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fffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7ffff00fffffff7fffffffffffffffffffffff7ffffffffffffffffffff
fff7fffffffffffffffffffffff7ffffffffffffffffc6cec67b84848c948ca5a59cc6cec6d6d6ceffffffdee7deced6cee7e7deced6c694949cffffff7b8484
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fffffff7ffffffffffffffffffffffffffffd6dede6b73735a5a5a9c9c94ced6c6b5bdb5adb5a5b5b5adbdb5adadadadadb5a5adb5a5bdbdb5b5bdadadb5a5b5
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fffffffffffffff7ffffffffff00f7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7ff
fffffffff7fffffffffff7fffffffffff7f7f7bdbdb584847b5a635a636b637b8c848c9c949cada59cadad9ca59c8c948c73847b52635a52635a848484ced6ce
fffffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7ffffff
fffff7ffff00fffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffffffff
fffffffffff7ffffffffffffffffffffffffffffffffffe7e7ded6d6c6c6c6b5c6bdb5c6c6b5dedeceefefe7fffffffffffffffffff7ffffffffffffffffffff
fff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffffffffffffffffff00f7ff
fffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7ffffffffff
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fffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7ffff00fffffffffffffffffff7
fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffff
fffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffffffffffff
fffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffffff000c00000040092900aa0000000000000038003d0000000000040000002701ffff030000000000}\par}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid3411255 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid3411255 STATE OF NEW JERSEY
\par }\pard\plain \ltrpar\s1\qc \li0\ri0\sb120\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid3411255 PAYMENT VOUCHER
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\fs18\insrsid3411255\charrsid7942971 (INVOICE)\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid3411255 \cell MACSE
\par DOCUMENT NUMBER\cell \cell ACTG
\par PER\cell FY\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid3411255 \trowd \irow0\irowband0\ltrrow
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\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1098 \cellx990\clvmgf\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2610\clpadt14\clpadr14\clpadft3\clpadfr3 \cellx3600
\clvmgf\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440 \cellx5040\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth2880 \cellx7920\clvmgf\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1170 \cellx9090\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth990 \cellx10080\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth630 \cellx10710\row \ltrrow
}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh288\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1098 \cellx990\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2610 \cellx3600\clvmrg\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1440 \cellx5040\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2880 
\cellx7920\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1170 \cellx9090\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth990 \cellx10080\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth630 \cellx10710\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid3411255 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid3411255 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3411255 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 
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{\*\ffname Text125}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\lang1024\langfe1024\noproof\insrsid7436461 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 
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0000000014000000075465787431303900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text109}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3411255 \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3411255 {\*\bkmkend Text109}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3411255  FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3411255 {\*\datafield 00000400000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen4}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3411255 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid3411255 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid3411255 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trrh288\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth1098 \cellx990\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2610 \cellx3600\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 
\clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1440 \cellx5040\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2880 \cellx7920\clvmrg\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1170 \cellx9090\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth990 
\cellx10080\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth630 \cellx10710\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trrh144\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth1098 \cellx990\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2610 \cellx3600\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clpadt43\clpadr43\clpadft3\clpadfr3 \cellx5040\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth2880\clpadt43\clpadr43\clpadft3\clpadfr3 \cellx7920\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1170\clpadt43\clpadr43\clpadft3\clpadfr3 \cellx9090
\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth990 \cellx10080\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth630 \cellx10710\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid3411255 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid3411255 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid3411255 \cell \cell \cell \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3411255 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs15\insrsid3411255 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trrh144\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl 
\clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1098 \cellx990\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2610 \cellx3600
\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clpadt43\clpadr43\clpadft3\clpadfr3 \cellx5040\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth2880\clpadt43\clpadr43\clpadft3\clpadfr3 \cellx7920\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1170\clpadt43\clpadr43\clpadft3\clpadfr3 \cellx9090
\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth990 \cellx10080\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth630 \cellx10710\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh211\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 
\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1098 \cellx990\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth2610 \cellx3600\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1620 \cellx5220\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1518 \cellx6738\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540 \cellx7278\clvertalb\clbrdrt\brdrs\brdrw5 
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\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 
{\*\datafield 00000200000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid2116433 \u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 
{\*\datafield 0000020000000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid2116433 \u8194\'20\u8194\'20}}}
\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid2116433 {\*\datafield 0000020000000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid2116433 \u8194
\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid2116433 {\*\datafield 00000100000000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen1}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid2116433 \u8194\'20}}}
\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid2116433 {\*\datafield 0000020000000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid2116433 \u8194
\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid2116433 {\*\datafield 0000020000000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid2116433 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0\afs17 
\ltrch\fcs0 \fs17\insrsid2116433 {\*\bkmkstart Text124} FORMTEXT }{\rtlch\fcs1 \af0\afs17 \ltrch\fcs0 \fs17\insrsid2116433\charrsid1854790 {\*\datafield 0000000014000000075465787431323400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20
{\*\ffname Text124}}}}}{\fldrslt {\rtlch\fcs1 \af0\afs17 \ltrch\fcs0 \fs17\lang1024\langfe1024\noproof\insrsid2116433 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 
