4082
| ID | 4082 |
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| Data | 2017-03-20 |
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| Symbol | 2017/03/20/4082 |
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| Instytucja | Urząd Gminy Niedźwiedź |
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| Nazwa | Deklaracja o wysokości opłaty za gospodarowanie odpadami komunalnymi |
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| Czy Aktualny | 0 |
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<title>Dokument elektroniczny</title>
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<tr><td style="text-align: right;">Miejscowość <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:MiejscowoscDokumentu"/></span></xsl:if></span>, dnia <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:DaneDokumentu/meta:Data/meta:Czas"/></span></xsl:if></span></td>
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<p style="text-align: center;"> </p>
<p style="text-align: center;"><span style="font-size: medium;"><strong>DEKLARACJA O WYSOKOŚCI OPŁATY ZA</strong></span><br/><span style="font-size: medium;"><strong>GOSPODAROWANIE ODPADAMI KOMUNALNYMI</strong></span></p>
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<table style="width: 100%; background-color: #bfbfbf;" border="0"><tbody><tr><td style="width: 150px; border: 1px solid #000000;"> Podstawa prawna</td>
<td style="width: 150px; border: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="textArea"><pre><xsl:value-of select="wnio:TrescDokumentu/wnio:PodstawaPrawna"/></pre></span></xsl:if></span></td>
</tr><tr><td style="width: 150px; border: 1px solid #000000;"> Miejsce składania:</td>
<td style="width: 150px; border: 1px solid #000000;"><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><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><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></td>
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<p> </p>
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; border: 1px solid #000000; background-color: #bfbfbf;" rowspan="3" valign="top"><strong>A.</strong></td>
<td style="border: 1px solid #000000; height: 100%; background-color: #bfbfbf;" valign="top"><strong>OBOWIĄZEK ZŁOŻENIA DEKLARACJI</strong></td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000;">1. Cel złożenia deklaracji</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;">
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaA"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td>
<p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:CelZlozeniaDeklaracji"/></span></xsl:if></span></p>
<p> </p>
</td>
</tr><tr><td><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:DataZmiany"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
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<p> </p>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaB"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; border: 1px solid #000000; background-color: #bfbfbf;" rowspan="3" valign="top"><strong>B.</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;"><strong>PODMIOT ZOBOWIĄZANY DO ZŁOŻENIA DEKLARACJI</strong></td>
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<p>2. Rodzaj podmiotu</p>
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</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:RodzajPodmiotu"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
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<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; border: 1px solid #000000; background-color: #bfbfbf;"><strong>C.</strong></td>
<td style="border: 1px solid #000000; background-color: #bfbfbf;"><strong>DANE IDENTYFIKACYJNE PODMIOTU WSKAZANEGO W PUNKCIE B</strong></td>
</tr></tbody></table></td>
</tr>
<tr><td>
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;" valign="top"><strong>C1</strong></td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">
<table style="width: 100%;" border="0"><tbody><tr><td>3.</td>
</tr></tbody></table></td>
</tr><tr><td style="width: 15px; background-color: #bfbfbf; border-left: 1px solid #000000; border-right: 1px solid #000000;"> </td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/@typPodmiotu"/></span></xsl:if></span></td>
</tr><tr><td style="width: 15px; background-color: #bfbfbf; border-left: 1px solid #000000; border-right: 1px solid #000000;"> </td>
<td style="border: 1px solid #000000;">
<xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">4. Nazwisko i Imię</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Nazwisko"/></span></xsl:if></span><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Imie"/></span></xsl:if></span></td>
</tr></tbody></table><table style="width: 100%;" border="0"><tbody><tr><td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000;">5. PESEL</td>
<td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000;">6. NIP</td>
</tr><tr><td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:IdOsoby/oso:PESEL"/></span></xsl:if></span></td>
<td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:IdOsoby/oso:NIP"/></span></xsl:if></span></td>
</tr><tr><td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">7. Nr telefonu</td>
<td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">8. Adres email</td>
</tr><tr><td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><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%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><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></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="0"><tbody><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">4. Nazwa pełna</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:NazwaInstytucji"/></span></xsl:if></span></td>
</tr></tbody></table><table style="width: 100%;" border="0"><tbody><tr><td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000;"> </td>
<td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000;">6. NIP / REGON</td>
</tr><tr><td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> </td>
<td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:IdInstytucji/inst:NIP"/></span></xsl:if></span> / <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 style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">7. Nr telefonu</td>
<td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">8. Adres email</td>
