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{\fdbmajor\f31518\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbmajor\f31519\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbmajor\f31521\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbmajor\f31522\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbmajor\f31523\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbmajor\f31524\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbmajor\f31525\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbmajor\f31526\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhimajor\f31528\fbidi \fswiss\fcharset238\fprq2 Calibri Light CE;}
{\fhimajor\f31529\fbidi \fswiss\fcharset204\fprq2 Calibri Light Cyr;}{\fhimajor\f31531\fbidi \fswiss\fcharset161\fprq2 Calibri Light Greek;}{\fhimajor\f31532\fbidi \fswiss\fcharset162\fprq2 Calibri Light Tur;}
{\fhimajor\f31535\fbidi \fswiss\fcharset186\fprq2 Calibri Light Baltic;}{\fhimajor\f31536\fbidi \fswiss\fcharset163\fprq2 Calibri Light (Vietnamese);}{\fbimajor\f31538\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
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{\fdbminor\f31558\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}{\fdbminor\f31559\fbidi \froman\fcharset204\fprq2 Times New Roman Cyr;}{\fdbminor\f31561\fbidi \froman\fcharset161\fprq2 Times New Roman Greek;}
{\fdbminor\f31562\fbidi \froman\fcharset162\fprq2 Times New Roman Tur;}{\fdbminor\f31563\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fdbminor\f31564\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\fdbminor\f31565\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}{\fdbminor\f31566\fbidi \froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\fhiminor\f31568\fbidi \fswiss\fcharset238\fprq2 Calibri CE;}
{\fhiminor\f31569\fbidi \fswiss\fcharset204\fprq2 Calibri Cyr;}{\fhiminor\f31571\fbidi \fswiss\fcharset161\fprq2 Calibri Greek;}{\fhiminor\f31572\fbidi \fswiss\fcharset162\fprq2 Calibri Tur;}
{\fhiminor\f31575\fbidi \fswiss\fcharset186\fprq2 Calibri Baltic;}{\fhiminor\f31576\fbidi \fswiss\fcharset163\fprq2 Calibri (Vietnamese);}{\fbiminor\f31578\fbidi \froman\fcharset238\fprq2 Times New Roman CE;}
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{\fbiminor\f31583\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\fbiminor\f31584\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}{\fbiminor\f31585\fbidi \froman\fcharset186\fprq2 Times New Roman Baltic;}
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ceefefe7fffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffff
fffffffffffffffffff7ffffffffffffffffffffff00f7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7ffffffffff
f7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffffffffffffffff7fff7efe7ded6cec6c6c6bdbdb5b5c6c6bdd6d6ceefefe7fffff7ff
fffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7fffffffffff7ff
fffffffff7fffffffffff7ffff00fffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffff
fffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffffffffffff
fffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7fffffffffffffffffffffff7ffffffffff00040000002701ffff030000000000}\par}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 STATE OF NEW JERSEY
\par }\pard\plain \ltrpar\s1\qc \li0\ri0\sb120\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9598359 PAYMENT VOUCHER
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs20\insrsid9598359 (VENDOR INVOICE)\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 \cell MACSE
\par DOCUMENT NUMBER\cell \cell ACTG
\par PER\cell FY\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
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\clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx10080\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth630\clshdrawnil \cellx10710\row \ltrrow}\trowd \irow1\irowband1\ltrrow
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\cltxlrtb\clftsWidth3\clwWidth2700 \cellx7920\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\clshdrawnil \cellx10080\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth630\clshdrawnil \cellx10710\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 
\cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 {\*\bkmkstart Text116}
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 {\*\datafield 0000000014000000075465787431313600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text116}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs15\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 
{\*\bkmkend Text116}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text109} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
0000000014000000075465787431303900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text109}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text109}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
 FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000400140000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen4\ffhps20}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 \cell }\pard\plain \ltrpar
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\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx10080\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth630\clshdrawnil \cellx10710\row \ltrrow}\trowd \irow2\irowband2\ltrrow
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\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs20\insrsid9598359 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 \cell \cell \cell \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard\plain \ltrpar
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\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2700 \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1170 \cellx9090
\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx10080\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth630\clshdrawnil \cellx10710\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trrh211\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl 
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\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx5220\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
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\clcbpat20\cltxlrtb\clftsWidth3\clwWidth2790\clcbpatraw20 \cellx10710\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs20\insrsid9598359 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 PP START\cell SCHED PAY\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs15\insrsid9598359 CHK\cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 CK\cell (B) VENDOR        
\par ID NUMBER         \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh211\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 
\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1098\clshdrawnil \cellx990\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3690\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx5220\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1518\clshdrawnil \cellx6738\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx7278\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth642\clshdrawnil \cellx7920\clvmgf\clvertalc\clbrdrt\brdrs\brdrw45 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2790\clcbpatraw20 \cellx10710\row \ltrrow}\trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trrh369\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrtbl 
\clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1098\clshdrawnil \cellx990\clvmrg\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3690\clvertalb
\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx4230\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx4770\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth450\clshdrawnil \cellx5220\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx5760\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx6288\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth450\clshdrawnil \cellx6738\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx7278\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\cltxlrtb\clftsWidth3\clwWidth642\clshdrawnil \cellx7920\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2790\clcbpatraw20 \cellx10710\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 
\cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs20\insrsid9598359 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 MO\cell DY\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 YR\cell }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs16\insrsid9598359 MO\cell DY\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 YR\cell CAT\cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs15\insrsid9598359 FL\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs15\insrsid9598359 \cell }\pard\plain \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh369\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl
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\cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3690\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx4230\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx4770\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth450\clshdrawnil \cellx5220\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx5760\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth528\clshdrawnil \cellx6288\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth450\clshdrawnil \cellx6738\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx7278\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth642\clshdrawnil \cellx7920\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth2790\clcbpatraw20 \cellx10710\row \ltrrow}\trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trrh519\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrdb\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1098\clshdrawnil \cellx990\clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrdb\brdrw10 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrdb\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1350\clcbpatraw20 \cellx2340\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrdb\brdrw10 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1350\clshdrawnil \cellx3690\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth517\clshdrawnil \cellx4207\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth563\clshdrawnil \cellx4770\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth472\clshdrawnil \cellx5242\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth518\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx6300\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth450\clshdrawnil \cellx6750\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx7290\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 
