nPuror

Peny6,ruxa Cp6uja

Arenquja 3a rrpr{Bpearre perl{crpe Perucrap QNnancujcxux u:neurraja

[r rroAarama o 6onrmery

3AXTEB 3A PETUCTPAq[4Jy O14 H AHCI4JCKOT U3B EIIITAJA

noflArlr4 o oEBE3Ht4Kv
FlocnoeHo mrue

Mal,rvnr 6poj
Ceprulre

Onurmna

nrr 6poj

BPCTA Ot4HAHCI4JCKOT h38EIIJTAJA

C C

PeAoeHil ro4rulbr4 $ranancrajcxra

raeeuraj ,u

[--l

roAVtHy

C, KonconuAoaaxr QrHancujcru

raeaeLutaj

t. [-_l

roAHHy roAhHe

BanpeAnra Qranancujcxra vnseLuraj

ru

au,

J-l tr [_l

OEABEIUTEIbE O PA3BPCTABAIby (o6aee:Ho nonyruaeajy

npr4BpeAHa ApytxrBa/ 3aApyre, Epyra npaBHa

nilqa

ra

orpanqr,r

Y cxnapy ca qnaHoM 7.3arona o paqyHoBoAcrBy vpeBu3niu, a Ha ocHoBy no4araKa v3 +u+a*cvicKor r3Beurrala

:a

f---_l

to+nt{y, o6Be3HlAK

Ce pa3BpCTaO KaO

npaBHo nvrLle.

HATI]4H AOCTAB'bA}bA OSABEIIJTE}bA O YTBPDEHI4M HEAOCTAI.II4MA/NOTBPAE O PETUCTPAIII/J'I

C 06eesHrry Ha perrcrpoBaHy
C,Ha noce6Hy a4pecy

aApecy

Ha:reluNle il npe3r4Me

r----_r[t-|_l-r-l
nrr 6poj

noAAqr4 o nur4y oAroBopHoM 3A cAcTABrbAtbE or4HAHCt4JCKOr il3BEIIJTAJA

Hasile/ilMe il npe3r4Me

[43JABA: [apanryjeu raqHocr yHerilx no,qaraKa

3axoHcxtt 3acrynHilK o6eesHrra

M.n.
caojepyuxtt nornvlc
uMe JM6T