MIME-Version: 1.0
Content-Type: multipart/related; boundary="----=_NextPart_01C5A324.7C754EE0"

This document is a Single File Web Page, also known as a Web Archive file.  If you are seeing this message, your browser or editor doesn't support Web Archive files.  Please download a browser that supports Web Archive, such as Microsoft Internet Explorer.

------=_NextPart_01C5A324.7C754EE0
Content-Location: file:///C:/2674CAAD/PTODirForm.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="us-ascii"

<html xmlns:v=3D"urn:schemas-microsoft-com:vml"
xmlns:o=3D"urn:schemas-microsoft-com:office:office"
xmlns:dt=3D"uuid:C2F41010-65B3-11d1-A29F-00AA00C14882"
xmlns:b=3D"urn:schemas-microsoft-com:office:publisher"
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii">
<meta name=3DProgId content=3DPublisher.Document>
<meta name=3DGenerator content=3D"Microsoft Publisher 11">
<link rel=3DFile-List href=3D"PTODirForm_files/filelist.xml">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
b\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><!--[if gte mso 9]><xml>
 <o:DocumentProperties>
  <o:Author>M. Cecily Miner</o:Author>
  <o:Version>11.5606</o:Version>
 </o:DocumentProperties>
</xml><![endif]--><!--[if pub]><xml>
 <b:Publication type=3D"OplPub" oty=3D"68" oh=3D"256">
  <b:OhPrintBlock priv=3D"30E">285</b:OhPrintBlock>
  <b:FWebPublication priv=3D"C00">True</b:FWebPublication>
  <b:DptlPageDimensions type=3D"OplPt" priv=3D"1211">
   <b:Xl priv=3D"104">10058400</b:Xl>
   <b:Yl priv=3D"204">43891200</b:Yl>
  </b:DptlPageDimensions>
  <b:OhGallery priv=3D"180E">259</b:OhGallery>
  <b:OhFancyBorders priv=3D"190E">261</b:OhFancyBorders>
  <b:OhCaptions priv=3D"1A0E">257</b:OhCaptions>
  <b:OhQuillDoc priv=3D"200E">280</b:OhQuillDoc>
  <b:OhMailMergeData priv=3D"210E">262</b:OhMailMergeData>
  <b:OhColorScheme priv=3D"220E">283</b:OhColorScheme>
  <b:DwNextUniqueOid priv=3D"2304">15</b:DwNextUniqueOid>
  <b:IdentGUID priv=3D"2A07">0(FA:UZRI\4.V91&lt;7K1OY.`</b:IdentGUID>
  <b:DpgSpecial priv=3D"2C03">5</b:DpgSpecial>
  <b:FWorkpaneVisible priv=3D"3900">False</b:FWorkpaneVisible>
  <b:CTimesEdited priv=3D"3C04">3</b:CTimesEdited>
  <b:NuDefaultUnitsEx priv=3D"4104">26</b:NuDefaultUnitsEx>
 </b:Publication>
 <b:PrinterInfo type=3D"OplPrb" oty=3D"75" oh=3D"285">
  <b:CDnb priv=3D"104">2</b:CDnb>
  <b:Rgdnb type=3D"OplDnb" priv=3D"212">
   <b:OplDnb type=3D"OplDnb" priv=3D"11">
    <b:Ssz priv=3D"103">1</b:Ssz>
    <b:Dptl type=3D"OplPt" priv=3D"213">
     <b:Xl>7772400</b:Xl>
     <b:Yl>10058400</b:Yl>
    </b:Dptl>
    <b:Sso priv=3D"303">1273</b:Sso>
    <b:Ssx priv=3D"502">0</b:Ssx>
    <b:FSszOK priv=3D"600">True</b:FSszOK>
    <b:SzDevice priv=3D"818">\\m-prt02\SITPRT01</b:SzDevice>
    <b:SzDriver priv=3D"918">winspool</b:SzDriver>
    <b:SzOutput priv=3D"A18">Ne05:</b:SzOutput>
    <b:Devmode priv=3D"C10" cb=3D"720">M2%`@3&amp;%S97)*970@24E)```````````=
````````````!!``%G``T`D_O@`4&quot;M``$`Z@IO&quot;&amp;0``0`/`&quot;P!`0`!`&=
quot;P!`@```$QE=3D'1E&lt;@``````````````````M``````````````````````````````=
`````!``````````$````&quot;`````0``M`/____\`````````````````````1$E.52(````=
T`@``7\'ZR0``````````M```````````````````````````&amp;`````0```````````````=
```````````M````````````````````````````````````````````````````````````M``=
``````````````````````````````````````````````````````````M````````````````=
````````````````````````````````````````````M``````````````````````````````=
``````````````````````````````M````````````````````````````````````````````=
````````````````M``````````````````````````````````````````````````````````=
``M````````````````````````````````````````````````````````````M```````````=
`````````````````````````````````````````````````M`````````````````````````=
```````````````````````````````````M```````````````````````````````````````=
`````````````````````M`````````````````````````````````````````````````````=
```````</b:Devmode>
   </b:OplDnb>
   <b:OplDnb type=3D"OplDnb" priv=3D"111">
    <b:Ssz>1</b:Ssz>
    <b:Dptl type=3D"OplPt">
     <b:Xl>7772400</b:Xl>
     <b:Yl>10058400</b:Yl>
    </b:Dptl>
    <b:Sso>15</b:Sso>
    <b:Ssx>0</b:Ssx>
    <b:FSszOK>True</b:FSszOK>
    <b:Devmode cb=3D"2">&quot;```</b:Devmode>
   </b:OplDnb>
  </b:Rgdnb>
  <b:OhColorSepBlock priv=3D"30E">286</b:OhColorSepBlock>
  <b:FKOBlackFills priv=3D"A00">True</b:FKOBlackFills>
  <b:TlmTilingMode priv=3D"D04">1</b:TlmTilingMode>
  <b:DzlOverlap priv=3D"1004">228600</b:DzlOverlap>
  <b:FAllowBleeds priv=3D"1800">True</b:FAllowBleeds>
  <b:FNoBlankLines priv=3D"1A00">True</b:FNoBlankLines>
  <b:FEnvUseDefaults priv=3D"1C00">True</b:FEnvUseDefaults>
  <b:FEnvFeedLandscape priv=3D"1D00">True</b:FEnvFeedLandscape>
  <b:DpiX priv=3D"2203">0</b:DpiX>
  <b:DpiY priv=3D"2303">0</b:DpiY>
 </b:PrinterInfo>
 <b:ColorSeperationInfo type=3D"OplCsb" oty=3D"79" oh=3D"286">
  <b:Plates type=3D"OplCsp" priv=3D"214">
   <b:OplCsp type=3D"OplCsp" priv=3D"11">
    <b:EcpPlate type=3D"OplEcp" priv=3D"213">
     <b:Color priv=3D"104">-1</b:Color>
    </b:EcpPlate>
   </b:OplCsp>
  </b:Plates>
  <b:DzlOverprintMost priv=3D"304">304800</b:DzlOverprintMost>
  <b:CprOverprintMin priv=3D"404">243</b:CprOverprintMin>
  <b:FKeepawayTrap priv=3D"700">True</b:FKeepawayTrap>
  <b:CprTrapMin1 priv=3D"904">128</b:CprTrapMin1>
  <b:CprTrapMin2 priv=3D"A04">77</b:CprTrapMin2>
  <b:CprKeepawayMin priv=3D"B04">255</b:CprKeepawayMin>
  <b:DzlTrap priv=3D"C04">3175</b:DzlTrap>
  <b:DzlIndTrap priv=3D"D04">3175</b:DzlIndTrap>
  <b:PctCenterline priv=3D"E04">70</b:PctCenterline>
  <b:FMarksRegistration priv=3D"F00">True</b:FMarksRegistration>
  <b:FMarksJob priv=3D"1000">True</b:FMarksJob>
  <b:FMarksDensity priv=3D"1100">True</b:FMarksDensity>
  <b:FMarksColor priv=3D"1200">True</b:FMarksColor>
  <b:FLineScreenDefault priv=3D"1300">True</b:FLineScreenDefault>
