<?xml version="1.0" encoding="utf-8"?>
<tns:additionalVacationStatement xmlns:tns="http://www.fss.ru/additionalVacationStatement" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <tns:vacationStatementCalc>PRIMARYCALC</tns:vacationStatementCalc>
  <tns:insurerInfo>
    <tns:insurerName>_тест_Стэйдж111</tns:insurerName>
    <tns:regNum>4200003164</tns:regNum>
    <tns:regNumMain>4444444444</tns:regNumMain>
    <tns:inn>9623132636</tns:inn>
    <tns:documentsSendPerson>
      <tns:rank>4</tns:rank>
      <tns:fullName>
        <tns:lastName>ПростоФЛ</tns:lastName>
        <tns:firstName>Раиса</tns:firstName>
        <tns:middleName>Федоровна</tns:middleName>
      </tns:fullName>
    </tns:documentsSendPerson>
  </tns:insurerInfo>
  <tns:insuredInfo>
    <tns:fullNamePU>
      <tns:lastName>Блинова</tns:lastName>
      <tns:firstName>Нина</tns:firstName>
      <tns:middleName>Ивановна</tns:middleName>
    </tns:fullNamePU>
    <tns:snils>37116556375</tns:snils>
  </tns:insuredInfo>
  <tns:orderInfo />
  <tns:calculationData>
    <tns:periodsData>
      <tns:period>5555-04-01</tns:period>
      <tns:periodSumm>52</tns:periodSumm>
      <tns:countDays>4</tns:countDays>
    </tns:periodsData>
    <tns:totalSum>52</tns:totalSum>
    <tns:totalDays>4</tns:totalDays>
    <tns:totalIncomeSum>52</tns:totalIncomeSum>
    <tns:totalDaysAmount></tns:totalDaysAmount>
    <tns:vacationSum></tns:vacationSum>
  </tns:calculationData>
  <tns:receivePayment />
</tns:additionalVacationStatement>