7021

ID7021
Data2019-02-11
Symbol2019/02/11/7021
InstytucjaUrząd Miejski w Zabrzu
NazwaDeklaracja o wysokości opłaty za gospodarowanie odpadami komunalnymi dla nieruchomości zamieszkałych oraz niezamieszkałych
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  • URI://Dziennik_Ustaw/2018/1454/6n/1/2/a
    		• Ustawa z dnia 13 września 1996 r. o utrzymaniu czystości i porządku w gminach

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    <?xml version="1.0" encoding="UTF-8"?><xsl:stylesheet xmlns:xsl="http://www.w3.org/1999/XSL/Transform" xmlns:adr="http://crd.gov.pl/xml/schematy/adres/2009/11/09/" xmlns:ds="http://www.w3.org/2000/09/xmldsig#" xmlns:inst="http://crd.gov.pl/xml/schematy/instytucja/2009/11/16/" xmlns:meta="http://crd.gov.pl/xml/schematy/meta/2009/11/16/" xmlns:oso="http://crd.gov.pl/xml/schematy/osoba/2009/11/16/" xmlns:str="http://crd.gov.pl/xml/schematy/struktura/2009/11/16/" xmlns:wnio="http://crd.gov.pl/wzor/2019/02/11/7021/" xmlns:xsd="http://www.w3.org/2001/XMLSchema" version="1.0"><xsl:template match="/"><xsl:for-each select="wnio:Dokument"><html xmlns="http://www.w3.org/1999/xhtml"><head/><body><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td style="font-size: 12px; border-color: #000000; border-style: solid; border-width: 1px; text-align: center;"><strong>DEKLARACJA O WYSOKOŚCI OPŁATY ZA GOSPODAROWANIE ODPADAMI KOMUNALNYMI DLA NIERUCHOMOŚCI ZAMIESZKAŁYCH ORAZ NIEZAMIESZKAŁYCH</strong></td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 100px;"><strong>Podstawa prawna</strong></td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">Ustawa z dnia 13 września 1996 roku o utrzymaniu czystości i porządku w gminach (tekst jednolity Dz. U. z 2016 r. poz.250)</td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>Składający</strong></td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">Właściciele nieruchomości w rozumieniu ustawy o utrzymaniu czystości i porządku w gminach, znajdujących się w granicach administracyjnych <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Miejscowosc"/></span></xsl:if></span>, na których powstają odpady komunalne.</td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>Termin składania</strong></td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">14 dni od dnia zamieszkania na danej nieruchomości pierwszego mieszkańca lub powstania na danej nieruchomości odpadów komunalnych lub zmiany danych zawartych w deklaracji</td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><p><strong>A. MIEJSCE SKŁADANIA DEKLARACJI</strong></p><p style="text-align: center;"><strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:MiejsceSkladaniaDeklaracji"/></span></xsl:if></span><br/></strong></p></td></tr><tr><td style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>B. OBOWIĄZEK ZŁOŻENIA DEKLARACJI <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Komentarz1) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></strong></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">1. Okoliczności powodujące obowiązek złożenia deklaracji</td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">  <table border="0" cellpadding="10"><tbody><tr><td style="font-size: 10px;" valign="top"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Okolicznosci) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>1. pierwsza deklaracja </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Okolicznosci) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>2. zmiana danych </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Okolicznosci) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>3. wygaśnięcie obowiązku </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Okolicznosci) = normalize-space(' 4 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>4. korekta </span></label></span></xsl:if></span></td><td style="font-size: 10px;" valign="top"><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PierwszaDeklaracja"><xsl:if test="../wnio:Okolicznosci=1"> (miesiąc - rok)  <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Data"/></span></xsl:if></span></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Zmiana"><xsl:if test="../wnio:Okolicznosci=2"><p> od (miesiąc -rok) <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Data"/></span></xsl:if></span></p></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Wygasniecie"><xsl:if test="../wnio:Okolicznosci=3"><p> </p><p>od (miesiąc - rok) <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Data"/></span></xsl:if></span></p></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Korekta"><xsl:if test="../wnio:Okolicznosci=4"><p> </p><table border="0" cellpadding="10"><tbody><tr><td align="right" style="font-size: 10px;">za okres (miesiąc - rok)  od <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DataOd"/></span></xsl:if></span></td></tr><tr><td align="right" style="font-size: 10px;">do <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:DataDo"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each></td></tr></tbody></table></td></tr><tr><td style="font-size: 12px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #dcdcdc;"> <strong>C. DANE SKŁADAJĄCEGO DEKLARACJĘ <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Komentarz2) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></strong><br/> C.1. DANE IDENTYFIKACYJNE</td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>2. Podmiot składający deklarację</strong></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>1. osoba fizyczna </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>2. osoba fizyczna prowadząca działalność gospodarczą </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>3. osoba prawna </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy) = normalize-space(' 4 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>4. jednostka organizacyjna nieposiadająca osobowości prawnej </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy) = normalize-space(' 5 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>5. spółka nieposiadająca osobowości prawnej </span></label></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>3. Rodzaj własności</strong></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>1. właściciel </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>2. współwłaściciel </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>3. użytkownik wieczysty </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 4 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>4. posiadacz samoistny </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 5 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>5. najemca </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 6 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>5. dzierżawca </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 7 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>6. zarząd wspólnoty mieszkaniowej </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 8 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>6. zarząd spółdzielni </span></label></span><br/><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:RodzajWlasnosci) = normalize-space(' 9 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>7. inny podmiot władający nieruchomością </span></label></span></xsl:if></span></p><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:InnyPodmiot"><xsl:if test="../wnio:RodzajWlasnosci=9"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Jaki"/></span></xsl:if></span></xsl:if></xsl:for-each></td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td colspan="4" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=1 or ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <strong>4. Nazwisko</strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Nazwisko"/></span></xsl:if></span></xsl:if></xsl:for-each><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/inst:Instytucja"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy!=1 and ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy!=2"><strong>4. Nazwa pełna</strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:NazwaInstytucji"/></span></xsl:if></span></xsl:if></xsl:for-each></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong> 5. Pierwsze imię</strong> <br/><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=1 or ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:Imie"/></span></xsl:if></span></xsl:if></xsl:for-each></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>6. Drugie imię</strong> <br/><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=1 or ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:ImieDrugie"/></span></xsl:if></span></xsl:if></xsl:for-each></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>7. Imię ojca </strong><br/><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Imie"><xsl:if test="../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=1 or ../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ImieOjca"/></span></xsl:if></span></xsl:if></xsl:for-each></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>8. Imię matki</strong> <br/><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Imie"><xsl:if test="../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=1 or ../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ImieMatki"/></span></xsl:if></span></xsl:if></xsl:for-each></td></tr><tr><td colspan="2" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>9. Identyfikator PESEL</strong> <xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=1 or ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="oso:IdOsoby/oso:PESEL"/></span></xsl:if></span></xsl:if></xsl:for-each></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>10. Identyfikator NIP</strong> <br/><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:InnyIdentyfikator"><xsl:if test="../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NIP"/></span></xsl:if></span></xsl:if></xsl:for-each><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/inst:Instytucja"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy!=1"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:IdInstytucji/inst:NIP"/></span></xsl:if></span></xsl:if></xsl:for-each></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>11. Identyfikator REGON</strong> <br/><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:InnyIdentyfikator"><xsl:if test="../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:REGON"/></span></xsl:if></span></xsl:if></xsl:for-each><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/inst:Instytucja"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy!=1 and ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy!=2"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="inst:IdInstytucji/inst:REGON"/></span></xsl:if></span></xsl:if></xsl:for-each></td></tr></tbody></table><xsl:for-each select="wnio:DaneDokumentu/meta:Tworcy/meta:Tworca/meta:Podmiot/oso:Osoba"><xsl:if test="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=1 or ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy=2">  <table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td colspan="3" style="font-size: 12px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #dcdcdc;">C.2. ADRES ZAMIESZKANIA / ADRES SIEDZIBY ORAZ DANE KONTAKTOWE</td></tr><tr><td colspan="3" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>12. Kraj</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="adr:Adres/adr:Kraj"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>13. Województwo</strong><br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>14. Powiat</strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Powiat"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>15. Gmina</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Gmina"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>16. Ulica </strong><br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>17. Nr domu </strong><br/> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Budynek"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>18. Nr lokalu </strong><br/> <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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>19. Miejscowość</strong><br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>20. Kod pocztowy</strong> <br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>21. Poczta</strong> <br/><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><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong> 22. Adres sekap/epuap</strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:InnyKontakt"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>23. Adres e-mail</strong> <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><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong> 24. Numer telefonu kontaktowego </strong><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></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="../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy!=1 and  ../../../../../wnio:TrescDokumentu/wnio:Wartosc/wnio:PodmiotSkladajacy!