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\fs40\lang1054\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1054\insrsid5004275 \hich\af23\dbch\af23\loch\f23 
                                                                                                                                                      
\par }{\fcs1 \af22 \fcs0 \fs40\loch\af23\hich\af23\dbch\af23\insrsid5004275 \hich\af23\dbch\af23\loch\f23                           }{\fcs1 \af22 \fcs0 \fs12\loch\af23\hich\af23\dbch\af23\insrsid5004275 \hich\af23\dbch\af23\loch\f23               
\par }{\fcs1 \af22 \fcs0 \fs40\loch\af23\hich\af23\dbch\af23\insrsid5004275 \tab \tab \tab \tab }{\fcs1 \af22 \fcs0 \fs40\loch\af423\hich\af423\dbch\af23\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'e1\'ba\'ba\'c3\'d2\'c2\'a1\'d2\'c3}{\fcs1 \af22 \fcs0 
\fs40\lang1054\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1054\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'e1\'ca\'b4\'a7\'a1\'d2\'c3}{\fcs1 \af22 \fcs0 \fs40\loch\af423\hich\af423\dbch\af23\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'ca
\'e8\'a7\'e0\'a7\'d4\'b9\'ca\'c1\'b7\'ba}{\fcs1 \af22 \fcs0 \b0\fs40\lang1054\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1054\insrsid5004275 \hich\af23\dbch\af23\loch\f23  \tab                               \hich\af23\dbch\af23\loch\f23 
                                               }{\fcs1 \af22 \fcs0 \b0\fs40\lang1054\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1054\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'ca\'bb\'ca\loch\f423 \hich\f423 .1-10(\'ca\'e8\'c7\'b9\'b7\'d5\'e8
\loch\f423  1)
\par }\pard\plain \ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \insrsid5004275 
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\tx9360\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 
\loch\af423\dbch\af1\hich\f423 \'aa\'d7\'e8\'cd\'ca\'b6\'d2\'b9\'bb\'c3\'d0\'a1\'cd\'ba\'a1\'d2\'c3\loch\f423   }{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 <<company>>\tab }{\fcs1 \af22 \fcs0 
\b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'e0\'c5\'a2\'b7\'d5\'e8\'ba\'d1\'ad\'aa\'d5}{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \tab \hich\af23\dbch\af1\loch\f23 <<sec_soc_id>>
\par }\pard \s27\ql \li0\ri0\nowidctlpar\tx9350\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'aa\'d7\'e8\'cd\'ca\'d2\'a2\'d2\loch\f423 \hich\f423 (
\'b6\'e9\'d2\'c1\'d5\loch\f423 )  }{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 <<branch>>\tab }{\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 
\'c5\loch\af423\dbch\af1\hich\f423 \'d3\'b4\'d1\'ba\'b7\'d5\'e8\'ca\'d2\'a2\'d2}{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \tab \hich\af23\dbch\af1\loch\f23 <<sec_soc_no>>
\par }{\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'b7\'d5\'e8\'b5\'d1\'e9\'a7\'ca\'d3\'b9\'d1\'a1\'a7\'d2\'b9\'e3\'cb\'ad\'e8\loch\f423      }{\fcs1 \af22 \fcs0 
\f23\fs24\lang1033\langfe1024\langnp1033\insrsid5004275 \hich\af23\dbch\af1\loch\f23    }{\fcs1 \af22 \fcs0 \f423\fs24\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'cd\'d2\'a4\'d2\'c3\loch\f423 \hich\f423   <<village>>   
\'aa\'d1\'e9\'b9\loch\f423 \hich\f423   <<floor>>  \'e0\'c5\'a2\'b7\'d5\'e8\loch\f423 \hich\f423    <<addr>>  \'cb\'c1\'d9\'e8\'b7\'d5\'e8\loch\f423 \hich\f423   <<moo>>  \'b6\'b9\'b9\loch\f423   <<road>> }{\fcs1 \af22 \fcs0 
\f23\lang1033\langfe1024\langnp1033\insrsid5004275 \tab }{\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'cd\'d1\'b5\'c3\'d2\'e0\'a7\'d4\'b9\'ca\'c1\'b7\'ba\'c3\'e9\'cd\'c2\'c5\'d0}{\fcs1 \af22 
\fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \hich\af23\dbch\af1\loch\f23  \tab 5<<csoc_rate>>\tab 
