<TITLE>5009/2970/12</TITLE>
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<P class="ps15"><FONT class="fs383"> &nbsp;íîìåð ïðîâàäæåííÿ ñïðàâè &nbsp;32/92/12</FONT></P>
<P><FONT class="fs245"> &nbsp;</FONT></P>
<P class="ps9"><FONT class="fs400"><IMG src="herb.gif" height=72 width=54></FONT></P>
<P class="ps9"><FONT class="fs233">ÃÎÑÏÎÄÀÐÑÜÊÈÉ ÑÓÄ </FONT></P>
<P class="ps9"><FONT class="fs232">Çàïîð³çüêî¿ îáëàñò³</FONT></P>
<P class="ps9"><FONT class="fs231">ÓÕÂÀËÀ</FONT></P>
<P class="ps9"><FONT class="fs229"> &nbsp;</FONT></P>
<P class="ps13"><FONT class="fs241"> 22.01.13 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Ñïðàâà ¹ 5009/2970/12</FONT></P>
<P class="ps9"><FONT class="fs240">ÏÐÎÕÀÍÍß</FONT></P>
<P class="ps9"><FONT class="fs239">ïðî âðó÷åííÿ çà êîðäîíîì ñóäîâèõ àáî ïîçàñóäîâèõ äîêóìåíò³â</FONT></P>
<P class="ps9"><FONT class="fs243">REQUEST/DEMANDE</FONT></P>
<P class="ps2">for service abroad of judicial or extrajudicial documents / aux fins de signification à létranger dun acte judiciare ou extrajudiciare</P>
<P class="ps0">â³äïîâ³äíî äî Ãààçüêî¿ Êîíâåíö³¿ ïðî âðó÷åííÿ çà êîðäîíîì ñóäîâèõ àáî ïîçàñóäîâèõ äîêóìåíò³â ó öèâ³ëüíèõ àáî êîìåðö³éíèõ ñïðàâàõ â³ä 15 ëèñòîïàäà 1965 ðîêó</P>
<P class="ps0">pursuant to the Hague Convention of 15 November 1965 on the Service Abroad of Judicial and Extrajudicial Documents in Civil or Commercial Matters, signed at the Hague, the 15<FONT class="fs282">th</FONT> of November 1965</P>
<P class="ps0">Convention relative à la signification a létranger des actes judiciare ou extrajudiciare en matière civile ou commerciale, signée à la Haye, le 15 novembre 1965</P>
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<TR><TD width="51 %"><P><FONT class="fs373">Íàçâà ³ àäðåñà çàïèòóþ÷îãî îðãàíó:</FONT></P><P class="ps4"><FONT class="fs379">Identity and address of the applicant:</FONT></P><BR>
<P class="ps6"><FONT class="fs369"> </FONT></P></TD><TD width="2 %"><BR>
</TD><TD width="47 %"><P class="ps14"><FONT class="fs368">Àäðåñà çàïèòóâàíîãî îðãàíó:</FONT></P><P class="ps6"><FONT class="fs367">Address of the receiving authority:</FONT></P><BR>
<P class="ps6"><FONT class="fs366">Ministry of Foreign Affairs</FONT></P><P class="ps6"><FONT class="fs365">International Law Department</FONT></P><P class="ps6"><FONT class="fs364">Trg Nikole Subica Zrinskog 7-8</FONT></P><P class="ps6"><FONT class="fs363">10 000 ZAGREB</FONT></P><P class="ps6"><FONT class="fs362"> </FONT></P><BR>
<P class="ps4"><FONT class="fs377">Çàïèòóþ÷èé îðãàí, ùî ï³äïèñàâñÿ íèæ÷å, ìàº ÷åñòü ïåðåäàòè - ó äâîõ ïðèì³ðíèêàõ  ïåðåðàõîâàí³ íèæ÷å äîêóìåíòè òà â³äïîâ³äíî äî ñòàòò³ 5 çàçíà÷åíî¿ Êîíâåíö³¿ ïðîñèòü çàáåçïå÷èòè áåçâ³äêëàäíå âðó÷åííÿ îäíîãî ïðèì³ðíèêà îäåðæóâà÷ó:</FONT></P>
<P class="ps6"><FONT class="fs361">The undersigned applicant has the honour to transmit  in duplicate  the documents listed below and, in conformity with Article 5 of the above-mentioned Convention, requests prompt service of one copy thereof on the addressee, i.e., &nbsp;:</FONT></P>
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<TR><TD width="28 %"><P class="ps16">KEM-FIN d.o.o., &nbsp;Zagreb</P></TD><TD width="72 %"><P>HR-101100, ZAGREB, Kutnjacki put, 10, Croatia</P></TD></TR>
<P class="ps5"><FONT class="fs360">a)* â³äïîâ³äíî äî ï³äïóíêòó (à) ÷àñòèíè ïåðøî¿ ñòàòò³ 5 Êîíâåíö³¿</FONT></P>
<P class="ps6"><FONT class="fs359">in accordance with the provisions of sub-paragraph a) of the first paragraph of Article 5 of the Convention.</FONT></P>
