{\rtf1\ansi\ansicpg1250\uc1\deff1\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang1045\deflangfe1045{\fonttbl{\f0\froman\fcharset238\fprq2{\*\panose 02020603050405020304}Times New Roman;} {\f1\fswiss\fcharset238\fprq2{\*\panose 020b0604020202020204}Arial;}{\f38\froman\fcharset0\fprq2 Times New Roman;}{\f37\froman\fcharset204\fprq2 Times New Roman Cyr;}{\f39\froman\fcharset161\fprq2 Times New Roman Greek;} {\f40\froman\fcharset162\fprq2 Times New Roman Tur;}{\f41\froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f42\froman\fcharset178\fprq2 Times New Roman (Arabic);}{\f43\froman\fcharset186\fprq2 Times New Roman Baltic;} {\f44\froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f48\fswiss\fcharset0\fprq2 Arial;}{\f47\fswiss\fcharset204\fprq2 Arial Cyr;}{\f49\fswiss\fcharset161\fprq2 Arial Greek;}{\f50\fswiss\fcharset162\fprq2 Arial Tur;} {\f51\fswiss\fcharset177\fprq2 Arial (Hebrew);}{\f52\fswiss\fcharset178\fprq2 Arial (Arabic);}{\f53\fswiss\fcharset186\fprq2 Arial Baltic;}{\f54\fswiss\fcharset163\fprq2 Arial (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255; \red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0; \red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;}{\stylesheet{\ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs20\ul\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 \snext0 Normal;}{ \s1\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \fs28\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 \sbasedon0 \snext0 heading 1;}{ \s2\qc \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\fs28\ul\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 \sbasedon0 \snext0 heading 2;}{\*\cs10 \additive \ssemihidden Default Paragraph Font;}{\* \ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\trcbpat1\trcfpat1\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \snext11 \ssemihidden Normal Table;}}{\*\latentstyles\lsdstimax156\lsdlockeddef0}{\*\rsidtbl \rsid7281962\rsid16279692} {\*\generator Microsoft Word 11.0.5604;}{\info{\author Basia}{\operator user}{\creatim\yr2007\mo10\dy18\hr9\min40}{\revtim\yr2007\mo10\dy18\hr9\min40}{\printim\yr2003\mo11\dy4\hr10\min58}{\version2}{\edmins0}{\nofpages1}{\nofwords185}{\nofchars1110} {\*\company UMiG Buk}{\nofcharsws1293}{\vern24689}}\paperw11906\paperh16838\margl1417\margr1417\margt1417\margb1417 \deftab708\widowctrl\ftnbj\aenddoc\hyphhotz425\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\hyphcaps0\formshade\horzdoc\dgmargin \dghspace180\dgvspace180\dghorigin1417\dgvorigin1417\dghshow1\dgvshow1\jexpand\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\splytwnine\ftnlytwnine\htmautsp\nolnhtadjtbl\useltbaln\alntblind\lytcalctblwd\lyttblrtgr\lnbrkrule\nojkernpunct\rsidroot16279692 \fet0\sectd \linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3 \pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}} {\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs20\ul\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\b0\f0\ulnone\insrsid16279692 ........................................................... Buk, dnia ............................................... \par }{\b0\f0\fs16\ulnone\insrsid16279692 / nazwisko i imi\'ea / \par \par ......................................................................... \par / adres / \par \par ......................................................................... \par \par \par \par \par \par \par \par \tab \tab \tab \tab \tab \tab \tab }{\f0\fs28\ulnone\insrsid16279692 Do \par \tab \tab \tab \tab \tab \tab \tab Urz\'eadu Stanu Cywilnego \par \tab \tab \tab \tab \tab \tab \tab }{\f0\fs28\insrsid16279692 w B u k u \par \par \par \par }\pard\plain \s2\qc \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \b\fs28\ul\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid16279692 Wniosek \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs20\ul\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\f0\fs28\insrsid16279692 \par \par }{\b0\f0\fs28\ulnone\insrsid16279692 \par }\pard\plain \s1\ql \li0\ri0\keepn\widctlpar\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \fs28\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid16279692 \tab \tab Prosz\'ea o umiejscowienie w ksi\'eagach tut. Urz\'ea du Stanu Cywilnego \par }\pard\plain \ql \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \b\f1\fs20\ul\lang1045\langfe1045\cgrid\langnp1045\langfenp1045 {\insrsid16279692 \par }{\b0\f0\fs28\ulnone\insrsid16279692 w Buku aktu ......................................................................................................... \par }{\b0\f0\fs16\ulnone\insrsid16279692 }{\b0\f0\fs18\ulnone\insrsid16279692 / urodzenia - ma\'b3\'bfe\'f1stwa - zgonu / \par \par }{\b0\f0\fs28\ulnone\insrsid16279692 sporz\'b9dzonego za granic\'b9 w ................................................................................ \par \par W za\'b3\'b9czeniu orygina\'b3 aktu .................................................................................. \par \par w j\'eazyku ..........................................................wraz z t\'b3umaczeniem t\'b3umacza \par \par przysi\'eag\'b3ego j\'eazyka ...................................................... \par \par \par \par \par \par \par \tab \tab \tab \tab \tab \tab \tab \tab .............................................. \par \tab \tab \tab \tab \tab \tab \tab \tab \tab }{\b0\f0\fs18\ulnone\insrsid16279692 / podpis wnioskodawcy / \par \par \par \par \par \par \par \par \par * niepotrzebne skre\'9cli\'e6}{\b0\f0\fs28\ulnone\insrsid16279692 \tab \tab \tab \par }}