\par }\pard \s27\ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \tab \tab \hich\af23\dbch\af23\loch\f23           }{\fcs1 \af22 \fcs0 
\fs24\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'b5\'d3\'ba\'c5\loch\f423 \hich\f423 /\'e1\'a2\'c7\'a7\loch\f423 \hich\f423   <<district>>   \'cd\'d3\'e0\'c0\'cd\loch\f423 \hich\f423 /
\'e0\'a2\'b5\loch\f423 \hich\f423    <<amphur>>    \'a8\'d1\'a7\'cb\'c7\'d1\'b4\loch\f423    }{\fcs1 \af22 \fcs0 \fs24\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 <<province>>   }{\fcs1 \af22 
\fcs0 \fs24\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c3\'cb\'d1\'ca\'e4\'bb\'c3\'c9\'b3\'d5\'c2\'ec\loch\f423  <<zipcode>>
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \s27\ql \li0\ri0\nowidctlpar\tx9360\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'aa\'d7\'e8\'cd\'ca\'b6\'d2\'b9\'bb\'c3\'d0\'a1\'cd\'ba\'a1\'d2\'c3
\loch\f423   }{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 <<company>>\tab }{\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'e0\'c5\'a2\'b7\'d5
\'e8\'ba\'d1\'ad\'aa\'d5}{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \tab \hich\af23\dbch\af1\loch\f23 <<sec_soc_id>>
\par }\pard \s27\ql \li0\ri0\nowidctlpar\tx9350\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'aa\'d7\'e8\'cd\'ca\'d2\'a2\'d2\loch\f423 \hich\f423 (
\'b6\'e9\'d2\'c1\'d5\loch\f423 )  }{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 <<branch>>\tab }{\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 
\'c5\loch\af423\dbch\af1\hich\f423 \'d3\'b4\'d1\'ba\'b7\'d5\'e8\'ca\'d2\'a2\'d2}{\fcs1 \af22 \fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \tab \hich\af23\dbch\af1\loch\f23 <<sec_soc_no>>
\par }{\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'b7\'d5\'e8\'b5\'d1\'e9\'a7\'ca\'d3\'b9\'d1\'a1\'a7\'d2\'b9\'e3\'cb\'ad\'e8\loch\f423      }{\fcs1 \af22 \fcs0 
\f23\fs24\lang1033\langfe1024\langnp1033\insrsid5004275 \hich\af23\dbch\af1\loch\f23    }{\fcs1 \af22 \fcs0 \f423\fs24\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'cd\'d2\'a4\'d2\'c3\loch\f423 \hich\f423   <<village>>   
\'aa\'d1\'e9\'b9\loch\f423 \hich\f423   <<floor>>  \'e0\'c5\'a2\'b7\'d5\'e8\loch\f423 \hich\f423    <<addr>>  \'cb\'c1\'d9\'e8\'b7\'d5\'e8\loch\f423 \hich\f423   <<moo>>  \'b6\'b9\'b9\loch\f423   <<road>> }{\fcs1 \af22 \fcs0 
\f23\lang1033\langfe1024\langnp1033\insrsid5004275 \tab }{\fcs1 \af22 \fcs0 \b\f423\lang1033\langfe1024\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 \'cd\'d1\'b5\'c3\'d2\'e0\'a7\'d4\'b9\'ca\'c1\'b7\'ba\'c3\'e9\'cd\'c2\'c5\'e8\'d0}{\fcs1 \af22 
\fcs0 \f23\lang1033\langfe1024\langnp1033\insrsid5004275 \hich\af23\dbch\af1\loch\f23  \tab 5<<csoc_rate>>\tab 
\par }\pard \s27\ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \tab \tab \hich\af23\dbch\af23\loch\f23           }{\fcs1 \af22 \fcs0 
\fs24\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'b5\'d3\'ba\'c5\loch\f423 \hich\f423 /\'e1\'a2\'c7\'a7\loch\f423 \hich\f423   <<district>>   \'cd\'d3\'e0\'c0\'cd\loch\f423 \hich\f423 /
\'e0\'a2\'b5\loch\f423 \hich\f423    <<amphur>>    \'a8\'d1\'a7\'cb\'c7\'d1\'b4\loch\f423    }{\fcs1 \af22 \fcs0 \fs24\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423 <<province>>   }{\fcs1 \af22 
\fcs0 \fs24\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c3\'cb\'d1\'ca\'e4\'bb\'c3\'c9\'b3\'d5\'c2\'ec\loch\f423  <<zipcode>>
\par }}\dpx-11\dpy290\dpxsize15691\dpysize1615\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew1\dplinecor0\dplinecog0\dplinecob0}}}}{\fcs1 \af22 \fcs0 
\fs28\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 
\par }\pard\plain \s27\ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\b\lang1033\langfe1024\langnp1033\insrsid5004275 
