---------------------------------T---------------------------------
, ,
+--------------------------------+---------------------------------+
1 2
+--------------------------------+---------------------------------+
16
()
16
,
,
--------T-------T----------------T--------------------------T------
- -
, +-------T--------+-------T---------T--------+
/ -- -
+-------+-------+-------+--------+-------+---------+--------+------+
17
()
17
----T---------T---------------T-------T----------T----------T------
,
, -
- ---
/, -
+---+---------+---------------+-------+----------+----------+------+
1 2 3 4 5 6 7
+---+---------+---------------+-------+----------+----------+------+
18
()
18
---------------------------------T---------------------------------
, , ,
+--------------------------------+---------------------------------+
1 2
+--------------------------------+---------------------------------+
19
()
19
|
|
|
----T-----------T----------T----------T---------T----------T-------
, - -
, --
/
+---+-----------+----------+----------+---------+----------+-------+
1 2 3 4 5 6 7
+---+-----------+----------+----------+---------+----------+-------+
20
()
20
----------------------T---------------------T----------------------
/ , ,
+---------------------+---------------------+----------------------+
1 2 3
+---------------------+---------------------+----------------------+
21
()
21
,
,
| ¹ ï/ï | Ôàìèëèÿ, èìÿ, îò÷åñòâî äîëæíèêà | Îðãàí ñîöèàëüíîé çàùèòû, íàïðàâèâøèé ìàòåðèàë | Ñóììà âûïëà÷åííîãî ïîñîáèÿ | Íîìåð äåëà ïî æóðíàëó ðåãèñòðàöèè |
| À | ||||
| Á | ||||
| Â | ||||
| Ã | ||||
| Ä | ||||
| Å | ||||
| Æ | ||||
| Ç | ||||
| È | ||||
| Ê | ||||
| Ë | ||||
| Ì | ||||
| Í | ||||
| Î | ||||
| Ï | ||||
| Ð | ||||
| Ñ | ||||
| Ò | ||||
| Ó | ||||
| Ô | ||||
| Õ | ||||
| Ö | ||||
| × | ||||
| Ø | ||||
| Ù | ||||
| Ý | ||||
| Þ | ||||
| ß |
|
|
|
22
()
22
,