<P class="ps6"><FONT class="fs358">selon les formes légales (article 5, alinéa premier, lettre a).</FONT></P>
<P class="ps5"><FONT class="fs357">b)* â³äïîâ³äíî äî íàñòóïíîãî ñïåö³àëüíîãî ñïîñîáó (ï³äïóíêò (b) ÷àñòèíè ïåðøî¿ ñòàòò³ 5)</FONT></P>
<P class="ps6"><FONT class="fs356">in accordance with the following particular method (sub-paragraph b) of the first paragraph of Article 5):</FONT></P>
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</TD><TD width="66 %" class="tds28"><BR>
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<TR><TD width="34 %" class="tds29"><BR>
</TD><TD width="66 %" class="tds29"><BR>
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<P class="ps11"><FONT class="fs355">c)* øëÿõîì äîñòàâêè áåçïîñåðåäíüî àäðåñàòó, ÿêùî â³í ïðèéìàº éîãî äîáðîâ³ëüíî (äðóãà ÷àñòèíà ñòàòò³ 5). </FONT></P>
<P class="ps11"><FONT class="fs354">by delivery to the addressee, who accepted it voluntarily. </FONT></P>
<P class="ps4"><FONT class="fs353">Ïðîõàííÿ äî çàïèòóâàíîãî îðãàíó ïîâåðòàòè àáî ïîâåðíóòè çàïèòóþ÷îìó îðãàíó îäèí ïðèì³ðíèê äîêóìåíò³â ³ éîãî äîäàòê³â* ³ç ï³äòâåðäæåííÿì íà çâîðîòíîìó áîö³.</FONT></P>
<P class="ps4"><FONT class="fs352">The authority is requested to return or have returned to the applicant a copy of the documents  ad of the annexes* - with a certificate as provided on the reverse side. </FONT></P>
<P class="ps13"><FONT class="fs351">Ïåðåë³ê äîêóìåíò³â:</FONT></P>
<P class="ps13"><FONT class="fs350">List of documents: / Enumération des pièces&nbsp; :</FONT></P>
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<TR><TD width="100 %" class="tds37"><P class="ps14"><FONT class="fs349">Ð³øåííÿ ãîñïîäàðñüêîãî ñóäó Çàïîð³çüêî¿ îáëàñò³ â³ä 16.01.2013 ð. ó ñïðàâ³ ¹5009/2970/12</FONT></P></TD></TR>
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<TR><TD width="100 %" class="tds38"><P class="ps14"><FONT class="fs406"> </FONT></P></TD></TR>
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<P><FONT class="fs348">Ñêëàäåíî ó ì. Çàïîð³ææ³/ Done at &nbsp;__________, äàòà &nbsp;22.01.2013 ð. / the __________________________</FONT></P>
<P class="ps8"><FONT class="fs347">Ï³äïèñ òà/àáî ïå÷àòêà</FONT></P>
<P class="ps8"><FONT class="fs398">Signature and/or stamp.</FONT></P>
<P class="ps9">Çâîðîòíèé á³ê ïðîõàííÿ / Reverse of the request </P>
<P class="ps9"><FONT class="fs238">Ï²ÄÒÂÅÐÄÆÅÍÍß</FONT></P>
<P class="ps9"><FONT class="fs388">CERTIFICATE / ATTESTATION</FONT></P>
<P class="ps4"><FONT class="fs346">Îðãàí, ùî ï³äïèñàâñÿ íèæ÷å, ìàº ÷åñòü ï³äòâåðäèòè â³äïîâ³äíî äî ñòàòò³ 6 Êîíâåíö³¿,</FONT></P>
<P class="ps4"><FONT class="fs345">The undersigned authority has the honour to certify, in conformity with Article 6 of the Convention,</FONT></P>
<P class="ps4"><FONT class="fs344">1)* ùî äîêóìåíò áóâ âðó÷åíèé / that the document has been served- (</FONT><FONT class="fs292">äàòà</FONT><FONT class="fs343">) (date)__________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs342">- ó (</FONT><FONT class="fs291">ì³ñöå, âóëèöÿ, íîìåð</FONT><FONT class="fs341">) (place, street, number)/at/ ______________________________________________________________________________________________________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs340">- îäíèì ³ç ñïîñîá³â, ïåðåäáà÷åíèõ ó ñòàòò³ 5: </FONT></P>
<P class="ps4"><FONT class="fs339">- in one of the following methods authorized by Article 5: </FONT></P>