=2 ">  <table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td colspan="3" style="font-size: 12px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #dcdcdc;">C.2. ADRES ZAMIESZKANIA / ADRES SIEDZIBY ORAZ DANE KONTAKTOWE</td></tr><tr><td colspan="3" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong> 12. Kraj</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="adr:Adres/adr:Kraj"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>13. Województwo</strong> <br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>14. Powiat </strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Powiat"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>15. Gmina</strong> <br/> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Gmina"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>16. Ulica </strong><br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>17. Nr domu </strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Adres/adr:Budynek"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>18. Nr lokalu </strong><br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>19. Miejscowość</strong> <br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>20. Kod pocztowy</strong> <br/><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="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>21. Poczta </strong><br/><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><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>22. Adres sekap/epuap</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="adr:Kontakt/adr:InnyKontakt"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>23. Adres e-mail </strong><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><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>24. Numer telefonu kontaktowego</strong> <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></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:AdresDoKorespondencji"><xsl:if test="true()">  <table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid; page-break-after: always;"><tbody><tr><td colspan="3" style="font-size: 12px; background-color: #dcdcdc; border-color: #000000; border-style: solid; border-width: 1px;">C.3. ADRES DO KORESPONDENCJI <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz3) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td colspan="3" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong> 25. Kraj</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:Kraj"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong> 26. Województwo </strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Wojewodztwo"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>27. Powiat </strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Powiat"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>28. Gmina</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Gmina"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>29. Ulica</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Ulica"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>30. Nr domu</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Budynek"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>31. Nr lokalu </strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Lokal"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>32. Miejscowość</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Miejscowosc"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>33. Kod pocztowy</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KodPocztowy"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p> <strong>34. Poczta</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Poczta"/></span></xsl:if></span></p></td></tr></tbody></table></xsl:if></xsl:for-each><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>D. INFORMACJA O PRZYCZYNIE WYGAŚNIĘCIA OBOWIĄZKU</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Komentarz5) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>35. Opis stanu faktycznego</strong> <xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:OpisStanuFaktycznego"><xsl:if test="../wnio:Okolicznosci=3"> <span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:Opis"/></span></xsl:if></span></xsl:if></xsl:for-each></td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>E. ADRES NIERUCHOMOŚCI</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Komentarz6) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span><br/> E.1. TYP NIERUCHOMOŚCI, KTÓREJ DOTYCZY DEKLARACJA</td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:TypNieruchomosci) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>36. ZAMIESZKAŁA </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:TypNieruchomosci) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>37. NIEZAMIESZKAŁA </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:TypNieruchomosci) = normalize-space(' 3 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>38. MIESZANA </span></label></span></xsl:if></span></td></tr></tbody></table><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:AdresOdpady"><xsl:if test="true()">  <table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td colspan="4" style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">E.2. ADRES NIERUCHOMOŚCI NA, KTÓREJ POWSTAJĄ ODPADY KOMUNALNE</td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>Gmina</strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Gmina"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>39. Ulica</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Ulica"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>40. Nr domu</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Budynek"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>41. Nr lokalu </strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Lokal"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>42. Kod pocztowy</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KodPocztowy"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>43. Dzielnica</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Dzielnica"/></span></xsl:if></span></td><td colspan="2" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>44. Nr geodezyjny działki, na której położona jest nieruchomość</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:NrGeodezyjny"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PunktWywozowy"><xsl:if test="true()">  <table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td colspan="3" style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">E.3. LOKALIZACJA PUNKTU WYWOZOWEGO <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Komentarz8) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>Gmina</strong><br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Gmina"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>45. Ulica</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Ulica"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>46. Kod pocztowy</strong> <br/><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KodPocztowy"/></span></xsl:if></span></td></tr><tr><td colspan="3" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <strong>47. Opis lokalizacji stanowiska śmietnikowego / Nr geodezyjny działki, na której położone jest stanowisko śmietnikowe </strong><br/><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:OpisLokalizacji"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td colspan="2" style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">INFORMACJA DODATKOWA <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Komentarz9) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #dcdcdc;">Informuję, że nieruchomość wskazana w części E. 2. niniejszej deklaracji wyposażona<br/>jest w kompostownik:</td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>48.