 </b:ColorSeperationInfo>
 <b:TextDocProperties type=3D"OplDocq" oty=3D"91" oh=3D"280">
  <b:OhPlcqsb priv=3D"20E">282</b:OhPlcqsb>
  <b:OhPlbefd priv=3D"40E">289</b:OhPlbefd>
  <b:EcpSplitMenu type=3D"OplEcp" priv=3D"A13">
   <b:Color>134217728</b:Color>
  </b:EcpSplitMenu>
 </b:TextDocProperties>
 <b:StoryBlock type=3D"OplPlcQsb" oty=3D"101" oh=3D"282">
  <b:IqsbMax priv=3D"104">3</b:IqsbMax>
  <b:Rgqsb type=3D"OplQsb" priv=3D"214">
   <b:OplQsb type=3D"OplQsb" priv=3D"11">
    <b:Qsid priv=3D"104">20</b:Qsid>
    <b:FAutoHyphenate priv=3D"400">False</b:FAutoHyphenate>
    <b:Scf priv=3D"502">3</b:Scf>
    <b:TomfCopyfitBase priv=3D"80B">-9999996.000000</b:TomfCopyfitBase>
    <b:TomfCopyfitBase2 priv=3D"90B">-9999996.000000</b:TomfCopyfitBase2>
   </b:OplQsb>
   <b:OplQsb type=3D"OplQsb" priv=3D"111">
    <b:Qsid>21</b:Qsid>
    <b:FAutoHyphenate>False</b:FAutoHyphenate>
    <b:TomfCopyfitBase>-9999996.000000</b:TomfCopyfitBase>
    <b:TomfCopyfitBase2>-9999996.000000</b:TomfCopyfitBase2>
   </b:OplQsb>
   <b:OplQsb type=3D"OplQsb" priv=3D"211">
    <b:Qsid>26</b:Qsid>
    <b:Tdet priv=3D"302">0</b:Tdet>
    <b:TomfCopyfitBase>-9999996.000000</b:TomfCopyfitBase>
    <b:TomfCopyfitBase2>-9999996.000000</b:TomfCopyfitBase2>
   </b:OplQsb>
  </b:Rgqsb>
 </b:StoryBlock>
 <b:EmbeddedFontInfo type=3D"OplPlbEfd" oty=3D"108" oh=3D"289">
  <b:IefdMax priv=3D"104">4</b:IefdMax>
  <b:Rgefd type=3D"OplEfd" priv=3D"214">
   <b:OplEfd type=3D"OplEfd" priv=3D"11">
    <b:CStyles priv=3D"302">0</b:CStyles>
    <b:SzName priv=3D"418">Times New Roman</b:SzName>
    <b:grfqisidLo priv=3D"604">223</b:grfqisidLo>
    <b:rgfffc priv=3D"704">376323</b:rgfffc>
    <b:Fs priv=3D"B09">8AWH``````(`(`````````/\!`$```/__</b:Fs>
    <b:panose priv=3D"D10" cb=3D"10">*`@(&amp;`P4$!0(#!`</b:panose>
    <b:grfqisidHi priv=3D"E04">4096</b:grfqisidHi>
   </b:OplEfd>
   <b:OplEfd type=3D"OplEfd" priv=3D"111">
    <b:CStyles>0</b:CStyles>
    <b:SzName>Arial</b:SzName>
    <b:grfqisidLo>223</b:grfqisidLo>
    <b:rgfffc>376323</b:rgfffc>
    <b:Fs>8AWH``````(`(`````````/\!`$```/__</b:Fs>
    <b:panose cb=3D"10">*`@L&amp;!`(&quot;`@(&quot;!`</b:panose>
    <b:grfqisidHi>4096</b:grfqisidHi>
   </b:OplEfd>
   <b:OplEfd type=3D"OplEfd" priv=3D"211">
    <b:CStyles>0</b:CStyles>
    <b:SzName>Arial Black</b:SzName>
    <b:grfqisidLo>31</b:grfqisidLo>
    <b:rgfffc>366595</b:rgfffc>
    <b:Fs>8AP(``````````````````)\``&quot;```-??</b:Fs>
    <b:panose cb=3D"10">*`@L*!`(!`@(&quot;!`</b:panose>
    <b:grfqisidHi>4096</b:grfqisidHi>
   </b:OplEfd>
   <b:OplEfd type=3D"OplEfd" priv=3D"311">
    <b:CStyles>0</b:CStyles>
    <b:SzName>Wingdings</b:SzName>
    <b:grfqisidLo>1</b:grfqisidLo>
    <b:rgfffc>6</b:rgfffc>
    <b:ffc priv=3D"A03">2</b:ffc>
    <b:Fs>8`````````````````````````(``````</b:Fs>
    <b:panose cb=3D"10">*!0````````````</b:panose>
   </b:OplEfd>
  </b:Rgefd>
 </b:EmbeddedFontInfo>
 <b:ColorScheme type=3D"OplSccm" oty=3D"92" oh=3D"283">
  <b:Cecp priv=3D"104">8</b:Cecp>
  <b:Rgecp type=3D"OplEcp" priv=3D"214">
   <b:OplEcp priv=3D"F">Empty</b:OplEcp>
   <b:OplEcp type=3D"OplEcp" priv=3D"111">
    <b:Color>16711680</b:Color>
   </b:OplEcp>
   <b:OplEcp type=3D"OplEcp" priv=3D"211">
    <b:Color>52479</b:Color>
   </b:OplEcp>
   <b:OplEcp type=3D"OplEcp" priv=3D"311">
    <b:Color>26367</b:Color>
   </b:OplEcp>
   <b:OplEcp type=3D"OplEcp" priv=3D"411">
    <b:Color>13421772</b:Color>
   </b:OplEcp>
   <b:OplEcp type=3D"OplEcp" priv=3D"511">
    <b:Color>16737792</b:Color>
   </b:OplEcp>
   <b:OplEcp type=3D"OplEcp" priv=3D"611">
    <b:Color>13382502</b:Color>
   </b:OplEcp>
   <b:OplEcp type=3D"OplEcp" priv=3D"711">
    <b:Color>16777215</b:Color>
   </b:OplEcp>
  </b:Rgecp>
  <b:SzSchemeName priv=3D"618">Bluebird</b:SzSchemeName>
 </b:ColorScheme>
</xml><![endif]-->
<title>Page Title</title>
<!--[if pub]><xml>
 <b:Page type=3D"OplPd" oty=3D"67" oh=3D"266">
  <b:PtlvOrigin type=3D"OplPt" priv=3D"511">
   <b:Xl>22860000</b:Xl>
   <b:Yl>22860000</b:Yl>
  </b:PtlvOrigin>
  <b:Oid priv=3D"605">(`0`````````</b:Oid>
  <b:OhoplWebPageProps priv=3D"90E">267</b:OhoplWebPageProps>
  <b:OhoplFormProperties priv=3D"B0E">268</b:OhoplFormProperties>
  <b:OhpdMaster priv=3D"D0D">263</b:OhpdMaster>
  <b:PgtType priv=3D"1004">5</b:PgtType>
  <b:PtlvOriginEx type=3D"OplPt" priv=3D"1111">
   <b:Xl>110185200</b:Xl>
   <b:Yl>110185200</b:Yl>
  </b:PtlvOriginEx>
 </b:Page>
 <b:otyFormProperties type=3D"OplOdpoFormControl" oty=3D"119" oh=3D"268">
  <b:FCOSubmitType priv=3D"C04">2</b:FCOSubmitType>
  <b:FCOEmailAddr priv=3D"E18">someone@example.com</b:FCOEmailAddr>
  <b:FCOEmailTitle priv=3D"F18">Web Site Form Response</b:FCOEmailTitle>
  <b:FCOConfirmText priv=3D"1018">Your information was received</b:FCOConfi=
rmText>
  <b:FCOResultsFile priv=3D"1318">FORMDATA.HTM</b:FCOResultsFile>
  <b:FCOPageNumber priv=3D"1704">1</b:FCOPageNumber>
  <b:FCOSubmitUrl priv=3D"1818">http://example.microsoft.com/~user/ispscrip=
t.cgi</b:FCOSubmitUrl>
 </b:otyFormProperties>
</xml><![endif]-->
<style>
<!--
 /* Font Definitions */
@font-face
	{font-family:Arial;
	mso-font-charset:0;
	mso-generic-font-family:swiss;
	mso-font-pitch:variable;
	panose-1:2 11 6 4 2 2 2 2 2 4;
	mso-font-signature:31367 -2147483648 8 0 1073742335 -65536;}
@font-face
	{font-family:"Times New Roman";
	mso-font-charset:0;
	mso-generic-font-family:roman;
	mso-font-pitch:variable;
	panose-1:2 2 6 3 5 4 5 2 3 4;
	mso-font-signature:31367 -2147483648 8 0 1073742335 -65536;}
@font-face
	{font-family:Wingdings;
	mso-font-charset:2;
	mso-generic-font-family:auto;
	mso-font-pitch:variable;
	panose-1:5 0 0 0 0 0 0 0 0 0;
	mso-font-signature:0 0 0 0 -2147483648 0;}
@font-face
	{font-family:"Arial Black";
	mso-font-charset:0;
	mso-generic-font-family:swiss;
	mso-font-pitch:variable;
	panose-1:2 11 10 4 2 1 2 2 2 4;
