- ,
()










                                                          N. 4
                                           
                                           
                                               
                                             
                                                   
   
                                     
                      , 
                             
                          "__"____________ 20__ .
   
      _______________________________________
    +----------------------------------------------------------------------------------------+
    N.-        -         
    /   ,        -       
                 () +----------------(. .)
                                                   .     %   (. 6 -   
                                             (. )            . 7)  
    +---+---------+---------------+-----+---------+-------------+---------+------+-----------
     1     2           3         4      5          6          7       8      9      
    +---+---------+---------------+-----+---------+-------------+---------+------+-----------
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
                                                                                    
    +----------------------------------------------------------------------------------------+
   
                   ______________________
   
           ______________________
   
         "__"_________ 20__ .
   
               ..