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[null,null,"Список членов профсоюзной организации"]
[]
[null,null,"(наименование организации)"]
[null,null,"для страхования по программе страхования \"Антиклещ\" (САО \"ВСК\")"]
[{"$nulls":3},"(стоимость страхования на 1 человека  -     200  рублей)"]
[]
[null,"№","Фамилия","Имя","Отчество","Дата рождения"]
[]
[null,1]
[null,2]
[null,3]
[]
[null,null,"Председатель профсоюзной организации                                              "]
[{"$nulls":3},"(подпись)","(расшифровка подписи)"]
[]
[null,null,"2026 г."]
[null,null,"дата"]