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["Відомість з обліку талонів на паливо марки _____ за ________ 20__ р."]
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["Надходження талонів",null,null,"Видача талонів",null,null,null,"Підпис водія"]
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["Залишок на 01.__.20__ р.",null,null,"х","х","х","х","х"]
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["Разом за місяць",null,null,"х","х",null,null,"х"]
["Залишок на 01.__.20__ р.",null,null,"х","х","х","х","х"]