\cltxlrtb\clftsWidth3\clwWidth630\clshdrawnil \cellx7920\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2790\clcbpatraw20 \cellx10710\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
\cell (A) PO #  
\par }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\chshdng0\chcfpat0\chcbpat20\insrsid9598359\charrsid15601366 {\*\bkmkstart Text1} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\chshdng0\chcfpat0\chcbpat20\insrsid9598359\charrsid15601366 
{\*\datafield 000000001400000005546578743100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text1}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\chshdng0\chcfpat0\chcbpat20\noproof\insrsid9598359\charrsid15601366 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text1}\cell PV DATE
\par }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text2} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 000000001400000005546578743200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text2}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text2}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 0000020014000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 0000020014000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20{\*\ffname Text108}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 0000020014000000075465787431303800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\datafield 0000020014000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 0000020014000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20{\*\ffname Text108}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000200140000000000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20}}}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell 
}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 0000020014000000075465787431303800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\datafield 0000020014000000075465787431303800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffmaxlen2\ffhps20{\*\ffname Text108}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text117} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 0000000014000000075465787431313700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text117}}}}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text117}                                  |
\par                                             |\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trrh519\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw5 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrdb\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1098\clshdrawnil \cellx990\clvertalt\clbrdrt\brdrdb\brdrw10 \clbrdrl\brdrdb\brdrw10 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrdb\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1350\clcbpatraw20 \cellx2340\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrdb\brdrw10 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth1350\clshdrawnil \cellx3690\clvertalc\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth517\clshdrawnil \cellx4207\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth563\clshdrawnil \cellx4770\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth472\clshdrawnil \cellx5242\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth518\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx6300\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth450\clshdrawnil \cellx6750\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx7290\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 
\cltxlrtb\clftsWidth3\clwWidth630\clshdrawnil \cellx7920\clvertalc\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2790\clcbpatraw20 \cellx10710\row \ltrrow
}\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trrh171\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl
\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1368\clcbpatraw20 \cellx1260\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx2520\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth810\clcbpatraw20 \cellx3330\clvertalt\clbrdrt
\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw20 \cellx4770\clvmgf\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr
\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw20 \cellx8190\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw20 \cellx10710
\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid9598359 CONTRACT NO\cell AGENCY REF\cell BUYER\cell (C)     TERMS\cell PAYEE:\tab }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\fs16\insrsid9598359 SEE INSTRUCTIONS FOR
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\keepn\widctlpar\intbl\tx1152\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \ab\af0\afs24\alang1025 \ltrch\fcs0 
\b\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9598359 \tab COMPLETING ITEMS
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\tx1332\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\fs16\insrsid9598359 \tab (A) THROUGH (I)\cell }\pard \ltrpar\ql \li252\ri0\widctlpar\intbl\tx702\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin252\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 (D)\tab 
TOTAL AMOUNT\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trrh171\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw5 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1368\clcbpatraw20 \cellx1260\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw5 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx2520\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth810\clcbpatraw20 \cellx3330
\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw20 \cellx4770\clvmgf\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 
\clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw20 \cellx8190\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw20 
\cellx10710\row \ltrrow}\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh277\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1368\clcbpatraw20 \cellx1260\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx2520\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth810\clcbpatraw20 \cellx3330\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw20 \cellx4770\clvmrg\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr
\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw20 \cellx8190\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw20 \cellx10710
\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkstart Text3} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 000000001400000005546578743300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text3}}}}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkend Text3}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkstart Text4} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 
000000001400000005546578743400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text4}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkend Text4}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 
{\*\bkmkstart Text5} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 000000001400000005546578743500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text5}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkend Text5
}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkstart Text6} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 000000001400000005546578743600000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text6}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkend Text6}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkstart Text7} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 000000001400000005546578743700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text7}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkend Text7
}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 
\ltrch\fcs0 \insrsid9598359 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh277\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1368\clcbpatraw20 \cellx1260\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw5 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx2520\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw5 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth810\clcbpatraw20 \cellx3330\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1440\clcbpatraw20 \cellx4770\clvmrg\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr
\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth3420\clcbpatraw20 \cellx8190\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2520\clcbpatraw20 \cellx10710
\row \ltrrow}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trrh1548\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw45 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4878\clcbpatraw20 \cellx4770\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth5940\clcbpatraw20 \cellx10710\pard\plain \ltrpar\qc \li450\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin450\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 (E)   PAYEE NAME AND ADDRESS
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\tx450\tx1440\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text111} FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 0000000014000000075465787431313100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text111}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text111}\cell {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\dbch\af0\insrsid9598359 \hich\af0\dbch\af0\loch\f0 (F)\tab}}\pard \ltrpar\ql \fi-360\li810\ri0\widctlpar\intbl
\jclisttab\tx810\wrapdefault\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin810\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  SEND COMPLETED FORM TO:
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
