???�???�?�?�?� (?????????�?????�??). ?�?�?????�?�?????� ?????????????????�?�?�?? ???????�?????�?�?�???? ???� ?????�???�?�?????? ?�???�?�???�???? ???� ?????????�???�?�?�?????� ???????�???? ?? ?????�?�???�?�?????�?� ?????�?????�??

???�???�?�?�?� (?????????�?????�??). ?�?�?????�?�?????� ?????????????????�?�?�?? ???????�?????�?�?�???? ???� ?????�???�?�?????? ?�???�?�???�???? ???� 
?????????�???�?�?�?????� ???????�???? ?? ?????�?�???�?�?????�?� ?????�?????�??

???????�???�?�?????� N 1
   ?? ???????�???????�???? ?? ?????????????� ?????????�???�?�?�??????,
   ???�?�?�?�, ???�???�???�?�??, ?�???�???�??????, ???�???�?�??,
   ?�???�???????????�?????????�?????? ?? ?????????�???�?????�??????
   ???????�?????�?�?�???????? ?�?�???�???�?�???????? ?????�?�???????? ???????�??
   ???�???�?�?�???????? ?? ?????�?�???�???????????? ???????�????,
   ???�?�?????????? ?? ???�???? ?? ?????�?�???�?�?????�?� ?????�?????�??
   
                                  ???�?�?�?�??????????
                                  ___________________________________
                                   (?????�?�?�???�???�???? ???�?????�???????�?????� ???????�???�
                                     ???????�???�???????� ???�?�, ?�?�?????�????, ??????,
                                        ???�?�?�???�???? ?????????????????�?�?�??)
                                  ???� ________________________________
                                  ___________________________________
                                   (?????�?�?�???�???�???? ?????�?�???????�??, ?�?�?????�????,
                                       ?????? ?? ???�?�?�???�???? ?�?�???????�?�?�??,
                                         ???�???�?? ?�???? ?�???�?�?�?????�???�)
   
                                ?�?????�?�?�?????�
   
       ???????�?? ?�?�?? ???�???�?�?? ?�???�?�???�???? ???� ?????????�???�?�?�?????�
   ????????: ____________________________________________________________
           (?????�?????� ???�?????�???????�?????� ???????�?????�?�?�???? ?? ?�?� ???????????�?�???????? ?�?????�??)
   ???� ??????: __________________________________________________________
               (?????�?�???????�??, ?�?�?????�????, ?????? ?? ???�?�?�???�???? ?????????????????�?�?�??,
             ???????�?????�?�?�????; ???�?????? ?? ???????�?? ???�?????????�?�, ???�?�?� ?? ???�?? ???�???�??,
                          ???�???�?? ???�???????�???�?�???? ?? ????????????????)
   ?�?????�, ?�?????� ?? ???????�?�?? ???????�???? ?? ???�?�??????????, ???�?�?????????�???�?� ?? ?????????�???�?�?�??????,
   ???� ?????�???�?�???�????: ___________________________________________________
   ???????�???� ?? ???�?�???????� ?�???????� ?�???�?????�?????? ???? ?�?????�????: ______________________
   __________________________________________________________________
   ???�???� ???? ???�?�?????�?�?�?????? ?????�???�?????????�?? ???????�???? ?? ???�?�??????????:
   __________________________________________________________________
   __________________________________________________________________
   ?? ?�?�?????�?�?????? ???????�?�???�???�????: _________________________________________
   __________________________________________________________________
                    (?????�?�?�???�?�?�???? ???�???�?�?�???? ???????????�???�????)
   
   ?�???????????????�?�?�?? _____________________________________________________
                     (???�?????�???????�?????� ???????�?????�?�?�????, ?�?�???????�???????�?�??????????
                                   ?????????�?�???�?�?�??????)
   
   _______________                          _________________________
      (??????????????)                                (?�?�?????�????, ???????�???�?�?�)
   
   ??.??.
   
   "__" ____________ ____