</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Kompostownik)),' '),  ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>TAK </span></label></span><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Kompostownik)),' '),  ' 2 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIE </span></label></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #dcdcdc;">Informuję, że nieruchomość wskazana w części E. 2. jest wyposażona w palenisko<br/>węglowe (powstaje popiół):</td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>49.</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Popiol)),' '),  ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>TAK </span></label></span><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Popiol)),' '),  ' 2 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIE </span></label></span></xsl:if></span></td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid; page-break-after: always;"><tbody><tr><td colspan="2" style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>F. INFORMACJA O ZAŁĄCZNIKACH</strong></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>50. Załącznik ZZ-1</strong>: <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ZZ1) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>TAK </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ZZ1) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIE </span></label></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>51. Liczba stron załącznika ZZ-1</strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:LiczbaZZ1"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>52. Załącznik ZN-1:</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ZN1) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>TAK </span></label></span><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:ZN1) = normalize-space(' 2 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIE </span></label></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>53. Liczba stron załącznika ZN-1</strong> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:LiczbaZN1"/></span></xsl:if></span></td></tr></tbody></table><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:Wyliczenie"><xsl:if test="true()"><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid;"><tbody><tr><td colspan="4" style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>G. WYLICZENIE OPŁATY DLA NIERUCHOMOŚCI ZAMIESZKAŁYCH</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz10) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span> <p style="font-size: 10px;"><strong>Oświadczam, że dla nieruchomości wskazanej w części E. 2. i/lub w załączniku ZZ-1 i/lub ZN-1 odpady komunalne zbierane będą w sposób:</strong></p>G.1. NIERUCHOMOŚĆ ZAMIESZKAŁA <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz11) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Sposób zbierania odpadów komunalnych</td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Liczba osób zamieszkałych</td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">Stawka opłaty (zgodnie z obowiązującą uchwałą) </td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">Wysokość opłaty miesięcznej</td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 54. <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Selektywny1)),' '),  ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>SELEKTYWNY </span></label></span></xsl:if></span></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 55.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba1"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 56.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka1"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 57.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata1"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 58. <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Nieselektywny1)),' '),  ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIESELEKTYWNY </span></label></span></xsl:if></span></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 59.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba2"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 60.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka2"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 61.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata2"/></span></xsl:if></span></p></td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid; page-break-after: always;"><tbody><tr><td colspan="5" style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> G. 2. NIERUCHOMOŚĆ NIEZAMIESZKAŁA <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz111) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td colspan="2" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Rodzaje odbieranych odpadów komunalnych</td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Liczba pojemników / worków</td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Stawka opłaty (zgodnie z obowiązującą uchwałą)</td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Wysokość opłaty miesięcznej</td></tr><tr><td rowspan="7" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 150px;"><p> 62.</p><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Selektywny2)),' '),  ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>SELEKTYWNY </span></label></span></xsl:if></span></p></td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 100px;"> Pojemnik 110-120 l<br/>lub worek</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 63.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba3"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 64.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka3"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 65.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata3"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik 240 l</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 66.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba4"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 67.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka4"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 68.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Olata4"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik 1100 l</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 69.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba5"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 70.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka5"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 71.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata5"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik 2500 l</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 72.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba6"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 73.