\par }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \b\fs22\insrsid9598359\charrsid8280979 NJDOT
\par ACCOUNTING OPERATIONS
\par PO BOX 604
\par TRENTON NJ 08625-0604}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trrh1548\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4878\clcbpatraw20 \cellx4770\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth5940\clcbpatraw20 \cellx10710\row \ltrrow}\trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trrh594\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmgf\clvertalt\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb
\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw20 \cellx6030\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4680\clcbpatraw20 
\cellx10710\pard\plain \ltrpar\ql \li0\ri0\sb120\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs17\insrsid9598359 (G) PAYEE DECLARATIONS
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 I CERTIFY THAT THE WITHIN PAYMENT VOUCHER IS CORRECT IN ALL ITS PARTICULARS.  THAT 
THE DESCRIBED GOODS OR SERVICES >> >> >> 
\par HAVE BEEN FURNISHED OR RENDERED AND THAT NO BONUS HAS BEEN GIVEN OR RECEIVED ON ACCOUNT OF SAID DOCUMENT\cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow9\irowband9\ltrrow
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\cellx10710\row \ltrrow}\trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trrh184\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw20 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw45 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth4680\clcbpatraw20 \cellx10710{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\dbch\af0\insrsid9598359 \hich\af0\dbch\af0\loch\f0 (F)\tab}\pard\plain \ltrpar\ql \fi-720\li720\ri0\widctlpar\intbl
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}\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 PAYEE SIGNATURE\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow10\irowband10\ltrrow
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\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw20 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4680\clcbpatraw20 
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\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw20 \cellx6030\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl 
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\clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw20 \cellx10710{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\dbch\af0\insrsid9598359 
\hich\af0\dbch\af0\loch\f0 (F)\tab}\pard\plain \ltrpar\ql \fi-720\li720\ri0\widctlpar\intbl\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 {\*\bkmkstart Text8} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 {\*\datafield 000000001400000005546578743800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname 
Text8}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs17\insrsid9598359 {\*\bkmkend Text8}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 {\*\bkmkstart Text9} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 {\*\datafield 
000000001400000005546578743900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text9}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 {\*\bkmkend Text9}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow11\irowband11\ltrrow
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\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw20 \cellx6030\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw20 \cellx8730
\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth450\clcbpatraw20 \cellx9180\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw20 \cellx10710\row \ltrrow}\trowd \irow12\irowband12\ltrrow
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\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw20 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw20 
\cellx8730\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth450\clcbpatraw20 \cellx9180\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw20 \cellx10710{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\dbch\af0\insrsid9598359 \hich\af0\dbch\af0\loch\f0 (F)\tab}\pard\plain \ltrpar
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\ltrch\fcs0 \fs17\insrsid9598359 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 PAYEE NAME/TITLE\cell \cell BILLING DATE\cell 
}\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 
\ltrch\fcs0 \insrsid9598359 \trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trrh175\trleft-108\trkeep\trftsWidth3\trwWidth10818\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6138\clcbpatraw20 \cellx6030\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw20 \cellx8730\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrtbl \clcbpat20\cltxlrtb\clftsWidth3\clwWidth450\clcbpatraw20 \cellx9180\clvertalt\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1530\clcbpatraw20 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 
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\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \cellx10710\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 
LINE NO\cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 REFERENCE\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 (H)\tab PAYEE REFERENCE\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3150\clshdrawnil \cellx3780\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvmgf\clvertalc\clbrdrt\brdrs\brdrw45 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx1440\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \cellx10710\pard\plain \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 1
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 \cell }\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs17\insrsid9598359 CO\cell AGY\cell NUMBER\cell 
LINE\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx1440\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvmrg\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 
\clvmrg\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx1440\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \cellx10710\pard\plain \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text10} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\datafield 00000000140000000654657874313000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text10}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text10}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkstart Text13} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text13}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkend Text13}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text16} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874313600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text16}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text16}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text19} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874313900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text19}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text19}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text22} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text22}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text22}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmrg\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx1440\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl
\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb
\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx1440\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \cellx10710\pard\plain \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 2
\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text11} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\datafield 00000000140000000654657874313100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text11}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text11}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkstart Text14} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874313400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text14}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkend Text14}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text17} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874313700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text17}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text17}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text20} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text20}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text20}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text23} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text23}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text23}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx1440\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \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\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth738\clshdrawnil \cellx630\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx1440\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \cellx10710\pard\plain \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 3
\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text12} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\datafield 00000000140000000654657874313200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text12}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text12}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkstart Text15} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874313500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text15}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkend Text15}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text18} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874313800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text18}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text18}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text21} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text21}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text21}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text24} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text24}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text24}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 
