<?xml version="1.0" encoding="UTF-8"?>
<disabilityChildrenStatement xmlns="urn:ru:ecp:integration:wozm:refund:disabilitychildren:sttmnt:v3.0"
                             xmlns:com="urn:ru:ecp:integration:types:common:v3.0"
                             xmlns:org="urn:ru:ecp:integration:types:organization:v3.0"
                             xmlns:p="urn:ru:ecp:integration:types:person:v3.0"
                             specVersion="3.0"
                             software="Кадровая система 1С"
                             version_software="8.3.12"
                             author="Иванова Мария Петровна"
                             phone="+74951234567"
                             email="buh@yurlica.ru"
                             emplRegNo="1007645771">
    <batch_no>D_1234567890_2024_03_15_0001</batch_no>
    <changeRecalcFlag>false</changeRecalcFlag>
    <insurerInfo>
        <regNum>1007645771</regNum>
        <emplKPP>990010011</emplKPP>
        <emplINN>9647435887</emplINN>
        <Empl_Flag>true</Empl_Flag>
        <bankInfo>
            <bik>044525225</bik>
            <accountNum>40702810000000012345</accountNum>
        </bankInfo>
    </insurerInfo>
    <refundSum>
        <totalSum>12547.36</totalSum>
        <sumForNonBudgetFunds>3821.15</sumForNonBudgetFunds>
        <sumForAdditionalDays>8726.21</sumForAdditionalDays>
    </refundSum>
    <numberRecipients>1</numberRecipients>
    <certifiedCopiesOrders>2</certifiedCopiesOrders>
    <receiversRow>
        <parentInfo>
            <fullName>
                <p:lastName>Петров</p:lastName>
                <p:firstname>Иван</p:firstname>
                <p:middlename>Сергеевич</p:middlename>
            </fullName>
            <snils>16665301578</snils>
            <childRelType>2</childRelType>
        </parentInfo>
        <childInfo>
            <fullName>
                <p:lastName>Петрова</p:lastName>
                <p:firstname>Анна</p:firstname>
                <p:middlename>Ивановна</p:middlename>
            </fullName>
            <snils>10012677589</snils>
            <birthDate>2015-08-22</birthDate>
            <certificateOfDisability>
                <series>МСЭ</series>
                <number>123456</number>
                <certificateDate>2023-11-10</certificateDate>
                <disabilityBeginDate>2023-11-10</disabilityBeginDate>
                <disabilityEndDate>
                    <endDate>2025-11-09</endDate>
                </disabilityEndDate>
            </certificateOfDisability>
        </childInfo>
        <ORD>
            <number>125-к</number>
            <date>2024-03-10</date>
        </ORD>
        <periods>
            <additionalPeriods>
                <periodAndCalculationData>
                    <year>2024</year>
                    <month>3</month>
                    <daysAmount>4</daysAmount>
                    <dailyAverageSal>2181.55</dailyAverageSal>
                </periodAndCalculationData>
                <providedDays>4</providedDays>
                <providedTotalHour>32</providedTotalHour>
            </additionalPeriods>
        </periods>
    </receiversRow>
    <addInfo>Документы предоставлены в полном объеме</addInfo>
</disabilityChildrenStatement>