+---------+ КАРТОЧКА-СПРАВКА | КОДЫ | +---------+ Форма по ОКУД | 0504417 | +---------+ Учреждение ______________________________________ по ОКПО | | +---------+ Структурное подразделение _______________________ | | +---------+ Фамилия, имя, отчество ________________________ Табельный номер | | +---------+
| Дата рождения |
Квалификация, категория |
Образование | Звание или ученая степень |
Стаж работы |
Основной оклад (ставка) |
Количество | Группа инва- лид- ности |
Дата выхода на пенсию |
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| детей | иждивен- цев |
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Отметки о приеме на работу и переводах
Приказ |
Наименование подразделе- ния |
Должность | Заработ- ная пла- та |
Виды и суммы постоянных начислений
заработной платы, надбавок, доплат и т.д. |
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| дата | номер | ||||||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | |
Сведения об использовании отпусков |
Виды и суммы постоянных удержаний | |||||||||||
| приказ | за период | начало и конец |
количество дней |
документ (основание) | вид удержания |
дата пер- вого удержания |
дата пос- леднего удержания |
размер удержа- ния, руб. |
в пользу кого удержано |
адрес (расчет- ный счет) |
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| дата | номер | наименование | дата и номер |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 |
Форма 0504417 с. 2 -------------------+-----+------------------+-------------------+-----------------+------------------+-----------------+------------------ Наименование |Код | Январь | Февраль | Март | Апрель | Май | Июнь показателя |стро-+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+------ |ки | | |итого| | |итого| | |итого| | |итого| | |итого| | |итого -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Отработано дней | 01 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Всего начислено | 02 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ в том числе по | | | | | | | | | | | | | | | | | | | | видам: | | | | | | | | | | | | | | | | | | | | | 03 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 04 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 05 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 06 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 07 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 08 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 09 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 10 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 11 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 12 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 13 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 14 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Всего удержано | 15 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ в том числе по | | | | | | | | | | | | | | | | | | | | видам: | | | | | | | | | | | | | | | | | | | | | 16 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 17 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 18 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 19 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 20 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 21 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 22 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 23 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Сумма к выдаче | 24 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Форма 0504417 с. 3 -------------------+-----+------------------+-------------------+-----------------+------------------+-----------------+------------------ Наименование |Код | Июль | Август | Сентябрь | Октябрь | Ноябрь | Декабрь показателя |стро-+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+------ |ки | | |итого| | |итого| | |итого| | |итого| | |итого| | |итого -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Отработано дней | 25 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Всего начислено | 26 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ в том числе по | | | | | | | | | | | | | | | | | | | | видам: | | | | | | | | | | | | | | | | | | | | | 27 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 28 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 29 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 30 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 31 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 32 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 33 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 34 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 35 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 36 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 37 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 38 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Всего удержано | 39 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ в том числе по | | | | | | | | | | | | | | | | | | | | видам: | | | | | | | | | | | | | | | | | | | | | 40 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 41 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 42 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 43 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 44 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 45 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 46 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ | 47 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Сумма к выдаче | 48 | | | | | | | | | | | | | | | | | | | -------------------+-----+-----+------+-----+-----+-------+-----+-----+-----+-----+-----+------+-----+-----+-----+-----+-----+-----+-----+ Исполнитель ___________ _________ ______________ "__" ____________ 20__ г. (должность) (подпись) (расшифровка подписи) Форма 0504417 с. 4 +--------------------------------------+ | МЕСТО ДЛЯ ПОДКЛЕЙКИ РАСЧЕТНЫХ ЛИСТОВ | +--------------------------------------+