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Qu]!ЮZ(1>gsyҸ=o{~?K q4JAȚIGn0R ^&,qa&ttܳ ;-rYSA< .*DnWe"dfⵑ0ڬ#Hd@-+Rם_+hڴY@*W5)ueu{WHl+Cɭ mOj_/N endstream endobj 839 0 obj <>/Subtype/Form>>stream H  endstream endobj 840 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 670 0 R/P 75 0 R/Rect[398.25 73.2 428.202 88.68]/Subtype/Widget/T(Check Box 634)/Type/Annot/V/Off>> endobj 841 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKnD1\ Lɺ!Rjj/d$m~AI~<H($wQ:?tDL>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 668 0 R/P 75 0 R/Rect[500.346 110.6 535.914 125.0]/Subtype/Widget/T(Check Box 630)/Type/Annot/V/Off>> endobj 843 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKnD1\ Lɺ!Rjj/d$m~AI~<H($wQ:?tDL>/Subtype/Form>>stream H  endstream endobj 845 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 675 0 R/P 75 0 R/Rect[466.506 73.2 496.458 88.68]/Subtype/Widget/T(Check Box 636)/Type/Annot/V/Off>> endobj 846 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 672 0 R/P 75 0 R/Rect[432.09 73.2 462.042 88.68]/Subtype/Widget/T(Check Box 635)/Type/Annot/V/Off>> endobj 847 0 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<>/ExtGState<>>>/Subtype/Form>>stream H$PKnD1\ Lɺ!Rjj/d$m~AI~<H($wQ:?tDL>/Subtype/Form>>stream H  endstream endobj 910 0 obj <>/Subtype/Form>>stream H  endstream endobj 911 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 645 0 R/P 75 0 R/Rect[432.09 233.68 462.042 249.16]/Subtype/Widget/T(Check Box 597)/Type/Annot/V/Off>> endobj 912 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 q[wuU *1Hّxt?ix$($+ɹ,Fq23 dmDӳGV5`92eDoḿ?bszFPpʢdžբ] -_n(36)+BеxGJsWyksU5hSN Beӓ}c+z:q\H`ת&X_c 0EN endstream endobj 913 0 obj <>/Subtype/Form>>stream H  endstream endobj 914 0 obj <>/Subtype/Form>>stream H  endstream endobj 915 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1259 0 R/P 78 0 R/Rect[466.416 384.988 496.368 400.575]/Subtype/Widget/T(Check Box 520)/Type/Annot/V/Off>> endobj 916 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 917 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 918 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1248 0 R/P 78 0 R/Rect[466.416 427.552 496.368 443.139]/Subtype/Widget/T(Check Box 523)/Type/Annot/V/Off>> endobj 919 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 920 0 obj <>/Subtype/Form>>stream H  endstream endobj 921 0 obj <>/Subtype/Form>>stream H  endstream endobj 922 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1246 0 R/P 78 0 R/Rect[500.256 517.005 535.824 531.504]/Subtype/Widget/T(Check Box 524)/Type/Annot/V/Off>> endobj 923 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 924 0 obj <>/Subtype/Form>>stream H  endstream endobj 925 0 obj <>>>/AS/Off/BS<>/F 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<>/Subtype/Form>>stream H  endstream endobj 1016 0 obj <>/Subtype/Form>>stream H  endstream endobj 1017 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1018 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1237 0 R/P 78 0 R/Rect[466.416 517.005 496.368 531.504]/Subtype/Widget/T(Check Box 514)/Type/Annot/V/Off>> endobj 1019 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1233 0 R/P 78 0 R/Rect[432.0 498.679 461.952 514.266]/Subtype/Widget/T(Check Box 509)/Type/Annot/V/Off>> endobj 1020 0 obj <>/Subtype/Form>>stream H  endstream endobj 1021 0 obj <>/Subtype/Form>>stream H  endstream endobj 1022 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1242 0 R/P 78 0 R/Rect[466.416 481.441 496.368 495.94]/Subtype/Widget/T(Check Box 516)/Type/Annot/V/Off>> endobj 1023 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1024 0 obj <>/Subtype/Form>>stream H  endstream endobj 1025 0 obj <>/Subtype/Form>>stream H  endstream endobj 1026 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1027 0 obj <>/Subtype/Form>>stream H  endstream endobj 1028 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1241 0 R/P 78 0 R/Rect[466.416 445.877 496.368 460.377]/Subtype/Widget/T(Check Box 518)/Type/Annot/V/Off>> endobj 1029 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1239 0 R/P 78 0 R/Rect[466.416 410.314 496.368 424.813]/Subtype/Widget/T(Check Box 515)/Type/Annot/V/Off>> endobj 1030 0 obj <>/Subtype/Form>>stream H  