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\langnp1033\insrsid5004275 
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 
\par 
\par \sect }\sectd \lndscpsxn\sbknone\linex0\cols2\colsx709\endnhere\sectdefaultcl\sftntj \trowd \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrs\brdrw2\brdrcf1 \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth7480\clshdrawnil \cellx7498\pard\plain \s29\qc \li0\ri0\keepn\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 
\b\fs36\lang1033\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp1033\langfenp1024 {\fcs1 \af22 \fcs0 \loch\af423\hich\af423\dbch\af23\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'a1\'d2\'c3\'b9\'d3\'ca\'e8\'a7\'e0\'a7\'d4\'b9\'ca\'c1\'b7\'ba\'ca
\'d3\'cb\'c3\'d1\'ba\'a4\'e8\'d2\'a8\'e9\'d2\'a7\'e0\'b4\'d7\'cd\'b9\loch\f423   }{\fcs1 \af22 \fcs0 \b0\loch\af23\hich\af23\dbch\af23\insrsid5004275 \loch\af423\dbch\af1\hich\f423 <<period_month>>}{\fcs1 \af22 \fcs0 
\b0\fs28\loch\af23\hich\af23\dbch\af23\insrsid5004275 \hich\af23\dbch\af23\loch\f23  }{\fcs1 \af22 \fcs0 \b0\fs28\loch\af423\hich\af423\dbch\af23\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'be\loch\f423 \hich\f423 .\'c8\loch\f423 . <<period_year>>
\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \trowd \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrs\brdrw2\brdrcf1 \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth7480\clshdrawnil \cellx7498\row }\trowd \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4965\clshdrawnil 
\cellx4983\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2515\clshdrawnil \cellx7498\pard\plain 
\s27\qc \li0\ri0\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c3\'d2\'c2\'a1\'d2\'c3\cell \loch\af423\dbch\af23\hich\f423 \'a8\'d3\'b9\'c7\'b9\'e0\'a7\'d4\'b9\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \trowd \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth4965\clshdrawnil \cellx4983\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2515\clshdrawnil \cellx7498\row {\pntext\pard\plain
\s27 \intbl\fcs1 \af22\afs20 \fcs0 \lang255\langfe1024\loch\af1\hich\af1\dbch\af1\langnp255\langfenp1024 \hich\af1\dbch\af1\loch\f1 1.\tab}}\pard\plain \s27\ql \fi-360\li360\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0
\pndec\pnf1\pnfs24\pnstart1\pnindent360\pnsp120\pnhang {\pntxta .}}\hyphpar0\aspnum\faauto\ls1\adjustright\rin0\lin360 \fcs1 \af22\afs20\alang1054 \fcs0 \fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'e0\'a7\'d4\'b9\'a4\'e8\'d2\'a8\'e9\'d2\'a7\'b7\'d1\'e9\'a7\'ca\'d4\'e9\'b9
\par {\pntext\pard\plain\s27 \intbl\fcs1 \af22\afs20 \fcs0 \lang255\langfe1024\loch\af1\hich\af1\dbch\af1\langnp255\langfenp1024 \hich\af1\dbch\af1\loch\f1 2.\tab}}\pard \s27\ql \fi-360\li360\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0
\pndec\pnf1\pnfs24\pnstart1\pnindent360\pnsp120\pnhang {\pntxta .}}\hyphpar0\aspnum\faauto\ls1\adjustright\rin0\lin360 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'e0
\'a7\'d4\'b9\'ca\'c1\'b7\'ba\'bc\'d9\'e9\'bb\'c3\'d0\'a1\'d1\'b9\'b5\'b9
\par {\pntext\pard\plain\s27 \intbl\fcs1 \af22\afs20 \fcs0 \lang255\langfe1024\loch\af1\hich\af1\dbch\af1\langnp255\langfenp1024 \hich\af1\dbch\af1\loch\f1 3.\tab}}\pard \s27\ql \fi-360\li360\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0
\pndec\pnf1\pnfs24\pnstart1\pnindent360\pnsp120\pnhang {\pntxta .}}\hyphpar0\aspnum\faauto\ls1\adjustright\rin0\lin360 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'e0
\'a7\'d4\'b9\'ca\'c1\'b7\'ba\'b9\'d2\'c2\'a8\'e9\'d2\'a7