\af0\afs16 \ltrch\fcs0 \fs16\insrsid2116433\charrsid1854790 {\*\bkmkend Text124}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid2116433 
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trrh519\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1098 \cellx990\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2610 \cellx3600\clvertalc\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth607 \cellx4207\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth563 \cellx4770
\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth472 \cellx5242\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth518 \cellx5760\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540 \cellx6300\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth450 \cellx6750\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540 \cellx7290\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth630 \cellx7920\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth270 \cellx8190\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth450 \cellx8640\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth450 \cellx9090\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1620\clpadt86\clpadr58\clpadft3\clpadfr3\clcbpatraw18 \cellx10710\row \ltrrow}\trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trrh171\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw5 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1548\clcbpatraw18 \cellx1440\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw18 \cellx2880
\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1890\clcbpatraw18 \cellx4770\clvmgf\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 
\clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw18 \cellx8190\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw18 
\cellx10710\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs15 \ltrch\fcs0 \fs15\insrsid7942971 Agreement Date (B)}{\rtlch\fcs1 \af0\afs15 \ltrch\fcs0 
\fs15\insrsid7942971\charrsid7942971 \cell }{\rtlch\fcs1 \af0\afs15 \ltrch\fcs0 \fs15\insrsid7942971 Agreement No. (B)}{\rtlch\fcs1 \af0\afs15 \ltrch\fcs0 \fs15\insrsid7942971\charrsid7942971 \cell }{\rtlch\fcs1 \af0\afs15 \ltrch\fcs0 
\fs15\insrsid7942971 Contract ID # (B)}{\rtlch\fcs1 \af0\afs15 \ltrch\fcs0 \fs15\insrsid7942971\charrsid7942971 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\fs16\insrsid7942971\charrsid7362067 PAYEE:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 \tab }{
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\fs16\insrsid7942971 SEE INSTRUCTIONS FOR
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\keepn\widctlpar\intbl\tx1152\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \insrsid7942971 \tab COMPLETING ITEMS
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\tx1332\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\fs16\insrsid7942971 \tab (A) THROUGH (H)\cell }\pard \ltrpar\ql \li252\ri0\widctlpar\intbl\tx702\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin252 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 C\tab TOTAL AMOUNT\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trrh171\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw5 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1548\clcbpatraw18 \cellx1440\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw18 \cellx2880
\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1890\clcbpatraw18 \cellx4770\clvmgf\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 
\clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw18 \cellx8190\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw18 
\cellx10710\row \ltrrow}\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh277\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1548\clcbpatraw18 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw18 \cellx2880\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1890\clcbpatraw18 \cellx4770\clvmrg\clvertalb
\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw18 \cellx8190\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr
\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw18 \cellx10710\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid7942971 {\*\bkmkstart Text3} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\datafield 000000001400000005546578743300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text3}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid7942971 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 
{\*\bkmkend Text3}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\bkmkstart Text4} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\datafield 000000001400000005546578743400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text4}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid7942971 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\bkmkend Text4}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\bkmkstart Text123} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs16\insrsid15219247\charrsid7942971 {\*\datafield 0000000014000000075465787431323300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text123}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\lang1024\langfe1024\noproof\insrsid7942971 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\bkmkend Text123}\cell \cell }
{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\bkmkstart Text7} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\datafield 000000001400000005546578743700000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text7}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid7942971 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7942971 {\*\bkmkend Text7}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs16\insrsid7942971 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh277\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1548\clcbpatraw18 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw18 \cellx2880\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1890\clcbpatraw18 \cellx4770\clvmrg\clvertalb
\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw18 \cellx8190\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr
\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw18 \cellx10710\row \ltrrow}\trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trrh1548\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr
\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4878\clcbpatraw18 \cellx4770\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth5940\clcbpatraw18 \cellx10710
{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 \hich\af0\dbch\af0\loch\f0 (D)\tab}\pard \ltrpar\ql \fi-540\li1440\ri0\widctlpar\intbl\jclisttab\tx1440\wrapdefault\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin1440 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 PAYEE NAME AND ADDRESS
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\tx450\tx1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text111} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid3765200 {\*\datafield 0000000014000000075465787431313100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text111}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text111}\cell {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid3765200 \hich\af0\dbch\af0\loch\f0 (E)\tab}}\pard \ltrpar\ql \fi-558\li1440\ri0\widctlpar\intbl\jclisttab\tx1440\wrapdefault\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin1440 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
SEND COMPLETED FORM TO:
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text112} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid3765200 {\*\datafield 0000000014000000075465787431313200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text112}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text112}\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid3765200 \trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trrh1548\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr
\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4878\clcbpatraw18 \cellx4770\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth5940\clcbpatraw18 \cellx10710
\row \ltrrow}\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trrh594\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl
\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4680\clcbpatraw18 \cellx10710{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \hich\af0\dbch\af0\loch\f0 (F)\tab}\pard \ltrpar\ql \fi-450\li450\ri0\sb120\widctlpar\intbl
\jclisttab\tx450\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin450 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 PAYEE DECLARATIONS