endstream endobj 1031 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1243 0 R/P 78 0 R/Rect[466.416 498.679 496.368 514.266]/Subtype/Widget/T(Check Box 519)/Type/Annot/V/Off>> endobj 1032 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1033 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1034 0 obj <> endobj 1035 0 obj <> endobj 1036 0 obj <>/Subtype/Form>>stream H  endstream endobj 1037 0 obj <> endobj 1038 0 obj <> endobj 1039 0 obj <> endobj 1040 0 obj <> endobj 1041 0 obj <> endobj 1042 0 obj <> endobj 1043 0 obj <> endobj 1044 0 obj <> endobj 1045 0 obj <> endobj 1046 0 obj <> endobj 1047 0 obj <> endobj 1048 0 obj <> endobj 1049 0 obj <> endobj 1050 0 obj <> endobj 1051 0 obj <> endobj 1052 0 obj <> endobj 1053 0 obj <> endobj 1054 0 obj <> endobj 1055 0 obj <> endobj 1056 0 obj <> endobj 1057 0 obj <> endobj 1058 0 obj <> endobj 1059 0 obj <> endobj 1060 0 obj <> endobj 1061 0 obj <> endobj 1062 0 obj <> endobj 1063 0 obj <> endobj 1064 0 obj <> endobj 1065 0 obj <> endobj 1066 0 obj <> endobj 1067 0 obj <> endobj 1068 0 obj <> endobj 1069 0 obj <> endobj 1070 0 obj <> endobj 1071 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1040 0 R/P 78 0 R/Rect[432.0 138.444 461.952 154.031]/Subtype/Widget/T(Check Box 560)/Type/Annot/V/Off>> endobj 1072 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H;j1 {BXt"u*͂>/Subtype/Form>>stream H  endstream endobj 1074 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1052 0 R/P 78 0 R/Rect[432.0 156.0 461.952 171.269]/Subtype/Widget/T(Check Box 558)/Type/Annot/V/Off>> endobj 1075 0 obj <>/Subtype/Form>>stream H  endstream endobj 1076 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1038 0 R/P 78 0 R/Rect[432.0 174.007 461.952 189.594]/Subtype/Widget/T(Check Box 561)/Type/Annot/V/Off>> endobj 1077 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1078 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1079 0 obj <>/Subtype/Form>>stream H  endstream endobj 1080 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1037 0 R/P 78 0 R/Rect[466.416 156.0 496.368 171.269]/Subtype/Widget/T(Check Box 562)/Type/Annot/V/Off>> endobj 1081 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1082 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1083 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1042 0 R/P 78 0 R/Rect[466.416 138.444 496.368 154.031]/Subtype/Widget/T(Check Box 564)/Type/Annot/V/Off>> endobj 1084 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H;j1 {BXt"u*͂>/Subtype/Form>>stream H  endstream endobj 1086 0 obj <>/Subtype/Form>>stream H  endstream endobj 1087 0 obj <>/Subtype/Form>>stream H  endstream endobj 1088 0 obj <>/Subtype/Form>>stream H  endstream endobj 1089 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1090 0 obj <>/Subtype/Form>>stream H  endstream endobj 1091 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1034 0 R/P 78 0 R/Rect[398.16 156.0 428.112 171.269]/Subtype/Widget/T(Check Box 554)/Type/Annot/V/Off>> endobj 1092 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1068 0 R/P 78 0 R/Rect[500.312 319.156 535.88 334.743]/Subtype/Widget/T(Check Box 553)/Type/Annot/V/Off>> endobj 1093 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1094 0 obj <>/Subtype/Form>>stream H  endstream endobj 1095 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1070 0 R/P 78 0 R/Rect[398.16 120.4 428.112 135.705]/Subtype/Widget/T(Check Box 555)/Type/Annot/V/Off>> endobj 1096 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1097 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1035 0 R/P 78 0 R/Rect[398.16 138.444 428.112 154.031]/Subtype/Widget/T(Check Box 556)/Type/Annot/V/Off>> endobj 1098 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H;j1 {BXt"u*͂>/Subtype/Form>>stream H  endstream endobj 1100 0 obj <>/Subtype/Form>>stream H  endstream endobj 1101 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1226 0 R/P 78 0 R/Rect[398.16 174.007 428.112 189.594]/Subtype/Widget/T(Check Box 557)/Type/Annot/V/Off>> endobj 1102 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1103 0 obj <>/Subtype/Form>>stream H  endstream endobj 1104 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1256 0 R/P 78 0 R/Rect[466.472 