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style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0mm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 4.95pt; WIDTH: 38.3pt; PADDING-RIGHT: 4.95pt; HEIGHT: 42.85pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0mm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt"
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style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0mm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 4.95pt; WIDTH: 133.9pt; PADDING-RIGHT: 4.95pt; HEIGHT: 42.85pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0mm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt"
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style="FONT-FAMILY: $B#D#FJ?@.L@D+BN(BW3; mso-hansi-font-family: '$B#M#S(B $BL@D+(B'"
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<TD
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<TD
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<TD
style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0mm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 4.95pt; WIDTH: 396pt; PADDING-RIGHT: 4.95pt; HEIGHT: 36.85pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0mm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt"
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style="FONT-FAMILY: $B#D#FJ?@.L@D+BN(BW3; mso-font-width: 200%"><FONT
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style="TEXT-INDENT: 105pt; MARGIN: 0mm 0mm 0pt; mso-char-indent-count: 5.0; mso-char-indent-size: 21.0pt"
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style="FONT-FAMILY: $B#D#FJ?@.L@D+BN(BW3; mso-hansi-font-family: '$B#M#S(B $BL@D+(B'"
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style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0mm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 4.95pt; WIDTH: 54pt; PADDING-RIGHT: 4.95pt; HEIGHT: 38.45pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0mm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt"
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style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: #ece9d8; PADDING-BOTTOM: 0mm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 4.95pt; WIDTH: 396pt; PADDING-RIGHT: 4.95pt; HEIGHT: 38.45pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0mm; mso-border-top-alt: solid windowtext 1.5pt; mso-border-left-alt: solid windowtext 1.5pt"
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<TD
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style="BORDER-BOTTOM: windowtext 1.5pt solid; BORDER-LEFT: windowtext 1.5pt solid; PADDING-BOTTOM: 0mm; BACKGROUND-COLOR: transparent; PADDING-LEFT: 4.95pt; WIDTH: 31.95pt; PADDING-RIGHT: 4.95pt; HEIGHT: 29.75pt; BORDER-TOP: #ece9d8; BORDER-RIGHT: windowtext 1.5pt solid; PADDING-TOP: 0mm; mso-border-top-alt: solid windowtext 1.5pt"
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