<?xml version="1.0" encoding="utf-8"?>
<n1:disabilityChildrenStatement specVersion="3.0.1" software="Астрал Отчет" version_software="5.0" author="Гаврилова Любовь Леоновна" phone="79533333336" email="asd@mail.ru" regNumSFR="9999999999" 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_9999999999_2025_10_06_2389</n1:batch_no>
  <n1:changeRecalcFlag>false</n1:changeRecalcFlag>
  <n1:insurerInfo>
    <n1:regNumSFR>9999999999</n1:regNumSFR>
    <n1:emplINN>969957065861</n1:emplINN>
    <n1:Empl_Flag>true</n1:Empl_Flag>
    <n1:bankInfo>
      <n1:bik>111111111</n1:bik>
      <n1:accountNum>11111111111111111111</n1:accountNum>
      <n1:accountNumInFederalExchequer>1111111111111</n1:accountNumInFederalExchequer>
      <n1:kbk>11111111111111111111</n1:kbk>
    </n1:bankInfo>
  </n1:insurerInfo>
  <n1:refundSum>
    <n1:totalSum>24.33</n1:totalSum>
    <n1:sumForNonBudgetFunds>12.22</n1:sumForNonBudgetFunds>
    <n1:sumForAdditionalDays>12.11</n1:sumForAdditionalDays>
  </n1:refundSum>
  <n1:numberRecipients>1</n1:numberRecipients>
  <n1:receiversRow>
    <n1:parentInfo>
      <n1:fullName>
        <n2:firstName>Зоя</n2:firstName>
        <n2:lastName>Исаева</n2:lastName>
        <n2:middleName>Петровна</n2:middleName>
      </n1:fullName>
      <n1:snils>99206099141</n1:snils>
      <n1:childRelType>4</n1:childRelType>
    </n1:parentInfo>
    <n1:childInfo>
      <n1:fullName>
        <n2:firstName>0</n2:firstName>
        <n2:lastName>0</n2:lastName>
      </n1:fullName>
      <n1:snils>00000000000</n1:snils>
      <n1:birthDate>2025-06-09</n1:birthDate>
      <n1:certificateOfDisability>
        <n1:series>000000000000000000</n1:series>
        <n1:number>00000000000000000000</n1:number>
        <n1:certificateDate>2025-10-30</n1:certificateDate>
        <n1:disabilityBeginDate>2025-09-25</n1:disabilityBeginDate>
        <n1:disabilityEndDate>
          <n1:notLimited>true</n1:notLimited>
        </n1:disabilityEndDate>
      </n1:certificateOfDisability>
      <n1:certificateOfDisability>
        <n1:series>1111111111111111111</n1:series>
        <n1:number>11111111111111111111</n1:number>
        <n1:certificateDate>2025-10-07</n1:certificateDate>
        <n1:disabilityBeginDate>2025-10-23</n1:disabilityBeginDate>
        <n1:disabilityEndDate>
          <n1:endDate>2025-10-23</n1:endDate>
        </n1:disabilityEndDate>
      </n1:certificateOfDisability>
    </n1:childInfo>
    <n1:ORD>
      <n1:number>33333333333333333333</n1:number>
      <n1:date>2025-06-30</n1:date>
    </n1:ORD>
    <n1:periods>
      <n1:additionalPeriods>
        <n1:periodAndCalculationData>
          <n1:year>2025</n1:year>
          <n1:month>1</n1:month>
          <n1:daysAmount>2</n1:daysAmount>
          <n1:dailyAverageSal>2</n1:dailyAverageSal>
        </n1:periodAndCalculationData>
        <n1:providedDays>2</n1:providedDays>
        <n1:providedTotalHour>1.0</n1:providedTotalHour>
      </n1:additionalPeriods>
    </n1:periods>
  </n1:receiversRow>
</n1:disabilityChildrenStatement>