266.354 496.424 280.853]/Subtype/Widget/T(Check Box 545)/Type/Annot/V/Off>> endobj 1105 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1044 0 R/P 78 0 R/Rect[432.0 120.4 461.952 135.705]/Subtype/Widget/T(Check Box 559)/Type/Annot/V/Off>> endobj 1106 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1107 0 obj <>/Subtype/Form>>stream H  endstream endobj 1108 0 obj <>/Subtype/Form>>stream H  endstream endobj 1109 0 obj <>/Subtype/Form>>stream H  endstream endobj 1110 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1111 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1112 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1113 0 obj <>/Subtype/Form>>stream H  endstream endobj 1114 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1069 0 R/P 78 0 R/Rect[466.472 319.156 496.424 334.743]/Subtype/Widget/T(Check Box 548)/Type/Annot/V/Off>> endobj 1115 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1258 0 R/P 78 0 R/Rect[466.472 283.592 496.424 299.179]/Subtype/Widget/T(Check Box 546)/Type/Annot/V/Off>> endobj 1116 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1117 0 obj <>/Subtype/Form>>stream H  endstream endobj 1118 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1067 0 R/P 78 0 R/Rect[500.312 301.918 535.88 316.417]/Subtype/Widget/T(Check Box 549)/Type/Annot/V/Off>> endobj 1119 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1120 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1065 0 R/P 78 0 R/Rect[500.312 266.354 535.88 280.853]/Subtype/Widget/T(Check Box 550)/Type/Annot/V/Off>> endobj 1121 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 @u]a]P<Kro';&xEP2~FӨ=iJEJj@E4ri 57bmuax8! N10*Ā j_;#Ta^ѺfȢGP1:WtX{Ӱ <P..\W8 )j/zxߩկ5>ƿOM endstream endobj 1122 0 obj <>/Subtype/Form>>stream H  endstream endobj 1123 0 obj <>/Subtype/Form>>stream H  endstream endobj 1124 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1066 0 R/P 78 0 R/Rect[500.312 283.592 535.88 299.179]/Subtype/Widget/T(Check Box 551)/Type/Annot/V/Off>> endobj 1125 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 @u]a]P<Kro';&xEP2~FӨ=iJEJj@E4ri 57bmuax8! N10*Ā j_;#Ta^ѺfȢGP1:WtX{Ӱ <P..\W8 )j/zxߩկ5>ƿOM endstream endobj 1126 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1041 0 R/P 78 0 R/Rect[466.416 174.007 496.368 189.594]/Subtype/Widget/T(Check Box 565)/Type/Annot/V/Off>> endobj 1127 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1128 0 obj <>/Subtype/Form>>stream H  endstream endobj 1129 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1039 0 R/P 78 0 R/Rect[466.416 120.4 496.368 135.705]/Subtype/Widget/T(Check Box 563)/Type/Annot/V/Off>> endobj 1130 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1131 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 993 0 R/P 78 0 R/Q 0/Rect[540.344 319.156 753.608 334.743]/Subtype/Widget/T(Text Field 501)/Type/Annot>> endobj 1132 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 996 0 R/P 78 0 R/Q 0/Rect[540.288 156.0 753.552 171.269]/Subtype/Widget/T(Text Field 502)/Type/Annot>> endobj 1133 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1134 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1135 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 995 0 R/P 78 0 R/Q 0/Rect[540.288 120.4 753.552 135.705]/Subtype/Widget/T(Text Field 503)/Type/Annot>> endobj 1136 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1224 0 R/P 78 0 R/Q 0/Rect[540.288 138.444 753.552 154.031]/Subtype/Widget/T(Text Field 504)/Type/Annot>> endobj 1137 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1138 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 997 0 R/P 78 0 R/Q 0/Rect[540.288 174.007 753.552 189.594]/Subtype/Widget/T(Text Field 505)/Type/Annot>> endobj 1139 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1140 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1141 0 obj <>/Subtype/Form>>stream H  endstream endobj 1142 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1162 0 R/P 78 0 R/Rect[398.16 410.314 428.112 424.813]/Subtype/Widget/T(Check Box 495)/Type/Annot/V/Off>> endobj 1143 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1144 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1145 0 obj <>/Subtype/Form>>stream H  endstream