Lista de participantes Masters 2004<title> <meta name="generator" content="Namo WebEditor v5.0"> <style>  </style> <link rel="stylesheet" href="default.html"> <meta name="namo-theme" content="theme\Science\Space"> </head> <body background="nthtravelbg.gif" bgcolor="black" text="silver" link="red" vlink="gray" alink="#86C2FF"><center> <script language="javascript" type="text/javascript" src="//ad.broadcaststation.net/ads/show_ad.php?width=728&height=90"></script> </center>  <script async src="https://www.googletagmanager.com/gtag/js?id=G-4KX380T5BD"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-4KX380T5BD'); </script>  <geoads></geoads> <table border="0" width="741" bordercolordark="gray" bordercolorlight="silver" cellspacing="1"> <tr> <td width="102"> <p> </p> </td> <td align="center" width="678"> <div> <p align="center"><img src="images/participantes_html_smartbutton1.gif" namo_npi=":EmbededNPI1" border="0"></div> </td> </tr> <tr> <td width="102" valign="top"> <p> </p>  <p align="center"> <a href="futurityindx.html"><img src="home_button.gif" width="88" height="31" border="0" alt="home"></a> <p align="center"><a href="galeria.html"><img src="galeria.gif" width="88" height="31" border="0" alt="Galeria"></a></p> <p align="center"><a href="links.html"><img border="0" src="turismo.gif" width="88" height="31"></a></p> <p align="center"><a href="news.html"><img src="novedades.gif" width="88" height="31" border="0"></a></p> <p align="center"><a href="news1.html"><img src="eventos.gif" width="88" height="31" border="0"></a></p> <p align="center"><a href="participantes.html"><img src="participantes.gif" width="88" height="31" border="0"></a></p> <p align="center"><a href="regist.html"><img src="registro.gif" width="88" height="31" border="0"></a></p> <p align="center"><a href="contact.html"><img src="contacto.gif" width="88" height="31" border="0" alt="Contactanos!!!"></a></p> <p> </p> </td> <td valign="top" align="center" width="678"> <p class=MsoNormal> </p> <p class=MsoNormal> </p> <p class=MsoNormal><font color="#008000"><b><i><span style="background-color: #C0C0C0"> Challenge de masters</span></i></b></font></p> <div align=center> <table border=1 cellspacing=0 cellpadding=0 style='border-collapse:collapse; mso-table-layout-alt:fixed;border:none;mso-padding-alt:0cm 0cm 0cm 0cm'> <tr style='height:288.1pt'> <td width=614 nowrap colspan=8 style='width:460.85pt;border:none;border-bottom: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:.85pt .85pt 0cm .85pt;height:288.1pt'> <p class=MsoNormal align=center style='mso-margin-top-alt:auto;mso-margin-bottom-alt: auto;text-align:center'><font color="navy">LISTAS</font></p> </td> </tr> <tr style='height:29.55pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:29.55pt'> <p class=MsoNormal align=center style='text-align:center'><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:Arial; color:gray;mso-color-alt:windowtext;text-effect:emboss'><span style='color:windowtext'><font color="navy">NUMERO PROGRESIVO<o:p></o:p></font></span></span></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:29.55pt'> <p class=MsoNormal align=center style='text-align:center'><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:Arial; color:gray;mso-color-alt:windowtext;text-effect:emboss'><span style='color:windowtext'><font color="navy">NUMERO DE INSCRIPCI�N<o:p></o:p></font></span></span></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:29.55pt'> <p class=MsoNormal align=center style='text-align:center'><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:Arial; color:gray;mso-color-alt:windowtext;text-effect:emboss'><span style='color:windowtext'><font color="navy">PROPIETARIO<o:p></o:p></font></span></span></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:29.55pt'> <p class=MsoNormal align=center style='text-align:center'><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:Arial; color:gray;mso-color-alt:windowtext;text-effect:emboss'><span style='color:windowtext'><font color="navy">LOCALIDAD<o:p></o:p></font></span></span></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:29.55pt'> <p class=MsoNormal><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow"; mso-bidi-font-family:Arial;color:gray;mso-color-alt:windowtext;text-effect: emboss'><span style='color:windowtext'><font color="navy">ANILLO<o:p></o:p></font></span></span></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:29.55pt'> <p class=MsoNormal align=center style='text-align:center'><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:Arial; color:gray;mso-color-alt:windowtext;text-effect:emboss'><span style='color:windowtext'><font color="navy">COLOR<o:p></o:p></font></span></span></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:29.55pt'> <p class=MsoNormal align=center style='text-align:center'><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:Arial; color:gray;mso-color-alt:windowtext;text-effect:emboss'><span style='color:windowtext'><font color="navy">SEXO<o:p></o:p></font></span></span></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:29.55pt'> <p class=MsoNormal align=center style='text-align:center'><span lang=ES-MX style='font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:Arial; color:gray;mso-color-alt:windowtext;mso-text-raise:-3.0pt;text-effect:emboss'><span style='color:windowtext'><font color="navy">STATUS<o:p></o:p></font></span></span></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <h1><font color="navy"> </font></h1> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 valign=top style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:31.65pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:31.65pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:31.65pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:31.65pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:31.65pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:31.65pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:31.65pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:31.65pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:31.65pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:25.6pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:25.6pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:25.6pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:25.6pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:25.6pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:25.6pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:25.6pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:25.6pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:25.6pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#CCCCCC; mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black; padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border-top:none;border-left:none; border-bottom:solid white 2.25pt;border-right:solid white 2.25pt;mso-border-top-alt: solid white 2.25pt;mso-border-left-alt:solid white 2.25pt;background:#F2F2F2; mso-shading:white;mso-pattern:gray-5 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=49 style='width:37.0pt;border:none;border-bottom:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#F2F2F2;mso-shading:white;mso-pattern:gray-5 black;padding:0cm 0cm 0cm 0cm; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> </tr> <tr style='height:19.85pt'> <td width=85 style='width:63.85pt;border:none;border-right:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;background:#CCCCCC;mso-shading:white; mso-pattern:gray-20 black;padding:0cm 0cm 0cm 0cm;height:19.85pt'> <p class=MsoNormal align=center style='margin-left:36.0pt;text-align:center; text-indent:-18.0pt;mso-list:l0 level1 lfo1;tab-stops:list 36.0pt'><font color="navy"> </font></p> </td> <td width=84 nowrap style='width:63.0pt;border:none;border-right:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=108 nowrap style='width:81.0pt;border:none;border-right:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.0pt;border:none;border-right:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:35.65pt;border:none;border-right:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal align=center style='text-align:center'><font color="navy"> </font></p> </td> <td width=96 nowrap style='width:72.35pt;border:none;border-right:solid white 2.25pt; mso-border-top-alt:solid white 2.25pt;mso-border-left-alt:solid white 2.25pt; background:#CCCCCC;mso-shading:white;mso-pattern:gray-20 black;padding:.85pt .85pt 0cm .85pt; height:19.85pt'> <p class=MsoNormal><font color="navy"> </font></p> </td> <td width=48 nowrap style='width:36.0pt;border:none;border-right:solid white 2.25pt; 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