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 
I CERTIFY THAT THE WITHIN PAYMENT VOUCHER IS CORRECT IN ALL ITS PARTICULARS.  THAT THE DESCRIBED GOODS OR SERVICES >> >> >> 
\par HAVE BEEN RENDERED AND THAT NO BONUS HAS BEEN GIVEN OR RECEIVED ON ACCOUNT OF SAID DOCUMENT\cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trrh594\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 
\clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4680\clcbpatraw18 \cellx10710\row \ltrrow}\trowd \irow10\irowband10\ltrrow
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\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4680\clcbpatraw18 \cellx10710{\listtext\pard\plain\ltrpar 
\intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \hich\af0\dbch\af0\loch\f0 (F)\tab}\pard \ltrpar\ql \fi-720\li720\ri0\widctlpar\intbl\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs17\insrsid3765200 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 PAYEE SIGNATURE\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trrh44\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4680\clcbpatraw18 \cellx10710\row \ltrrow
}\trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trrh462\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw18 \cellx8730
\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth450\clcbpatraw18 \cellx9180\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw18 \cellx10710{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \hich\af0\dbch\af0\loch\f0 (F)\tab}\pard \ltrpar\ql \fi-720\li720\ri0\widctlpar\intbl
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 {\*\bkmkstart Text8} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 {\*\datafield 000000001400000005546578743800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text8}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 {\*\bkmkend Text8}\cell \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 {\*\bkmkstart Text9} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 {\*\datafield 000000001400000005546578743900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text9}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs17\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 {\*\bkmkend Text9}\cell 
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trrh462\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw18 \cellx8730\clvmgf\clvertalb\clbrdrt\brdrtbl 
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth450\clcbpatraw18 \cellx9180\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw18 \cellx10710\row \ltrrow}\trowd \irow12\irowband12\ltrrow
\ts11\trgaph108\trrh175\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw18 \cellx8730\clvmrg\clvertalt\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth450\clcbpatraw18 \cellx9180\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw18 \cellx10710{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \hich\af0\dbch\af0\loch\f0 (F)\tab}\pard \ltrpar\ql \fi-720\li720\ri0\widctlpar\intbl
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs17\insrsid7362067 PRINT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 PAYEE}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid7362067  NAME/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200  TITLE\cell \cell DATE\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \trowd \irow12\irowband12\ltrrow
\ts11\trgaph108\trrh175\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw18 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw18 \cellx8730\clvmrg\clvertalt\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat18\cltxlrtb\clftsWidth3\clwWidth450\clcbpatraw18 \cellx9180\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw18 \cellx10710\row \ltrrow}\trowd \irow13\irowband13\ltrrow\ts11\trgaph108\trrh323\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3150 \cellx3780\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvmgf\clvertalc\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 
\cellx10710\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 LINE NO\cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 REFERENCE\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2116433 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid3765200 (G)\tab PAYEE REFERENCE}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid2116433  NUMBER}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 \trowd \irow13\irowband13\ltrrow\ts11\trgaph108\trrh323\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3150 \cellx3780
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvmgf\clvertalc\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710\row \ltrrow}\trowd \irow14\irowband14\ltrrow\ts11\trgaph108\trrh158\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530\clpadt43\clpadr43\clpadft3\clpadfr3 
\cellx3780\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 1}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs17\insrsid3765200 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid14682063 O/R}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 \cell AGY
\cell }{\rtlch\fcs1 \af0\afs17 \ltrch\fcs0 \fs17\insrsid339397\charrsid2229409 FAO/FRA}{\rtlch\fcs1 \af0\afs17 \ltrch\fcs0 \fs17\insrsid2229409\charrsid2229409  #}{\rtlch\fcs1 \af0\afs17 \ltrch\fcs0 \fs17\insrsid339397\charrsid2229409  }{\rtlch\fcs1 
\af0\afs17 \ltrch\fcs0 \fs17\insrsid3765200\charrsid2229409 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid3765200 LINE\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid3765200 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 \trowd \irow14\irowband14\ltrrow
\ts11\trgaph108\trrh158\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738 
\cellx630\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530\clpadt43\clpadr43\clpadft3\clpadfr3 \cellx3780\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710\row \ltrrow}\trowd \irow15\irowband15\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530 \cellx3780\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text10} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
{\*\datafield 00000000140000000654657874313000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text10}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
{\*\bkmkstart Text13} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text13}
\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text16} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874313600000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text16}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text16}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text19} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874313900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text19}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text19}\cell }
{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text22} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874323200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text22}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text22}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid3765200 \trowd \irow15\irowband15\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738 
\cellx630\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530 \cellx3780\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710
\row \ltrrow}\trowd \irow16\irowband16\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530 \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710
\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 2\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text11} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
{\*\datafield 00000000140000000654657874313100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text11}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text11}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
{\*\bkmkstart Text14} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874313400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text14}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text14}
\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text17} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874313700000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text17}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text17}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text20} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874323000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text20}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text20}\cell }
