
  52.  
  53. PRZYCZYNA LIKWIDACJI
  54.  
  55. ..................................................................................................................................................
  56.  
  57. __________________________________________________________________________________________________________________________________________________
  58.  
  59. SPOSαB LIKWIDACJI
  60.  
  61. ...................................................................................................................................................
  62. ________________________________________________________________________________________________________________________________________________
  63. KOMISJA LIKWIDACYJNA
  64.  
  65. Data.................               Podpisy........................................
  66.  
  67.                                            ........................................
  68.  
  69.                                            .........................................^20
  70. </naglowek.ACH>
  71. <SYSTEM.ACH>
  72. </SYSTEM.ACH>
  73. </dokument.ACH>
  74.