\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 
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\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth810\clshdrawnil \cellx2250\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1530\clshdrawnil \cellx3780\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw45 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw45 \clbrdrb\brdrs\brdrw45 \clbrdrr\brdrs\brdrw45 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth6030\clcbpatraw20 \cellx10710\row }\pard \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl 
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\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\clwWidth976\clshdrawnil \cellx4036\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx5130\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx7020\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx8730\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx9450\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10710\pard\plain \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 FUND\cell AGCY\cell ORG CODE\cell SUB-ORG\cell APPR UNIT\cell ACTIVITY CD\cell OBJECT CD\cell SUB-OBJ
\cell REVSRCE\cell SUB-REV\cell PROJECT/JOB NO\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth976\clshdrawnil \cellx4036\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx5130\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx7020\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx8730\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx9450\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10710\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth976\clshdrawnil \cellx4036\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx5130\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx7020\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx8730\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx9450\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10710\pard\plain \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text57} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\datafield 00000000140000000654657874353700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text57}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text57}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text60} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text60}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text60}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text63} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text63}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text63}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text66} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text66}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text66}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text69} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363900000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text69}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text69}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text72} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text72}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text72}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text75} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text75}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text75}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text78} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text78}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text78}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text81} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383100000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text81}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text81}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text84} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text84}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text84}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text87} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383700000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text87}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text87}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth976\clshdrawnil \cellx4036\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx5130\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx7020\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx8730\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx9450\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10710\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth976\clshdrawnil \cellx4036\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx5130\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx7020\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx8730\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx9450\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10710\pard\plain \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 2\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text58} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\datafield 00000000140000000654657874353800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text58}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text58}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text61} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text61}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text61}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text64} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text64}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text64}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text67} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text67}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text67}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text70} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text70}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text70}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text73} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text73}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text73}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text76} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373600000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text76}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text76}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text79} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text79}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text79}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text82} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text82}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text82}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text85} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text85}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text85}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text88} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text88}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text88}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth976\clshdrawnil \cellx4036\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx5130\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx7020\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx8730\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx9450\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10710\row \ltrrow}\pard\plain \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 
\rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 3\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text59} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\datafield 00000000140000000654657874353900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text59}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20
\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text59}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text62} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text62}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text62}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text65} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363500000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text65}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text65}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text68} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874363800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text68}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text68}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text71} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373100000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text71}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text71}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text74} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text74}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text74}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text77} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874373700000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text77}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text77}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text80} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text80}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text80}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text83} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383300000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text83}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text83}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text86} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text86}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text86}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text89} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874383900000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text89}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text89}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 