{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text23} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874323300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text23}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text23}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid3765200 \trowd \irow16\irowband16\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530 \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710
\row \ltrrow}\trowd \irow17\irowband17\lastrow \ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530 \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710
\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 3\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text12} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
{\*\datafield 00000000140000000654657874313200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text12}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text12}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
{\*\bkmkstart Text15} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874313500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text15}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text15}
\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text18} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874313800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text18}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text18}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text21} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874323100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text21}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text21}\cell }
{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkstart Text24} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 00000000140000000654657874323400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text24}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text24}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid3765200 \trowd \irow17\irowband17\lastrow \ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth3\trwWidth10818\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738 \cellx630\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810 \cellx1440\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810 \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530 \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900 \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw18 \cellx10710
\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth648\clshdrawnil \cellx540\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth742\clshdrawnil \cellx1282\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth698\clshdrawnil \cellx1980\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1080\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx4154\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx5144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6044\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil \cellx8100\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx10620\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 FUND\cell AGCY
\cell ORG CODE\cell APPR UNIT\cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2116433 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 ACTIVITY C}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid2116433 O}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 D}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid2116433 E}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 \cell OBJECT C}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid2116433 O}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 D}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid2116433 E}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid6690158 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\insrsid7362067 CFS PROJECT #}{\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\insrsid339397\charrsid339397 \cell 
}\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15219247 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid7362067 REPT CAT}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid2116433 EGORY}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs16\insrsid339397 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth648\clshdrawnil \cellx540\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth742\clshdrawnil \cellx1282\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth698\clshdrawnil \cellx1980\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1080\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx4154\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx5144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6044\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil \cellx8100\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx10620\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth648\clshdrawnil \cellx540\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth742\clshdrawnil \cellx1282\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth698\clshdrawnil \cellx1980\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1080\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx4154\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx5144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6044\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil \cellx8100\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx10620\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text57} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874353700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text57}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text57}\cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text60} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874363000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text60}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text60}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text63} FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874363300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text63}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text63}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid339397 {\*\bkmkstart Text69} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874363900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text69}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 
{\*\bkmkend Text69}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text72} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text72}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text72}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text75} FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text75}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text75}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid339397 {\*\bkmkstart Text78} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text78}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 
{\*\bkmkend Text78}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text87} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874383700000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text87}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text87}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth648\clshdrawnil \cellx540\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth742\clshdrawnil \cellx1282
\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth698\clshdrawnil \cellx1980\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx4154\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx5144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6044\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil \cellx8100\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx10620\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth648\clshdrawnil \cellx540\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth742\clshdrawnil \cellx1282\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth698\clshdrawnil \cellx1980\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1080\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx4154\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx5144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6044\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil \cellx8100\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx10620\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 2\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text58} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874353800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text58}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text58}\cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text61} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874363100000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text61}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text61}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text64} FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874363400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text64}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text64}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid339397 {\*\bkmkstart Text70} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text70}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 
