- ,
()



    +-------------------------------------------------------------------+
                       
        "____________________________________"     
       "___"__________ 20__ . _____ . ____ .                    
                                                                       
         ____________________________________      
                                                                       
         ____________________________________      
                                                                       
          1.             
          ______________________________________________________       
           _________________________________________       
                                                                       
                                                                       
       +-------------+    +--------------+    +-------------------+             
                                              
       +-------------+    +--------------+    +-------------------+             
                                                     
                                                                       
                                            ____________________       
                                             ( )       
    +-------------------------------------------------------------------+