<P class="ps4"><FONT class="fs338">          à)* â³äïîâ³äíî äî ï³äïóíêòó (à) ÷àñòèíè ïåðøî¿ ñòàòò³ 5 Êîíâåíö³¿.</FONT></P>
<P class="ps4"><FONT class="fs337">                    in accordance with the provisions of sub-paragraph a) of the first paragraph of Article 5 of the Convention.</FONT></P>
<P class="ps4"><FONT class="fs336">          b)* â³äïîâ³äíî äî íàñòóïíîãî ñïåö³àëüíîãî ñïîñîáó:</FONT></P>
<P class="ps4"><FONT class="fs335">                    in accordance with the following particular method:</FONT></P>
<P class="ps4"><FONT class="fs334">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs333">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs332">          ñ)* øëÿõîì áåçïîñåðåäíüî¿ äîñòàâêè àäðåñàòó, ÿêèé ïðèéíÿâ éîãî äîáðîâ³ëüíî.</FONT></P>
<P class="ps4"><FONT class="fs331">           &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;by delivery to the addressee, who accepted it voluntarily.</FONT></P>
<P class="ps4"><FONT class="fs330">Äîêóìåíòè, çàçíà÷åí³ ó ïðîõàíí³, áóëè âðó÷åí³ îñîá³:</FONT></P>
<P><FONT class="fs329">The documents referred to in the request have been delivered to: </FONT></P>
<P class="ps4"><FONT class="fs328">- (</FONT><FONT class="fs290">³ìÿ òà äàí³ ïðî îñîáó</FONT><FONT class="fs327">) _________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs326">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs325">- ñòîñóíêè ç îäåðæóâà÷åì (ðîäèíí³, ä³ëîâ³ àáî ³íø³):</FONT></P>
<P class="ps4"><FONT class="fs324"> &nbsp;&nbsp;&nbsp;relationship to the addressee: &nbsp;</FONT></P>
<P class="ps4"><FONT class="fs323">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs322">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs321">2)* ùî äîêóìåíò íå áóâ âðó÷åíèé ç òàêèõ ïðè÷èí:</FONT></P>
<P class="ps4"><FONT class="fs320"> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;that the document has not been served, by reason of the following facts:</FONT></P>
<P class="ps4"><FONT class="fs319">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs318">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs317">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs316">Â³äïîâ³äíî äî ÷àñòèíè äðóãî¿ ñòàòò³ 12 Êîíâåíö³¿, ïðîõàííÿ çàïèòóþ÷îãî îðãàíó ñïëàòèòè àáî â³äøêîäóâàòè âèòðàòè, âèêëàäåí³ ó äîäàòêó.*</FONT></P>
<P class="ps4"><FONT class="fs315">In conformity with the second paragraph of Article 12 of the Convention, the applicant is requested to pay or reimburse the expenses detailed in the attached statements.* </FONT></P>
<P class="ps9"><FONT class="fs288">Äîäàòêè</FONT></P>
<P class="ps9"><FONT class="fs287">Annexes / Annexes</FONT></P>
<P class="ps4"><FONT class="fs314">Äîêóìåíòè, ùî ïîâåðòàþòüñÿ: / Documents returned:</FONT></P>
<P class="ps4"><FONT class="fs313">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs312">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs311">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs310">Ó ðàç³ íåîáõ³äíîñò³, äîêóìåíòè, ÿê³ ï³äòâåðäæóþòü âðó÷åííÿ:</FONT></P>
<P class="ps4"><FONT class="fs309">In appropriate cases, documents establishing the service: </FONT></P>
<P class="ps4"><FONT class="fs308">_______________________________________________________________________________________</FONT></P>
<P class="ps4"><FONT class="fs307">_______________________________________________________________________________________</FONT></P>
