Department of executive committee in —
Pension Fund of Ukraine Administration in the town of —.
Town of —
—-
—
— Certificate
Issued to the citizen —-
Place of residence: —-
To certify that he (she) is registered in the Administration of Pension Fund of Ukraine in — receives an oldage pension as a participant in combat operations – article 12 with complete seniority.
1. —- – in the sum of 819,45 hrv.
(eight hundred nineteen hryvnas and 45 kopecks).
Total: 819,45 hrv.
(eight hundred nineteen hryvnas and 45 kopecks).
The certificate is issued to be presented to: at demand.
Head of the Administration Signature –
Specialist Signature –