i.e. in words: [<SlownieStr>]

ZUS contribution charged to the Client:	[<frxDBUniversalOnePlace."RazemSkladkiZleceniodawcy">]

Work was carried out and accepted  without reservations, on [<frxDBUniversalOnePlace."DataWyplaty">]

 .............................................		.............................................
 Signature of the Principal		Signature of the Contractor