</tr><tr><td style="width: 50%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><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%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><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></tbody></table></xsl:if></xsl:for-each></td>
</tr><tr><td style="width: 15px; border: 1px solid #000000; text-align: left; background-color: #bfbfbf;" colspan="2"><strong>ADRES ZAMIESZKANIA</strong></td>
</tr><tr><td style="width: 15px; border: 1px solid #000000;" 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="0"><tbody><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">9. Kraj</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">10. Województwo</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">11. Powiat</td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Kraj"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Wojewodztwo"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Powiat"/></span></xsl:if></span></td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">12. Gmina</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">13. Ulica</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">14. Nr domu/lokalu</td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Gmina"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Ulica"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Budynek"/></span></xsl:if></span> / <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Lokal"/></span></xsl:if></span></td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">15. Miejscowość</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">16. Kod pocztowy</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">17. Poczta</td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Miejscowosc"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:KodPocztowy"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Poczta"/></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="0"><tbody><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">9. Kraj</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">10. Województwo</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">11. Powiat</td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Kraj"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Wojewodztwo"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Powiat"/></span></xsl:if></span></td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">12. Gmina</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">13. Ulica</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">14. Nr domu/lokalu</td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Gmina"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Ulica"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Budynek"/></span></xsl:if></span> / <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Lokal"/></span></xsl:if></span></td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">15. Miejscowość</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">16. Kod pocztowy</td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">17. Poczta</td>
</tr><tr><td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Miejscowosc"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:KodPocztowy"/></span></xsl:if></span></td>
<td style="width: 33%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Poczta"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
</tr></tbody></table></td>
</tr>
<tr><td>
<p> </p>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaC2"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="3" valign="top"><strong>C2</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;" colspan="3"><strong>DANE NIERUCHOMOŚCI – NA, KTÓREJ POWSTAJĄ ODPADY KOMUNALNE</strong></td>
</tr><tr><td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">18. Nr ewidencyjny działki</td>
<td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">19. Miejscowość</td>
<td style="width: 40%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">20. Nr domu / lokalu</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrEwidencyjnyDzialki"/></span></xsl:if></span></td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Miejscowosc"/></span></xsl:if></span></td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrDomu"/></span></xsl:if></span> / <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrLokalu"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
</tr>
<tr><td>
<p> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:AdresKorespondencyjny)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Adres do korespondencji</span></label></span><br/></xsl:if></span></p>
</td>
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<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaC3"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="7" valign="top"><strong>C3</strong></td>
<td style="width: 30%; background-color: #bfbfbf; border: 1px solid #000000;" colspan="3"><strong>ADRES DO KORESPONDENCJI</strong></td>
</tr><tr><td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">21. Kraj</td>
<td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">22. Województwo</td>
<td style="width: 40%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">23. Powiat</td>
</tr><tr><td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Kraj"/></span></xsl:if></span></td>
<td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wojewodztwo"/></span></xsl:if></span></td>
<td style="width: 40%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Powiat"/></span></xsl:if></span></td>
</tr><tr><td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">24. Gmina</td>
<td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">25. Ulica</td>
<td style="width: 40%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">26. Nr domu /Nr lokalu</td>
</tr><tr><td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Gmina"/></span></xsl:if></span></td>
<td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Ulica"/></span></xsl:if></span></td>
<td style="width: 40%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrDomu"/></span></xsl:if></span> / <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrLokalu"/></span></xsl:if></span></td>
</tr><tr><td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">27. Miejscowość</td>
<td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">28. Kod pocztowy</td>
<td style="width: 40%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">29. Poczta</td>