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka6"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 74.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata6"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik KP - 5</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 75.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba7"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 76.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka7"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 77.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata7"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik KP - 7</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 78.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba8"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 79.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka8"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 80.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata8"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik KP-10</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 81.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba9"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 82.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka9"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 83.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata9"/></span></xsl:if></span></p></td></tr><tr><td rowspan="7" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p> 84.</p><p><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="contains(concat(concat(' ', normalize-space(wnio:Nieselektywny2)),' '),  ' 1 ' )"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span>NIESELEKTYWNY </span></label></span></xsl:if></span></p></td><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik 110-120 l</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 85.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba10"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 86.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka10"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 87.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata10"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik 240 l</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 88.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba11"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 89.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka11"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 90.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik 1100 l</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 91.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba12"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 92.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka12"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 93.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata12"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik 2500 l</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 94.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba13"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 95.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka13"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 96.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata13"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">Pojemnik KP - 5</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 97.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba14"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 98.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka14"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 99.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata14"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">Pojemnik KP - 7</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;">100.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba15"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;">101.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka15"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;">102.</p><p> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata15"/></span></xsl:if></span></p></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Pojemnik KP-10</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;">103.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Liczba16"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;">104.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Stawka16"/></span></xsl:if></span></p></td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;">105.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Oplata16"/></span></xsl:if></span></p></td></tr><tr><td colspan="4" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> Kwota należnej opłaty dla nieruchomości niezamieszkałych stanowi sumę kwot wykazanych w poz.:65, 68, 71,<br/>74, 77, 80, 83, 87, 90, 93, 96, 99, 102, 105.</td><td align="right" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 106.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:KwotaNaleznejOplaty"/></span></xsl:if></span></p></td></tr><tr><td colspan="5" style="font-size: 12px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><strong>H. ŁĄCZNA KWOTA OPŁATY MIESIĘCZNEJ</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz12) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td colspan="2" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> <strong>Kwota należnej opłaty stanowi sumę kwot wykazanych w poz. 57, 61 oraz 106</strong></td><td align="right" colspan="3" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><p style="text-align: left;"> 107.</p><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LacznaKwotaOplaty"/></span></xsl:if></span> ZŁ</p></td></tr></tbody></table></xsl:if></xsl:for-each><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; width: 650px; border-style: solid; page-break-after: always;"><tbody><tr><td style="border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><p><strong>I. OŚWIADCZENIE I PODPIS SKŁADAJĄCEGO/OSOBY REPREZENTUJĄCEJ</strong> <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:TrescDokumentu/wnio:Wartosc/wnio:Komentarz14) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></p><p style="font-size: 10px;"><strong>Oświadczam, że podane w deklaracji dane są zgodne z posiadaną wiedzą pod rygorem wynikającym z przepisów prawa powszechnie obowiązującego oraz zobowiązuję się wnosić opłatę wskazaną w poz. 107 - w terminie określonym uchwałą </strong><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:RadaMiasta"/></span></xsl:if></span><strong>.