%PDF-1.6
%
1 0 obj
<<
/AcroForm 2 0 R
/Metadata 3 0 R
/PageLabels 4 0 R
/Pages 5 0 R
/Type /Catalog
>>
endobj
6 0 obj
<<
/Author (jhamm)
/CreationDate (D:20170309112739-05'00')
/Creator (PScript5.dll Version 5.2.2)
/ModDate (D:20170316101450-04'00')
/Producer (Acrobat Distiller 11.0 \(Windows\))
/Title (Microsoft Word - 1369.docx)
>>
endobj
2 0 obj
<<
/Fields [7 0 R 8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R
17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R 24 0 R 25 0 R]
/DR 26 0 R
/DA (/Helv 0 Tf 0 g)
/NeedAppearances true
>>
endobj
3 0 obj
<<
/Length 3641
/Subtype /XML
/Type /Metadata
>>
stream
PScript5.dll Version 5.2.2
2017-03-16T10:14:50-04:00
2017-03-09T11:27:39-05:00
2017-03-16T10:14:50-04:00
application/pdf
Microsoft Word - 1369.docx
jhamm
Acrobat Distiller 11.0 (Windows)
uuid:d5c1ac8b-302a-4bed-ae03-ec2eff4e3872
uuid:522585e1-89c3-4508-a9da-541b5827daa6
1
1.1
endstream
endobj
4 0 obj
<<
/Nums [0 27 0 R]
>>
endobj
5 0 obj
<<
/Count 3
/Kids [28 0 R 29 0 R 30 0 R]
/Type /Pages
>>
endobj
7 0 obj
<<
/FT /Tx
/T (text-8bdf31ae-c6cf-4dca-abad-f614aa5444ce)
/Type /Annot
/Subtype /Widget
/Rect [93.35999 581.52 453.95996 601.44]
/P 30 0 R
/F 4
>>
endobj
8 0 obj
<<
/FT /Tx
/T (text-2e70024c-ed63-41aa-bb9f-fb3fb4800ef8)
/Type /Annot
/Subtype /Widget
/Rect [93.35999 490.67996 453.95996 510.59998]
/P 30 0 R
/F 4
>>
endobj
9 0 obj
<<
/FT /Tx
/T (text-6d0344c8-63e5-4821-b1b5-8fe9f9c9258f)
/Type /Annot
/Subtype /Widget
/Rect [42.9328 58.03448 560.77234 84.66206]
/P 28 0 R
/F 4
>>
endobj
10 0 obj
<<
/FT /Tx
/T (text-8c4385e4-4ee2-4c40-8fba-35ec4e11b0ab)
/Type /Annot
/Subtype /Widget
/Rect [45.1127 701.87585 565.5536 723.567]
/P 30 0 R
/F 4
>>
endobj
11 0 obj
<<
/FT /Tx
/T (text-b172cde1-4d48-44f9-b9fe-dede6dbac999)
/Type /Annot
/Subtype /Widget
/Rect [43.03125 85.344826 558.7232 110.606895]
/P 28 0 R
/F 4
>>
endobj
12 0 obj
<<
/FT /Btn
/T (checkbox-132dcd49-2bd5-4eb6-ad06-ca9f2a6cf3b8)
/Type /Annot
/Subtype /Widget
/AP 31 0 R
/Rect [329.03226 397.9355 342.96774 412.64517]
/P 29 0 R
/F 4
>>
endobj
13 0 obj
<<
/FT /Btn
/T (checkbox-90ffcb68-8c9c-4ecd-8db6-7927be5d8ec2)
/Type /Annot
/Subtype /Widget
/AP 32 0 R
/Rect [329.41934 418.4516 342.58063 431.61288]
/P 29 0 R
/F 4
>>
endobj
14 0 obj
<<
/FT /Tx
/T (text-75eb41e1-b4e9-4cbd-99f8-c151c891c993)
/Type /Annot
/Subtype /Widget
/Rect [93.35999 551.4 453.95996 571.32]
/P 30 0 R
/F 4
>>
endobj
15 0 obj
<<
/FT /Tx
/T (text-eadc304b-7e6b-4614-bd79-940545f38ade)
/Type /Annot
/Subtype /Widget
/Rect [44.5327 429.67297 311.05304 458.47296]
/P 29 0 R
/F 4
>>
endobj
16 0 obj
<<
/FT /Tx
/T (text-0c230ed6-d485-465b-8f5d-3453500581e1)
/Type /Annot
/Subtype /Widget
/Rect [118.16518 213.02069 560.0893 226.84897]
/P 28 0 R
/F 4
>>
endobj
17 0 obj
