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</head>

<style type="text/css">
  td { 
    background-color: #dddddd; 
}
  td.label { 
    text-align: right; 
    vertical-align: top; 
    width: 50%; 
    font-weight: bold;
}
  td.input { 
    text-align: left; 
    vertical-align: top; 
    width: 50%;
}
  font {
    color: #000000; 
    font-size: 10pt;
}