<P><FONT class="fs306">Ñêëàäåíî ó ì. Çàïîð³ææ³/ Done at Zaporizhzhya, äàòà &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;/ the &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</FONT></P>
<P class="ps8"><FONT class="fs305"> _____________________</FONT></P>
<P class="ps8"><FONT class="fs304">Ï³äïèñ òà/àáî ïå÷àòêà</FONT></P>
<P class="ps8"><FONT class="fs397">Signature and/or stamp</FONT></P>
<P class="ps8"><FONT class="fs396">Signature et/ou cachet</FONT></P>
<P class="ps9"><FONT class="fs237">Êîðîòêèé âèêëàä äîêóìåíòà, ùî ï³äëÿãàº âðó÷åííþ</FONT></P>
<P class="ps9"><FONT class="fs236">Summary of the document to be served / Eléments essentiels de lacte</FONT></P>
<P class="ps9"><FONT class="fs303">(×àñòèíà ÷åòâåðòà ñòàòò³ 5)</FONT></P>
<P class="ps9"><FONT class="fs302">(Article 5, fourth paragraph) </FONT></P>
<P class="ps4"><FONT class="fs301">Íàçâà òà àäðåñà çàïèòóþ÷îãî îðãàíó:</FONT></P>
<P class="ps4"><FONT class="fs300">Ãîñïîäàðñüêèé ñóä Çàïîð³çüêî¿ îáëàñò³</FONT></P>
<P class="ps4"><FONT class="fs299">Name and address of the requesting authority: </FONT></P>
<P class="ps4"><FONT class="fs298">²íôîðìàö³ÿ ùîäî ñòîð³í</FONT><FONT class="fs385"> Ó â³äïîâ³äíîìó âèïàäêó - ïð³çâèùå, ³ìÿ òà àäðåñà îñîáè, çàö³êàâëåíî¿ ó âðó÷åíí³ äîêóìåíò³â.</FONT><FONT class="fs297">: </FONT></P>
<P class="ps4"><FONT class="fs296">Particulars of the parties</FONT><FONT class="fs381">1</FONT><FONT class="fs295">: </FONT></P>
<P><FONT class="fs285">Ïîçèâà÷: </FONT></P>
<P>Ïóáë³÷íîãî àêö³îíåðíîãî òîâàðèñòâà</P>
<P> Àçîâñüê³ ìàñòèëà ³ îëèâè, </P>
<P>ì. Áåðäÿíñüê, &nbsp;Çàïîð³çüêà îáëàñòü </P>
<P><FONT class="fs294">ªÄÐÏÎÓ  00152365</FONT></P>
<P><FONT class="fs284">Â³äïîâ³äà÷: </FONT></P>
<P>KEM-FIN d.o.o., &nbsp;Zagreb </P>
<P>HR-101100, ZAGREB, </P>
<P>Kutnjacki put, 10, Croatia</P>
<P class="ps9"><FONT class="fs235">ÑÓÄÎÂÈÉ ÄÎÊÓÌÅÍÒ*</FONT></P>
<P class="ps9"><FONT class="fs387">JUDICIAL DOCUMENT* / ACTE JUDICIAIRE*</FONT></P>
<P class="ps4">Âèä ³ ïðåäìåò äîêóìåíòà:<FONT class="fs395"> / Nature and purpose of the document: </FONT></P>
<P class="ps4">Ð³øåííÿ &nbsp;ãîñïîäàðñüêîãî ñóäó Çàïîð³çüêî¿ îáëàñò³ â³ä 16.01.2013 ð. ó ñïðàâ³ ¹ 5009/2970/12</P>
<P class="ps4">Âèä ³ ïðåäìåò ñóäîâîãî ïðîâàäæåííÿ òà, ó ðàç³ íåîáõ³äíîñò³, ñóìà ñïîðó:</P>
<P class="ps4"><FONT class="fs394">Nature and purpose of the proceedings and, where appropriate, the amount in dispute:</FONT></P>
<P>Ïîçîâíå ïðîâàäæåííÿ ïðî âèçíàííÿ &nbsp;íåä³éñíîþ äîäàòêîâî¿ óãîäè â³ä 16.12.2010 ð. äî êîíòðàêòó ¹ 117-2008 â³ä 08.01.2008 ð. </P>
<P class="ps4">Äàòà ³ ì³ñöå ïîñòàííÿ ïåðåä ñóäîì*: </P>
<P class="ps4"><FONT class="fs393">Date and place for entering appearance*: </FONT></P>
<P class="ps4"><FONT class="fs249">___________</FONT></P>
<P class="ps4">_____________________________________________________________________________</P>
<P class="ps4">Ñóä, ùî ïîñòàíîâèâ ð³øåííÿ*: <FONT class="fs392">/ Court which has given judgement*: </FONT></P>
<P class="ps4"><FONT class="fs248">________Ãîñïîäàðñüêèé ñóä Çàïîð³çüêî¿ îáëàñò³</FONT>_____</P>
<P class="ps4">Äàòà ð³øåííÿ*: <FONT class="fs391">/ Date of judgement*: </FONT></P>
<P class="ps4"><FONT class="fs247">__________16.01.2013___</FONT>__________________________________________________________</P>
<P class="ps4">Ñòðîêè, âèçíà÷åí³ ó äîêóìåíò³*: / <FONT class="fs390">Time-limits stated in the document*: </FONT></P>
<P class="ps4">_____________________________________________________________________________</P>
<P> &nbsp;&nbsp;&nbsp;&nbsp; </P>