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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'b9\'bf\'dc\'c5\'f5\'c0\'da\'b1\'e2\'b1\'b8\'bf\'a1}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c7\'d8\'b4\'e7\'c7\'cf\'c1\'f6}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'be\'c6\'b4\'cf\'c7\'d4}\cell
\row
\trowd\ltrrow\trrh256\clvertalc\clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs20\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 1-1. }
{\fs20\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'b9\'bf\'dc\'b0\'f8\'b8\'f0\'c1\'fd\'c7\'d5\'c5\'f5\'c0\'da\'b1\'e2\'b1\'b8}
{\fs20\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs20\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c0\'cf\'b9\'dd}
{\fs20\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs20\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c7\'f6\'c8\'b2}\cell
\row
\trowd\ltrrow\trrh435\clvertalt\clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx2407
\clvertalt\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx4815
\clvertalt\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx7165
\clvertalt\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9312}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b8\'ed\'c4\'aa}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9313}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b4\'eb\'c7\'a5\'c0\'da}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'ba\'b8\'ed}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9314}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'b3\'b8\'b3\'bf\'ac\'bf\'f9\'c0\'cf}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9315}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c5\'f5\'c0\'da\'b5\'ee\'b7\'cf\'c1\'f5}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b9\'f8\'c8\'a3}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee}\cell
\row
\trowd\ltrrow\trrh434\clvertalt\clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx2407
\clvertalt\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9316}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c0\'fc\'c8\'ad\'b9\'f8\'c8\'a3}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9317}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c1\'d6\'bc\'d2}\cell
\row
\trowd\ltrrow\trrh410\clvertalt\clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx2407
\clvertalt\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx4815
\clvertalt\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx7165
\clvertalt\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9318}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee\'b7\'cf}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u12685}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bd\'c2\'c0\'ce\'b5\'c8}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'b9\'b0\'a1}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9319}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'b9\'b0\'a1\'c4\'da\'b5\'e5}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9320}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee\'b7\'cf}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u12685}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bd\'c2\'c0\'ce\'c0\'c7}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'d9\'b0\'c5\'b9\'fd\'b7\'c9}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9321}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee\'b7\'cf}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u12685}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bd\'c2\'c0\'ce\'c7\'d1}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'dd\'c0\'b6\'b0\'a8\'b5\'b6\'b1\'e2\'b0\'fc}\cell
\row
\trowd\ltrrow\trrh434\clvertalt\clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx1926
\clvertalt\clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx3852
\clvertalt\clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx5778
\clvertalt\clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9322}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c0\'af\'c7\'fc}\par
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2    [  ]}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b9\'fd\'c0\'ce}\cell
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2    [  ]}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bd\'c5\'c5\'b9}\cell
\pard\intbl\par
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2    [  ]}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c6\'c4\'c6\'ae\'b3\'ca\'bd\'ca}\cell
\pard\intbl\par
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2    [  ]}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'e2\'c5\'b8}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (                              )}\cell
\row
\trowd\ltrrow\trrh236\clvertalc\clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 1-2. }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'b9\'b0\'a1\'ba\'b0}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c3\'d1\'c5\'f5\'c0\'da\'b1\'dd\'be\'d7}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c7\'f6\'c8\'b2}\cell
\row
\trowd\ltrrow\trrh236\clvmgf\clvertalc\clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx2285
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx5203
\clvmgf\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx6745
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9323}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'b9\'b0\'a1}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c3\'d1\'c5\'f5\'c0\'da}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'dd\'be\'d7}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u12685}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'ba\'f1\'c0\'b2}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9326}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bd\'c7\'c1\'fa\'b1\'cd\'bc\'d3\'c0\'da}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'f6}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9327}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c0\'fb\'bf\'eb\'bc\'bc\'c0\'b2}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (%)}\cell
\row
\trowd\ltrrow\trrh236\clvmrg\clvertalc\clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx2285
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx4118
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx5203
\clvmrg\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx6745
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx7744
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx8743
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9323}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'b9\'b0\'a1}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9324}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b1\'dd\'be\'d7}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b4\'dc\'c0\'a7}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 :       )}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9325}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'ba\'f1\'c0\'b2}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (%)}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 \uc0\u9326}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bd\'c7\'c1\'fa\'b1\'cd\'bc\'d3\'c0\'da}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'f6}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\ul\charscalex97\expnd-1\f2     }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'d2\'b5\'e6}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\ul\charscalex97\expnd-1\f2     }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'d2\'b5\'e6}\cell
\pard\intbl
{\fs18\outl0\b0\i0\caps0\ul\charscalex97\expnd-1\f2     }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'d2\'b5\'e6}\cell
\row
\trowd\ltrrow\trrh236\clvertalc\clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx2285
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx4118
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx5203
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx6745
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx7744
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrr\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx8743
\clvertalc\clbrdrl\brdrs\brdrw0 \brdrcf1 \clbrdrt\brdrs\brdrw0 \brdrcf1 \clbrdrb\brdrs\brdrw0 \brdrcf1 \cellx9800
\pard\intbl\cell
\pard\intbl\cell
\pard\intbl\cell
\pard\intbl\cell
\pard\intbl\cell
\pard\intbl\cell
\pard\intbl\cell
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 ) }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 , }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 4. }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 , }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c0\'cf}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (YYYY-MM-DD) }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'bc\'f8\'c0\'b8\'b7\'ce}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 , }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (IRC No.)}
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 , }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (Taxpayer Identification Number)(}
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 )}
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 , }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c6\'f7\'c7\'d4\'c7\'cf\'bf\'a9}
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'c0\'fb\'bd\'c0\'b4\'cf\'b4\'d9}
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 , }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (number), }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (Street), }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (City), }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (Country) }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 . }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f1 \'b5\'ee\'b7\'cf}
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 (ISO)}
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2 ) }
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{\fs18\outl0\b0\i0\caps0\charscalex97\expnd-1\f2  }
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