\par {\pntext\pard\plain\s27 \intbl\fcs1 \af22\afs20 \fcs0 \lang255\langfe1024\loch\af1\hich\af1\dbch\af1\langnp255\langfenp1024 \hich\af1\dbch\af1\loch\f1 4.\tab}}\pard \s27\ql \fi-360\li360\ri0\nowidctlpar\intbl{\*\pn \pnlvlbody\ilvl0\ls1\pnrnot0
\pndec\pnf1\pnfs24\pnstart1\pnindent360\pnsp120\pnhang {\pntxta .}}\hyphpar0\aspnum\faauto\ls1\adjustright\rin0\lin360 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c3
\'c7\'c1\'e0\'a7\'d4\'b9\'ca\'c1\'b7\'ba\'b7\'d5\'e8\'b9\'d3\'ca\'e8\'a7\'b7\'d1\'e9\'a7\'ca\'d4\'e9\'b9\cell }\pard \s27\qr \li0\ri0\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23 <<sumcalsoc>> }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 
\loch\af423\dbch\af23\hich\f423 \'ba\'d2\'b7
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23 <<sumsoc>> }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 
\loch\af423\dbch\af23\hich\f423 \'ba\'d2\'b7
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23 <<sumcsoc>> }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 
\loch\af423\dbch\af23\hich\f423 \'ba\'d2\'b7
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23 <<summary>> }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 
\loch\af423\dbch\af23\hich\f423 \'ba\'d2\'b7\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {
\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \trowd \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth4965\clshdrawnil \cellx4983\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth2515\clshdrawnil \cellx7498\row }\trowd 
\ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth7480\clshdrawnil \cellx7498\pard\plain 
\s27\ql \li0\ri0\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af1\hich\f423  (<<summary_t>>)\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \trowd \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth7480\clshdrawnil \cellx7498\row }\trowd \lastrow \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb
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\cltxlrtb\clftsWidth3\clwWidth2515\clshdrawnil \cellx7498\pard\plain \s27\ql \li0\ri0\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23 5.  }{\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'a8\'d3\'b9\'c7\'b9\'bc\'d9\'e9\'bb\'c3\'d0\'a1\'d1\'b9\'b5\'b9\'b7\'d5\'e8\'ca\'e8\'a7\'e0\'a7\'d4\'b9\'ca\'c1\'b7\'ba\cell }\pard 
\s27\qr \li0\ri0\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23 <<emp_count>> }{\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'a4\'b9\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \trowd \lastrow \ts11\trleft18\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4965\clshdrawnil \cellx4983\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth2515\clshdrawnil \cellx7498\row }\pard\plain \s27\ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'a2\'e9\'d2\'be\'e0\'a8\'e9\'d2\'a2\'cd\'c3
\'d1\'ba\'c3\'cd\'a7\'c7\'e8\'d2\'c3\'d2\'c2\'a1\'d2\'c3\'b7\'d5\'e8\'e1\'a8\'e9\'a7\'e4\'c7\'e9\'e0\'bb\'e7\'b9\'c3\'d2\'c2\'a1\'d2\'c3\'b7\'d5\'b6\'d9\'a1\'b5\'e9\'cd\'a7\'a4\'c3\'ba\'b6\'e9\'c7\'b9\'e1\'c5\'d0\'e0\'bb\'e7\'b9\'a8\'c3\'d4\'a7\'b7\'d8
\'a1\'bb\'c3\'d0\'a1\'d2\'c3\loch\f423  
\par \loch\af423\dbch\af23\hich\f423 \'be\'c3\'e9\'cd\'c1\'b9\'d5\'e9\'e4\'b4\'e9\'e1\'b9\'ba
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23        }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 
\loch\af423\dbch\af23\hich\f423 \'c3\'d2\'c2\'c5\'d0\'e0\'cd\'d5\'c2\'b4\'a1\'d2\'c3\'b9\'d3\'ca\'e8\'a7\'e0\'a7\loch\af423\dbch\af23\hich\f423 \'d4\'b9\'ca\'c1\'b7\'ba\tab \tab \'a8\'d3\'b9\'c7\'b9\tab \loch\f423 \hich\f423 _______ \'e1\'bc\'e8\'b9
\loch\f423 \hich\f423  \'cb\'c3\'d7\'cd\loch\f423  
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23        }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 
