- VERTIGO - http://vertigo.pl/en -

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Principal :


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City:

Nip (National Insurance Number):

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Contact person:

Loading :


Company name:

City with a zip code:

Adress:

Contact person:

Telephone number:

Date/Time of loading:

Unloading :


Company name:

City with a ZIP code:

Adress:

Contact person:

Telephone number:

Date/Time of unloading:

Commodity description :


Comodity type:

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Weight, volume:

Annotations:

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Fixed freight (netto):


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Contractor :


Vertigo


TRANSPOT I SPEDYCJA


Elżbieta Janko


43-100 Tychy, Fabryczna 2


Tel/fax:+48 32 780 11 24


Tel.: +48 502 312 091


 


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Adress, date                                                        Stamp and signature of the principal