<?xml version="1.0" encoding="utf-8"?>
<n1:disabilityChildrenStatement specVersion="3.0" software="Астрал Отчет" version_software="5.0" author="Клушин Алексей Николаевич" phone="74932299113" email="i.sviridova@37.mchs.gov.ru" regNumSFR="1012062418" 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_1012062418_2025_12_11_5767</n1:batch_no>
  <n1:changeRecalcFlag>false</n1:changeRecalcFlag>
  <n1:insurerInfo>
    <n1:regNumSFR>1012062418</n1:regNumSFR>
    <n1:emplKPP>370201001</n1:emplKPP>
    <n1:emplINN>3702062557</n1:emplINN>
    <n1:Empl_Flag>true</n1:Empl_Flag>
    <n1:bankInfo>
      <n1:bik>012202102</n1:bik>
      <n1:accountNum>03211643000000013237</n1:accountNum>
      <n1:accountNumInFederalExchequer>03331783980</n1:accountNumInFederalExchequer>
      <n1:kbk>17703101040190049129</n1:kbk>
    </n1:bankInfo>
  </n1:insurerInfo>
  <n1:refundSum>
    <n1:totalSum>16434.51</n1:totalSum>
    <n1:sumForNonBudgetFunds>3812.01</n1:sumForNonBudgetFunds>
    <n1:sumForAdditionalDays>12622.5</n1:sumForAdditionalDays>
  </n1:refundSum>
  <n1:numberRecipients>3</n1:numberRecipients>
  <n1:certifiedCopiesOrders>3</n1:certifiedCopiesOrders>
  <n1:receiversRow>
    <n1:parentInfo>
      <n1:fullName>
        <n2:firstName>Анастасия</n2:firstName>
        <n2:lastName>Воронцова</n2:lastName>
        <n2:middleName>Вячеславовна</n2:middleName>
      </n1:fullName>
      <n1:snils>14218485454</n1:snils>
      <n1:childRelType>1</n1:childRelType>
    </n1:parentInfo>
    <n1:childInfo>
      <n1:fullName>
        <n2:firstName>Лев</n2:firstName>
        <n2:lastName>Воронцов</n2:lastName>
        <n2:middleName>Ильич</n2:middleName>
      </n1:fullName>
      <n1:snils>18527654101</n1:snils>
      <n1:birthDate>2014-10-22</n1:birthDate>
      <n1:certificateOfDisability>
        <n1:series>МСЭ-2023</n1:series>
        <n1:number>0588129</n1:number>
        <n1:certificateDate>2024-09-26</n1:certificateDate>
        <n1:disabilityBeginDate>2024-10-01</n1:disabilityBeginDate>
        <n1:disabilityEndDate>
          <n1:endDate>2032-10-23</n1:endDate>
        </n1:disabilityEndDate>
      </n1:certificateOfDisability>
    </n1:childInfo>
    <n1:ORD>
      <n1:number>445-к</n1:number>
      <n1:date>2025-12-10</n1:date>
    </n1:ORD>
    <n1:periods>
      <n1:additionalPeriods>
        <n1:periodAndCalculationData>
          <n1:year>2025</n1:year>
          <n1:month>12</n1:month>
          <n1:daysAmount>3</n1:daysAmount>
          <n1:dailyAverageSal>1402.5</n1:dailyAverageSal>
        </n1:periodAndCalculationData>
        <n1:providedDays>3</n1:providedDays>
        <n1:providedTotalHour>24</n1:providedTotalHour>
      </n1:additionalPeriods>
    </n1:periods>
  </n1:receiversRow>
  <n1:receiversRow>
    <n1:parentInfo>
      <n1:fullName>
        <n2:firstName>Елена</n2:firstName>
        <n2:lastName>Федуловина</n2:lastName>
        <n2:middleName>Борисовна</n2:middleName>
      </n1:fullName>
      <n1:snils>05160393229</n1:snils>
      <n1:childRelType>1</n1:childRelType>
    </n1:parentInfo>
    <n1:childInfo>
      <n1:fullName>
        <n2:firstName>Милана</n2:firstName>
        <n2:lastName>Федуловина</n2:lastName>
        <n2:middleName>Романовна</n2:middleName>
      </n1:fullName>
      <n1:snils>18103585452</n1:snils>
      <n1:birthDate>2014-01-22</n1:birthDate>
      <n1:certificateOfDisability>
        <n1:series>МСЭ-2023</n1:series>
        <n1:number>0582061</n1:number>
        <n1:certificateDate>2023-11-16</n1:certificateDate>
        <n1:disabilityBeginDate>2023-10-23</n1:disabilityBeginDate>
        <n1:disabilityEndDate>
          <n1:endDate>2032-01-23</n1:endDate>
        </n1:disabilityEndDate>
      </n1:certificateOfDisability>
    </n1:childInfo>
    <n1:ORD>
      <n1:number>445-к..</n1:number>
      <n1:date>2025-12-10</n1:date>
    </n1:ORD>
    <n1:periods>
      <n1:additionalPeriods>
        <n1:periodAndCalculationData>
          <n1:year>2025</n1:year>
          <n1:month>12</n1:month>
          <n1:daysAmount>3</n1:daysAmount>
          <n1:dailyAverageSal>1402.5</n1:dailyAverageSal>
        </n1:periodAndCalculationData>
        <n1:providedDays>3</n1:providedDays>
        <n1:providedTotalHour>24</n1:providedTotalHour>
      </n1:additionalPeriods>
    </n1:periods>
  </n1:receiversRow>
  <n1:receiversRow>
    <n1:parentInfo>
      <n1:fullName>
        <n2:firstName>Анжелика</n2:firstName>
        <n2:lastName>Безина</n2:lastName>
        <n2:middleName>Александровна</n2:middleName>
      </n1:fullName>
      <n1:snils>15586964729</n1:snils>
      <n1:childRelType>1</n1:childRelType>
    </n1:parentInfo>
    <n1:childInfo>
      <n1:fullName>
        <n2:firstName>Лиана</n2:firstName>
        <n2:lastName>Безина</n2:lastName>
        <n2:middleName>Сергеевна</n2:middleName>
      </n1:fullName>
      <n1:snils>19813676114</n1:snils>
      <n1:birthDate>2017-03-24</n1:birthDate>
      <n1:certificateOfDisability>
        <n1:series>МСЭ-2025</n1:series>
        <n1:number>0450327</n1:number>
        <n1:certificateDate>2025-08-14</n1:certificateDate>
        <n1:disabilityBeginDate>2025-07-11</n1:disabilityBeginDate>
        <n1:disabilityEndDate>
          <n1:endDate>2026-08-01</n1:endDate>
        </n1:disabilityEndDate>
      </n1:certificateOfDisability>
    </n1:childInfo>
    <n1:ORD>
      <n1:number>445-к.</n1:number>
      <n1:date>2025-12-10</n1:date>
    </n1:ORD>
    <n1:periods>
      <n1:additionalPeriods>
        <n1:periodAndCalculationData>
          <n1:year>2025</n1:year>
          <n1:month>12</n1:month>
          <n1:daysAmount>3</n1:daysAmount>
          <n1:dailyAverageSal>1402.5</n1:dailyAverageSal>
        </n1:periodAndCalculationData>
        <n1:providedDays>3</n1:providedDays>
        <n1:providedTotalHour>24</n1:providedTotalHour>
      </n1:additionalPeriods>
    </n1:periods>
  </n1:receiversRow>
</n1:disabilityChildrenStatement>