\trowd \irow3\irowband3\lastrow \ltrrow\ts11\trgaph108\trrh259\trleft-108\trftsWidth1\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth976\clshdrawnil \cellx4036\clvertalb\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1094\clshdrawnil \cellx5130\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx7020\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth990\clshdrawnil \cellx8730\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx9450\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx10710\row }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid9598359 
\par 
\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\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth918\clcbpatraw20 \cellx810\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4500\clcbpatraw20 \cellx5310\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\pard\plain \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
(I) ITEM      NO.\cell COMMODITY CODE/DESCRIPTION OF ITEM\cell QUANTITY\cell UNIT\cell UNIT PRICE\cell AMOUNT\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \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\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth918\clcbpatraw20 \cellx810\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth4500\clcbpatraw20 \cellx5310\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\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\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth918\clcbpatraw20 \cellx810\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4500\clcbpatraw20 \cellx5310\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkstart Text25} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text25}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkend Text25}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text26} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874323600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text26}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text26}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text27} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text27}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text27}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text28} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323800000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text28}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text28}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text29} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874323900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text29}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text29}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text30} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text30}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text30}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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 
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\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text31}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20
{\*\ffname Text32}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874333300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text33}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text34}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname 
Text35}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333600000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
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\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text31}}}}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text32}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text33}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20
\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text34}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20
{\*\ffname Text35}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874333600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
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\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalb\clbrdrt
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\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text31}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20
{\*\ffname Text32}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874333300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text33}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text34}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname 
Text35}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 
\af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359  FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333600000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \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\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb
\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth918\clcbpatraw20 \cellx810\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4500\clcbpatraw20 \cellx5310\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570
\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801
\row \ltrrow}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text31} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20
{\*\ffname Text31}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text31}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text32} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874333200000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text32}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text32}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text33} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text33}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text33}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text34} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text34}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text34}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text35} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text35}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text35}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text36} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333600000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text36}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text36}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth918\clcbpatraw20 \cellx810\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4500\clcbpatraw20 \cellx5310\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkstart Text37} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333700000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text37}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkend Text37}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text38} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874333800000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text38}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text38}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text39} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874333900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text39}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text39}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text40} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874343000000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text40}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text40}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text41} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874343100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text41}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text41}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text42} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874343200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text42}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text42}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth918\clcbpatraw20 \cellx810\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4500\clcbpatraw20 \cellx5310\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\row \ltrrow}\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkstart Text49} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874343900000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text49}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\bkmkend Text49}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text50} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 
00000000140000000654657874353000000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text50}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194
\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text50}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkstart Text51} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874353100000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text51}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text51}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text52} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874353200000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text52}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text52}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text53} FORMTEXT }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874353300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text53}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 
{\*\bkmkend Text53}\cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text54} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\datafield 00000000140000000654657874353400000000000000000000000000}
{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text54}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect
\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text54}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \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 