endobj 1146 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1165 0 R/P 78 0 R/Rect[398.16 481.441 428.112 495.94]/Subtype/Widget/T(Check Box 496)/Type/Annot/V/Off>> endobj 1147 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1148 0 obj <>/Subtype/Form>>stream H  endstream endobj 1149 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1150 0 obj <>/Subtype/Form>>stream H  endstream endobj 1151 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1227 0 R/P 78 0 R/Rect[398.16 498.679 428.112 514.266]/Subtype/Widget/T(Check Box 499)/Type/Annot/V/Off>> endobj 1152 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1164 0 R/P 78 0 R/Rect[398.16 445.877 428.112 460.377]/Subtype/Widget/T(Check Box 498)/Type/Annot/V/Off>> endobj 1153 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1154 0 obj <>/Subtype/Form>>stream H  endstream endobj 1155 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1244 0 R/P 78 0 R/Rect[398.16 384.988 428.112 400.575]/Subtype/Widget/T(Check Box 500)/Type/Annot/V/Off>> endobj 1156 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1163 0 R/P 78 0 R/Rect[398.16 517.005 428.112 531.504]/Subtype/Widget/T(Check Box 494)/Type/Annot/V/Off>> endobj 1157 0 obj <>/Subtype/Form>>stream H  endstream endobj 1158 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1236 0 R/P 78 0 R/Rect[398.16 463.115 428.112 478.702]/Subtype/Widget/T(Check Box 501)/Type/Annot/V/Off>> endobj 1159 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1160 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1250 0 R/P 78 0 R/Rect[500.256 445.877 535.824 460.377]/Subtype/Widget/T(Check Box 528)/Type/Annot/V/Off>> endobj 1161 0 obj <>/Subtype/Form>>stream H  endstream endobj 1162 0 obj <> endobj 1163 0 obj <> endobj 1164 0 obj <> endobj 1165 0 obj <> endobj 1166 0 obj <>/Subtype/Form>>stream H  endstream endobj 1167 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1232 0 R/P 78 0 R/Rect[398.16 427.552 428.112 443.139]/Subtype/Widget/T(Check Box 503)/Type/Annot/V/Off>> endobj 1168 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1169 0 obj <>/Subtype/Form>>stream H  endstream endobj 1170 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1171 0 obj <>/Subtype/Form>>stream H  endstream endobj 1172 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1060 0 R/P 78 0 R/Rect[465.84 240.78 495.792 255.28]/Subtype/Widget/T(Check Box 717)/Type/Annot/V/Off>> endobj 1173 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1174 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1175 0 obj <>/Subtype/Form>>stream H  endstream endobj 1176 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1056 0 R/P 78 0 R/Rect[499.68 240.78 535.248 255.28]/Subtype/Widget/T(Check Box 718)/Type/Annot/V/Off>> endobj 1177 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 @u]a]P<Kro';&xEP2~FӨ=iJEJj@E4ri 57bmuax8! N10*Ā j_;#Ta^ѺfȢGP1:WtX{Ӱ <P..\W8 )j/zxߩկ5>ƿOM endstream endobj 1178 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK 1047 0 R/P 78 0 R/Q 0/Rect[174.296 378.315 392.752 407.575]/Subtype/Widget/T(Text Field 506)/Type/Annot>> endobj 1179 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1180 0 obj <>/Subtype/Form>>stream H  endstream endobj 1181 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1055 0 R/P 78 0 R/Rect[397.424 77.6066 427.376 93.1934]/Subtype/Widget/T(Check Box 918)/Type/Annot/V/Off>> endobj 1182 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1053 0 R/P 78 0 R/Rect[398.0 102.813 427.952 118.4]/Subtype/Widget/T(Check Box 917)/Type/Annot/V/Off>> endobj 1183 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1184 0 obj <>/Subtype/Form>>stream H  endstream endobj 1185 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1058 0 R/P 78 0 R/Rect[431.84 102.813 461.792 118.4]/Subtype/Widget/T(Check Box 919)/Type/Annot/V/Off>> endobj 1186 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1187 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1057 0 R/P 78 0 R/Rect[431.264 77.6066 461.216 93.1934]/Subtype/Widget/T(Check Box 920)/Type/Annot/V/Off>> endobj 1188 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1189 0 obj <>/Subtype/Form>>stream H  endstream endobj 1190 