</tr><tr><td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Miejscowosc"/></span></xsl:if></span></td>
<td style="width: 30%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KodPocztowy"/></span></xsl:if></span></td>
<td style="width: 40%; border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Poczta"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
</td>
</tr>
<tr><td>
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;"><strong>D.</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;"><strong>DANE DOTYCZĄCE PRZEDMIOTU OPŁATY</strong></td>
</tr></tbody></table><p> </p>
</td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaD1"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="3" valign="top"><strong>D1</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;"><strong>Oświadczam, iż jest to nieruchomość:</strong></td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">30.</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TypNieruchomosci"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
</td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaD2"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="3" valign="top"><strong>D2</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;"><strong>Oświadczam, że nieruchomość zamieszkuje:</strong></td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">31.</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:IloscOsob"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
</td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaD3"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="3" valign="top"><strong>D3</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;"><strong>Oświadczam, iż odpady z nieruchomości będą zbierane w sposób:</strong></td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">32.</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SposobZbieraniaOdpadow"/></span></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
</td>
</tr>
<tr><td><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:OswiadczenieZmiaszkalaCzasowo)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>Oświadczam, że nieruchomość jest zamieszkała czasowo</span></label></span><br/></xsl:if></span></td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaD4"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="3" valign="top"><strong>D4</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;"><strong>Nieruchomość jest zamieszkała czasowo</strong></td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">33.</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-bottom: 1px solid #000000;">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">m-c</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">I</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">II</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">III</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">IV</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">V</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">VI</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">VII</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">VIII</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">IX</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">X</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">XI</td>
<td style="width: 7%; border: 1px solid #000000; background-color: #bfbfbf;" align="center">XII</td>
</tr><tr><td style="width: 7%; border: 1px solid #000000;" align="center">zaznaczyć właściwe</td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacI)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacIII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacIV)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacV)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacVI)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacVII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacVIII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacIX)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacX)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacXI)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7%; border: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacXII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
</tr></tbody></table></td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
</td>
</tr>
<tr><td>
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;"><strong>E.</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;"><strong>OPŁATA ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI</strong></td>
</tr></tbody></table><p> </p>
</td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaE1"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; border: 1px solid #000000; background-color: #bfbfbf;" rowspan="7" valign="top"><strong>E1</strong></td>
<td style="border: 1px solid #000000; background-color: #bfbfbf;" colspan="4">Stawki opłat za gospodarowanie odpadami</td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;" colspan="3">34. </td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;" colspan="2">Zbierane w sposób selektywny</td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;" colspan="2">Zbierane w sposób nieselektywny</td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000;" colspan="3"> </td>
</tr><tr><td style="width: 14%; border-left: 1px solid #000000;">1-2 osoby</td>
<td style="width: 14%; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysOplSelI"/></span></xsl:if></span></td>
<td style="width: 14%; border-left: 1px solid #000000;">1-2 osoby</td>
<td style="width: 14%; border-right: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysOplNieselI"/></span></xsl:if></span></td>
<td style="border-left: 1px solid #000000;" rowspan="3"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WielkoscGospodarstwaWbor"/></span></xsl:if></span> </td>
<td rowspan="3">
<p><span><label><span/></label><xsl:if test="/wnio:Dokument/wnio:TrescDokumentu/wnio:SekcjaE1/wnio:WielkoscGospodarstwaWbor='gosp. domowe 1-2 osób/m-c'"><span type="text"><xsl:value-of select="wnio:Kwota12"/></span></xsl:if></span></p>
<p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Kwota35"/></span></xsl:if></span></p>
<p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Kwota5"/></span></xsl:if></span></p>
</td>
<td style="border-right: 1px solid #000000;" rowspan="3"> zł</td>