<<
/FT /Tx
/T (text-461d805c-f778-4e6f-8cc2-ff3ec48ba02b)
/Type /Annot
/Subtype /Widget
/Rect [120.093 449.80646 560.9032 465.20303]
/P 28 0 R
/F 4
>>
endobj
18 0 obj
<<
/FT /Tx
/T (text-ab34793c-3312-4afb-a423-1566589a0134)
/Type /Annot
/Subtype /Widget
/Rect [42.9328 328.64517 560.5161 344.24304]
/P 28 0 R
/F 4
>>
endobj
19 0 obj
<<
/FT /Tx
/T (text-74394339-9d61-4609-b399-e2bc034002cd)
/Type /Annot
/Subtype /Widget
/Rect [40.9327 603.4839 555.871 706.352]
/P 29 0 R
/F 4
>>
endobj
20 0 obj
<<
/FT /Btn
/T (checkbox-710f3363-c492-48c4-993f-4d13bf61ef8e)
/Type /Annot
/Subtype /Widget
/AP 33 0 R
/Rect [329.2232 437.6483 342.8839 451.9862]
/P 29 0 R
/F 4
>>
endobj
21 0 obj
<<
/FT /Tx
/T (text-5b4c7776-9faa-45fd-abfb-ff3a2c073c63)
/Type /Annot
/Subtype /Widget
/Rect [43.652798 592.25806 564.0 607.883]
/P 28 0 R
/F 4
>>
endobj
22 0 obj
<<
/FT /Tx
/T (text-ea2a1e09-a654-4df3-97ff-c40279c151e2)
/Type /Annot
/Subtype /Widget
/Rect [43.652798 509.80646 562.8387 524.843]
/P 28 0 R
/F 4
>>
endobj
23 0 obj
<<
/FT /Tx
/T (text-5dadc5aa-dc80-40c1-a105-9c4c8ee02ae2)
/Type /Annot
/Subtype /Widget
/Rect [54.452797 404.12903 561.29034 417.0837]
/P 28 0 R
/F 4
>>
endobj
24 0 obj
<<
/FT /Tx
/T (text-4f79ab68-9729-4c54-90b1-1e913319d562)
/Type /Annot
/Subtype /Widget
/Rect [177.693 379.74194 560.5161 395.123]
/P 28 0 R
/F 4
>>
endobj
25 0 obj
<<
/FT /Tx
/T (text-bd33352d-1291-43bd-afec-a4030de94a01)
/Type /Annot
/Subtype /Widget
/Rect [93.35999 521.16 453.95996 541.08]
/P 30 0 R
/F 4
>>
endobj
26 0 obj
<<
/Font 34 0 R
>>
endobj
27 0 obj
<<
/S /D
>>
endobj
28 0 obj
<<
/Annots [9 0 R 11 0 R 16 0 R 17 0 R 18 0 R 21 0 R 22 0 R 23 0 R 24 0 R]
/Contents [35 0 R 36 0 R 37 0 R 38 0 R 39 0 R 40 0 R 41 0 R 42 0 R 43 0 R 44 0 R
45 0 R 46 0 R 47 0 R 48 0 R 49 0 R 50 0 R]
/CropBox [0 0 612 792]
/MediaBox [0 0 612 792]
/Parent 5 0 R
/Resources 51 0 R
/Rotate 0
/Type /Page
>>
endobj
29 0 obj
<<
/Annots [12 0 R 13 0 R 15 0 R 19 0 R 20 0 R]
/Contents [52 0 R 53 0 R 54 0 R 55 0 R 56 0 R 57 0 R 58 0 R]
/CropBox [0 0 612 792]
/MediaBox [0 0 612 792]
/Parent 5 0 R
/Resources 59 0 R
/Rotate 0
/Type /Page
>>
endobj
30 0 obj
<<
/Annots [7 0 R 8 0 R 10 0 R 14 0 R 25 0 R]
/Contents [60 0 R 61 0 R 62 0 R 63 0 R 64 0 R 65 0 R 66 0 R]
/CropBox [0 0 612 792]
/MediaBox [0 0 612 792]
/Parent 5 0 R
/Resources 67 0 R
/Rotate 0
/Type /Page
>>
endobj
31 0 obj
<<
/N 68 0 R
>>
endobj
32 0 obj
<<
/N 69 0 R
>>
endobj
33 0 obj
<<
/N 70 0 R
>>
endobj
34 0 obj
<<
/Helv 71 0 R
/ZaDb 72 0 R
>>
endobj
35 0 obj
<<
/Length 10
/Filter /FlateDecode
>>
stream
x+ |
endstream
endobj
36 0 obj
<<
/Length 622
/Filter /FlateDecode
>>
stream
H\Sێ0}Ẉ-ǎX*Q`+.A$m!E^;/s3a/Šm5 "_ k0ZZlSF{=H4^[h>~l`B*.
`ޭ{@.Ұҳ}Wd@c1t1qQʊԯS`Jk?d[*S
ԌvC$l~{*qi*RhWL6dsʹA}z1ÖMBIIi̦\YzqGM#.