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1264 0 R/P 78 0 R/Rect[432.056 266.354 462.008 280.853]/Subtype/Widget/T(Check Box 540)/Type/Annot/V/Off>> endobj 1191 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1192 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1193 0 obj <>/Subtype/Form>>stream H  endstream endobj 1194 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1257 0 R/P 78 0 R/Rect[432.056 283.592 462.008 299.179]/Subtype/Widget/T(Check Box 541)/Type/Annot/V/Off>> endobj 1195 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1196 0 obj <>/Subtype/Form>>stream H  endstream endobj 1197 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1198 0 obj <>/Subtype/Form>>stream H  endstream endobj 1199 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1266 0 R/P 78 0 R/Rect[466.472 301.918 496.424 316.417]/Subtype/Widget/T(Check 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1208 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 936 0 R/P 78 0 R/Q 0/Rect[540.288 498.679 753.552 514.266]/Subtype/Widget/T(Text Field 492)/Type/Annot>> endobj 1209 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 935 0 R/P 78 0 R/Q 0/Rect[540.288 481.441 753.552 495.94]/Subtype/Widget/T(Text Field 489)/Type/Annot>> endobj 1210 0 obj <>/Subtype/Form>>stream H  endstream endobj 1211 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1046 0 R/P 78 0 R/Rect[500.256 138.444 535.824 154.031]/Subtype/Widget/T(Check Box 568)/Type/Annot/V/Off>> endobj 1212 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1048 0 R/P 78 0 R/Rect[500.256 120.4 535.824 135.705]/Subtype/Widget/T(Check Box 567)/Type/Annot/V/Off>> endobj 1213 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1214 0 obj <>/Subtype/Form>>stream H  endstream endobj 1215 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1045 0 R/P 78 0 R/Rect[500.256 174.007 535.824 189.594]/Subtype/Widget/T(Check Box 569)/Type/Annot/V/Off>> endobj 1216 0 obj <>/Subtype/Form>>stream H  endstream endobj 1217 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1049 0 R/P 78 0 R/Rect[397.584 240.78 427.536 255.28]/Subtype/Widget/T(Check Box 715)/Type/Annot/V/Off>> endobj 1218 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1219 0 obj <>/Subtype/Form>>stream H  endstream endobj 1220 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK 1050 0 R/P 78 0 R/Q 0/Rect[174.296 233.4 392.752 262.66]/Subtype/Widget/T(Text Field 507)/Type/Annot>> endobj 1221 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1051 0 R/P 78 0 R/Rect[431.424 240.78 461.376 255.28]/Subtype/Widget/T(Check Box 716)/Type/Annot/V/Off>> endobj 1222 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PAn1| ,CU0R{jj/j$=1y} ]O;&TyEMM4Ԩ EP(v]A~Me{[Z Bc:Y0<䜐mNu0[*Ā:ɂtf}8"/آ7a٢z9QT9Ns!^Tu/~vă'M1n:PW4 ?gv;~]E;u5`OM endstream endobj 1223 0 obj <>/Subtype/Form>>stream H  endstream endobj 1224 0 obj <> endobj 1225 0 obj <> endobj 1226 0 obj <> endobj 1227 0 obj <> endobj 1228 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1229 0 obj <> endobj 1230 0 obj <> endobj 1231 0 obj <> endobj 1232 0 obj <> endobj 1233 0 obj <> endobj 1234 0 obj <> endobj 1235 0 obj <> endobj 1236 0 obj <> endobj 1237 0 obj <> endobj 1238 0 obj <> endobj 1239 0 obj <> endobj 1240 0 obj <> endobj 1241 0 obj <> endobj 1242 0 obj <> endobj 1243 0 obj <> endobj 1244 0 obj <> endobj 1245 0 obj <> endobj 1246 0 obj <> endobj 1247 0 obj <> endobj 1248 0 obj <> endobj 1249 0 obj <> endobj 1250 0 obj <> endobj 1251 0 obj <> endobj 1252 0 obj <> endobj 1253 0 obj <> endobj 1254 0 obj <> endobj 1255 0 obj <> endobj 1256 0 obj <> endobj 1257 0 obj <> endobj 1258 0 obj <> endobj 1259 0 obj <> endobj 1260 0 obj <> endobj 1261 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<>/Subtype/Form>>stream H  endstream endobj 1283 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1284 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1373 0 R/P 81 0 R/Rect[398.464 417.196 428.416 432.465]/Subtype/Widget/T(Check Box 474)/Type/Annot/V/Off>> endobj 1285 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$Kj@ D} ]`4ַ׳:d@! IUz6*?_f?t_?