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Грузоотправитель_________________________________________________________

 (должность и подпись разборчиво)

Оборот

Дополнительный лист к транспортной железнодорожной накладной N ________
(сведения о ЗПУ)

-----T-----------------T-----------------------------------------------¬

¦ N  ¦    N вагона     ¦ Сведения о запорно-пломбировочных устройствах ¦

¦п/п ¦                 ¦                                               ¦

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Грузоотправитель_________________________________________________________

 (должность и подпись разборчиво)

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