{\*\bkmkend Text70}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text73} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text73}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text73}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text76} FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text76}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text76}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid339397 {\*\bkmkstart Text79} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text79}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 
{\*\bkmkend Text79}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text88} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874383800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text88}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text88}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trrh259\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth648\clshdrawnil \cellx540\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth742\clshdrawnil \cellx1282\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth698\clshdrawnil \cellx1980\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1080\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx4154\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx5144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6044\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil \cellx8100\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx10620\row \ltrrow}\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid339397 3\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text59} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874353900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text59}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text59}\cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text62} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874363200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text62}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text62}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text65} FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874363500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text65}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text65}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid339397 {\*\bkmkstart Text71} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text71}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 
{\*\bkmkend Text71}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text74} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text74}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text74}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text77} FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874373700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text77}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 
\u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text77}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid339397 {\*\bkmkstart Text80} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874383000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text80}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 
{\*\bkmkend Text80}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkstart Text89} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\datafield 00000000140000000654657874383900000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text89}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid339397 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid339397 {\*\bkmkend Text89}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid339397 \trowd \irow3\irowband3\lastrow \ltrrow\ts11\trgaph108\trrh259\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth648\clshdrawnil \cellx540\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth742\clshdrawnil \cellx1282
\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth698\clshdrawnil \cellx1980\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1080\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx4154\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx5144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6044\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2056\clshdrawnil \cellx8100\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx10620\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid3765200 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6210\clshdrawnil \cellx6840\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9360\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10620\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid1508523 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid1508523 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 ACCOUNTS PAYABLE REF}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid6690158 ERENCE #}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 \cell AMOUNT\cell I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid339397 /}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 D\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6210\clshdrawnil \cellx6840\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9360\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10620\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 
\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6210\clshdrawnil \cellx6840\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9360\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10620\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid1508523 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text99} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874393900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text99}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text99}\cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text105} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 0000000014000000075465787431303500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text105}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text105}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\datafield 0000020000000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194
\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth6210\clshdrawnil \cellx6840\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9360\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10620\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6210\clshdrawnil \cellx6840\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9360\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10620\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 2\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text100} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 
0000000014000000075465787431303000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text100}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text100}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text106}
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 0000000014000000075465787431303600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text106}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text106}\cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 0000020000000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2
{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6210\clshdrawnil \cellx6840\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9360\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10620\row \ltrrow}\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 3\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text101} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 
0000000014000000075465787431303100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text101}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text101}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text107}
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 0000000014000000075465787431303700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text107}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text107}\cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text108} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 0000020000000000075465787431303800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text108}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