	mso-font-signature:647 0 0 0 536871071 -539557888;}
 /* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
	{mso-style-parent:"";
	text-indent:0pt;
	margin-left:0pt;
	margin-right:0pt;
	margin-top:0pt;
	margin-bottom:0pt;
	text-align:left;
	font-family:"Times New Roman";
	mso-default-font-family:"Times New Roman";
	mso-ascii-font-family:"Times New Roman";
	mso-latin-font-family:"Times New Roman";
	mso-greek-font-family:"Times New Roman";
	mso-cyrillic-font-family:"Times New Roman";
	mso-armenian-font-family:Sylfaen;
	mso-hebrew-font-family:"Times New Roman";
	mso-arabic-font-family:"Times New Roman";
	mso-devanagari-font-family:Mangal;
	mso-bengali-font-family:Vrinda;
	mso-gurmukhi-font-family:Raavi;
	mso-oriya-font-family:Sendnya;
	mso-tamil-font-family:Latha;
	mso-telugu-font-family:Gautami;
	mso-kannada-font-family:Tunga;
	mso-thai-font-family:"Angsana New";
	mso-georgian-font-family:Sylfaen;
	mso-hangul-font-family:Batang;
	mso-kana-font-family:"MS Mincho";
	mso-bopomofo-font-family:PMingLiU;
	mso-han-font-family:SimSun;
	mso-halfwidthkana-font-family:"MS Mincho";
	mso-syriac-font-family:"Estrangelo Edessa";
	mso-thaana-font-family:"MV Boli";
	mso-latinext-font-family:"Times New Roman";
	font-size:10.0pt;
	color:black;
	mso-font-kerning:14.0pt;
	mso-char-tracking:100%;
	mso-font-width:100%;}
p.MsoTitle, li.MsoTitle, div.MsoTitle
	{mso-style-parent:"";
	text-indent:0pt;
	margin-left:0pt;
	margin-right:0pt;
	margin-top:0pt;
	margin-bottom:0pt;
	text-align:center;
	font-family:Arial;
	mso-default-font-family:Arial;
	mso-ascii-font-family:Arial;
	mso-latin-font-family:Arial;
	mso-greek-font-family:Arial;
	mso-cyrillic-font-family:Arial;
	mso-armenian-font-family:Sylfaen;
	mso-hebrew-font-family:"Times New Roman";
	mso-arabic-font-family:"Times New Roman";
	mso-devanagari-font-family:Mangal;
	mso-bengali-font-family:Vrinda;
	mso-gurmukhi-font-family:Raavi;
	mso-oriya-font-family:Sendnya;
	mso-tamil-font-family:Latha;
	mso-telugu-font-family:Gautami;
	mso-kannada-font-family:Tunga;
	mso-thai-font-family:"Angsana New";
	mso-georgian-font-family:Sylfaen;
	mso-hangul-font-family:Batang;
	mso-kana-font-family:"MS Mincho";
	mso-bopomofo-font-family:PMingLiU;
	mso-han-font-family:SimSun;
	mso-halfwidthkana-font-family:"MS Mincho";
	mso-syriac-font-family:"Estrangelo Edessa";
	mso-thaana-font-family:"MV Boli";
	mso-latinext-font-family:Arial;
	font-size:72.0pt;
	color:black;
	mso-font-kerning:14.0pt;
	mso-char-tracking:100%;
	mso-font-width:100%;}
p.MsoBodyText, li.MsoBodyText, div.MsoBodyText
	{mso-style-parent:"";
	text-indent:0pt;
	margin-left:0pt;
	margin-right:0pt;
	margin-top:0pt;
	margin-bottom:6.0pt;
	text-align:center;
	font-family:Arial;
	mso-default-font-family:Arial;
	mso-ascii-font-family:Arial;
	mso-latin-font-family:Arial;
	mso-greek-font-family:Arial;
	mso-cyrillic-font-family:Arial;
	mso-armenian-font-family:Sylfaen;
	mso-hebrew-font-family:"Times New Roman";
	mso-arabic-font-family:"Times New Roman";
	mso-devanagari-font-family:Mangal;
	mso-bengali-font-family:Vrinda;
	mso-gurmukhi-font-family:Raavi;
	mso-oriya-font-family:Sendnya;
	mso-tamil-font-family:Latha;
	mso-telugu-font-family:Gautami;
	mso-kannada-font-family:Tunga;
	mso-thai-font-family:"Angsana New";
	mso-georgian-font-family:Sylfaen;
	mso-hangul-font-family:Batang;
	mso-kana-font-family:"MS Mincho";
	mso-bopomofo-font-family:PMingLiU;
	mso-han-font-family:SimSun;
	mso-halfwidthkana-font-family:"MS Mincho";
	mso-syriac-font-family:"Estrangelo Edessa";
	mso-thaana-font-family:"MV Boli";
	mso-latinext-font-family:Arial;
	font-size:28.0pt;
	color:black;
	mso-font-kerning:14.0pt;
	mso-char-tracking:100%;
	mso-font-width:100%;}
p.MsoOrganizationName2, li.MsoOrganizationName2, div.MsoOrganizationName2
	{mso-style-parent:"";
	text-indent:0pt;
	margin-left:0pt;
	margin-right:0pt;
	margin-top:0pt;
	margin-bottom:0pt;
	text-align:center;
	font-family:Arial;
	mso-default-font-family:Arial;
	mso-ascii-font-family:Arial;
	mso-latin-font-family:Arial;
	mso-greek-font-family:Arial;
	mso-cyrillic-font-family:Arial;
	mso-armenian-font-family:Sylfaen;
	mso-hebrew-font-family:"Times New Roman";
	mso-arabic-font-family:"Times New Roman";
	mso-devanagari-font-family:Mangal;
	mso-bengali-font-family:Vrinda;
	mso-gurmukhi-font-family:Raavi;
	mso-oriya-font-family:Sendnya;
	mso-tamil-font-family:Latha;
	mso-telugu-font-family:Gautami;
	mso-kannada-font-family:Tunga;
	mso-thai-font-family:"Angsana New";
	mso-georgian-font-family:Sylfaen;
	mso-hangul-font-family:Batang;
	mso-kana-font-family:"MS Mincho";
	mso-bopomofo-font-family:PMingLiU;
	mso-han-font-family:SimSun;
	mso-halfwidthkana-font-family:"MS Mincho";
	mso-syriac-font-family:"Estrangelo Edessa";
	mso-thaana-font-family:"MV Boli";
	mso-latinext-font-family:Arial;
	font-size:30.0pt;
	color:black;
	mso-font-kerning:14.0pt;
	mso-char-tracking:125%;
	mso-font-width:100%;}
p.MsoAddress, li.MsoAddress, div.MsoAddress
	{mso-style-parent:"";
	text-indent:0pt;
	margin-left:0pt;
	margin-right:0pt;
	margin-top:0pt;
	margin-bottom:0pt;
	text-align:center;
	font-family:Arial;
	mso-default-font-family:Arial;
	mso-ascii-font-family:Arial;
	mso-latin-font-family:Arial;
	mso-greek-font-family:Arial;
	mso-cyrillic-font-family:Arial;
	mso-armenian-font-family:Sylfaen;
	mso-hebrew-font-family:"Times New Roman";
	mso-arabic-font-family:"Times New Roman";
	mso-devanagari-font-family:Mangal;
	mso-bengali-font-family:Vrinda;
	mso-gurmukhi-font-family:Raavi;
	mso-oriya-font-family:Sendnya;
	mso-tamil-font-family:Latha;
	mso-telugu-font-family:Gautami;
	mso-kannada-font-family:Tunga;
	mso-thai-font-family:"Angsana New";
	mso-georgian-font-family:Sylfaen;
	mso-hangul-font-family:Batang;
	mso-kana-font-family:"MS Mincho";
	mso-bopomofo-font-family:PMingLiU;
	mso-han-font-family:SimSun;
	mso-halfwidthkana-font-family:"MS Mincho";
	mso-syriac-font-family:"Estrangelo Edessa";