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\clcbpat20\cltxlrtb\clftsWidth3\clwWidth918\clcbpatraw20 \cellx810\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth4500\clcbpatraw20 \cellx5310\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1260\clcbpatraw20 \cellx6570\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 
\clcbpat20\cltxlrtb\clftsWidth3\clwWidth1080\clcbpatraw20 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1575\clcbpatraw20 \cellx9225\clvertalb\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\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 
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\cltxlrtb\clftsWidth3\clwWidth7758 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1575 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 
\af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 \cell }\pard \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 TOTAL\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkstart Text115} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs18\insrsid9598359 {\*\datafield 0000000014000000075465787431313500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text115}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\lang1024\langfe1024\noproof\insrsid9598359 \u8194
\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid9598359 {\*\bkmkend Text115}\cell }\pard\plain \ltrpar
\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 
\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\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth7758 \cellx7650\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1575 \cellx9225\clvertalb\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat20\cltxlrtb\clftsWidth3\clwWidth1576\clcbpatraw20 \cellx10801\row \ltrrow}\trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth5311\clshdrawnil \cellx10801\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 

\par CERTIFICATION BY RECEIVING AGENCY:  I certify that the above articles have been received or services rendered as stated herein.\cell \cell CERTIFICATION BY APPROVAL OFFICER:  I certify that this Payment Voucher is correct and just and payment is approved.
\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 
\ltrch\fcs0 \insrsid9598359 \trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trrh259\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth5311\clshdrawnil \cellx10801\row \ltrrow}\trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trrh1008\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth5311\clshdrawnil \cellx10801\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 
\cell \cell \cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trrh1008\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth5311\clshdrawnil \cellx10801\row \ltrrow}\trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trrh112\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth5311\clshdrawnil \cellx10801\pard\plain \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 
Signature\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 Authorized Signature\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trrh112\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\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\clwWidth5311\clshdrawnil \cellx10801\row \ltrrow}\trowd \irow12\irowband12\ltrrow
\ts11\trgaph108\trrh531\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1710\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\clwWidth3330\clshdrawnil \cellx8820\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth405\clshdrawnil \cellx9225\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1576\clshdrawnil \cellx10801\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid9598359 {\*\bkmkstart Text55} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 00000000140000000654657874353500000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text55}}}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\fs16\insrsid9598359 {\*\bkmkend Text55}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkstart Text113} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 
0000000014000000075465787431313300000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text113}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkend Text113}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 
{\*\bkmkstart Text56} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 00000000140000000654657874353600000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text56}}}}}{\fldrslt {\rtlch\fcs1 \af0 
\ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 
{\*\bkmkend Text56}\cell \cell }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkstart Text114} FORMTEXT }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\datafield 
0000000014000000075465787431313400000000000000000000000000}{\*\formfield{\fftype0\fftypetxt0\ffhps20{\*\ffname Text114}}}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\lang1024\langfe1024\noproof\insrsid9598359 \u8194\'20\u8194\'20\u8194\'20\u8194\'20
\u8194\'20}}}\sectd \ltrsect\linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid9598359\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 {\*\bkmkend Text114}\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 \trowd \irow12\irowband12\ltrrow
\ts11\trgaph108\trrh531\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw5 \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1710\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\clwWidth3330\clshdrawnil \cellx8820\clvmgf\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl 
\cltxlrtb\clftsWidth3\clwWidth405\clshdrawnil \cellx9225\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw5 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1576\clshdrawnil \cellx10801\row \ltrrow
}\trowd \irow13\irowband13\lastrow \ltrrow\ts11\trgaph108\trrh530\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil 
\cellx3420\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1710\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\clwWidth3330\clshdrawnil \cellx8820\clvmrg\clvertalt\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth405\clshdrawnil \cellx9225\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1576\clshdrawnil \cellx10801\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 Print Name/Title\cell \cell Date\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 \cell }\pard \ltrpar
\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9598359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs16\insrsid9598359 Print Name/Title\cell \cell Date\cell }\pard\plain \ltrpar\ql \li0\ri0\sa160\sl259\slmult1
\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 \ltrch\fcs0 \insrsid9598359 
\trowd \irow13\irowband13\lastrow \ltrrow\ts11\trgaph108\trrh530\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid9598359\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw5 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth360\clshdrawnil 
\cellx3420\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1710\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\clwWidth3330\clshdrawnil \cellx8820\clvmrg\clvertalt\clbrdrt
\brdrs\brdrw5 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth405\clshdrawnil \cellx9225\clvertalt\clbrdrt\brdrs\brdrw5 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1576\clshdrawnil \cellx10801\row }\pard\plain \ltrpar\s17\ql \li0\ri0\widctlpar\tx6120\tx7560\tx9000\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9598359 \rtlch\fcs1 \ab\af0\afs24\alang1025 
\ltrch\fcs0 \b\fs16\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9598359 PV 04/09/2015\sect }\sectd \ltrsect
\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj \pard\plain \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 \b\fs18\cf1\insrsid9598359\charrsid15083418 PAYMENT VOUCHER (PV) INSTRUCTIONS
\par BELOW ITEMS MUST BE COMPLETED BY PAYEE
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 \b\fs18\cf1\insrsid9598359\charrsid15083418 
\par }{\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 (A) }{\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 \fs18\cf1\insrsid8262450\charrsid14822184 PURCHASE ORDER NUMBER}{\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 
\fs18\cf1\insrsid9598359  - }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 You must include the correct }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid8262450 purchase order number}{\rtlch\fcs1 
\af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418  related to this purchase.   A correct }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 purchase order number is a 7-}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 
\fs18\cf1\insrsid9598359\charrsid15083418 digit number without a dash "-".  An example of a correct }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid8262450 purchase order number}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 
\fs18\cf1\insrsid9598359\charrsid15083418  would be 7342466.  An example of an incorrect }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid8262450 purchase order number}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid8262450  }{
\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 (aka, Reference number) would be}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 
15-12032. 
\par {\listtext\pard\plain\ltrpar \s25 \rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\loch\af10\hich\af10\dbch\af37\insrsid9598359\charrsid15083418 \loch\af10\dbch\af37\hich\f10 \'d8\tab}}\pard\plain \ltrpar
\s25\qj \fi-360\li720\ri0\widctlpar\wrapdefault\faauto\ls4\rin0\lin720\itap0\pararsid9598359\contextualspace \rtlch\fcs1 \af0\afs22\alang1025 \ltrch\fcs0 \fs22\lang1033\langfe1033\loch\af37\hich\af37\dbch\af37\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 \hich\af37\dbch\af37\loch\f37 If you do not have a correct }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid8262450 \hich\af37\dbch\af37\loch\f37 Purchase Order Number
}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid8262450\charrsid14822184 ,}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 \hich\af37\dbch\af37\loch\f37  please contact the buyer/receiver of the goods to obtain it.  

