xxx
		
	  
	  	  
    
	  s s s s s s s s s s ssssss s s s s s ssssss s s s s s ssssss s s s s s s   ssssss s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s s  s s s s s s  s s s s s s s s s s s  s  s s  s s  s  s s s s  s s  s  s  s  s s  s	  
		
 
			
		
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				Address data
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			| Street: | xxx | 
		 
		
			| City: | xxx | 
		 
		
			| Postal code: | xxx | 
		 
		| Region: | Lower Silesia |  		
			| Country: | Poland | 
		 
		
			| Phone: |  +48 000 0000 | 
		 
		| Fax: |  +  xx |  					
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				Contact person | 
			 
			
				| Name and Surname: |  xxx xxx | 
			 
						
				| Phone: |  +48  xxxx | 
			 
						
				| Mobile: |  +48 xxxx | 
			 
					 
							
					
								 
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