	mso-thaana-font-family:"MV Boli";
	mso-latinext-font-family:Arial;
	font-size:14.0pt;
	color:black;
	mso-font-kerning:14.0pt;
	mso-char-tracking:100%;
	mso-font-width:100%;}
p.MsoTitle3, li.MsoTitle3, div.MsoTitle3
	{mso-style-parent:"";
	text-indent:0pt;
	margin-left:0pt;
	margin-right:0pt;
	margin-top:0pt;
	margin-bottom:0pt;
	text-align:left;
	font-family:"Times New Roman";
	mso-default-font-family:"Times New Roman";
	mso-ascii-font-family:"Times New Roman";
	mso-latin-font-family:"Times New Roman";
	mso-greek-font-family:"Times New Roman";
	mso-cyrillic-font-family:"Times New Roman";
	mso-armenian-font-family:Sylfaen;
	mso-hebrew-font-family:"Times New Roman";
	mso-arabic-font-family:"Times New Roman";
	mso-devanagari-font-family:Mangal;
	mso-bengali-font-family:Vrinda;
	mso-gurmukhi-font-family:Raavi;
	mso-oriya-font-family:Sendnya;
	mso-tamil-font-family:Latha;
	mso-telugu-font-family:Gautami;
	mso-kannada-font-family:Tunga;
	mso-thai-font-family:"Angsana New";
	mso-georgian-font-family:Sylfaen;
	mso-hangul-font-family:Batang;
	mso-kana-font-family:"MS Mincho";
	mso-bopomofo-font-family:PMingLiU;
	mso-han-font-family:SimSun;
	mso-halfwidthkana-font-family:"MS Mincho";
	mso-syriac-font-family:"Estrangelo Edessa";
	mso-thaana-font-family:"MV Boli";
	mso-latinext-font-family:"Times New Roman";
	font-size:40.0pt;
	color:blue;
	mso-font-kerning:14.0pt;
	mso-char-tracking:100%;
	mso-font-width:100%;}
p.MsoOrganizationName, li.MsoOrganizationName, div.MsoOrganizationName
	{mso-style-parent:"";
	text-indent:0pt;
	margin-left:0pt;
	margin-right:0pt;
	margin-top:0pt;
	margin-bottom:0pt;
	text-align:center;
	font-family:"Arial Black";
	mso-default-font-family:"Arial Black";
	mso-ascii-font-family:"Arial Black";
	mso-latin-font-family:"Arial Black";
	mso-greek-font-family:"Arial Black";
	mso-cyrillic-font-family:"Arial Black";
	mso-armenian-font-family:Sylfaen;
	mso-hebrew-font-family:"Times New Roman";
	mso-arabic-font-family:"Times New Roman";
	mso-devanagari-font-family:Mangal;
	mso-bengali-font-family:Vrinda;
	mso-gurmukhi-font-family:Raavi;
	mso-oriya-font-family:Sendnya;
	mso-tamil-font-family:Latha;
	mso-telugu-font-family:Gautami;
	mso-kannada-font-family:Tunga;
	mso-thai-font-family:"Angsana New";
	mso-georgian-font-family:Sylfaen;
	mso-hangul-font-family:Batang;
	mso-kana-font-family:"MS Mincho";
	mso-bopomofo-font-family:PMingLiU;
	mso-han-font-family:SimSun;
	mso-halfwidthkana-font-family:"MS Mincho";
	mso-syriac-font-family:"Estrangelo Edessa";
	mso-thaana-font-family:"MV Boli";
	mso-latinext-font-family:"Arial Black";
	font-size:11.0pt;
	color:white;
	mso-font-kerning:14.0pt;
	mso-char-tracking:100%;
	mso-font-width:100%;}
ol
	{margin-top:0in;
	margin-bottom:0in;
	margin-left:.25in;}
ul
	{margin-top:0in;
	margin-bottom:0in;
	margin-left:.25in;}
@page
	{size:8.5in 11.0in;
	mso-paper-source:1273;
	mso-hyphenate:auto;}
-->
</style>
<!--[if gte mso 9]><xml>
 <o:shapedefaults v:ext=3D"edit" spidmax=3D"3074" fill=3D"f" fillcolor=3D"w=
hite [7]"
  strokecolor=3D"black [0]">
  <v:fill color=3D"white [7]" color2=3D"white [7]" on=3D"f"/>
  <v:stroke color=3D"black [0]" color2=3D"white [7]">
   <o:left v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:top v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:right v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:bottom v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  </v:stroke>
  <v:shadow color=3D"#ccc [4]"/>
  <v:textbox inset=3D"2.88pt,2.88pt,2.88pt,2.88pt"/>
 </o:shapedefaults><o:shapelayout v:ext=3D"edit">
  <o:idmap v:ext=3D"edit" data=3D"1"/>
 </o:shapelayout></xml><![endif]-->
</head>

<body style=3D'tab-interval:.5in;margin:0'>

<div style=3D'position:absolute;width:11.0152in;height:7.6937in'>
<!--[if gte vml 1]><v:group id=3D"_x0000_s1025" style=3D'position:absolute;=
left:80.59pt;
 top:9.56pt;width:594pt;height:104.06pt;rotation:439457fd;z-index:1'
 coordorigin=3D"110469524,105720359" coordsize=3D"6025240,1808626">
 <v:rect id=3D"_x0000_s1026" style=3D'position:absolute;left:110469524;top:=
105720359;
  width:6025240;height:1808626;visibility:hidden;mso-wrap-edited:f' stroked=
=3D"f"
  o:cliptowrap=3D"t">
  <v:fill recolor=3D"t" rotate=3D"t"/>
  <v:stroke joinstyle=3D"round">
   <o:left v:ext=3D"view" weight=3D"0" on=3D"t"/>
   <o:top v:ext=3D"view" weight=3D"0" on=3D"t"/>
   <o:right v:ext=3D"view" weight=3D"0" on=3D"t"/>
   <o:bottom v:ext=3D"view" weight=3D"0" on=3D"t"/>
   <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  </v:stroke>
  <v:imagedata cropbottom=3D"16777215f" cropright=3D"16777215f"/>
  <v:path gradientshapeok=3D"f" insetpenok=3D"f" o:connecttype=3D"segments"=
/>
  <o:lock v:ext=3D"edit" shapetype=3D"t"/>
  <v:textbox inset=3D"2.88pt,2.88pt,2.88pt,2.88pt"/>
  <![if pub]><b:otyEscherText type=3D"OplPo" oty=3D"1" oh=3D"381">
   <b:FSampleContent priv=3D"100">True</b:FSampleContent>
   <b:FUserChangedFmt priv=3D"200">True</b:FUserChangedFmt>
   <b:Txwp priv=3D"402">0</b:Txwp>
   <b:Oid priv=3D"C05">(```````!```</b:Oid>
   <b:OidAssociated priv=3D"D05">(```````````</b:OidAssociated>
   <b:Qtf priv=3D"3404">0</b:Qtf>
   <b:CtrH priv=3D"3E02">3</b:CtrH>
   <b:CtrV priv=3D"3F02">3</b:CtrV>
   <b:DxlMax priv=3D"AA04">6025240</b:DxlMax>
   <b:DylMax priv=3D"AB04">1808626</b:DylMax>
  </b:otyEscherText>
  <![endif]>
 </v:rect><v:oval id=3D"_x0000_s1027" style=3D'position:absolute;left:11063=
9059;
  top:106244569;width:5757917;height:809646;rotation:347;visibility:visible;
  mso-wrap-edited:f;mso-wrap-distance-left:2.88pt;mso-wrap-distance-top:2.8=
8pt;
  mso-wrap-distance-right:2.88pt;mso-wrap-distance-bottom:2.88pt' fillcolor=
=3D"#fc0 [2]"
  stroked=3D"f" strokecolor=3D"black [0]" strokeweight=3D"0" o:cliptowrap=
=3D"t">
  <v:fill color2=3D"white [7]"/>
  <v:stroke>