</tr><tr><td style="width: 14%; border-left: 1px solid #000000;">3-5 osób</td>
<td style="width: 14%; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysOplSelII"/></span></xsl:if></span></td>
<td style="width: 14%; border-left: 1px solid #000000;">3-5 osób</td>
<td style="width: 14%; border-right: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysOplNieselII"/></span></xsl:if></span></td>
</tr><tr><td style="width: 14%; border-left: 1px solid #000000;">pow. 5 osób</td>
<td style="width: 14%; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysOplSelIII"/></span></xsl:if></span></td>
<td style="width: 14%; border-left: 1px solid #000000;">pow. 5 osób</td>
<td style="width: 14%; border-right: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysOplNieselIII"/></span></xsl:if></span></td>
</tr><tr><td style="width: 14%; border: 1px solid #000000;" rowspan="2" colspan="4">Miesięczna kwota opłaty </td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;" colspan="3"> 35. </td>
</tr><tr><td style="border-left: 1px solid #000000; border-bottom: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:MiesiecznaKwotaOplaty"/></span></xsl:if></span></td>
<td style="border-bottom: 1px solid #000000;"> </td>
<td style="border-right: 1px solid #000000; border-bottom: 1px solid #000000;"> </td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
</td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaE2"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; border: 1px solid #000000; background-color: #bfbfbf;" rowspan="3" valign="top"><strong>E2</strong></td>
<td style="border-left: 1px solid #000000; border-right: 1px solid #000000; border-top: 1px solid #000000;">36.</td>
<td style="width: 150px; border: 1px solid #000000;" rowspan="3">
<p style="text-align: center;"> </p>
</td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000;">OŚWIADCZAM, że jest to nieruchomość niezamieszkała typu:</td>
</tr><tr><td><span><label><span/></label><xsl:if test="true()"><span type="textArea"><pre><xsl:value-of select="wnio:TypNieruchomosci"/></pre></span></xsl:if></span></td>
</tr><tr><td style="border-left: 1px solid #000000; border-right: 1px solid #000000;" colspan="3">37.</td>
</tr><tr><td style="border-left: 1px solid #000000;"> </td>
<td>Odpady są wytwarzane:</td>
<td style="width: 150px; border-right: 1px solid #000000;"> </td>
</tr><tr><td style="border-left: 1px solid #000000;"> </td>
<td><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WytwarzanieOdpadowWybor"/></span></xsl:if></span></td>
<td style="width: 150px; border-right: 1px solid #000000;"> </td>
</tr><tr><td style="border-left: 1px solid #000000;"> </td>
<td>
<xsl:for-each select="wnio:MiesiaceWytwarzania"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">m-c</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">I</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">II</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">III</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">IV</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">V</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">VI</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">VII</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">VIII</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">IX</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">X</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">XI</td>
<td style="width: 7.69%; border: 1px solid #000000; background-color: #bfbfbf;" align="center" valign="middle">XII</td>
</tr><tr><td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle">zaznaczyć właściwe</td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacI)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacIII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacIV)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacV)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacVI)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacVII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacVIII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacIX)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacX)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacXI)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
<td style="width: 7.69%; border: 1px solid #000000;" align="center" valign="middle"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:MiesiacXII)),' '), ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span><br/></xsl:if></span></td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
<td style="width: 150px; border-right: 1px solid #000000;"> </td>
</tr></tbody></table><table style="width: 100%;" border="0"><tbody><tr><td style="width: 100px; text-align: center; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="2">
<p><strong>I.</strong></p>
<p>Pojemnik</p>
<p> </p>
</td>
<td style="text-align: center; background-color: #bfbfbf; border: 1px solid #000000;" colspan="2"> <strong>II.</strong> Stawka opłaty za pojemnik</td>
<td style="width: 100px; text-align: center; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="2" colspan="2"><strong>III.</strong> Liczba pojemników miesięcznie</td>
<td style="width: 100px; text-align: center; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="2"><strong>IV.</strong> Wysokość miesięcznej opłaty </td>
</tr><tr><td style="width: 100px; text-align: center; border: 1px solid #000000;"> a. Odpady segregowane</td>
<td style="width: 40%; text-align: center; border: 1px solid #000000;"> b. Odpady niesegregowane</td>
</tr><tr><td style="width: 100px; text-align: center; border: 1px solid #000000;" rowspan="2"> 120l </td>
<td style="width: 40%; border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 38.</td>
<td style="width: 40%; border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 39.</td>
<td style="width: 50px; border: 1px solid #000000;" rowspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaPojemnikowSegregowaneI"/></span></xsl:if></span></td>
<td style="width: 50px; border: 1px solid #000000;" rowspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaPojemnikowNiesegregowaneI"/></span></xsl:if></span></td>
<td style="border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 40.</td>
</tr><tr><td style="width: 100px; text-align: left; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatySegregowaneI"/></span></xsl:if></span> zł</td>
