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<TITLE>Квитанция на оплату</TITLE>
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<td><strong>Необходимо заполнить поля:</strong><br>
Ф.И.О плательщика<br>Адрес плательщика<br>Заполнить дату на момент оплаты<br>
<br>Не забудьте взять с собой паспорт.<br>
С указанной «Суммы платежа» Сбербанк за услуги берет 3%.<br><br></td>
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<table class="ramka" align="center" border="0" cellpadding="0" cellspacing="0">
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<td class="lineh" align="center" height="245" width="182">
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<tbody><tr><td class="t10b" align="center" height="100" valign="top">И з в е щ е н и е</td></tr>
<tr><td class="t10b" align="center" height="100" valign="bottom">Кассир</td></tr>
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<td class="linevh" height="245" width="10"> </td>
<td class="lineh" height="245">
<table style="height: 245px;" align="center" border="0" cellpadding="0" cellspacing="0" width="443">
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<td height="30">
<table align="center" border="0" cellpadding="0" cellspacing="0" width="100%">
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<td><img src="pd4_sberbank.gif" alt="Логотип Сбербанка" height="26" width="120"></td>
<td class="t6n" align="right" valign="middle"><i>Форма № ПД-4</i></td>
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<td class="h8b" align="center" valign="bottom">WWW «Нуллед_ВС»</td>
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<td class="t6n" align="center" height="10" valign="top">(наименование получателя платежа)</td>
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<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td valign="bottom" width="30%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">3</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">9</td><td class="line_lbt" align="center" height="10" width="10%">8</td><td class="line_lbt" align="center" height="10" width="10%">5</td><td class="line_lbtr" align="center" height="10" width="10%">0</td>
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</tbody>
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</td>
<td valign="bottom" width="10%"> </td>
<td valign="bottom" width="60%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="5%">4</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">7</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">2</td><td class="line_lbt" align="center" height="10" width="5%">8</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">5</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">9</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">6</td><td class="line_lbtr" align="center" height="10" width="10%">9</td>
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<td class="t6n" align="center" valign="top">(ИНН получателя платежа)</td>
<td class="t6n" valign="top"> </td>
<td class="t6n" align="center" valign="top">(номер счета получателя платежа)</td>
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</td>
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<table border="0" cellpadding="0" cellspacing="0" width="100%">
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<td class="t8n" valign="bottom" width="10">в</td>
<td class="h8b" align="center" valign="bottom">ОАО МИнБ, Москва</td>
<td class="t8n" align="right" valign="bottom" width="40">КПП </td>
<td valign="bottom" width="27%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">3</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">1</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbtr" align="center" height="10" width="10%">1</td>
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</tbody></table>
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<td class="t8n" align="right" valign="bottom" width="40">БИК </td>
<td valign="bottom" width="27%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">5</td><td class="line_lbt" align="center" height="10" width="10%">2</td><td class="line_lbt" align="center" height="10" width="10%">5</td><td class="line_lbt" align="center" height="10" width="10%">6</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbtr" align="center" height="10" width="10%">0</td>
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</td>
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<td> </td>
<td class="t6n" align="center" valign="top">банк получателя платежа</td>
<td> </td>
<td> </td>
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</tbody></table>
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<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t7n" valign="bottom">Номер кор./сч. банка получателя платежа</td>