\loch\af423\dbch\af23\hich\f423 \'e1\'bc\'e8\'b9\'a8\'d2\'b9\'e1\'c1\'e8\'e0\'cb\'c5\'e7\'a1\loch\f423  \tab \tab \tab \hich\f423 \'a8\'d3\'b9\'c7\'b9\loch\f423 \hich\f423     _______ \'e1\'bc\'e8\'b9
\par }{\fcs1 \af22 \fcs0 \insrsid5004275 {\shp{\*\shpinst\shpleft624\shptop178\shpright1793\shpbottom1347\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz2\shplid1028
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0b080101010001010101010200000101010814011401010e0601010201011101010101080111110111010707010501010a0104020105011b0113080107040901
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01010101010101010101010101010103010b000e1d01011e01130107010b0b0b0b0b0b0b0b0b0b0b0b0b0b0b0b0b01011f011401200100000002110c01010101
0101010101010101010101010000010101010101010101010101010101010113010b010112000001010109010a0901010101010101010101010101010101011c
01010b0118190103010106010c01010101010101010101010101010100000101010101010101010101010101010107011701010b010101181908010109010b0b
0b0b0b0b0b0b0b0b0b0b0b0b0b0b0101110d1a00010504011b030101011101010101010101010101010101010000010101010101010101010101010101010111
01131411070b110303150000010d0101010101010101010101010101010101001600010101010901010114010601010101010101010101010101010100000101
01010101010101010101010101010b010c0404010d01020101010501000e0f0f0f0f0f0f0f0f0f0f0f0f0f0f0f0f1001010108010111011201040a0401010101
010101010101010101010101000001010101010101010101010101010101010201010304010501050607010801010404040404040404040404040404040409010301010a01050301060101010b0901010101010101010101010101010000040000002701ffff030000000000}\par}}}{\fcs1 \af22 \fcs0 
\lang1033\langfe1024\langnp1033\insrsid5004275 \tab \tab \tab }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c5\'a7\'aa\'d7\'e8\'cd\loch\f423 \hich\f423 
  ___________________________ \'b9\'d2\'c2\'a8\'e9\'d2\'a7\loch\f423 \hich\f423 / \'bc\'d9\'e9\'c3\'d1\'ba\'c1\'cd\'ba\'cd\'d3\'b9\'d2\'a8\tab 
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \tab \tab \tab \hich\af23\dbch\af23\loch\f23           (__________________________)
\par \tab \tab \tab }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'b5\'d3\'e1\'cb\'b9\'e8\'a7\loch\f423  ____________________________________________
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \tab \tab \tab }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c2\'d7\'e8
\'b9\'e1\'ba\'ba\'c7\'d1\loch\af423\dbch\af23\hich\f423 \'b9\'b7\'d5\'e8\loch\f423 \hich\f423  ____ \'e0\'b4\'d7\'cd\'b9\loch\f423 \hich\f423  ___________________\'be\loch\f423 \hich\f423 .\'c8\loch\f423 . ________\tab 
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 
\par 
\par 
\par 
\par }\trowd \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrs\brdrw2\brdrcf1 \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\pard\plain 
\s28\qc \li0\ri0\keepn\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \b\fs36\lang1033\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp1033\langfenp1024 {\fcs1 \af22 \fcs0 
\loch\af423\hich\af423\dbch\af23\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'ca\'d3\'cb\'c3\'d1\'ba\'e0\'a8\'e9\'d2\'cb\'b9\'e9\'d2\'b7\'d5\'e8\'ca\'d3\'b9\'d1\'a1\'a7\'d2\'b9\'bb\'c3\'d0\'a1\'d1\'b9\'ca\'d1\'a7\'a4\'c1\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \trowd \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrs\brdrw2\brdrcf1 \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\row }\trowd \lastrow \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\pard\plain \s27\ql \li0\ri0\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'aa\'d3\'c3\'d0\'e0\'a7\'d4\'b9\'c7\'d1\'b9