\trowd \irow3\irowband3\lastrow \ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth6210\clshdrawnil \cellx6840\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9360\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10620\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trrh413\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 COST INCURRED
\par DATES (H)\cell CONTRACT DESCRIPTION (H)\cell AMOUNT\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trrh413\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb
\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650
\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text25} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\datafield 00000000140000000654657874323500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text25}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text25}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\bkmkstart Text26} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874323600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text26}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
{\*\bkmkend Text26}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text30} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 
00000000140000000654657874333000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text30}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text30}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 
00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text31}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text32}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 
00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text31}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text32}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 
00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text31}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text32}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text31} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text31}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text31}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid1508523 {\*\bkmkstart Text32} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text32}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
{\*\bkmkend Text32}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text36} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 
00000000140000000654657874333600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text36}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text37} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
{\*\datafield 00000000140000000654657874333700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text37}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text37}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
{\*\bkmkstart Text38} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874333800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text38}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text38}
\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text42} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874343200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text42}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text42}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text49} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
{\*\datafield 00000000140000000654657874343900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text49}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text49}\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 
{\*\bkmkstart Text50} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874353000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text50}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text50}
\cell }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkstart Text54} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\datafield 00000000140000000654657874353400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text54}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid1508523 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid1508523 {\*\bkmkend Text54}\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid1508523 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth2088\clcbpatraw18 \cellx1980\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7245\clcbpatraw18 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb
\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7758\clcbpatraw18 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw18 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 \cell }\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 TOTAL\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 
{\*\bkmkstart Text115} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\datafield 0000000014000000075465787431313500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text115}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 {\*\bkmkend Text115}
\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid3765200 \trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 
\trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth7758\clcbpatraw18 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw18 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth1425\clcbpatraw18 \cellx10650\row \ltrrow
}\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5238\clshdrawnil \cellx5130\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5160\clshdrawnil \cellx10650\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 CERTIFICATION BY RECEIVING AGENCY:  I certify that the above 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid15219247 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 ervices have been}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid2195308  rendered }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 
in accordance with the contract agreement.\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \cell CERTIFICATION BY APPROVAL OFFICER:  I certify that this Payment Voucher is correct and just and payment is approved.\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth5238\clshdrawnil \cellx5130\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5160\clshdrawnil \cellx10650\row \ltrrow}\trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth5238\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5160\clshdrawnil \cellx10650\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid3765200 \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth5238\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5160\clshdrawnil \cellx10650\row \ltrrow}\trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trrh112\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth5238\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5160\clshdrawnil \cellx10650\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid3765200 Signature\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 Authorized Signature}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523  -Accounting}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid3765200 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trrh112\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth5238\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth5160\clshdrawnil \cellx10650\row \ltrrow}\trowd \irow12\irowband12\ltrrow
\ts11\trgaph108\trrh288\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth2538\clshdrawnil \cellx2430\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth237\clshdrawnil \cellx2667\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2463\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2610\clshdrawnil \cellx8100\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth270\clshdrawnil \cellx8370\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2280\clshdrawnil \cellx10650\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkstart Text55} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\datafield 
00000000140000000654657874353500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text55}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkend Text55}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkstart Text113}