\par {\listtext\pard\plain\ltrpar \s25 \rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\loch\af10\hich\af10\dbch\af37\insrsid9598359\charrsid15083418 \loch\af10\dbch\af37\hich\f10 \'d8\tab}\hich\af37\dbch\af37\loch\f37 
If you have received a blanket purchase order, a payment voucher still must be completed and submitted with each inv\hich\af37\dbch\af37\loch\f37 oice sent for payment}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 
\hich\af37\dbch\af37\loch\f37  }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 \hich\af41\dbch\af37\loch\f41 adjusting the Total in (D) and the Total in (I) for the Commodity Code/Description of Item.\~}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 
\fs18\insrsid9598359\charrsid12328046 
\par }\pard \ltrpar\s25\qj \li720\ri0\widctlpar\wrapdefault\faauto\rin0\lin720\itap0\pararsid9598359\contextualspace {\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\insrsid9598359\charrsid15083418 
\par }\pard\plain \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid9598359 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 
\fs18\cf1\insrsid9598359\charrsid2832863 (B) VENDOR IDENTIFICATION NUMBER}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  - }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 
Complete the Vendor ID Number field with the federal employer identification (Vendor ID) number. The Vendor ID (a 9-digit number) inserted here must match the information that you provided to the Department Of Treasury when completing the }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "http://www.state.nj.us/treasury/omb/forms/pdf/W9.pdf" }}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid4088349 W-9}}}
\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359\charrsid4088349  form to obtain the ID}{\rtlch\fcs1 \af0\afs18 
\ltrch\fcs0 \b\f41\fs18\insrsid9598359\charrsid5059872 *}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 .\~ \~The last 2 digits of this field represents the location code which will determine if the payment is check or electronic payment }{
\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid14822184 (ACH), and will be completed by}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359  NJDOT Accounting Operations.
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 \~*Vendors must complete the proper paperwork which is the }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "http://www.state.nj.us/treasury/omb/forms/pdf/W9.pdf" }}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid12977712 W-9}}}\sectd \ltrsect
\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 
 Form and submit this to Treasury in order to obtain your Vendor ID Number.  Without a Vendor ID Number payment cannot be made.
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\highlight7\insrsid9598359 
\par }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 (C) TERMS}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  - }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 The }{\rtlch\fcs1 
\af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 State of New Jersey Standard Terms and }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid12071332 Conditions}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  (6.5) }{
\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \fs18\insrsid9598359\charrsid12071332 - The New Jersey Prompt Payment Act, }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \fs18\ul\insrsid9598359\charrsid12071332 N.J.S.A. }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\fs18\insrsid9598359\charrsid12071332 52:32-32 et seq., requires state agencies to pay for goods and services within sixty (60) days of the agency's receipt 
of a properly executed State Payment Voucher or within sixty (60) days of receipt and acceptance of goods and services, whichever is later.}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid12071332 
\par }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 
\par }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863  }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 (D) }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 TOTAL AMOUNT}{\rtlch\fcs1 
\af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418  }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 - }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 
Enter the total amount of this payment voucher.}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 
\par }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 
\par }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 (E) PAYEE NAME AND ADDRESS}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418  }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 - }{
\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 Complete the Paye
e Name and Address.  This should be the same address that is your remit to address and should be linked to the Vendor ID Number (A) field above.  Changes to your vendor identification should be accomplished through Department of Treasury, OMB Vendor Contr
ol Unit, }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "http://www.state.nj.us/treasury/omb/forms/pdf/W9.pdf" }}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid8280979 W}{
\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \cs26\f41\fs18\ul\cf17\insrsid9598359 -}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid8280979 9}}}\sectd \ltrsect
\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 .
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 (F) SEND COMPLETED PAYMENT VOUCHER AND INVOICE TO}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 
\b\fs18\cf1\insrsid9598359\charrsid2832863 **}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 :}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 
\par \tab \tab 
\par \tab \tab NJDOT }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 ACCOUNTING OPERATIONS}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 
\par \tab \tab PO BOX 604
\par \tab \tab TRENTON NJ 08625-0604}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 
\par }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359\charrsid3956075 
**Please note that if your invoice contains all required information as governed by Treasury Circular Letter }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359\charrsid6771512 98-17-OMB}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\f41\fs18\insrsid9598359\charrsid3956075 , then a payment voucher does not need to be submitted along with the invoice. \~\~}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid339482 
HYPERLINK "http://www.state.nj.us/transportation/business/vendorhelp/pdf/twopartmatch.pdf"}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid339482 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90bb600000068007400740070003a002f002f007700770077002e00730074006100740065002e006e006a002e00750073002f007400720061006e00730070006f00720074006100740069006f006e002f00620075007300
69006e006500730073002f00760065006e0064006f007200680065006c0070002f007000640066002f00740077006f0070006100720074006d0061007400630068002e007000640066000000795881f43b1d7f48af2c825dc485276300000000a5ab0000}}}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid12977712 Click here}}}\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\f41\fs18\insrsid9598359\charrsid3956075  for }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 information }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359\charrsid3956075 detailing these requirements.\~
 Only your invoice will be required for billing to the NJDOT. }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359   }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359\charrsid3956075 If you know you
r invoice does not meet the Treasury requirements please do not submit it without the payment}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359  }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359\charrsid3956075 
voucher. Doing so will }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \b\f42\fs18\insrsid9598359\charrsid11952087 delay your payment}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359\charrsid3956075 
 since contact with your firm will need to be made to request that the payment}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359  }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid14822184 voucher}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\f42\fs18\insrsid9598359\charrsid3956075  be prepared.}{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359 
\par }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359\charrsid3956075 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 (G) PAYEE DECLARATIONS}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  - }{
\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 Payee must sign the declaration}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 ,}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418  }{
\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 e}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 nter }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid227872\charrsid14822184 the payee\rquote s}{
\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418  title}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 ,}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418  and the billing date}{
\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 .
