<table class="msonormaltable" dir="rtl" style="width:524.55pt;margin-left:-65.85pt;border-collapse:collapse; mso-yfti-tbllook:1184;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-table-dir:bidi" border="0" cellpadding="0" cellspacing="0" width="699"> <tbody><tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:25.5pt"> <td style="width:42.55pt;border:solid windowtext 1.0pt; background:#404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="57"> </td> <td style="width:49.6pt;border:solid windowtext 1.0pt; border-right:none;mso-border-right-alt:solid windowtext 1.0pt;background: #404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="66"> </td> <td style="width:52.7pt;border:solid windowtext 1.0pt; border-right:none;mso-border-right-alt:solid windowtext 1.0pt;background: #404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="70"> </td> <td style="width:67.8pt;border:solid windowtext 1.0pt; border-right:none;mso-border-right-alt:solid windowtext 1.0pt;background: #404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border:solid windowtext 1.0pt; border-right:none;mso-border-right-alt:solid windowtext 1.0pt;background: #404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border:solid windowtext 1.0pt; border-right:none;mso-border-right-alt:solid windowtext 1.0pt;background: #404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border:solid windowtext 1.0pt; border-right:none;mso-border-right-alt:solid windowtext 1.0pt;background: #404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border:solid windowtext 1.0pt; border-right:none;mso-border-right-alt:solid windowtext 1.0pt;background: #404040;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:1;height:33.75pt"> <td rowspan="2" style="width:42.55pt;border:solid windowtext 1.0pt; border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:33.75pt" nowrap="nowrap" width="57"> </td> <td rowspan="2" style="width:49.6pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:33.75pt" nowrap="nowrap" width="66"> </td> <td rowspan="2" style="width:52.7pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:33.75pt" nowrap="nowrap" width="70"> </td> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:33.75pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:33.75pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:33.75pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:33.75pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:33.75pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:2;height:28.5pt"> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:28.5pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:28.5pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:28.5pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:28.5pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:28.5pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:3;height:26.25pt"> <td rowspan="3" style="width:42.55pt;border:solid windowtext 1.0pt; border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="57"> </td> <td rowspan="3" style="width:49.6pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:26.25pt" nowrap="nowrap" width="66"> </td> <td rowspan="3" style="width:52.7pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:26.25pt" nowrap="nowrap" width="70"> </td> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:4;height:23.25pt"> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:23.25pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:23.25pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:23.25pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:23.25pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:23.25pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:5;height:24.75pt"> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.75pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.75pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.75pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.75pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.75pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:6;height:26.25pt"> <td rowspan="4" style="width:42.55pt;border:solid windowtext 1.0pt; border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="57"> </td> <td rowspan="4" style="width:49.6pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:26.25pt" nowrap="nowrap" width="66"> </td> <td rowspan="4" style="width:52.7pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:26.25pt" nowrap="nowrap" width="70"> </td> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:26.25pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:7;height:27.75pt"> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:8;height:24.0pt"> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:24.0pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:9;height:25.5pt"> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:25.5pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:10;height:30.75pt"> <td rowspan="2" style="width:42.55pt;border:solid windowtext 1.0pt; border-top:none;padding:0cm 5.4pt 0cm 5.4pt;height:30.75pt" nowrap="nowrap" width="57"> </td> <td rowspan="2" style="width:49.6pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:30.75pt" nowrap="nowrap" width="66"> </td> <td rowspan="2" style="width:52.7pt;border-top:none;border-left: Solid windowtext 1.0pt;border-bottom:solid windowtext 1.0pt;border-right: None;mso-border-right-alt:solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt; height:30.75pt" nowrap="nowrap" width="70"> </td> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:30.75pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:30.75pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:30.75pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:30.75pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:30.75pt" nowrap="nowrap" width="147"> </td> </tr> <tr style="mso-yfti-irow:11;mso-yfti-lastrow:yes;height:27.75pt"> <td style="width:67.8pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="90"> </td> <td style="width:2.0cm;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="76"> </td> <td style="width:92.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="123"> </td> <td style="width:53.05pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="71"> </td> <td style="width:110.1pt;border-top:none;border-left:solid windowtext 1.0pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-right-alt: Solid windowtext 1.0pt;padding:0cm 5.4pt 0cm 5.4pt;height:27.75pt" nowrap="nowrap" width="147"> </td> </tr> </tbody></table>

هاي الجدول انسة روان :
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</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 30.9pt;" width="72">
</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 30.9pt;" width="72">
</td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 30.9pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 30.9pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 30.9pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 30.9pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 30.9pt;" width="228"> </td> </tr> <tr style="height: 27.2pt;"> <td style="width: 54pt; border-width: medium 1pt; border-style: none solid; border-color: -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" valign="bottom" width="72"> </td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" width="72"> </td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" width="72"> </td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.2pt;" width="228"> </td> </tr> <tr style="height: 28.3pt;"> <td style="width: 54pt; border-width: medium 1pt; border-style: none solid; border-color: -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" valign="bottom" width="72">
</td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="72">
</td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="72">
</td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="228"> </td> </tr> <tr style="height: 28pt;"> <td style="width: 54pt; border-width: medium 1pt 1pt; border-style: none solid solid; border-color: -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" valign="bottom" width="72">
</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" width="72">
</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" width="72">
</td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28pt;" width="228"> </td> </tr> <tr style="height: 34.8pt;"> <td style="width: 54pt; border-width: medium 1pt; border-style: none solid; border-color: -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" valign="bottom" width="72"> </td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" width="72"> </td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" width="72"> </td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 34.8pt;" width="228"> </td> </tr> <tr style="height: 28.2pt;"> <td style="width: 54pt; border-width: medium 1pt; border-style: none solid; border-color: -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" valign="bottom" width="72">
</td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" width="72">
</td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" width="72">
</td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.2pt;" width="228"> </td> </tr> <tr style="height: 27.9pt;"> <td style="width: 54pt; border-width: medium 1pt; border-style: none solid; border-color: -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" valign="bottom" width="72">
</td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" width="72">
</td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" width="72">
</td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.9pt;" width="228"> </td> </tr> <tr style="height: 27.65pt;"> <td style="width: 54pt; border-width: medium 1pt 1pt; border-style: none solid solid; border-color: -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" valign="bottom" width="72">
</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" width="72">
</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" width="72">
</td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.65pt;" width="228"> </td> </tr> <tr style="height: 27.35pt;"> <td style="width: 54pt; border-width: medium 1pt; border-style: none solid; border-color: -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" valign="bottom" width="72"> </td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" width="72"> </td> <td style="width: 54pt; border-width: medium medium medium 1pt; border-style: none none none solid; border-color: -moz-use-text-color -moz-use-text-color -moz-use-text-color rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" width="72"> </td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 27.35pt;" width="228"> </td> </tr> <tr style="height: 28.3pt;"> <td style="width: 54pt; border-width: medium 1pt 1pt; border-style: none solid solid; border-color: -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" valign="bottom" width="72">
</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="72">
</td> <td style="width: 54pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="72">
</td> <td style="width: 107pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" valign="bottom" width="143"> </td> <td style="width: 86pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="115"> </td> <td style="width: 129pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="172"> </td> <td style="width: 95pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="127"> </td> <td style="width: 171pt; border-width: medium medium 1pt 1pt; border-style: none none solid solid; border-color: -moz-use-text-color -moz-use-text-color rgb(63, 63, 63) rgb(63, 63, 63); background: none repeat scroll 0% 0% black; padding: 0cm 5.4pt; height: 28.3pt;" width="228"> </td> </tr> </tbody></table>

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