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\datafield 0000000014000000075465787431313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text113}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkend Text113}\cell \cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkstart Text56} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\datafield 00000000140000000654657874353600000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text56}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkend Text56}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkstart Text114} FORMTEXT }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\datafield 0000000014000000075465787431313400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text114}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\lang1024\langfe1024\noproof\insrsid3765200 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 {\*\bkmkend Text114}\cell 
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \trowd \irow12\irowband12\ltrrow
\ts11\trgaph108\trrh288\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth2538\clshdrawnil \cellx2430\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth237\clshdrawnil \cellx2667\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2463\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2610\clshdrawnil \cellx8100\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth270\clshdrawnil \cellx8370\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2280\clshdrawnil \cellx10650\row \ltrrow
}\trowd \irow13\irowband13\lastrow \ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2538\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth237\clshdrawnil \cellx2667\clvertalt\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2463\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2610\clshdrawnil \cellx8100\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth270\clshdrawnil \cellx8370\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2280\clshdrawnil 
\cellx10650\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 Print Name/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 Title\cell \cell Date\cell 
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid1508523 Print Name/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 Title\cell \cell Date\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid3765200 \trowd \irow13\irowband13\lastrow \ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth2538\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth237\clshdrawnil \cellx2667\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2463\clshdrawnil \cellx5130\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx5490
\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2610\clshdrawnil \cellx8100\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth270\clshdrawnil \cellx8370\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2280\clshdrawnil \cellx10650\row }\pard\plain \ltrpar
\s15\ql \li0\ri0\widctlpar\tx6120\tx7560\tx9000\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 \b\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid3765200 PV}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6829141  (C)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3765200  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6056092 6/08}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3765200 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3765200 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid3765200 \sect }\sectd \ltrsect\marglsxn1152\margrsxn1152\margtsxn576\margbsxn432\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid1143754\sftnbj \pard\plain \ltrpar
\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3765200 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\b\f1\fs28\insrsid3765200 PAYEE INSTRUCTIONS}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid7362067  \endash  PV (C)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid3765200 
\par }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid401996 SHADED AREAS (A - H)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \shad\f1\fs28\insrsid3765200\charrsid11219871  }{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid3765200\charrsid11219871 ARE}{
\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid9060727  REQUIRED}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid3765200\charrsid11219871  TO BE COMPLETED BY PAYEE}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid3765200 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 
\par 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid8137273 
A}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200 )}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid8137273 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200\charrsid1143754 
VENDOR IDENTIFICATION NUMBER
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200   Complete the payee identification field with the federal employer identification number
\par   assigned to the business or the social security number if the payee is an individual.}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200\charrsid11219871 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow0\irowband0\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3411255   NOTE:}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2116433  You must be registered with}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3411255  the State of }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid7436461 N}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid3411255 ew Jersey Department of T}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2116433 reasury in }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3411255     }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3411255   order to receive payment.}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3411255\charrsid2116433 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow1\irowband1\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow2\irowband2\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 B}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200 
)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid9060727\charrsid1143754 CONTRACT INFORMATION}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid3765200\charrsid1143754 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200   }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid9060727 Contract }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid2116433 A}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid9060727 greement date, }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid339397 A}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid9060727 greement }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid339397 N}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid9060727 umber}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3411255  assigned within contract}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid9060727  and }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid339397 C}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid9060727 ontract I.D.# }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid339397 
\par   }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3411255 are in the }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid339397 Executed }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1854790 Contract Agreement.}{\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \f1\fs22\insrsid3765200\charrsid11219871 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow3\irowband3\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow4\irowband4\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow5\irowband5\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 C}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200 
)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200\charrsid1143754 TOTAL AMOUNT
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200   Enter the total amount of this payment voucher.}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200\charrsid131418 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow6\irowband6\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow7\irowband7\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow8\irowband8\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 D}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200 
)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200\charrsid1143754 PAYEE NAME AND ADDRESS
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200   The name of the individual or company to whose name the check shall be drawn and 
