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[null,null,null,null,null,"Coal Services a.s."]
[null,null,null,null,null,"V. Řezáče 315, 434 67 Most; Krajský soud v Ústí nad Labem, oddíl B, vložka 2136"]
[null,null,null,null,null,"IČO: 28727932, DIČ: CZ699003245; bankovní spojení: ČSOB, a.s., 117488783/0300"]
[]
[null,"Žádost o ukončení smlouvy na rozvod a dodávku tepelné energie"]
[]
[]
[]
[null,null,null,null,null,null,"číslo smlouvy:"]
[]
[null,null,null,null,null,null,"obchodní firma:"]
[]
[null,null,null,null,null,null,"sídlo:"]
[]
[null,null,null,null,null,null,"zasílací adresa:"]
[]
[null,null,null,null,null,null,"oprávněná osoba:",null,null,null,null,null,null,null,"funkce:"]
[]
[null,null,null,null,null,null,"telefon: ",null,null,null,null,null,null,null,"e-mail:"]
[]
[null,null,null,null,null,null,"oprávněná osoba *):",null,null,null,null,null,null,null,"funkce:"]
[]
[null,null,null,null,null,null,"telefon:",null,null,null,null,null,null,null,"e-mail:"]
[]
[null,null,null,null,null,null,"číslo odběrného místa:"]
[]
[null,null,null,null,null,null,"adresa odběrného místa:"]
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[null,null,null,null,null,null,"objekt:",null,null,null,null,null,null,null,null,null,null,null,"úroveň předání:"," "]
[]
[null,null,null,null,null,null,"termín ukončení:"]
[]
[null,"důvod ukočení:"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"vyjádření dodavatele:"]
[]
[]
[]
[]
[]
[]
[]
[]
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[null,"v",null,null,null,null,null,"dne",null,null,null,null,null,null,null,null,null,"podpis"]
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[null,"v",null,null,null,null,null,"dne"]
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[null,"*) v případě dvou oprávněných osob",null,null,null,null,null,null,null,null,null,null,null,null,null,"podpisy oprávněných osob"]