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["Sprawa nr.ZP.16.PN.2018                                                                                                                                                                                               Załacznik nr.3/8"]
["FORMULARZ ASORTYMENTOWO-CENOWY"]
["(zamawiający zastrzega sobie prawo do zakupu mniejszych ilości towaru)"]
[null,"Nazwa asortymentu","j.m.","ilość","Uwagi","Cena jedn. Netto (zł)","Wart. netto (zł)","Wartość VAT","Wartość brutto (zł)"]
[1,"Paski do oznaczania glukozy","op",324,"op.50szt."]
[2,"Glukometry ","szt",15,"op.1szt."]
[{"$nulls":4},"Razem (zł)"]
[]
["SŁOWNIE (zŁ)"]
[]
["Netto:…………………………………………………………………………………………………………………….........................                                                 "]
[]
["VAT:……………………………………………………………………………………………………………………..........................."]
[]
["Brutto:…………………………………………………………………………………………………………………............................"]
[{"$nulls":5},"………………………………………………"]
[{"$nulls":5},"Pieczęć i podpis wykonawcy"]