$m ri %z=+&,XJy*!,ֻ\I^Fa[Gl51uS 'Yñ3(Xı<97F0;t*N66XǷ *x"뤼8A#t&oH;dsSN\>;]&f{fJ7} 0OH endstream endobj 1286 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1287 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1378 0 R/P 81 0 R/Q 0/Rect[540.736 488.006 754.0 503.274]/Subtype/Widget/T(Text Field 476)/Type/Annot>> endobj 1288 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1380 0 R/P 81 0 R/Rect[500.704 434.819 536.272 450.406]/Subtype/Widget/T(Check Box 489)/Type/Annot/V/Off>> endobj 1289 0 obj <>/Subtype/Form>>stream H  endstream endobj 1290 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1379 0 R/P 81 0 R/Rect[500.704 399.255 536.272 414.842]/Subtype/Widget/T(Check Box 488)/Type/Annot/V/Off>> endobj 1291 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1292 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1293 0 obj <>/Subtype/Form>>stream H  endstream endobj 1294 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1295 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1296 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1362 0 R/P 81 0 R/Rect[398.296 342.787 428.248 358.374]/Subtype/Widget/T(Check Box 727)/Type/Annot/V/Off>> endobj 1297 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1298 0 obj <>/Subtype/Form>>stream H  endstream endobj 1299 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1300 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1331 0 R/P 81 0 R/Rect[466.552 342.787 496.504 358.374]/Subtype/Widget/T(Check Box 729)/Type/Annot/V/Off>> endobj 1301 0 obj <>/Subtype/Form>>stream H  endstream endobj 1302 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1321 0 R/P 81 0 R/Rect[432.136 342.787 462.088 358.374]/Subtype/Widget/T(Check Box 728)/Type/Annot/V/Off>> endobj 1303 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1304 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1414 0 R/P 81 0 R/Rect[432.448 488.006 462.4 503.274]/Subtype/Widget/T(Check Box 462)/Type/Annot/V/Off>> endobj 1305 0 obj <>/Subtype/Form>>stream H  endstream endobj 1306 0 obj <>/Subtype/Form>>stream H  endstream endobj 1307 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1308 0 obj <>/Subtype/Form>>stream H  endstream endobj 1309 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1342 0 R/P 81 0 R/Rect[398.608 506.013 428.56 521.6]/Subtype/Widget/T(Check Box 461)/Type/Annot/V/Off>> endobj 1310 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK 1416 0 R/P 81 0 R/Q 0/Rect[45.0 136.5 748.08 267.6]/Subtype/Widget/T(Text Field 473)/Type/Annot>> endobj 1311 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H;j1 {BXt"u*͂>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1337 0 R/P 81 0 R/Rect[432.448 470.45 462.4 486.036]/Subtype/Widget/T(Check Box 464)/Type/Annot/V/Off>> endobj 1313 0 obj <>/Subtype/Form>>stream H  endstream endobj 1314 0 obj <> endobj 1315 0 obj <>/Subtype/Form>>stream H  endstream endobj 1316 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1340 0 R/P 81 0 R/Rect[432.448 452.406 462.4 467.711]/Subtype/Widget/T(Check Box 463)/Type/Annot/V/Off>> endobj 1317 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1369 0 R/P 81 0 R/Q 0/Rect[540.736 369.5 754.0 396.516]/Subtype/Widget/T(Text Field 481)/Type/Annot>> endobj 1318 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1319 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1320 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1417 0 R/P 81 0 R/Rect[398.608 488.006 428.56 503.274]/Subtype/Widget/T(Check Box 458)/Type/Annot/V/Off>> endobj 1321 0 obj <> endobj 1322 0 obj <> endobj 1323 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1324 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1325 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1338 0 R/P 81 0 R/Rect[432.448 506.013 462.4 521.6]/Subtype/Widget/T(Check Box 465)/Type/Annot/V/Off>> endobj 1326 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1327 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1341 0 R/P 81 0 R/Rect[398.608 470.45 428.56 486.036]/Subtype/Widget/T(Check Box 460)/Type/Annot/V/Off>> endobj 1328 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1329 0 obj <>/Subtype/Form>>stream H  endstream endobj 1330 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1415 0 R/P 81 0 R/Rect[398.608 452.406 428.56 467.711]/Subtype/Widget/T(Check Box 