ࡱ> fhe*bjbj114dSSG  ****4^*y)(BBBBB(((((((+C.@(](BB3)BB((~'h(B}KX*'(I)0y)(|.. (.(@((y).  :Formularz ofertowy dla zamwieD o warto[ci nie przekraczajcej wyra|onej w zBotych rwnowarto[ci kwoty 30 000 euro Na dostaw wodomierzy przystosowanych do systemu zdalnego odczytu hydrolink. Nazwa Zamawiajcego: Gmina Lipno, Ulica: Mickiewicza 29 Kod: 87  600 Miejscowo[: Lipno Telefon/ Fax: /54/ 287 20 48 Nazwa i adres Wykonawcy: & ..................................................................................... Siedziba & ....................................................................................................................... Wojewdztwo ............................................................................................................. Nr telefonu .................................................................................................................. Nr faksu ....................................................................................................................... Nazwa i przedmiot zamwienia: dostawa wodomierzy przystosowanych do systemu zdalnego odczytu hydrolink. IV. Warto[ zamwienia/cena ryczaBtowa/: Oferuj wykonanie przedmiotu zamwienia za: cen netto: & ........................................................................................................... podatek VAT: 23%, & ............................................................................................ cena brutto: & .......................................................................................................... sBownie cena brutto: & ............................................................................................. 2. Deklaruj ponadto: termin wykonania zamwienia: do .......................................................................... warunki pBatno[ci:.przelew z terminem pBatno[ci.................dni. ZaBcznikami do niniejszego formularza stanowicego integraln cz[ oferty s: Zestawienie materiaBw bdcych przedmiotem niniejszego zamwienia Charakterystyka wodomierzy Atest higieniczny .........................................................&l ~ 8 p r t R T  " $ %  " / 0 n ̺yrrnrnrnrri h5h hhhhmHsHhmHsHhhmHsH hhhh5\#h^]h5B*CJ\aJph#h^]h5B*CJ\aJphh(eC5B*\phhh^]5B*\phhhh5B*\phhh5(&~  8 r t T , $ & F7d^7`a$gd(eC d^gd(eC 7d^7gd(eC ( 7d^7gd(eC & F7d^7`gd(eC$a$ $da$gd(eC $d7$a$gd(eC $da$gd(eC ' $&x| Sd^S`gd(eC Sd^Sgd(eC & FSd^S`gd(eC$7d^7`a$gd(eC$ sda$gd(eC$ & F7d^7`a$gd(eC $da$gd(eC 7d^7gd(eC  $&,.x$`bz|bz "ɽ}h>?h5hvzsmHsH hvzshvzshvzshK,mHsHhK, hvzsh hhhhmHsH hK,h hK,5hh5hh\^Jhh5B*\phh(eCB*\phhhB*\ph1"*@BVXpr0NPdfpr""""&""""""""""""#R#T#žžŷŷŭŦŦůŦŞh^]5B*\phh^]h5\hhK, hK,hUh(eCmHsH h(eCh(eC hvzshhhmHsH hhh>?hvzs5mHsHh>?hvzs5h>?h5h>?h5mHsH4 0f"("*","""""""####$a$ $d7$a$gd>?$a$`gd(eC & F Sd^S`gd>? & F7d^7`gd>? miejscowo[, data .............................................. 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