12749

ID12749
Data2023-08-08
Symbol2023/08/08/12749
InstytucjaUrząd Gminy Rzezawa
NazwaWniosek o usunięcie awarii sieci wodno-kanalizacyjnej
Czy Aktualny1

Ustawy (1)

  • URI://Dziennik_Ustaw/2023/57/16b/1
  • Ustawa z dnia 17 lutego 2005 r. o informatyzacji działalności podmiotów realizujących zadania publiczne (t.j. Dz. U. z 2023 r. poz. 57).

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              <title>Dokument elektroniczny</title>
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                  <tr><td style="text-align: right;"><span style="font-family: verdana, geneva; font-size: small;">Miejscowość <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:MiejscowoscDokumentu"/></span></xsl:if></span> , data <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/meta:Data/meta:Czas"/></span></xsl:if></span></span></td>
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                  <tr><td style="text-align: right;"><span style="font-family: verdana, geneva; font-size: small;"> </span></td>
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                  <tr><td style="background-color: #4e41bd; text-align: center;"><span style="color: #ffffff; font-size: medium; font-family: verdana, geneva;"><strong>Wniosek o usunięcie awarii sieci wodno-kanalizacyjnej</strong></span></td>
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                  <tr><td style="text-align: left;"><span style="font-family: verdana, geneva; font-size: small;"> </span></td>
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                  <tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong><strong>ADRESAT</strong></strong></span></td>
    </tr>
                  <tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/inst:NazwaInstytucji"/></span></xsl:if></span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Ulica/@rodzajUlicy"/></span></xsl:if></span> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Ulica"/></span></xsl:if></span> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Budynek"/></span></xsl:if></span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:KodPocztowy"/></span></xsl:if></span> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/str:Adresaci/meta:Podmiot/inst:Instytucja/adr:Adres/adr:Miejscowosc"/></span></xsl:if></span><br/><br/></strong></span></td>
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                  <tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>DANE WNIOSKODAWCY</strong></span></td>
    </tr>
                  <tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
    <p><span style="font-family: verdana, geneva; font-size: small;"><strong><strong> </strong></strong></span></p>
    <xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot"><xsl:if test="true()"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="@typPodmiotu"/></span></xsl:if></span></xsl:if></xsl:for-each><p><span style="font-family: verdana, geneva; font-size: small;"><strong><strong> </strong></strong></span></p>
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                  <tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
    <xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="true()">
    <table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="width: 20%; background-color: #d9d9d9;" colspan="2"><span style="font-family: verdana, geneva; font-size: small;"><strong>DANE OSOBY</strong></span></td>
    </tr><tr><td style="width: 20%;"><span style="font-size: small; font-family: verdana, geneva;">Imię<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Imie"/></span></xsl:if></span><br/></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Nazwisko<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Nazwisko"/></span></xsl:if></span><br/></span></td>
    </tr><tr><td style="width: 20%;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;">PESEL<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:IdOsoby/oso:PESEL"/></span></xsl:if></span></span></td>
    </tr><tr><td colspan="2">
    <xsl:for-each select="adr:Adres"><xsl:if test="true()">
    <table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>ADRES ZAMIESZKANIA</strong></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Miejscowość<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Miejscowosc"/></span></xsl:if></span><br/></span></td>
    <td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Ulica/@rodzajUlicy"/></span></xsl:if></span><br/><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Ulica"/></span></xsl:if></span></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Numer budynku <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Budynek"/></span></xsl:if></span><br/></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Numer lokalu<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Lokal"/></span></xsl:if></span><br/></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-family: verdana, geneva; font-size: small;">Kod pocztowy<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:KodPocztowy"/></span></xsl:if></span><br/></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Poczta<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Poczta"/></span></xsl:if></span><br/></span></td>
    </tr></tbody></table></xsl:if></xsl:for-each></td>
    </tr><tr><td style="background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>DANE KONTAKTOWE</strong></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-size: small; font-family: verdana, geneva;">Numer telefonu<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:Telefon"/></span></xsl:if></span><br/></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Adres email<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:Email"/></span></xsl:if></span><br/></span></td>
    </tr><tr><td style="width: 19%; background-color: #d9d9d9;" colspan="2"><strong><span style="font-family: verdana, geneva; font-size: small;">ADRES DO KORESPONDENCJI</span></strong></td>
    </tr><tr><td style="width: 19%;" colspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Uwagi"/></span></xsl:if></span></td>
    </tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/inst:Instytucja"><xsl:if test="true()">
    <table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #d9d9d9;" colspan="2"><span style="font-family: verdana, geneva; font-size: small;"><strong>DANE PODMIOTU</strong></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-family: verdana, geneva; font-size: small;">Pełna nazwa<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:NazwaInstytucji"/></span></xsl:if></span></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Nazwa skrócona</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:Pracownik/inst:Funkcja"/></span></xsl:if></span></td>