   <o:left v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:top v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:right v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:bottom v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  </v:stroke>
  <v:shadow color=3D"#ccc [4]"/>
  <v:path insetpenok=3D"f"/>
  <o:lock v:ext=3D"edit" shapetype=3D"t"/>
  <v:textbox inset=3D"2.88pt,2.88pt,2.88pt,2.88pt"/>
  <![if pub]><b:otyEscherText type=3D"OplPo" oty=3D"1" oh=3D"382">
   <b:FSampleContent>True</b:FSampleContent>
   <b:FUserChangedFmt>True</b:FUserChangedFmt>
   <b:Txwp>3</b:Txwp>
   <b:Oid>(``````!F```</b:Oid>
   <b:OidAssociated>(```````````</b:OidAssociated>
   <b:Qtf>0</b:Qtf>
   <b:DxlMax>5757918</b:DxlMax>
   <b:DylMax>809646</b:DylMax>
  </b:otyEscherText>
  <![endif]>
 </v:oval><v:oval id=3D"_x0000_s1028" style=3D'position:absolute;left:11050=
9000;
  top:106211525;width:5946303;height:770573;rotation:347;visibility:visible;
  mso-wrap-edited:f;mso-wrap-distance-left:2.88pt;mso-wrap-distance-top:2.8=
8pt;
  mso-wrap-distance-right:2.88pt;mso-wrap-distance-bottom:2.88pt' fillcolor=
=3D"white [7]"
  stroked=3D"f" strokecolor=3D"black [0]" strokeweight=3D"0" o:cliptowrap=
=3D"t">
  <v:fill color2=3D"white [7]"/>
  <v:stroke>
   <o:left v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:top v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:right v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:bottom v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  </v:stroke>
  <v:shadow color=3D"#ccc [4]"/>
  <v:path insetpenok=3D"f"/>
  <o:lock v:ext=3D"edit" shapetype=3D"t"/>
  <v:textbox inset=3D"2.88pt,2.88pt,2.88pt,2.88pt"/>
  <![if pub]><b:otyEscherText type=3D"OplPo" oty=3D"1" oh=3D"383">
   <b:FSampleContent>True</b:FSampleContent>
   <b:FUserChangedFmt>True</b:FUserChangedFmt>
   <b:Txwp>3</b:Txwp>
   <b:Oid>(``````!E```</b:Oid>
   <b:OidAssociated>(```````````</b:OidAssociated>
   <b:Qtf>0</b:Qtf>
   <b:DxlMax>5946303</b:DxlMax>
   <b:DylMax>770574</b:DylMax>
  </b:otyEscherText>
  <![endif]>
 </v:oval><![if pub]><b:otySO type=3D"OplPo" oty=3D"49" oh=3D"379">
  <b:FMoved priv=3D"300">True</b:FMoved>
  <b:Txwp>0</b:Txwp>
  <b:Oid>(``````!G```</b:Oid>
  <b:OidAssociated>(```````````</b:OidAssociated>
  <b:CPoGpoe priv=3D"1404">3</b:CPoGpoe>
  <b:RgohpoGpoe type=3D"OplRgOhpoOwner" priv=3D"1514">
   <b:Data priv=3D"E">381</b:Data>
   <b:Data priv=3D"10E">382</b:Data>
   <b:Data priv=3D"20E">383</b:Data>
  </b:RgohpoGpoe>
  <b:Ohmocd priv=3D"5B0E">380</b:Ohmocd>
 </b:otySO>
 <b:MorphingContextData type=3D"OplMocd" oty=3D"88" oh=3D"380">
  <b:WidManager priv=3D"104">30</b:WidManager>
  <b:Ohplbot priv=3D"30E">362</b:Ohplbot>
  <b:OhoplControlling priv=3D"40E">361</b:OhoplControlling>
 </b:MorphingContextData>
 <b:ObjectTracking type=3D"OplPlbot" oty=3D"90" oh=3D"362">
  <b:COt priv=3D"104">3</b:COt>
  <b:Rgot type=3D"OplOt" priv=3D"214">
   <b:OplOt type=3D"OplOt" priv=3D"11">
    <b:OhTrack priv=3D"10D">381</b:OhTrack>
    <b:FInCurrentScenario priv=3D"800">True</b:FInCurrentScenario>
    <b:FEverChangedFmt priv=3D"A00">True</b:FEverChangedFmt>
    <b:Oid priv=3D"D05">(```````!```</b:Oid>
    <b:OidExpectedParent priv=3D"E05">(```````````</b:OidExpectedParent>
    <b:OplFormatting type=3D"OplOdpoFormatBin" priv=3D"1012">
     <b:OplOdpoFormatBin type=3D"OplOdpoFormatBin" priv=3D"11">
      <b:BinCode priv=3D"104">0</b:BinCode>
      <b:Formatting type=3D"OplOdpo" priv=3D"211">
       <b:Lt type=3D"OplOdpoLineStyle" priv=3D"313">
        <b:FInsetPenOK priv=3D"3B00">True</b:FInsetPenOK>
        <b:FLine priv=3D"3D00">False</b:FLine>
       </b:Lt>
       <b:DxlLeft priv=3D"504">36576</b:DxlLeft>
       <b:DxlRight priv=3D"604">36576</b:DxlRight>
       <b:DylTop priv=3D"704">36576</b:DylTop>
       <b:DylBottom priv=3D"804">36576</b:DylBottom>
       <b:GroupShape type=3D"OplOdpoGroupShape" priv=3D"E13">
        <b:FHidden priv=3D"3F00">True</b:FHidden>
       </b:GroupShape>
       <b:EcpRecolor type=3D"OplEcp" priv=3D"2213">
        <b:Color>-1</b:Color>
       </b:EcpRecolor>
       <b:BrdLeft type=3D"OplOdpoLineStyle" priv=3D"2E13">
        <b:LineWidth priv=3D"C04">0</b:LineWidth>
        <b:FInsetPenOK>True</b:FInsetPenOK>
       </b:BrdLeft>
       <b:BrdRight type=3D"OplOdpoLineStyle" priv=3D"2F13">
        <b:LineWidth>0</b:LineWidth>
        <b:FInsetPenOK>True</b:FInsetPenOK>
       </b:BrdRight>
       <b:BrdTop type=3D"OplOdpoLineStyle" priv=3D"3013">
        <b:LineWidth>0</b:LineWidth>
        <b:FInsetPenOK>True</b:FInsetPenOK>
       </b:BrdTop>
       <b:BrdBottom type=3D"OplOdpoLineStyle" priv=3D"3113">
        <b:LineWidth>0</b:LineWidth>
        <b:FInsetPenOK>True</b:FInsetPenOK>
       </b:BrdBottom>
       <b:BrdCol type=3D"OplOdpoLineStyle" priv=3D"3213">
        <b:LineColor priv=3D"104">134217728</b:LineColor>
        <b:LineBackColor priv=3D"304">134217735</b:LineBackColor>
        <b:FInsetPenOK>True</b:FInsetPenOK>
        <b:FLine>False</b:FLine>
       </b:BrdCol>
      </b:Formatting>
     </b:OplOdpoFormatBin>
    </b:OplFormatting>
    <b:OplLastFmt type=3D"OplLastFmt" priv=3D"1211">
     <b:PoFormatting type=3D"OplOdpo" priv=3D"211">
      <b:Txwp priv=3D"F04">0</b:Txwp>
      <b:BrdLeft type=3D"OplOdpoLineStyle">
       <b:LineWidth>0</b:LineWidth>
      </b:BrdLeft>
      <b:BrdRight type=3D"OplOdpoLineStyle">
       <b:LineWidth>0</b:LineWidth>
      </b:BrdRight>
      <b:BrdTop type=3D"OplOdpoLineStyle">
       <b:LineWidth>0</b:LineWidth>
      </b:BrdTop>
      <b:BrdBottom type=3D"OplOdpoLineStyle">
       <b:LineWidth>0</b:LineWidth>
      </b:BrdBottom>
     </b:PoFormatting>
    </b:OplLastFmt>
   </b:OplOt>
   <b:OplOt type=3D"OplOt" priv=3D"111">
    <b:OhTrack>383</b:OhTrack>
    <b:FInCurrentScenario>True</b:FInCurrentScenario>
    <b:FEverChangedFmt>True</b:FEverChangedFmt>
    <b:Oid>(``````!E```</b:Oid>
