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\clvmgf\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9849
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'b4\'eb \'c3\'e2 \'b0\'fa \'b8\'f1\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'b4\'eb\'c3\'e2(\'b4\'eb\'bf\'a9)\'b3\'bb\'bf\'aa\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'ba\'af \'c1\'a6 \'b3\'bb \'bf\'aa\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'b9\'cc \'ba\'af \'c1\'a6\par\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 (\'bf\'f8)\cell
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\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2904
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx4697
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6603
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8226
\clvmrg\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9849
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'b4\'eb \'c3\'e2 \'b0\'fa \'b8\'f1\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'c0\'cf    \'c0\'da\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'b1\'dd  \'be\'d7(\'bf\'f8)\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'c0\'cf    \'c0\'da\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'b1\'dd  \'be\'d7(\'bf\'f8)\cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 \'b9\'cc \'ba\'af \'c1\'a6\par\plain\f47\fs22\outl0\b0\i0\caps0\qc\ri0 (\'bf\'f8)\cell
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\trowd\ltrrow\trrh438\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx1509
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2904
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx4697
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6603
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8226
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9849
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0  \f7 102\f47 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
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\trowd\ltrrow\trrh438\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx1509
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx2904
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx4697
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx6603
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw0 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx8226
\clvertalc\clbrdrl\brdrs\brdrw0 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw0 \cellx9849
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0  \f7 103\f47 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qj\ri0 \cell
\row
\trowd\ltrrow\trrh1456\clvertalc\clbrdrl\brdrs\brdrw2 \clbrdrr\brdrs\brdrw2 \clbrdrt\brdrs\brdrw0 \clbrdrb\brdrs\brdrw2 \cellx9849
\pard\intbl\plain\f47\fs22\outl0\b0\i0\caps0\qc\li200 \ri200                       \'b3\'e2         \'bf\'f9         \'c0\'cf\par\plain\f47\fs22\outl0\b0\i0\caps0\qj\fi5000 \li200 \ri200 \'c8\'b8\'ba\'b8\'c0\'da  \'c1\'d6  \'bc\'d2:\plain\f47\fs20\outl0\b0\i0\caps0\qj\fi5000 \li200 \ri200 \par\plain\f47\fs22\outl0\b0\i0\caps0\qj\fi5000 \li200 \ri200         \'bb\'f3  \'c8\'a3:\par\plain\f47\fs22\outl0\b0\i0\caps0\qj\fi5000 \li200 \ri200         \'bc\'ba  \'b8\'ed:                    (\'c0\'ce)\cell
\row
\pard \par
\pard \plain\f7\fs22\outl0\b0\i0\caps0\qr\ri0 190mm\f47 \'a1\'bf\f7 268mm\f47 (\'c0\'ce\'bc\'e2\'bf\'eb\'c1\'f6 \f7 2\f47 \'b1\'de \f7 60g\f47 /\'a7\'b3)
}