<td valign="bottom" width="60%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="5%">3</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">8</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">3</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">6</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbtr" align="center" height="10" width="10%">0</td>
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</tbody></table>
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</tbody></table>
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<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="h8b" valign="bottom" width="100%">Подписка на получение рассылки<br>
из скрытых от посетителя сообщений</td>
<td width="5%"> </td>
</tr>
<tr>
<td class="t6n" align="center" valign="top">(наименование платежа)</td>
<td> </td>
</tr>
</tbody></table>
</td>
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<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t8n" valign="bottom" width="1%">Ф.И.О плательщика </td>
<td class="h8b" valign="bottom"> </td>
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</tbody></table>
</td>
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<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t8n" valign="bottom" width="1%">Адрес плательщика </td>
<td class="h8b" valign="bottom"> </td>
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</tbody></table>
</td>
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<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr><td class=t8n valign=bottom width='1%'>Сумма платежа </td>
<td class=h8b valign=bottom width='8%'>297</td><td class=t8n valign=bottom width='1%'> руб. </td>
<td class=h8b valign=bottom width='8%'>00</td><td class=t8n valign=bottom width='1%'> коп. Сумма платы за услуги </td><td class=h8b valign=bottom width='8%'> </td><td class=t8n valign=bottom width='1%'> руб. </td><td class=h8b valign=bottom width='8%'> </td><td class=t8n valign=bottom width='1%'> коп.</td></tr>
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</td>
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<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t8n" valign="bottom" width="5%">Итого </td>
<td class="h8b" valign="bottom" width="8%"> </td>
<td class="t8n" valign="bottom" width="5%"> руб. </td>
<td class="h8b" valign="bottom" width="8%"> </td>
<td class="t8n" valign="bottom" width="5%"> коп. </td>
<td class="t8n" align="right" valign="bottom" width="20%"> " </td>
<td class="h8b" valign="bottom" width="8%"> </td>
<td class="t8n" valign="bottom" width="1%"> " </td>
<td class="h8b" valign="bottom" width="20%"> </td>
<td class="t8n" valign="bottom" width="4%"> 200 </td>
<td class="h8b" valign="bottom" width="3%"> </td>
<td class="t8n" valign="bottom" width="1%"> г.</td>
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<td class="t7n" style="text-align: justify;" valign="bottom">С
условиями приема указанной в платежном документе суммы, в т.ч. с суммой
взимаемой платы за услуги
банка ознакомлен и согласен.</td>
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<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t6n" valign="bottom" width="50%"> </td>
<td class="t7n" valign="bottom" width="1%"><b>Подпись плательщика </b></td>
<td class="h8b" valign="bottom" width="40%"> </td>
</tr>
</tbody></table>
</td>
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<tr><td class="spc" height="1"> </td></tr>
</tbody></table>
</td>
<td class="lineh" height="245" width="10"> </td>
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<td class="t10b" align="center" height="285" valign="bottom" width="182">К в и т а н ц и я<br><br>Кассир<br> </td>
<td class="linev" height="285" width="10"> </td>
<td height="285" valign="top">
<table style="height: 285px;" align="center" border="0" cellpadding="0" cellspacing="0" width="443">
<tbody><tr>
<td class="h8b" align="center" height="30" valign="bottom">WWW «Нуллед_ВС»</td>
</tr>
<tr>
<td class="t6n" align="center" height="10" valign="top">(наименование получателя платежа)</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td valign="bottom" width="30%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">3</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">9</td><td class="line_lbt" align="center" height="10" width="10%">8</td><td class="line_lbt" align="center" height="10" width="10%">5</td><td class="line_lbtr" align="center" height="10" width="10%">0</td>
</tr>
</tbody></table>
</td>
<td valign="bottom" width="10%"> </td>
<td valign="bottom" width="60%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="5%">4</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">7</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">2</td><td class="line_lbt" align="center" height="10" width="5%">8</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">5</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">9</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">6</td><td class="line_lbtr" align="center" height="10" width="10%">9</td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td class="t6n" align="center" valign="top">(ИНН получателя платежа)</td>