    <b:OidExpectedParent>(```````````</b:OidExpectedParent>
    <b:OplFormatting type=3D"OplOdpoFormatBin">
     <b:OplOdpoFormatBin type=3D"OplOdpoFormatBin" priv=3D"11">
      <b:BinCode>0</b:BinCode>
      <b:Formatting type=3D"OplOdpo">
       <b:BrdCol type=3D"OplOdpoLineStyle">
        <b:LineColor>134217728</b:LineColor>
        <b:LineBackColor>134217735</b:LineBackColor>
        <b:FInsetPenOK>True</b:FInsetPenOK>
        <b:FLine>False</b:FLine>
       </b:BrdCol>
      </b:Formatting>
     </b:OplOdpoFormatBin>
    </b:OplFormatting>
    <b:OplLastFmt type=3D"OplLastFmt">
     <b:PoFormatting type=3D"OplOdpo">
      <b:ShapeType priv=3D"104">3</b:ShapeType>
      <b:Shd type=3D"OplOdpoFillStyle" priv=3D"213">
       <b:FillColor priv=3D"204">134217735</b:FillColor>
       <b:FillBackColor priv=3D"404">134217735</b:FillBackColor>
       <b:FRecolorFillAsPicture priv=3D"3A00">False</b:FRecolorFillAsPictur=
e>
       <b:FUseShapeAnchor priv=3D"3B00">False</b:FUseShapeAnchor>
      </b:Shd>
      <b:Lt type=3D"OplOdpoLineStyle">
       <b:LineColor>134217728</b:LineColor>
       <b:LineWidth>0</b:LineWidth>
       <b:FInsetPen priv=3D"3A00">True</b:FInsetPen>
       <b:FInsetPenOK>True</b:FInsetPenOK>
       <b:FLine>False</b:FLine>
      </b:Lt>
      <b:DropShadow type=3D"OplOdpoShadowStyle" priv=3D"413">
       <b:ShadowColor priv=3D"204">134217732</b:ShadowColor>
      </b:DropShadow>
      <b:DxlLeft>36576</b:DxlLeft>
      <b:DxlRight>36576</b:DxlRight>
      <b:DylTop>36576</b:DylTop>
      <b:DylBottom>36576</b:DylBottom>
      <b:GroupShape type=3D"OplOdpoGroupShape">
       <b:DxWrapDistLeft priv=3D"504">36576</b:DxWrapDistLeft>
       <b:DyWrapDistTop priv=3D"604">36576</b:DyWrapDistTop>
       <b:DxWrapDistRight priv=3D"704">36576</b:DxWrapDistRight>
       <b:DyWrapDistBottom priv=3D"804">36576</b:DyWrapDistBottom>
      </b:GroupShape>
      <b:Txwp>3</b:Txwp>
      <b:EcpRecolor type=3D"OplEcp">
       <b:Color>-1</b:Color>
      </b:EcpRecolor>
     </b:PoFormatting>
    </b:OplLastFmt>
   </b:OplOt>
   <b:OplOt type=3D"OplOt" priv=3D"211">
    <b:OhTrack>382</b:OhTrack>
    <b:FInCurrentScenario>True</b:FInCurrentScenario>
    <b:FEverChangedFmt>True</b:FEverChangedFmt>
    <b:Oid>(``````!F```</b:Oid>
    <b:OidExpectedParent>(```````````</b:OidExpectedParent>
    <b:OplFormatting type=3D"OplOdpoFormatBin">
     <b:OplOdpoFormatBin type=3D"OplOdpoFormatBin" priv=3D"11">
      <b:BinCode>0</b:BinCode>
      <b:Formatting type=3D"OplOdpo">
       <b:BrdCol type=3D"OplOdpoLineStyle">
        <b:LineColor>134217728</b:LineColor>
        <b:LineBackColor>134217735</b:LineBackColor>
        <b:FInsetPenOK>True</b:FInsetPenOK>
        <b:FLine>False</b:FLine>
       </b:BrdCol>
      </b:Formatting>
     </b:OplOdpoFormatBin>
    </b:OplFormatting>
    <b:OplLastFmt type=3D"OplLastFmt">
     <b:PoFormatting type=3D"OplOdpo">
      <b:ShapeType>3</b:ShapeType>
      <b:Shd type=3D"OplOdpoFillStyle">
       <b:FillColor>134217730</b:FillColor>
       <b:FillBackColor>134217735</b:FillBackColor>
       <b:FRecolorFillAsPicture>False</b:FRecolorFillAsPicture>
       <b:FUseShapeAnchor>False</b:FUseShapeAnchor>
      </b:Shd>
      <b:Lt type=3D"OplOdpoLineStyle">
       <b:LineColor>134217728</b:LineColor>
       <b:LineWidth>0</b:LineWidth>
       <b:FInsetPen>True</b:FInsetPen>
       <b:FInsetPenOK>True</b:FInsetPenOK>
       <b:FLine>False</b:FLine>
      </b:Lt>
      <b:DropShadow type=3D"OplOdpoShadowStyle">
       <b:ShadowColor>134217732</b:ShadowColor>
      </b:DropShadow>
      <b:DxlLeft>36576</b:DxlLeft>
      <b:DxlRight>36576</b:DxlRight>
      <b:DylTop>36576</b:DylTop>
      <b:DylBottom>36576</b:DylBottom>
      <b:GroupShape type=3D"OplOdpoGroupShape">
       <b:DxWrapDistLeft>36576</b:DxWrapDistLeft>
       <b:DyWrapDistTop>36576</b:DyWrapDistTop>
       <b:DxWrapDistRight>36576</b:DxWrapDistRight>
       <b:DyWrapDistBottom>36576</b:DyWrapDistBottom>
      </b:GroupShape>
      <b:Txwp>3</b:Txwp>
      <b:EcpRecolor type=3D"OplEcp">
       <b:Color>-1</b:Color>
      </b:EcpRecolor>
     </b:PoFormatting>
    </b:OplLastFmt>
   </b:OplOt>
  </b:Rgot>
 </b:ObjectTracking>
 <b:otyOplControlling type=3D"OplControlling" oty=3D"77" oh=3D"361">
  <b:CodeVersion priv=3D"4">1</b:CodeVersion>
  <b:PocScenario type=3D"OplPocScenario" priv=3D"111">
   <b:CodeVersion priv=3D"4">1</b:CodeVersion>
   <b:DailySpecialSize priv=3D"304">2</b:DailySpecialSize>
  </b:PocScenario>
 </b:otyOplControlling>
 <![endif]>
</v:group><![endif]--><![if !vml]><span style=3D'mso-ignore:vglayout;positi=
on:
absolute;z-index:1;left:101px;top:-35px;width:805px;height:233px'><img
width=3D805 height=3D233 src=3D"PTODirForm_files/image001.gif" v:shapes=3D"=
_x0000_s1025 _x0000_s1027 _x0000_s1028"></span><![endif]><!--[if gte vml 1]=
><v:group
 id=3D"_x0000_s1029" style=3D'position:absolute;left:413.38pt;top:53.71pt;w=
idth:256.28pt;
 height:24.39pt;z-index:2' coordorigin=3D"114238496,106287775" coordsize=3D=
"3254761,423904">
 <v:oval id=3D"_x0000_s1030" style=3D'position:absolute;left:114238496;top:=
106287775;
  width:3254761;height:423904;visibility:visible;mso-wrap-edited:f;
  mso-wrap-distance-left:2.88pt;mso-wrap-distance-top:2.88pt;
  mso-wrap-distance-right:2.88pt;mso-wrap-distance-bottom:2.88pt' fillcolor=
=3D"blue [1]"
  stroked=3D"f" strokecolor=3D"black [0]" strokeweight=3D"0" o:cliptowrap=
=3D"t">
  <v:fill color2=3D"white [7]"/>
  <v:stroke>
   <o:left v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:top v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:right v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:bottom v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  </v:stroke>
  <v:shadow color=3D"#ccc [4]"/>
  <v:path insetpenok=3D"f"/>
  <o:lock v:ext=3D"edit" shapetype=3D"t"/>