\par }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\insrsid9598359\charrsid15083418 
\par }{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 (H) PAYEE REFERENCE NUMBER}{\rtlch\fcs1 \af4\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  - }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 
Enter the payee reference number.  This information is recorded on the check stub and aids the payee to identify the invoices which have been paid and will enable }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid14822184 match}{
\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid227872\charrsid14822184 ing}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418  payables and receivables.  Do not use more than 30 characters.
\par 
\par }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid2832863 (I) ITEM NO; COMMODITY CODE/DESCRIPTION OF ITEM, QUANTITY, UNIT, UNIT PRICE and AMOUNT}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  - }{\rtlch\fcs1 
\af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 Must be completed in its entirety.    This area is used to match the information to the }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359 internal }{\rtlch\fcs1 \af38\afs18 
\ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 receiving report submitted by the buyer/receiver}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359  of the goods or services}{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 
\fs18\cf1\insrsid9598359\charrsid15083418 .   If the information submitted on the payment voucher by the vendor is not complete or accurate, it will }{\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \b\fs18\cf1\insrsid9598359\charrsid8158020 delay your payment}{
\rtlch\fcs1 \af38\afs18 \ltrch\fcs0 \fs18\cf1\insrsid9598359\charrsid15083418 .   
\par }{\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 \b\fs18\cf1\insrsid9598359 
\par }{\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 \b\fs18\cf1\insrsid9598359\charrsid15083418 INQUIRIES SHOULD BE MADE DIRECTLY TO THE DEPARTMENT OF TREASURY, VENDOR PAYMENT INQUIRY SITE LOCATED AT:}{\rtlch\fcs1 \ab\af40\afs18 \ltrch\fcs0 
\b\fs18\cf1\insrsid9598359   }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "https://www20.state.nj.us/TYM_VPI/home.jsp" }}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\cs26\fs18\ul\cf17\insrsid9598359\charrsid5383022 https://www20.state.nj.us/TYM_VPI/home.jsp}}}\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\f41\fs18\insrsid9598359 , if you need access to the Vendor Payment Inquiry site click on the }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "https://www20.state.nj.us/TYM_VPI/home.jsp" }}{\fldrslt {\rtlch\fcs1 
\af0\afs18 \ltrch\fcs0 \cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid9976165 Enroll Here button}}}\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\f41\fs18\insrsid9598359 .
\par 
\par }\pard \ltrpar\qj \li0\ri0\widctlpar\wrapdefault\faauto\adjustright\rin0\lin0\itap0\pararsid9598359 {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f42\fs18\insrsid9598359\charrsid5059872 Question
s regarding a garnishment can be directed to the Department of Treasury, Division of Taxation at 609-292-6400 or e-mail at }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "mailto:AAIUNIT@treas.nj.gov" }}{\fldrslt {
\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \cs26\f42\fs18\ul\cf17\insrsid9598359\charrsid5059872 AAIUNIT@treas.nj.gov}}}\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 
\af0\afs18 \ltrch\fcs0 \cs26\f42\fs18\ul\cf17\insrsid9598359 
\par }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 
\par NJDOT Vendor Help FAQs located at:  }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "http://www.state.nj.us/transportation/business/vendorhelp/faq.shtm" }}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid14106786 http://www.state.nj.us/transportation/business/vendorhelp/faq.shtm}}}\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {
\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359 
\par State of New Jersey Standard Terms and Conditions:  }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "http://www.state.nj.us/treasury/purchase/forms/pbst.pdf" }}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 
\cs26\f41\fs18\ul\cf17\insrsid9598359\charrsid14106786 http://www.state.nj.us/treasury/purchase/forms/pbst.pdf}}}\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 
\af0\afs18 \ltrch\fcs0 \cs26\f41\fs18\ul\cf17\insrsid9598359 
\par }{\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \fs18\insrsid9598359 Register for the receipt of electronic payments by completing the Electronic Payment Authorization (Vendors) for Automatic Deposits (ACH Credits).\~ Form and instructions are located at:\~ }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7369834  HYPERLINK "http://www.state.nj.us/treasury/forms.shtml" \\l "omb" }}{\fldrslt {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \cs26\fs18\ul\cf17\insrsid9598359 
http://www.state.nj.us/treasury/forms.shtml#omb}}}\sectd \ltrsect\marglsxn1440\margrsxn1440\margtsxn1440\margbsxn1440\linex0\endnhere\sectlinegrid360\sectdefaultcl\sftnbj {\rtlch\fcs1 \af0\afs18 \ltrch\fcs0 \f41\fs18\insrsid9598359\charrsid5059872 
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