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["……………………..",null,null,"………………….………….."]
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["PROJEKT  PLANU  FINANSOWEGO / PLAN  FINANSOWY *                                                                                                                                                  DOCHODÓW RACHUNKU DOCHODÓW JEDNOSTEK O KTÓRYCH MOWA W ART.223 UST. 1 USTAWY Z DNIA 27 SIERPNIA 2009 r. O FINANSACH PUBLICZNYCH                                                                                           ORAZ WYDATKÓW NIMI FINANSOWANYCH                                                                                                                                                                                                                                                                                                                                                                                                                                                "]
["NA ROK…………………………….."]
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["Nazwa i adres...…….……...……………………………………………....................................................................."]
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["Dział / Rozdział………...........................................        "]
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["……………………..",null,null,"………………….………….."]
["Sporządził",null,"Zatwierdził:","Dyrektor Jednostki"]
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["Dyrektor EK",null,null,"Dyrektor BM"]
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[null,"Lp.","Wyszczególnienie","Kwota"]
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[null,"II","Dochody ogółem"]
[null,"§"]
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[null,null,"Suma bilansowa  (I+II)"]
[null,"III"," Wydatki ogółem"]
[null,"§"]
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[null,"IV","Stan środków pieniężnych na koniec roku"]
[null,null,"Suma bilansowa (III+IV)"]