</strong></p><table align="center" border="1" cellpadding="10" frame="void" rules="all" style="border-color: #000000; border-width: 1px; background-color: #ffffff; border-style: solid;"><tbody><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 250px;"><strong>108. Imię</strong><br/> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PodpisImie"/></span></xsl:if></span></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 250px;"><strong>109. Nazwisko</strong><br/> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:TrescDokumentu/wnio:Wartosc/wnio:PodpisNazwisko"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>110. Data wypełnienia deklaracji</strong><br/> <xsl:if test="true()"><xsl:value-of select="wnio:OpisDokumentu/meta:Data/meta:Czas"/></xsl:if></td><td style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><strong>111. Podpis</strong><br/><p> </p></td></tr></tbody></table><p style="font-size: 10px;"> </p><p style="font-size: 10px;"><strong><span style="text-decoration: underline;">Pouczenie</span></strong><br/><strong>Niniejsza deklaracja stanowi podstawę do wystawienia tytułu wykonawczego, zgodnie z przepisami ustawy z dnia 17 czerwca 1966 r. o postępowaniu egzekucyjnym w administracji.</strong></p></td></tr><tr><td style="border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"><p><strong>J. ADNOTACJE URZĘDOWE</strong></p><p><strong><br/></strong></p><p><strong><br/></strong></p><p><strong><br/></strong></p></td></tr></tbody></table><p> </p><p> </p><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZalacznikiZZ1"><xsl:if test="true()"><table border="0" style="width: 820px;"><tbody><tr><td align="center" style="font-size: 12px;"><strong>ZAŁĄCZNIK ZZ-1 DO DEKLARACJI</strong><br/><strong>INFORMACJA O NIERUCHOMOŚCIACH ZAMIESZKAŁYCH</strong></td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; border-style: solid; width: 820px;"><tbody><tr><td align="center" colspan="4" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> </td><td align="center" colspan="2" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;">SPOSÓB ZBIERANIA ODPADÓW<br/><span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz23) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td align="center" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 190px;"><p>LP.</p><p>i ADRES - LOKALIZACJA PUNKTU WYWOZOWEGO</p></td><td align="center" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 190px;">ADRES NIERUCHOMOŚCI<br/>ulica, nr domu, nr lokalu,<br/>kod pocztowy</td><td align="center" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 190px;">NR GEODEZYJNY<br/>DZIAŁKI <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz20) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td><td align="center" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 70px;">KOMPOSTO-<br/>WNIK<br/>TAK/NIE <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz21) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td><td align="center" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 80px;">SELEKTYWNY<br/>Liczba osób<br/>zamieszkałych</td><td align="center" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 80px;">NIE-<br/>SELEKTYWNY<br/>Liczba osób<br/>zamieszkałych</td></tr></tbody></table><xsl:for-each select="wnio:wiersz"><xsl:if test="true()"> <br/><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; border-style: solid; width: 820px;"><tbody><tr><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 190px;"><p><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LP"/></span></xsl:if></span></p><p><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:AdresL"/></span></xsl:if></span></p></td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 190px;"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:AdresN"/></span></xsl:if></span></td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 190px;"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:NrGeodezyjny"/></span></xsl:if></span></td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 70px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Kompostownik"/></span></xsl:if></span></td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 80px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LS/wnio:Liczba"/></span></xsl:if></span></td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 80px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LN/wnio:Liczba"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; border-style: solid; width: 820px;"><tbody><tr><td align="right" style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px; width: 650px;"><strong>SUMA OSÓB ZAMIESZKAŁYCH <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz24) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></strong></td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 80px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaS"/></span></xsl:if></span></td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; width: 80px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaN"/></span></xsl:if></span></td></tr><tr><td style="font-size: 10px; border-color: #000000; background-color: #dcdcdc; border-style: solid; border-width: 1px;"> </td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">55.</td><td align="center" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">59.</td></tr></tbody></table><table border="0" style="page-break-after: always;"><tbody><tr><td align="center" style="font-size: 10px;"><xsl:if test="true()"><xsl:value-of select="wnio:Data"/></xsl:if></td></tr><tr><td align="center" style="font-size: 10px;">Data złożenia</td></tr></tbody></table><table border="0" style="width: 820px;"><tbody><tr><td align="right" style="font-size: 10px;">STR. <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Strona"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><p> </p><p> </p><xsl:for-each select="wnio:TrescDokumentu/wnio:Wartosc/wnio:ZalacznikiZN1"><xsl:if test="true()"><table border="0" style="width: 812px;"><tbody><tr><td align="center" style="font-size: 12px;"><strong>ZAŁĄCZNIK ZN-1 DO DEKLARACJI</strong><br/><strong>INFORMACJA O NIERUCHOMOŚCIACH NIEZAMIESZKAŁYCH</strong></td></tr></tbody></table><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; border-style: solid; width: 812px;"><tbody><tr><td align="center" colspan="2" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;">LP.