  <v:textbox inset=3D"2.88pt,2.88pt,2.88pt,2.88pt"/>
  <![if pub]><b:otyEscherText type=3D"OplPo" oty=3D"1" oh=3D"375">
   <b:FSampleContent>True</b:FSampleContent>
   <b:FUserChangedFmt>True</b:FUserChangedFmt>
   <b:FMoved>True</b:FMoved>
   <b:Txwp>3</b:Txwp>
   <b:Oid>(``$```!M`0`</b:Oid>
   <b:OidAssociated>(```````````</b:OidAssociated>
   <b:Qtf>0</b:Qtf>
   <b:DxlMax>3254761</b:DxlMax>
   <b:DylMax>423904</b:DylMax>
  </b:otyEscherText>
  <![endif]>
 </v:oval><v:shapetype id=3D"_x0000_t202" coordsize=3D"21600,21600" o:spt=
=3D"202"
  path=3D"m,l,21600r21600,l21600,xe">
  <v:stroke joinstyle=3D"miter"/>
  <v:path gradientshapeok=3D"t" o:connecttype=3D"rect"/>
 </v:shapetype><v:shape id=3D"_x0000_s1031" type=3D"#_x0000_t202" style=3D'=
position:absolute;
  left:114681332;top:106299000;width:2369086;height:370254;visibility:visib=
le;
  mso-wrap-edited:f;mso-wrap-distance-left:2.88pt;mso-wrap-distance-top:2.8=
8pt;
  mso-wrap-distance-right:2.88pt;mso-wrap-distance-bottom:2.88pt' filled=3D=
"f"
  fillcolor=3D"white [7]" stroked=3D"f" strokecolor=3D"black [0]" strokewei=
ght=3D"0"
  o:cliptowrap=3D"t">
  <v:fill color2=3D"white [7]"/>
  <v:stroke>
   <o:left v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:top v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:right v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:bottom v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
   <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  </v:stroke>
  <v:shadow color=3D"#ccc [4]"/>
  <v:path insetpenok=3D"f"/>
  <o:lock v:ext=3D"edit" shapetype=3D"t"/>
  <v:textbox style=3D'mso-column-margin:5.7pt' inset=3D"2.85pt,2.85pt,2.85p=
t,2.85pt">
   <div dir=3Dltr>
   <p class=3DMsoOrganizationName style=3D'mso-pagination:none'><span
   style=3D'language:EN;mso-ansi-language:EN'>St. Ambrose PTO<o:p></o:p></s=
pan></p>
   </div>
  </v:textbox>
  <![if pub]><b:otyEscherText type=3D"OplPo" oty=3D"1" oh=3D"331">
   <b:FUserChangedFmt>True</b:FUserChangedFmt>
   <b:FMoved>True</b:FMoved>
   <b:Oid>(``$````'```</b:Oid>
   <b:OidAssociated>(```````````</b:OidAssociated>
   <b:Qsid priv=3D"2704">20</b:Qsid>
   <b:Qva priv=3D"3504">1</b:Qva>
   <b:DxlMax>2369086</b:DxlMax>
   <b:DylMax>370254</b:DylMax>
  </b:otyEscherText>
  <![endif]>
 </v:shape><![if pub]><b:otyGroup type=3D"OplPo" oty=3D"48" oh=3D"376">
  <b:FSampleContent>True</b:FSampleContent>
  <b:FMoved>True</b:FMoved>
  <b:Txwp>0</b:Txwp>
  <b:Oid>(`@````D````</b:Oid>
  <b:OidAssociated>(```````````</b:OidAssociated>
  <b:CPoGpoe>2</b:CPoGpoe>
  <b:RgohpoGpoe type=3D"OplRgOhpoOwner">
   <b:Data priv=3D"E">375</b:Data>
   <b:Data priv=3D"10E">331</b:Data>
  </b:RgohpoGpoe>
 </b:otyGroup>
 <![endif]>
</v:group><![endif]--><![if !vml]><span style=3D'mso-ignore:vglayout;positi=
on:
absolute;z-index:2;left:551px;top:71px;width:342px;height:34px'><img width=
=3D342
height=3D34 src=3D"PTODirForm_files/image002.gif" v:shapes=3D"_x0000_s1029 =
_x0000_s1030 _x0000_s1031"></span><![endif]><!--[if gte vml 1]><v:shape
 id=3D"_x0000_s1032" type=3D"#_x0000_t202" style=3D'position:absolute;left:=
142.25pt;
 top:9.87pt;width:207pt;height:1in;z-index:3;visibility:visible;
 mso-wrap-edited:f;mso-wrap-distance-left:2.88pt;mso-wrap-distance-top:2.88=
pt;
 mso-wrap-distance-right:2.88pt;mso-wrap-distance-bottom:2.88pt' fillcolor=
=3D"white [7]"
 stroked=3D"f" strokecolor=3D"black [0]" strokeweight=3D"0" o:cliptowrap=3D=
"t">
 <v:fill color2=3D"white [7]"/>
 <v:stroke>
  <o:left v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  <o:top v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  <o:right v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  <o:bottom v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
  <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
 </v:stroke>
 <v:shadow color=3D"#ccc [4]"/>
 <v:path insetpenok=3D"f"/>
 <o:lock v:ext=3D"edit" shapetype=3D"t"/>
 <v:textbox style=3D'mso-column-margin:5.7pt' inset=3D"2.85pt,2.85pt,2.85pt=
,2.85pt">
  <div dir=3Dltr>
  <p class=3DMsoTitle3 style=3D'mso-pagination:none'><span style=3D'font-si=
ze:26.0pt;
  language:EN;mso-ansi-language:EN'>Membership <o:p></o:p></span></p>
  <p class=3DMsoTitle3 style=3D'mso-pagination:none'><span style=3D'font-si=
ze:26.0pt;
  language:EN;mso-ansi-language:EN'>Directory Form<o:p></o:p></span></p>
  </div>
 </v:textbox>
 <![if pub]><b:otyEscherText type=3D"OplPo" oty=3D"1" oh=3D"377">
  <b:FUserChangedFmt>True</b:FUserChangedFmt>
  <b:FMoved>True</b:FMoved>
  <b:Oid>(```````G!P`</b:Oid>
  <b:OidAssociated>(```````````</b:OidAssociated>
  <b:Qsid>21</b:Qsid>
  <b:FIrregOverlap priv=3D"2D00">True</b:FIrregOverlap>
  <b:DxlMax>2628900</b:DxlMax>
  <b:DylMax>914400</b:DylMax>
 </b:otyEscherText>
 <![endif]>
</v:shape><![endif]--><![if !vml]><span style=3D'mso-ignore:vglayout;positi=
on:
absolute;z-index:3;left:190px;top:13px;width:276px;height:96px'><img width=
=3D276
height=3D96 src=3D"PTODirForm_files/image003.gif"
alt=3D"Text Box: Membership &#13;Directory Form&#13;" v:shapes=3D"_x0000_s1=
032"></span><![endif]><!--[if gte vml 1]><![if mso | ie]><v:shapetype
 id=3D"_x0000_t201" coordsize=3D"21600,21600" o:spt=3D"201" path=3D"m,l,216=
00r21600,l21600,xe">
 <v:stroke joinstyle=3D"miter"/>
 <v:path shadowok=3D"f" o:extrusionok=3D"f" strokeok=3D"f" fillok=3D"f" o:c=
onnecttype=3D"rect"/>
 <o:lock v:ext=3D"edit" shapetype=3D"t"/>
</v:shapetype><v:shape id=3D"_x0000_s1033" type=3D"#_x0000_t201" style=3D'p=
osition:absolute;
 left:1in;top:108pt;width:646.26pt;height:444.86pt;z-index:4;
 mso-wrap-distance-left:2.88pt;mso-wrap-distance-top:2.88pt;
 mso-wrap-distance-right:2.88pt;mso-wrap-distance-bottom:2.88pt' stroked=3D=
"f"
 strokecolor=3D"black [0]" insetpen=3D"t" o:cliptowrap=3D"t">
 <v:stroke color2=3D"white [7]">
  <o:left v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]" weight=3D=
"0"/>
