Ministry of Labor and Social Development of the Russian Federation

Rostov Region

GB MSE [State Bureau of Medical-Social Expertise]

(type, profile of the state medical-social expertise service institution)

CERTIFICATE Ser. MSE-011 No. 651063

(issued to a person with a disability)
Shulzhenko Irina Vasilyevna
(surname, first name, patronymic)

• Date of birth: 1950
• Date of examination: 01.10.01
• Examination: repeated
• Disability group: Second
• Cause of disability: general illness

Disability established for the period until 01.09.2002.
Date of next re-examination: 01.07.2002.

[Signature]

TRUE COPY
Investigator Romanovsky V.V.

[Seal: Federal Security Service of the Russian Federation * Investigative Department * For certificates 3]

Note: The decision of the state medical-social expertise service is mandatory for execution by the relevant state authorities, local self-government bodies, as well as organizations regardless of their organizational and legal forms and forms of ownership (Art. 8 of the Federal Law 'On Social Protection of Persons with Disabilities in the Russian Federation').