Приложение 26

к Приказу Федеральной службы

судебных приставов

от 26.07.2006 N 89

ОБРАЗЕЦ

УДОСТОВЕРЕНИЯ К МЕДАЛИ "ЗА СЛУЖБУ" III СТЕПЕНИ

Обложка удостоверения

┌───────────────────────────────┬─────────────────────────────────┐

│                               │                                 │

│                               │              Герб               │

│                               │                                 │

│                               │      МИНИСТЕРСТВО ЮСТИЦИИ       │

│                               │      РОССИЙСКОЙ ФЕДЕРАЦИИ       │

│                               │                                 │

│                               │       ФЕДЕРАЛЬНАЯ СЛУЖБА        │

│                               │       СУДЕБНЫХ ПРИСТАВОВ        │

│                               │                                 │

│                               │          УДОСТОВЕРЕНИЕ          │

│                               │                К                │

│                               │             МЕДАЛИ              │

│                               │                                 │

│                               │            "ЗА СЛУЖБУ"          │

│                               │            III СТЕПЕНИ          │

│                               │                                 │

└───────────────────────────────┴─────────────────────────────────┘

Внутренняя сторона удостоверения

┌───────────────────────────────┬─────────────────────────────────┐

│                               │                                 │

│                               │          УДОСТОВЕРЕНИЕ          │

│                               │                                 │

│                               │ _______________________________ │

│                               │             фамилия             │

│                               │ _______________________________ │

│                               │               имя               │

│                               │ _______________________________ │

│                               │             отчество            │

│                               │                                 │

│           Рисунок             │   Приказом Федеральной службы   │

│       (не приводится)         │       судебных приставов        │

│                               │                                 │

│                               │ от "__" _________ 20__ г. N ___ │

│                               │                                 │

│                               │       награжден(а) медалью      │

│                               │                                 │

│                               │            "ЗА СЛУЖБУ"          │

│                               │            III СТЕПЕНИ          │

│                               │                                 │

│                               │   Директор                      │

│                               │ ФССП России                     │

│                               │                                 │

│                               │ М.П.                            │

│                               │                                 │

└───────────────────────────────┴─────────────────────────────────┘