    </tr><tr><td><span style="font-family: verdana, geneva; font-size: small;">NIP</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:IdInstytucji/inst:NIP"/></span></xsl:if></span></td>
    <td><span style="font-family: verdana, geneva; font-size: small;">REGON</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:IdInstytucji/inst:REGON"/></span></xsl:if></span></td>
    </tr><tr><td colspan="2">
    <xsl:for-each select="adr:Adres"><xsl:if test="true()">
    <table style="width: 100%;" border="1" cellpadding="5"><tbody><tr><td style="background-color: #d9d9d9;" colspan="2"><span style="font-family: verdana, geneva; font-size: small;"><strong>ADRES SIEDZIBY</strong></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-family: verdana, geneva; font-size: small;">Miejscowość</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Miejscowosc"/></span></xsl:if></span></td>
    <td style="width: 50%;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Ulica/@rodzajUlicy"/></span></xsl:if></span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Ulica"/></span></xsl:if></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-family: verdana, geneva; font-size: small;">Numer budynku</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Budynek"/></span></xsl:if></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Numer lokalu</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Lokal"/></span></xsl:if></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-family: verdana, geneva; font-size: small;">Kod pocztowy</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:KodPocztowy"/></span></xsl:if></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Poczta</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Poczta"/></span></xsl:if></span></td>
    </tr></tbody></table></xsl:if></xsl:for-each></td>
    </tr><tr><td style="background-color: #d9d9d9;" colspan="2"><span style="font-family: verdana, geneva; font-size: small;"><strong>DANE KONTAKTOWE</strong></span></td>
    </tr><tr><td style="width: 19%;"><span style="font-family: verdana, geneva; font-size: small;">Numer telefonu</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:Telefon"/></span></xsl:if></span></td>
    <td style="width: 50%;"><span style="font-family: verdana, geneva; font-size: small;">Adres email</span><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:Email"/></span></xsl:if></span></td>
    </tr><tr><td style="width: 19%; background-color: #d9d9d9;" colspan="2"><strong><span style="font-family: verdana, geneva; font-size: small;">ADRES DO KORESPONDENCJI</span></strong></td>
    </tr><tr><td style="width: 19%;" colspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Uwagi"/></span></xsl:if></span></td>
    </tr></tbody></table></xsl:if></xsl:for-each></td>
    </tr>
                  <tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
    <xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Srodek"><xsl:if test="true()">
    <table style="width: 100%;" border="0"><tbody><tr><td colspan="2">
    <xsl:for-each select="wnio:Tabela"><xsl:if test="true()">
    <table style="width: 100%;" border="1"><tbody><tr><td style="text-align: center;" colspan="5"><span style="font-family: verdana, geneva; font-size: small;">CENNIK PRACY SPRZĘTU I TRANSPORTU DO USUWANIA AWARII WOD-KAN NA ZLECENIE ODBIORCY USŁUG WOD-KAN</span></td>
    </tr><tr><td style="width: 20%; text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Lp.</span></td>
    <td style="width: 20%; text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Rodzaj sprzętu lub transportu</span></td>
    <td style="width: 20%; text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Jednostka</span></td>
    <td style="width: 20%; text-align: center;">
    <div class=" syno-o-doc-pm-block">
    <div class=" syno-o-doc-pm-paragraph">
    <div class=" syno-o-doc-pm-line">
    <div class=" syno-o-doc-pm-line-location">
    <div class=" syno-o-doc-pm-line-content"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">CENA</span></span></div>
    </div>
    </div>
    </div>
    </div>
    <div class=" syno-o-doc-pm-block">
    <div class=" syno-o-doc-pm-paragraph">
    <div class=" syno-o-doc-pm-line">
    <div class=" syno-o-doc-pm-line-location">
    <div class=" syno-o-doc-pm-line-content"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">[netto]</span></span></div>
    </div>
    </div>
    </div>
    </div>
    </td>
    <td style="width: 20%; text-align: center;">
    <div class=" syno-o-doc-pm-block">
    <div class=" syno-o-doc-pm-paragraph">
    <div class=" syno-o-doc-pm-line">
    <div class=" syno-o-doc-pm-line-location">
    <div class=" syno-o-doc-pm-line-content"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">Wykonan</span><span data-syno-text="true">o</span></span></div>
    </div>
    </div>
    </div>
    </div>
    <div class=" syno-o-doc-pm-block">
    <div class=" syno-o-doc-pm-paragraph">
    <div class=" syno-o-doc-pm-line">
    <div class=" syno-o-doc-pm-line-location">
    <div class=" syno-o-doc-pm-line-content"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">[zł]</span></span></div>
    </div>
    </div>
    </div>
    </div>
    </td>
    </tr><tr><td style="text-align: center;" rowspan="2"><span style="font-family: verdana, geneva; font-size: small;">1</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Minikoparka</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">moto-godz.</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena1"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano1"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">postój</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">moto-godz.</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena2"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano2"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;" rowspan="2"><span style="font-family: verdana, geneva; font-size: small;">2</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Traktor</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">moto-godz.</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena3"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano3"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">postój</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">moto-godz.</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena4"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano4"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;" rowspan="2"><span style="font-family: verdana, geneva; font-size: small;">3</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">Traktor</span></span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">moto-godz.