<td style="width: 40%; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatyNiesegregowaneI"/></span></xsl:if></span> zł</td>
<td style="border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatyI"/></span></xsl:if></span></td>
</tr><tr><td style="width: 100px; text-align: center; border: 1px solid #000000;" rowspan="2"> 240l </td>
<td style="width: 40%; border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 41.</td>
<td style="width: 40%; border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 42.</td>
<td style="width: 50px; border: 1px solid #000000;" rowspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaPojemnikowSegregowaneII"/></span></xsl:if></span></td>
<td style="width: 50px; border: 1px solid #000000;" rowspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaPojemnikowNiesegregowaneII"/></span></xsl:if></span></td>
<td style="border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 43.</td>
</tr><tr><td style="width: 100px; text-align: left; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatySegregowaneII"/></span></xsl:if></span> zł</td>
<td style="width: 40%; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatyNiesegregowaneII"/></span></xsl:if></span> zł</td>
<td style="border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatyII"/></span></xsl:if></span></td>
</tr><tr><td style="width: 100px; text-align: center; border: 1px solid #000000;" rowspan="2"> 1100l </td>
<td style="width: 40%; border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 44.</td>
<td style="width: 40%; border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 45.</td>
<td style="width: 50px; border: 1px solid #000000;" rowspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaPojemnikowSegregowaneIII"/></span></xsl:if></span></td>
<td style="width: 50px; border: 1px solid #000000;" rowspan="2"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LiczbaPojemnikowNiesegregowaneIII"/></span></xsl:if></span></td>
<td style="border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> 46.</td>
</tr><tr><td style="width: 100px; text-align: left; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatySegregowaneIII"/></span></xsl:if></span> zł</td>
<td style="width: 40%; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatyNiesegregowaneIII"/></span></xsl:if></span> zł</td>
<td style="border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscOplatyIII"/></span></xsl:if></span></td>
</tr><tr><td style="width: 100px; text-align: center; border: 1px solid #000000;" rowspan="2" colspan="3">
<p><strong>Wysokość miesięcznej opłaty za gospodarowanie odpadami komunalnymi<br/></strong><strong><br/></strong></p>
</td>
<td style="width: 50px; border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;" colspan="3">47.</td>
</tr><tr><td style="width: 50px; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;" colspan="3"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:WysokoscMiesiecznejOplaty"/></span></xsl:if></span></td>
</tr></tbody></table><p> </p>
</xsl:if></xsl:for-each></td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaE3"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="3" valign="top"><strong>E3</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;" colspan="2">
<p><strong>NIERUCHOMOŚCI REKREACYJNO - WYPOCZYNKOWE I DOMKI LETNISKOWE</strong></p>
</td>
</tr><tr><td style="border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;">48.</td>
<td style="border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;">49.</td>
</tr><tr><td style="width: 50%; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><strong>Zbiórka selektywna: <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ZbiorkaSelektywnaKwota"/></span></xsl:if></span> </strong>zł/rok</td>
<td style="width: 50%; border-bottom: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;"><strong>Zbiórka nieselektywna : <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ZbiorkaNieselektywnaKwota"/></span></xsl:if></span> </strong>zł/rok</td>
</tr></tbody></table></xsl:if></xsl:for-each><p> </p>
</td>
</tr>
<tr><td>
<xsl:for-each select="wnio:TrescDokumentu/wnio:SekcjaE4"><xsl:if test="true()">
<table style="width: 100%;" border="0"><tbody><tr><td style="width: 20px; background-color: #bfbfbf; border: 1px solid #000000;" rowspan="4" valign="top"><strong>E4</strong></td>
<td style="background-color: #bfbfbf; border: 1px solid #000000;" colspan="6">
<p><strong>NIERUCHOMOŚCI w części zamieszkałe i niezamieszkałe</strong></p>
</td>
</tr><tr><td style="border-top: 1px solid #000000; border-left: 1px solid #000000; border-right: 1px solid #000000;" colspan="6">50.</td>
</tr><tr><td style="text-align: center; border-left: 1px solid #000000; border-right: 1px solid #000000;" colspan="6"><strong>Wysokość miesięcznej opłaty za gospodarowanie odpadami komunalnymi</strong></td>
</tr><tr><td style="border-bottom: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaPole1"/></span></xsl:if></span></td>
<td style="border-bottom: 1px solid #000000;" align="center">+</td>
<td style="border-bottom: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaPole2"/></span></xsl:if></span></td>
<td style="border-bottom: 1px solid #000000;" align="center">=</td>
<td style="border-bottom: 1px solid #000000;" align="center"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaPole3"/></span></xsl:if></span></td>
<td style="border-bottom: 1px solid #000000; border-right: 1px solid #000000;" align="center"> </td>
</tr></tbody></table></xsl:if></xsl:for-each></td>
</tr>
<tr><td> </td>
</tr>
</tbody>
</table>
<xsl:for-each select="wnio:TrescDokumentu/wnio:Dodatkowe">
<xsl:if test="true()">
<p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Pouczenie1"/></span></xsl:if></span></p>
<p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Pouczenie2"/></span></xsl:if></span></p>
<p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Pouczenie3"/></span></xsl:if></span></p>
<p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Pouczenie4"/></span></xsl:if></span></p>
</xsl:if>
</xsl:for-each>
<span style="display: none;"/>
<xsl:call-template name="Podpis"/>
</body>
</html>
</xsl:for-each>
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<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) > 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>
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</table>
</div>
</xsl:template>
</xsl:stylesheet>