<?xml version="1.0" encoding="utf-8"?>
<n1:disabilityChildrenStatement specVersion="3.0" software="Астрал Отчет" version_software="5.0" author="Симонова Антонина Артемовна" phone="72222222222" email="skdjdkjdskj@mail.ru" regNumSFR="1007645771" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:n1="urn:ru:ecp:integration:wozm:refund:disabilitychildren:sttmnt:v3.0" xmlns:n2="urn:ru:ecp:integration:types:person:v3.0">
  <n1:batch_no>D_1007645771_2025_09_25_3836</n1:batch_no>
  <n1:changeRecalcFlag>false</n1:changeRecalcFlag>
  <n1:insurerInfo>
    <n1:regNumSFR>1007645771</n1:regNumSFR>
    <n1:emplKPP>990010011</n1:emplKPP>
    <n1:emplINN>9647435887</n1:emplINN>
    <n1:Empl_Flag>true</n1:Empl_Flag>
    <n1:bankInfo>
      <n1:bik>044525225</n1:bik>
      <n1:accountNum>40702810000000012345</n1:accountNum>
    </n1:bankInfo>
  </n1:insurerInfo>
  <n1:refundSum>
    <n1:totalSum>12547.36</n1:totalSum>
    <n1:sumForNonBudgetFunds>3821.15</n1:sumForNonBudgetFunds>
    <n1:sumForAdditionalDays>8726.21</n1:sumForAdditionalDays>
  </n1:refundSum>
  <n1:numberRecipients>1</n1:numberRecipients>
  <n1:certifiedCopiesOrders>2</n1:certifiedCopiesOrders>
  <n1:receiversRow>
    <n1:parentInfo>
      <n1:fullName />
      <n1:snils>12345678901</n1:snils>
      <n1:childRelType>2</n1:childRelType>
    </n1:parentInfo>
    <n1:childInfo>
      <n1:fullName />
      <n1:snils>00100200304</n1:snils>
      <n1:birthDate>2015-08-22</n1:birthDate>
      <n1:certificateOfDisability>
        <n1:series>МСЭ</n1:series>
        <n1:number>123456</n1:number>
        <n1:certificateDate>2023-11-10</n1:certificateDate>
        <n1:disabilityBeginDate>2023-11-10</n1:disabilityBeginDate>
        <n1:disabilityEndDate>
          <n1:endDate>2025-11-09</n1:endDate>
        </n1:disabilityEndDate>
      </n1:certificateOfDisability>
    </n1:childInfo>
    <n1:ORD>
      <n1:number>125-к</n1:number>
      <n1:date>2024-03-10</n1:date>
    </n1:ORD>
    <n1:periods>
      <n1:additionalPeriods>
        <n1:periodAndCalculationData>
          <n1:year>2024</n1:year>
          <n1:month>3</n1:month>
          <n1:daysAmount>4</n1:daysAmount>
          <n1:dailyAverageSal>2181.55</n1:dailyAverageSal>
        </n1:periodAndCalculationData>
        <n1:providedDays>4</n1:providedDays>
        <n1:providedTotalHour>32</n1:providedTotalHour>
      </n1:additionalPeriods>
    </n1:periods>
  </n1:receiversRow>
  <n1:addInfo>Документы предоставлены в полном объеме</n1:addInfo>
</n1:disabilityChildrenStatement>