</td><td align="center" colspan="4" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;">ADRES - LOKALIZACJA PUNKTU<br/>WYWOZOWEGO</td><td align="center" colspan="4" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;">ADRES NIERUCHOMOŚCI<br/>ulica, nr domu, nr lokalu, kod pocztowy</td><td align="center" colspan="4" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;">NR GEODEYJNY<br/>DZIAŁKI</td></tr><tr><td align="center" colspan="14" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #dcdcdc;">LICZBA POJEMNIKÓW</td></tr><tr><td align="center" colspan="7" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;">ODPADY ZBIERANE SELEKTYWNIE</td><td align="center" colspan="7" style="font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;">ODPADY ZMIESZANE</td></tr><tr><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">110-120 l lub worek</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">240 l</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">1100 l</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">2500 l</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">KP - 5</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">KP - 7</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">KP-10</td><td align="left" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">110-120 l</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">240 l</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">1100 l</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">2500 l</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">KP - 5</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">KP - 7</td><td align="center" style="width: 55px; height: 100px; font-size: 10px; border-color: #000000; transform: rotate(-90deg); border-style: solid; border-width: 1px;">KP-10</td></tr><tr><td style="border-color: #000000; background-color: #f5deb3; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #f5deb3; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #f5deb3; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #f5deb3; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #f5deb3; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #f5deb3; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #f5deb3; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #ffff99; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #ffff99; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #ffff99; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #ffff99; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #ffff99; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #ffff99; border-style: solid; border-width: 1px;"> </td><td style="border-color: #000000; background-color: #ffff99; border-style: solid; border-width: 1px;"> </td></tr></tbody></table><xsl:for-each select="wnio:wiersz"><xsl:if test="true()"><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; border-style: solid; width: 812px;"><tbody><tr><td align="center" colspan="2" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:LP"/></span></xsl:if></span></td><td align="center" colspan="4" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:AdresL"/></span></xsl:if></span></td><td align="center" colspan="4" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:AdresN"/></span></xsl:if></span></td><td align="center" colspan="4" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #e0ffff;"><span><label><span/></label><xsl:if test="true()"><span><xsl:value-of select="wnio:NrGeodezyjny"/></span></xsl:if></span></td></tr><tr><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:S110/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:S240/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:S1100/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:S2500/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SKP5/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SKP7/wnio:Liczba"/></span></xsl:if></span></td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #f5deb3;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SKP10/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Z110/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Z240/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Z1100/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Z2500/wnio:liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ZKP5/wnio:Liczba"/></span></xsl:if></span></td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ZKP7/wnio:Liczba"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #ffff99;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:ZKP10/wnio:Liczba"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><table border="1" frame="void" rules="all" style="border-color: #000000; border-width: 1px; border-style: solid; width: 812px;"><tbody><tr><td align="center" colspan="14" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px; background-color: #dcdcdc;">SUMA: <span><label><span/></label><xsl:if test="true()"><span><xsl:choose><xsl:when test="normalize-space(wnio:Komentarz30) = normalize-space(' 1 ')"><span>[<b>X</b>]</span></xsl:when><xsl:otherwise><span>[ ]</span></xsl:otherwise></xsl:choose><label><span> </span></label></span></xsl:if></span></td></tr><tr><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaS110"/></span></xsl:if></span></td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaS240"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaS1100"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaS2500"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:sumaSKP5"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaSKP7"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:sumaSKP10"/></span></xsl:if></span></td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaZ110"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaZ240"/></span></xsl:if></span></td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaZ1100"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaZ2500"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaZKP5"/></span></xsl:if></span> </td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaZKP7"/></span></xsl:if></span></td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"><span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:SumaZKP10"/></span></xsl:if></span></td></tr><tr><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">63.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">66.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 69.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 72.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">75.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">78.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 81.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">85.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 88.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 91.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 94</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 97.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;">100.</td><td align="center" style="width: 55px; font-size: 10px; border-color: #000000; border-style: solid; border-width: 1px;"> 103.</td></tr></tbody></table><table border="0" style="page-break-after: always;"><tbody><tr><td align="center" style="font-size: 10px;"><xsl:if test="true()"><xsl:value-of select="wnio:DataZlozenia"/></xsl:if></td></tr><tr><td align="center" style="font-size: 10px;">Data złożenia</td></tr></tbody></table><table border="0" style="width: 812px;"><tbody><tr><td align="right" style="font-size: 10px;">STR. <span><label><span/></label><xsl:if test="true()"><span type="text"><xsl:value-of select="wnio:Strona"/></span></xsl:if></span></td></tr></tbody></table></xsl:if></xsl:for-each><p> </p></body></html></xsl:for-each></xsl:template></xsl:stylesheet>