\'b7\'d5\'e8\loch\f423  __________________________________________
\par \loch\af423\dbch\af23\hich\f423 \'e0\'a7\'d4\'b9\'e0\'be\'d4\'e8\'c1\loch\f423 \hich\f423  (\'b6\'e9\'d2\'c1\'d5\loch\f423 \hich\f423 ) _____________________\'ba\'d2\'b7\loch\f423 \hich\f423  ___________ \'ca\'b5\'d2\'a7\'a4\'ec
\par \loch\af423\dbch\af23\hich\f423 \'e3\'ba\'e0\'ca\'c3\'e7\'a8\'e0\'c5\'a2\'b7\'d5\'e8\loch\f423  ______________________________}{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23 
______________
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c5\'a7\'aa\'d7\'e8\'cd\loch\f423  __________________________________________________
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23       (_____________________________________________)\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\langnp1033\insrsid5004275 
\trowd \lastrow \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\row }\pard\plain 
\s27\ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\langnp1033\insrsid5004275 
\par \tab \tab \tab \tab 
\par }\trowd \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrs\brdrw2\brdrcf1 \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\pard\plain 
\s29\qc \li0\ri0\keepn\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \b\fs36\lang1033\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp1033\langfenp1024 {\fcs1 \af22 \fcs0 
\loch\af423\hich\af423\dbch\af23\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'ca\'d3\'cb\'c3\'d1\'ba\'e0\'a8\'e9\'d2\'cb\'b9\'e9\'d2\'b7\'d5\'e8\'b8\'b9\'d2\'a4\'d2\'c3\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \trowd \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrs\brdrw2\brdrcf1 \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\row }\trowd \lastrow \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\pard\plain \s27\ql \li0\ri0\nowidctlpar\intbl\hyphpar0\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'aa\'d3\'c3\'d0\'e0\'a7\'d4\'b9\'c7\'d1\'b9
\'b7\'d5\'e8\loch\f423  _____________________________________________
\par \loch\af423\dbch\af23\hich\f423 \'e3\'ba\'e0\'ca\'c3\'e7\'a8\'c3\'d1\'ba\'e0\'a7\'d4\'b9\'e0\'c5\'a2\'b7\'d5\'e8\loch\f423  _______________}{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 
\hich\af23\dbch\af23\loch\f23 _________________________
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'bb\'c3\'d0\'b7\'d1\'ba\'b5\'c3\'d2\'b8\'b9\'d2\'a4\'d2\'c3\loch\f423  
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af423\hich\af423\dbch\af23\langnp1033\insrsid5004275 \loch\af423\dbch\af23\hich\f423 \'c5\'a7\'aa\'d7\'e8\'cd\loch\f423   ___________________________________________________
\par }{\fcs1 \af22 \fcs0 \lang1033\langfe1024\loch\af23\hich\af23\dbch\af23\langnp1033\insrsid5004275 \hich\af23\dbch\af23\loch\f23         (___________________________________________________)\cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \lang1033\langfe1024\langnp1033\insrsid5004275 
\trowd \lastrow \ts11\trleft993\trftsWidth1 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw2\brdrcf1 \clbrdrb\brdrs\brdrw2\brdrcf1 \clbrdrr\brdrs\brdrw2\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth6506\clshdrawnil \cellx7499\row }\pard\plain 
\s27\ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 \fs28\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 
\lang1033\langfe1024\langnp1033\insrsid5004275 \sect }\sectd \lndscpsxn\sbknone\linex0\endnhere\sectdefaultcl\sftntj \pard\plain \ql \li0\ri0\nowidctlpar\hyphpar0\aspnum\faauto\adjustright\rin0\lin0\itap0 \fcs1 \af22\afs20\alang1054 \fcs0 
\fs24\lang255\langfe1024\loch\af1\hich\af1\dbch\af1\cgrid\langnp255\langfenp1024 {\fcs1 \af22 \fcs0 \insrsid5004275 
\par }}