| type of event | statement |
| date of statement | on Saturday, 4th of August 2007 |
| addressee | Maciej Róg |
| to whom (or to what) is related to x10 | [private] [private] [private] [private] residence current [private] residence current [private] residence current N.N. [children: [private], ...] residence current [private] rectification 2007 DEC 9 residence current [private] |