\par  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid4590697   the}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200  complete address where the check shall be mailed.       }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid3765200\charrsid131418 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow9\irowband9\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow10\irowband10\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow11\irowband11\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 E}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200 
)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200\charrsid1143754 SEND COMPLETED FORM TO:
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200   }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid9060727 Division or Bureau to whom the services were furnished. Forward 2 copies of the invoice 
\par   to appropriate Contract Manager as noted in}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid339397  the }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1854790 E}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid339397 xecuted }{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1854790 Contract Agreement.}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid9060727      }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200\charrsid131418 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow12\irowband12\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow13\irowband13\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow14\irowband14\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 F}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200 
)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200\charrsid1143754 PAYEE DECLARATION
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200   Payee must sign the declaration and date the payment voucher}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid7362067 .}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200 
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid11688284   Print name and title.}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid11688284\charrsid131418 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow15\irowband15\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow16\irowband16\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow17\irowband17\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 G}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200 
)}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\shad\f1\fs28\insrsid3765200\charrsid12811682 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200\charrsid1143754 PAYEE REFERENCE NUMBER
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200   Payee must show }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid5521675 its}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid3765200\charrsid131418 own}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200 invoice or billing number or any other identification for     
\par   reference purposes. }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 This information is recorded on the check stub and aids the
\par   payee to identify the invoices which have been paid. }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200 Do not use more than }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 
\par   }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid10189955 30 }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid10189955 c}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200 haracters}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1854790  and must be unique}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200 .}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid3765200\charrsid3149295 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow18\irowband18\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow19\irowband19\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow20\irowband20\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow
}\trowd \irow21\irowband21\ltrrow\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvmgf\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil 
\cellx9528\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid1143754\charrsid11688284 H}{\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 
\b\f1\fs28\insrsid1143754 )}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 \cell COST INCURRED DATES AND CONTRACT DESCRIPTION
\par }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1143754 Cost incurred dates and description of work performed, including task order number or extra }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1143754\charrsid1854790 work mod}{\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1143754 ification}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1143754\charrsid1854790  number}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid1143754 , UPC Code if available.}{\rtlch\fcs1 \af1\afs22 
\ltrch\fcs0 \b\f1\fs22\insrsid1143754 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 \trowd \irow21\irowband21\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvmgf\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow
}\trowd \irow22\irowband22\ltrrow\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil 
\cellx9528\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs28 \ltrch\fcs0 \b\f1\fs28\insrsid1143754\charrsid11688284 \cell }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\f1\fs22\insrsid1143754\charrsid11688284 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 \trowd \irow22\irowband22\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow
}\trowd \irow23\irowband23\ltrrow\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil 
\cellx9528\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11688284 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid11688284 \trowd \irow23\irowband23\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 \trowd \irow24\irowband24\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 \trowd \irow25\irowband25\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow
}\trowd \irow26\irowband26\ltrrow\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9636\clshdrawnil \cellx9528\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 
\af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid7362067\charrsid4667522 TO INSURE PROMPT PAYMENT, SEND COMPLETED PAYMENT}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid4667522\charrsid4667522  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 
\b\f1\fs22\insrsid7362067\charrsid4667522 VOUCHER}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754  PV}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid7083015  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid1143754 (C)}{
\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid7083015 , }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid7362067\charrsid4667522 WITH   
\par SUPPORTING SUMMARIES AND PROGRESS REPORT. BE SURE TO INCLUDE 
\par PAYEE SIGNATURE.}{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid7362067  }{\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \f1\fs22\insrsid7362067\charrsid11688284 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid7362067 \trowd \irow26\irowband26\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9636\clshdrawnil \cellx9528\row \ltrrow}\trowd \irow27\irowband27\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow27\irowband27\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow28\irowband28\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 \trowd \irow29\irowband29\ltrrow
\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx420\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9108\clshdrawnil \cellx9528\row \ltrrow
}\trowd \irow30\irowband30\lastrow \ltrrow\ts16\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9636\clshdrawnil \cellx9528\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3765200 {
\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid3765200\charrsid2116433 VENDORS MAY BE ENTITLED TO INTEREST ON }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid1854790\charrsid2116433 PROPERLY EXECUTED SUB}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 
\f1\fs18\insrsid14634032\charrsid2116433 MITTED }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid3765200\charrsid2116433 PAYMENT VOUCHERS }{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid1854790\charrsid2116433 THAT ARE PAST THE STATE OF NEW }{
\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid2229409\charrsid2116433 JERSEY\rquote S}{\rtlch\fcs1 \af1\afs18 \ltrch\fcs0 \f1\fs18\insrsid1854790\charrsid2116433  DEADLINE FOR ELIGIBLE STATUTORY PROMPT PAYMENT INTEREST.}{\rtlch\fcs1 \af1\afs18 
\ltrch\fcs0 \b\f1\fs18\insrsid3765200\charrsid2116433 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af1\afs22 \ltrch\fcs0 \b\f1\fs22\insrsid3765200 
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