i.e. in words: %%NALEZNOSC_SLOWNIE%% zł

ZUS contribution charged to the Client:	%%SKLADKA_ZUS_ZLECENIODAWCA%%

 Kwituję odbiór kwoty			Work was carried out and accepted 
 %%KWITUJE_ODBIOR_KWOTY%%			without reservations, on %%DATA_PRZYJECIA%%	
 %%RACHUNEK_BANKOWY%%

 .............................................			.............................................
 Signature of the Contractor			Stamp and signature of the Client 
 %%ZLECENIOBIORCA%%			%%ZLECENIODAWCA%%