- ,
()



           -  .  N. -1



                                   N. -1
    __________________________  -----------------------------------------
     ,                    
                                                       14.12.72 N. 816
                                                            +-----------+
                                                    0302001  0
                                                            +-----------+

                                                     
                                               

                                        _______________    ______________
                                           ()          (...)

                                            "___"_______________ 20___ .


                                N._________
                      -  

                          "___"_____________ 20___ .
    +-------------------------------------------------------------------+
    ,        - -      -
    - +----------+---------- -
    ,        (  -     
    - -- ---        - -+-------------
     --          - -   
            -     -              -       -
                 -             - -  --
                             - - -   
                     -                    -  
                                    -             
                                                        
    +----+----+-----+----+----+-------+------+------+-----+-------+-----
     1   2    3   4   5    6      7     8     9    10    11  
    +----+----+-----+----+----+-------+------+------+-----+-------+-----
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
                                                             
    +-------------------------------------------------------------------+

      /____________________________________

     "__"____________ 20___ . ________________________ 

    ________________________________________________________ 
                    ( )

    ()    ___________________________________

       ()    ______________________

    _____________________________________________________________________
                         ( )

           ---------------------------------------------------
    ____________.              
                      -------------     
    /          ()(, )
    N.____________                                      
                                                         (, )
                      -------+-----+-----------+------------+------------
                         12    13     14          15         16
                      ---------------------------------------------------

      ()_______________________________

      _____________________________________________

       ______________________________________

    _____________________________________________________________________

    _____________________________________________________________________

       _________________________________________
                                    ( /  )

    _____________________________________________________________________
                    (,    )

     _____________________________________________________________
                             (  / )

    _____________________________________________________________________
                        (,   )

       ________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

      _________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

     __________________________________________________________
                     (    )

    _____________________________________________________________________


     :________________  _______________  _______________
                     ()        ()        (...)
                   ________________  _______________  _______________
                     ()        ()        (...)
                   ________________  _______________  _______________
                     ()        ()        (...)


        _______________   ________________
                                     ()         ()

                               _______________   ________________
                                     ()         ()

    "___"___________ 20___ .

      _________________________________________________
                            (      )

                                 ___________________