<td class="t6n" valign="top"> </td>
<td class="t6n" align="center" valign="top">(номер счета получателя платежа)</td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t8n" valign="bottom" width="10">в</td>
<td class="h8b" align="center" valign="bottom">ОАО МИнБ, Москва</td>
<td class="t8n" align="right" valign="bottom" width="40">КПП </td>
<td valign="bottom" width="27%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">7</td><td class="line_lbt" align="center" height="10" width="10%">3</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">1</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbtr" align="center" height="10" width="10%">1</td>
</tr>
</tbody></table>
</td>
<td class="t8n" align="right" valign="bottom" width="40">БИК </td>
<td valign="bottom" width="27%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">4</td><td class="line_lbt" align="center" height="10" width="10%">5</td><td class="line_lbt" align="center" height="10" width="10%">2</td><td class="line_lbt" align="center" height="10" width="10%">5</td><td class="line_lbt" align="center" height="10" width="10%">6</td><td class="line_lbt" align="center" height="10" width="10%">0</td><td class="line_lbtr" align="center" height="10" width="10%">0</td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td> </td>
<td class="t6n" align="center" valign="top">банк получателя платежа</td>
<td> </td>
<td> </td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t7n" valign="bottom">Номер кор./сч. банка получателя платежа</td>
<td valign="bottom" width="60%">
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="line_lbt" align="center" height="10" width="5%">3</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">8</td><td class="line_lbt" align="center" height="10" width="5%">1</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">3</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbt" align="center" height="10" width="5%">6</td><td class="line_lbt" align="center" height="10" width="5%">0</td><td class="line_lbtr" align="center" height="10" width="10%">0</td>
</tr>
</tbody></table>
</td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="h8b" valign="bottom" width="100%">Подписка на получение рассылки<br>
из скрытых от посетителя сообщений</td>
<td width="5%"> </td>
</tr>
<tr>
<td class="t6n" align="center" valign="top">(наименование платежа)</td>
<td> </td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t8n" valign="bottom" width="1%">Ф.И.О плательщика </td>
<td class="h8b" valign="bottom"> </td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t8n" valign="bottom" width="1%">Адрес плательщика </td>
<td class="h8b" valign="bottom"> </td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr><td class=t8n valign=bottom width='1%'>Сумма платежа </td>
<td class=h8b valign=bottom width='8%'>297</td><td class=t8n valign=bottom width='1%'> руб. </td>
<td class=h8b valign=bottom width='8%'>00</td><td class=t8n valign=bottom width='1%'> коп. Сумма платы за услуги </td><td class=h8b valign=bottom width='8%'> </td><td class=t8n valign=bottom width='1%'> руб. </td><td class=h8b valign=bottom width='8%'> </td><td class=t8n valign=bottom width='1%'> коп.</td></tr>
</tbody></table>
</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t8n" valign="bottom" width="5%">Итого </td>
<td class="h8b" valign="bottom" width="8%"> </td>
<td class="t8n" valign="bottom" width="5%"> руб. </td>
<td class="h8b" valign="bottom" width="8%"> </td>
<td class="t8n" valign="bottom" width="5%"> коп. </td>
<td class="t8n" align="right" valign="bottom" width="20%"> " </td>
<td class="h8b" valign="bottom" width="8%"> </td>
<td class="t8n" valign="bottom" width="1%"> " </td>
<td class="h8b" valign="bottom" width="20%"> </td>
<td class="t8n" valign="bottom" width="4%"> 200 </td>
<td class="h8b" valign="bottom" width="3%"> </td>
<td class="t8n" valign="bottom" width="1%"> г.</td>
</tr>
</tbody></table>
</td>
</tr>
<tr>
<td class="t7n" style="text-align: justify;" valign="bottom">С
условиями приема указанной в платежном документе суммы, в т.ч. с суммой
взимаемой платы за услуги
банка ознакомлен и согласен.</td>
</tr>
<tr>
<td>
<table border="0" cellpadding="0" cellspacing="0" width="100%">
<tbody><tr>
<td class="t6n" valign="bottom" width="50%"> </td>
<td class="t7n" valign="bottom" width="1%"><b>Подпись плательщика </b></td>
<td class="h8b" valign="bottom" width="40%"> </td>
</tr>
</tbody></table>
</td>
</tr>
<tr><td class="spc" height="1"> </td></tr>
</tbody></table>
</td>
<td width="10"> </td>
</tr>
</tbody></table>
</td></tr>
<tr><td>
<br>
</td></tr></tbody></table>
</body></html>