<?xml version="1.0" encoding="UTF-8"?>
<disabilityChildrenStatement xmlns="urn:ru:ecp:integration:wozm:refund:disabilitychildren:sttmnt:v3.0" xmlns:person="urn:ru:ecp:integration:types:person:v3.0" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" specVersion="3.0" software="1С:Бухгалтерия" version_software="3.0.195.36" author="Молчанова Лидия Харитоновна" phone="+7 (977) 492-68-99" emplRegNo="5900991549" regNumSFR="1002023313">
	<batch_no/>
	<insurerInfo>
		<regNumSFR>1002023313</regNumSFR>
		<emplKPP>999901001</emplKPP>
		<emplINN>9671438590</emplINN>
		<Empl_Flag>true</Empl_Flag>
		<bankInfo>
			<bik>044525502</bik>
			<accountNum>40702810542318847559</accountNum>
			<accountNumInFederalExchequer>456789456</accountNumInFederalExchequer>
			<kbk>18210101000000000110</kbk>
		</bankInfo>
	</insurerInfo>
	<refundSum>
		<totalSum>650</totalSum>
		<sumForNonBudgetFunds>150</sumForNonBudgetFunds>
		<sumForAdditionalDays>500</sumForAdditionalDays>
	</refundSum>
	<numberRecipients>1</numberRecipients>
	<certifiedCopiesOrders>1</certifiedCopiesOrders>
	<receiversRow>
		<parentInfo>
			<fullName>
				<person:firstName>АННА</person:firstName>
				<person:lastName>ПЕТРОВА</person:lastName>
				<person:middleName>ВЛАДИМИРОВНА</person:middleName>
			</fullName>
			<snils>00133206666</snils>
			<childRelType>1</childRelType>
		</parentInfo>
		<childInfo>
			<fullName>
				<person:firstName>ЕЛИСЕЙ</person:firstName>
				<person:lastName>ПЕТРОВ</person:lastName>
				<person:middleName>ИГОРЕВИЧ</person:middleName>
			</fullName>
			<snils>00133206969</snils>
			<birthDate>2026-01-15</birthDate>
			<certificateOfDisability>
				<series>МСЭ-2019</series>
				<number>8550402</number>
				<certificateDate>2026-01-16</certificateDate>
				<disabilityBeginDate>2026-01-16</disabilityBeginDate>
				<disabilityEndDate>
					<notLimited>true</notLimited>
				</disabilityEndDate>
			</certificateOfDisability>
		</childInfo>
		<ORD>
			<number>1</number>
			<date>2026-02-04</date>
		</ORD>
		<periods>
			<additionalPeriods>
				<periodAndCalculationData>
					<year>2026</year>
					<month>2</month>
					<daysAmount>1</daysAmount>
					<dailyAverageSal>500</dailyAverageSal>
				</periodAndCalculationData>
				<providedDays>1</providedDays>
				<providedTotalHour>2</providedTotalHour>
			</additionalPeriods>
			<accumulatedPeriods>
				<accumulatedPeriodData>
					<year>2026</year>
					<month>2</month>
					<daysAmount>2</daysAmount>
				</accumulatedPeriodData>
				<accumulatedDays>2</accumulatedDays>
				<accumulatedTotalHour>4</accumulatedTotalHour>
				<accumulatedProvidedPeriodData>
					<year>2026</year>
					<month>2</month>
					<daysAmount>4</daysAmount>
					<dailyAverageSal>500</dailyAverageSal>
				</accumulatedProvidedPeriodData>
				<accumulatedProvidedDays>4</accumulatedProvidedDays>
				<accumulatedProvidedTotalHour>8</accumulatedProvidedTotalHour>
			</accumulatedPeriods>
		</periods>
	</receiversRow>
</disabilityChildrenStatement>