Xxxxxxxx xx 14.7.2005 xx 3.4.2007 (xx xxxxxx x. 72/2007 Xx.)
Xxxxxxx x. 4 x xxxxxxxx č. 467/2003 Sb.
Vzor tiskopisu xxx xxxxxxxx xxxxxxxxxx xxxxxxx
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x xxxxxxxxx, užitých x xxxxxxxxx xxxxxxxxxx xxxxxxxxx xx xxxxxxxx xxxxxxx
1. Xxxxx xxxxxxxxx xxxxxxxxxx nálepek
a) xxx xxxxxxxx
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Xxxxx xxxxxx Xxxx xxx xxxxxxxxx Xxxxxxxx
(xx) xxxxxxxxxxxx xx xxxxxx
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Xxxxx xxxxxxx: XXXXXX:
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Xxxxx převzetí Jméno x xxxxxx xxxxxxxxxxx xxxxxxxx celního xxxxx:
x) xxx xxxxxxxx x xxxxxxxxxx
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Xxxxx xxxxxx Xxxxxxxx
(xx)
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Xxxxx xxxxxxx: XXXXXX:
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Xxxxx xxxxxxxx Xxxxx x xxxxxx xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxx:
x) xxx xxxxx
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Xxxxx xxxxxx Xxxxxxxx
(xx)
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Xxxxx položek: XXXXXX:
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Xxxxx převzetí Jméno x xxxxxx xxxxxxxxxxx xxxxxxxx xxxxxxx xxxxx:
2. Xxxxx xxxxx xxxxxxxxxx nálepek xx xxxxxx xx xxxxxxx xxxxx Xxxxx xxxxxxxxx
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Xxxxx xxxxxx Xxxxx Xxxx xxx Xxxxx xxxxxxxxxx nálepek x xxxxxx
xx xxxxxx xxxxxx xxxxxxxxx __________________________________________
(xx, xx) xxxxxxxxxxxx xxxxxxxx xx xxxxxxxx xxxxxxxxxxx
xx xxxxxx xx xxxxxx xxxxxxx
xxxxxxx
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Xxxxx xxxxxxx: XXXXXX:
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3. Xxxxx xxxxx xxxxxxxxxx xxxxxxx xxxx xxxxxx xxxxx Xxxxx xxxxxxxxx
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Xxxxx odeslání Obsah Xxxx pro Xxxxx xxxxxxxxxx xxxxxxx x xxxxxx
xxxxxx xxxxxxxxx ________________________________________________
(ks, xx) xxxxxxxxxxxx xxxxxxxxx xxxx xxxxxxxx xxxxxxx xxxxxxxxxxx
xx xxxxxx xxxxxx xxxxx xxxx xxxxxx území
cigaret České xxxxxxxxx Xxxxx xxxxxxxxx
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____________________________________________________________________________________________
Xxxxx xxxxxxx: XXXXXX:
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4. Xxxxx xxxxxxxxx xxxxxxxxxxx xxxxxxxxxx nálepek
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Datum Xxxxx Cena xxx Počet xxxxxxxxxx xxxxxxx x xxxxxx
xxxxxxx xxxxxx xxxxxxxxx __________________________________________
(xx, xx) xxxxxxxxxxxx xxxxxxxxx xxxxxx xxxxxx xxxxxxxx
xx balení
cigaret
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Počet položek: XXXXXX:
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Xxxxx: Xxxxxxx a xxxxxx
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