459)/Type/Annot/V/Off>> endobj 1331 0 obj <> endobj 1332 0 obj <> endobj 1333 0 obj <> endobj 1334 0 obj <> endobj 1335 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1336 0 obj <> endobj 1337 0 obj <> endobj 1338 0 obj <> endobj 1339 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1340 0 obj <> endobj 1341 0 obj <> endobj 1342 0 obj <> endobj 1343 0 obj <>/Subtype/Form>>stream H  endstream endobj 1344 0 obj <>/Subtype/Form>>stream H  endstream endobj 1345 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1346 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1390 0 R/P 81 0 R/Rect[500.704 506.013 536.272 521.6]/Subtype/Widget/T(Check Box 473)/Type/Annot/V/Off>> endobj 1347 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1385 0 R/P 81 0 R/Rect[398.608 434.819 428.56 450.406]/Subtype/Widget/T(Check Box 477)/Type/Annot/V/Off>> endobj 1348 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1393 0 R/P 81 0 R/Rect[466.864 452.406 496.816 467.711]/Subtype/Widget/T(Check Box 467)/Type/Annot/V/Off>> endobj 1349 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1350 0 obj <>/Subtype/Form>>stream H  endstream endobj 1351 0 obj <>/Subtype/Form>>stream H  endstream endobj 1352 0 obj <>/ExtGState<>>>/Subtype/Form>>stream HPKn! s\`! FjWT:)ۧE;^GzD%u^NtQIXj] +vEP֙M6)Zt)O7*m'|L(guV pMɊ'Rv+.fhhj=%Z4Ylqgt+8++r*Ij0 Ot_3 Q+Φe m_gO endstream endobj 1353 0 obj <>/Subtype/Form>>stream H  endstream endobj 1354 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1355 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1356 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1376 0 R/P 81 0 R/Q 0/Rect[540.736 470.45 754.0 486.036]/Subtype/Widget/T(Text Field 478)/Type/Annot>> endobj 1357 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1358 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1375 0 R/P 81 0 R/Q 0/Rect[540.736 452.406 754.0 467.711]/Subtype/Widget/T(Text Field 477)/Type/Annot>> endobj 1359 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1360 0 obj <>/Subtype/Form>>stream H  endstream endobj 1361 0 obj <>/Subtype/Form>>stream H  endstream endobj 1362 0 obj <> endobj 1363 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H;j1 {BXt"u*͂>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1336 0 R/P 81 0 R/Rect[466.864 488.006 496.816 503.274]/Subtype/Widget/T(Check Box 466)/Type/Annot/V/Off>> endobj 1365 0 obj <> endobj 1366 0 obj <> endobj 1367 0 obj <> endobj 1368 0 obj <> endobj 1369 0 obj <> endobj 1370 0 obj <> endobj 1371 0 obj <> endobj 1372 0 obj <> endobj 1373 0 obj <> endobj 1374 0 obj <> endobj 1375 0 obj <> endobj 1376 0 obj <> endobj 1377 0 obj <> endobj 1378 0 obj <> endobj 1379 0 obj <> endobj 1380 0 obj <> endobj 1381 0 obj <> endobj 1382 0 obj <> endobj 1383 0 obj <> endobj 1384 0 obj <> endobj 1385 0 obj <> endobj 1386 0 obj <> endobj 1387 0 obj <> endobj 1388 0 obj <> endobj 1389 0 obj <>/Subtype/Form>>stream H  endstream endobj 1390 0 obj <> endobj 1391 0 obj <> endobj 1392 0 obj <> endobj 1393 0 obj <> endobj 1394 0 obj <> endobj 1395 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1396 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1365 0 R/P 81 0 R/Rect[467.128 375.215 497.08 390.802]/Subtype/Widget/T(Check Box 725)/Type/Annot/V/Off>> endobj 1397 0 obj <>/Subtype/Form>>stream H  endstream endobj 1398 0 obj <>/Subtype/Form>>stream H  endstream endobj 1399 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1400 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1314 0 R/P 81 0 R/Rect[432.712 375.215 462.664 390.802]/Subtype/Widget/T(Check Box 724)/Type/Annot/V/Off>> endobj 1401 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1402 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1368 0 R/P 81 0 R/Rect[398.872 375.215 428.824 390.802]/Subtype/Widget/T(Check Box 723)/Type/Annot/V/Off>> endobj 1403 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8392704/MK 1367 0 R/P 81 0 R/Q 0/Rect[171.968 336.4 394.144 364.761]/Subtype/Widget/T(Text Field 486)/Type/Annot>> endobj 1404 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1405 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1374 0 R/P 81 0 R/Q 0/Rect[540.736 506.013 754.0 521.6]/Subtype/Widget/T(Text Field 