</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena5"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano5"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;" data-syno-text="true">postój</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">moto-godz.</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena6"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano6"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">4</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Beczka asenizacyjna - 3000 l.</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">kurs</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena7"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano7"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">5</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">Samochód</span></span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena8"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano8"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">6</span></td>
    <td style="text-align: center;">
    <div class=" syno-o-doc-pm-line">
    <div class=" syno-o-doc-pm-line-location">
    <div class=" syno-o-doc-pm-line-content"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">Udrażniania kanalizacji sanitarnej przy </span><span data-syno-text="true">użyciu </span></span></div>
    </div>
    </div>
    <div class=" syno-o-doc-pm-line">
    <div class=" syno-o-doc-pm-line-location">
    <div class=" syno-o-doc-pm-line-content"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">urządzenia</span><span data-syno-text="true"> wysokociśnieniowego</span></span></div>
    </div>
    </div>
    </td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena10"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano10"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">7</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Betoniarka</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena11"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano11"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">8</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Spawarka/Zgrzewarka</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena12"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano12"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">9</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Piła spalinowa</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena13"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano13"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">10</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">Agregat prądotwórczy </span><span data-syno-text="true">- mały</span></span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena14"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano14"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">11</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;"><span data-syno-text="true">Agregat </span><span data-syno-text="true">prądotwórczy -</span><span data-syno-text="true"> duży</span></span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena15"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano15"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">12</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Kosiarka rotacyjna</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena16"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano16"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">13</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Kosiarka bijakowa</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">godz.pracy</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena17"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano17"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">14</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Zadymiarka</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena18"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano18"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">15</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Zamknięcie i otwarcie zasuwy </span><br/><span style="font-family: verdana, geneva; font-size: small;">przyłączeniowej na zlecenie klienta</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena19"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano19"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">16</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Ponowne plombowanie wodomierza głównego </span><br/><span style="font-family: verdana, geneva; font-size: small;">po wcześniejszym telefonicznym zgłoszeniu </span><br/><span style="font-family: verdana, geneva; font-size: small;">przez odbiorcę usług, z przyczyn niezależnych </span><br/><span style="font-family: verdana, geneva; font-size: small;">od GZGK w <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Gmina1"/></span></xsl:if></span></span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena20"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano20"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">17</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Ponowne plombowanie wodomierza głównego</span><br/><span style="font-family: verdana, geneva; font-size: small;"> po samowolnym demontażu plomb przez </span><br/><span style="font-family: verdana, geneva; font-size: small;">odbiorcę usług - bez powiadamiania </span><br/><span style="font-family: verdana, geneva; font-size: small;">GZGK w <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Gmina2"/></span></xsl:if></span></span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena21"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano21"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">18</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Demontaż i montaż wodomierza na zlecenie klienta (np. rozmrożony wodomierz)</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena22"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano22"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">19</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Opłata za czynności związane z przywróceniem dostawy wody</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena23"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano23"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">20</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Opłata za samowolne odkręcenie lub zakręcenie zasuwy na przyłączu lub sieci</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena24"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano24"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">21</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Montaż wraz z demontażem korka pneumatycznego na kanalizacji sanitarnej</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena25"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano25"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">22</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Zamknięcie zasuwy sieciowej (zasuw sieciowych) na czas nie dłuższy niż 6 godz.- planowe zamknięcie wody</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena26"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano26"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">23</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Otwarcie zasuwy sieciowej (zasuw sieciowych) wraz z odpowietrzaniem z hydrantów</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena27"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano27"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">24</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Odnalezienie istniejącej zasuwy/studzienki na przyłączu na zlecenie</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena28"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano28"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">25</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Opłata za naprawę uszkodzeń przyłącza lub sieci wodociągowej kanalizacyjnej nie z winy GZGK</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena29"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano29"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">26</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Montaż hydrantu na zlecenie</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena30"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano30"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">27</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Regulacja istniejącej zasuwy/hydrantu/studzienki na zlecenie</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena31"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano31"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">28</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Koszenie boiska 1 szt.</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena32"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano32"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">29</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Koszt nowego wodomierza</span></td>
    <td style="text-align: center;"><span style="font-family: verdana, geneva; font-size: small;">Usługa</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Cena33"/></span></xsl:if></span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wykonano33"/></span></xsl:if></span></td>
    </tr><tr><td style="text-align: right;" colspan="4"><span style="font-family: verdana, geneva; font-size: small;">RAZEM:</span></td>
    <td style="text-align: center;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Razem"/></span></xsl:if></span></td>
    </tr></tbody></table></xsl:if></xsl:for-each></td>
    </tr></tbody></table></xsl:if></xsl:for-each></td>
    </tr>
                  <tr><td style="width: 100%; border-style: solid; border-width: 1px; background-color: #d9d9d9;" colspan="2"><span style="font-size: small; font-family: verdana, geneva;"><strong>PODPIS</strong></span></td>
    </tr>
                  <tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
    <xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Podpis"><xsl:if test="true()">
    <table style="width: 100%;" border="0" cellpadding="5"><tbody><tr><td style="width: 50%;"><span style="font-size: small; font-family: verdana, geneva;">Imię</span><br/><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Imie"/></span></xsl:if></span></span></td>
    <td colspan="10"><span style="font-size: small; font-family: verdana, geneva;">Nazwisko<br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Nazwisko"/></span></xsl:if></span><br/></span></td>
    </tr></tbody></table></xsl:if></xsl:for-each></td>
    </tr>
                  <tr><td style="width: 100%; border-style: solid; border-width: 1px;" colspan="2">
    <xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Podpis"><xsl:if test="true()">
    <table style="width: 100%;" border="0" cellpadding="5"><tbody><tr><td><span style="font-family: verdana, geneva; font-size: small;"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Oswiadczenie)),' '),  ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Oświadczam, że rezygnuję z doręczania pism za pomocą środków komunikacji elektronicznej w niniejszym postępowaniu.</span></label></span><br/></xsl:if></span></span></td>
    </tr></tbody></table></xsl:if></xsl:for-each></td>
    </tr>
                </tbody>
              </table>
              <p>
                <span style="font-family: verdana, geneva; font-size: small;"> </span>
              </p>
              <span style="display: none;"/>
              <div style="clear: both;"/>
              <div/>
              <xsl:call-template name="Podpis"/>
            </body>
          </html>
        </xsl:for-each>
      </xsl:template>
      <xsl:template name="Podpis">
        <div style="float:left;text-align: right;font-size: 10px;font-family: Verdana;line-height: 20px;">
          <table style="float: right;">
            <tr>
              <td style="width: 340px;">
                <h2>Podpisy elektroniczne</h2>
                <p align="center" style="text-align: center;font-size: 10px;font-family: Verdana;line-height: 20px;">
                  <xsl:if test="string-length(//wnio:Dokument/ds:Signature/ds:SignatureValue) &gt; 0">
                    <xsl:text>Dokument został podpisany, aby go zweryfikować należy użyć oprogramowania do weryfikacji podpisu</xsl:text>
                    <br/>
                    <xsl:for-each select="//wnio:Dokument/ds:Signature/ds:Object">
                      <xsl:if test="descendant::*[local-name() = 'SigningTime']">
                        <xsl:value-of select="descendant::*[local-name() = 'SigningTime']"/>
                      </xsl:if>
                      <xsl:choose>
                        <xsl:when test="descendant::*[local-name() = 'PodpisZP']"> Podpis profilem zaufanym: <xsl:value-of select="descendant::*[local-name() = 'Imie']"/><xsl:text> </xsl:text><xsl:value-of select="descendant::*[local-name() = 'Nazwisko']"/><br/></xsl:when>
                      </xsl:choose>
                    </xsl:for-each>
                  </xsl:if>
                </p>
              </td>
            </tr>
          </table>
        </div>
      </xsl:template>
    </xsl:stylesheet>