479)/Type/Annot>> endobj 1406 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1370 0 R/P 81 0 R/Q 0/Rect[540.736 336.4 754.0 364.761]/Subtype/Widget/T(Text Field 484)/Type/Annot>> endobj 1407 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1372 0 R/P 81 0 R/Q 0/Rect[540.736 434.819 754.0 450.406]/Subtype/Widget/T(Text Field 483)/Type/Annot>> endobj 1408 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1409 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1410 0 obj <>/Subtype/Form>>stream H  endstream endobj 1411 0 obj <>/Subtype/Form>>stream HPpuVr endstream endobj 1412 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1366 0 R/P 81 0 R/Q 0/Rect[540.592 417.196 753.856 432.465]/Subtype/Widget/T(Text Field 480)/Type/Annot>> endobj 1413 0 obj <>/BS<>/DA(/MinionPro-Regular 12 Tf 0 g)/F 4/FT/Tx/Ff 8388608/MK 1371 0 R/P 81 0 R/Q 0/Rect[540.736 399.255 754.0 414.842]/Subtype/Widget/T(Text Field 482)/Type/Annot>> endobj 1414 0 obj <> endobj 1415 0 obj <> endobj 1416 0 obj <> endobj 1417 0 obj <> endobj 1418 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1322 0 R/P 81 0 R/Rect[500.968 375.215 536.536 390.802]/Subtype/Widget/T(Check Box 726)/Type/Annot/V/Off>> endobj 1419 0 obj <>/Subtype/Form>>stream H  endstream endobj 1420 0 obj <>/Subtype/Form>>stream H  endstream endobj 1421 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1332 0 R/P 81 0 R/Rect[500.392 342.787 535.96 358.374]/Subtype/Widget/T(Check Box 730)/Type/Annot/V/Off>> endobj 1422 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1423 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1424 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1382 0 R/P 81 0 R/Rect[500.56 417.196 536.128 432.465]/Subtype/Widget/T(Check Box 486)/Type/Annot/V/Off>> endobj 1425 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1384 0 R/P 81 0 R/Rect[466.864 434.819 496.816 450.406]/Subtype/Widget/T(Check Box 485)/Type/Annot/V/Off>> endobj 1426 0 obj <>/Subtype/Form>>stream H  endstream endobj 1427 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? endstream endobj 1428 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1429 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1383 0 R/P 81 0 R/Rect[466.864 399.255 496.816 414.842]/Subtype/Widget/T(Check Box 484)/Type/Annot/V/Off>> endobj 1430 0 obj <>/Subtype/Form>>stream H  endstream endobj 1431 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1432 0 obj <>/Subtype/Form>>stream H  endstream endobj 1433 0 obj <>/Subtype/Form>>stream H  endstream endobj 1434 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1381 0 R/P 81 0 R/Rect[466.72 417.196 496.672 432.465]/Subtype/Widget/T(Check Box 482)/Type/Annot/V/Off>> endobj 1435 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1387 0 R/P 81 0 R/Rect[432.304 417.196 462.256 432.465]/Subtype/Widget/T(Check Box 478)/Type/Annot/V/Off>> endobj 1436 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1437 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1386 0 R/P 81 0 R/Rect[432.448 434.819 462.4 450.406]/Subtype/Widget/T(Check Box 481)/Type/Annot/V/Off>> endobj 1438 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1388 0 R/P 81 0 R/Rect[432.448 399.255 462.4 414.842]/Subtype/Widget/T(Check Box 480)/Type/Annot/V/Off>> endobj 1439 0 obj <>/Subtype/Form>>stream H  endstream endobj 1440 0 obj <>/Subtype/Form>>stream H  endstream endobj 1441 0 obj <>/Subtype/Form>>stream H  endstream endobj 1442 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȗo'w4dr/sJʠg>l< G &@en !, *] Px %-6gOLr/ݩ+ՁɁZ*ZTܧt>r$ED])Js]/ YԹN{{sl NLwWvre v X(ylYy"3N_ΤOu endstream endobj 1443 0 obj <>/Subtype/Form>>stream H  endstream endobj 1444 0 obj <>>>/AS/Off/BS<>/F 4/FT/Btn/Ff 0/H/P/MK 1377 0 R/P 81 0 R/Rect[398.608 399.255 428.56 414.842]/Subtype/Widget/T(Check Box 476)/Type/Annot/V/Off>> endobj 1445 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$PKj1 Ŏ..=@jC<2Ȓo'w4dq:%[e3v'k6M#VхZ27XҌC.a (<3'&9jTHجЀ*V ע>qzʑ2ZYt)()et9g4sgp NLwWNre `($+9Od=`έOu endstream endobj 1446 0 obj <>/ExtGState<>>>/Subtype/Form>>stream H$AjAD} /jۮ"# $RmP|3X|}]7I?t_?m*RJ6M8>*4ܨk= ؑG˙sCZG9@ + x*p0_poZxyjah f?"6g(fbY^WmrAs=&/p]ki<L $(pƉ8eilƺvSO~O? 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