  <o:top v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]" weight=3D"=
0"/>
  <o:right v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]" weight=
=3D"0"/>
  <o:bottom v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]" weight=
=3D"0"/>
  <o:column v:ext=3D"view" color=3D"black [0]" color2=3D"white [7]"/>
 </v:stroke>
 <v:shadow color=3D"#ccc [4]"/>
 <o:lock v:ext=3D"edit" rotation=3D"t"/>
 <v:textbox inset=3D"0,0,0,0">
 </v:textbox>
 <![if pub]><b:otyEscherTable type=3D"OplPo" oty=3D"16" oh=3D"385">
  <b:FUserChangedFmt>True</b:FUserChangedFmt>
  <b:FMoved>True</b:FMoved>
  <b:Oid>(```````````</b:Oid>
  <b:OidAssociated>(```````````</b:OidAssociated>
  <b:Qsid>26</b:Qsid>
  <b:CTableRow priv=3D"6604">16</b:CTableRow>
  <b:CTableCol priv=3D"6704">3</b:CTableCol>
  <b:DxlLast priv=3D"6804">8207619</b:DxlLast>
  <b:DylLast priv=3D"6904">5649740</b:DylLast>
  <b:Ohpltc priv=3D"6B0E">300</b:Ohpltc>
  <b:Rgcl type=3D"OplCl" priv=3D"6D12">
   <b:OplCl type=3D"OplCl" priv=3D"11">
    <b:Zlf priv=3D"104">400050</b:Zlf>
    <b:DzlLast priv=3D"204">400050</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"111">
    <b:Zlf>6519496</b:Zlf>
    <b:DzlLast>6119446</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"211">
    <b:Zlf>8207619</b:Zlf>
    <b:DzlLast>1688123</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"311">
    <b:Zlf>311869</b:Zlf>
    <b:DzlLast>311869</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"411">
    <b:Zlf>703882</b:Zlf>
    <b:DzlLast>392013</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"511">
    <b:Zlf>1095895</b:Zlf>
    <b:DzlLast>392013</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"611">
    <b:Zlf>1657350</b:Zlf>
    <b:DzlLast>561455</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"711">
    <b:Zlf>2049363</b:Zlf>
    <b:DzlLast>392013</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"811">
    <b:Zlf>2361232</b:Zlf>
    <b:DzlLast>311869</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"911">
    <b:Zlf>2673102</b:Zlf>
    <b:DzlLast>311870</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"A11">
    <b:Zlf>2984972</b:Zlf>
    <b:DzlLast>311870</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"B11">
    <b:Zlf>3296841</b:Zlf>
    <b:DzlLast>311869</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"C11">
    <b:Zlf>3608711</b:Zlf>
    <b:DzlLast>311870</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"D11">
    <b:Zlf>3920580</b:Zlf>
    <b:DzlLast>311869</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"E11">
    <b:Zlf>4232450</b:Zlf>
    <b:DzlLast>311870</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"F11">
    <b:Zlf>4544320</b:Zlf>
    <b:DzlLast>311870</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"1011">
    <b:Zlf>4856189</b:Zlf>
    <b:DzlLast>311869</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"1111">
    <b:Zlf>5248202</b:Zlf>
    <b:DzlLast>392013</b:DzlLast>
   </b:OplCl>
   <b:OplCl type=3D"OplCl" priv=3D"1211">
    <b:Zlf>5649740</b:Zlf>
    <b:DzlLast>401538</b:DzlLast>
   </b:OplCl>
  </b:Rgcl>
  <b:Itaft priv=3D"7004">-2</b:Itaft>
 </b:otyEscherTable>
 <![endif]>
</v:shape><![endif]><![endif]-->

<table v:shapes=3D"_x0000_s1033" cellpadding=3D0 cellspacing=3D0 width=3D861
 height=3D593 dir=3Dltr style=3D'width:646.25pt;height:444.85pt;border-coll=
apse:collapse;
 position:absolute;top:108.0pt;left:72.0pt;z-index:4'>
 <tr>
  <td width=3D861 height=3D32 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:24.55pt;padding-left:5.4pt;padding-right:5.4pt;border:solid black =
1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;font-weight:bold;languag=
e:
  EN;mso-ansi-language:EN'>Family<span style=3D'mso-spacerun:yes'>&nbsp; </=
span>Name:</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D41 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:30.85pt;padding-left:5.4pt;padding-right:5.4pt;border-left:solid b=
lack 1.5pt;
  border-top:solid black 1.5pt;border-right:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:3.0pt;margin=
-bottom:
  3.0pt'><span style=3D'font-size:12.0pt;font-family:Wingdings;mso-default-=
font-family:
  Wingdings;mso-ascii-font-family:Wingdings;mso-latin-font-family:Wingdings;
  mso-greek-font-family:Wingdings;font-weight:bold;language:EN;mso-ansi-lan=
guage:
  EN'>&uml; </span><span style=3D'font-size:12.0pt;font-family:Arial;mso-de=
fault-font-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>I/we have completed and enclosed the PTO pledge card waiving PTO dues=
</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D41 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:30.85pt;padding-left:5.4pt;padding-right:5.4pt;border-left:solid b=
lack 1.5pt;
  border-right:solid black 1.5pt;border-bottom:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:3.0pt;margin=
-bottom:
  3.0pt'><span style=3D'font-size:12.0pt;font-family:Wingdings;mso-default-=
font-family:
  Wingdings;mso-ascii-font-family:Wingdings;mso-latin-font-family:Wingdings;
  mso-greek-font-family:Wingdings;font-weight:bold;language:EN;mso-ansi-lan=
guage:
  EN'>&uml; </span><span style=3D'font-size:12.0pt;font-family:Arial;mso-de=
fault-font-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>I/we elect not to pledge a donation at this time and have enclosed th=
e $20.00 family membership dues</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D58 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:44.2pt;padding-left:5.4pt;padding-right:5.4pt;border-left:solid bl=
ack 1.5pt;
  border-top:solid black 1.5pt;border-right:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:3.0pt;margin=
-bottom:
  3.0pt'><span style=3D'font-size:12.0pt;font-family:Wingdings;mso-default-=
font-family:
  Wingdings;mso-ascii-font-family:Wingdings;mso-latin-font-family:Wingdings;
  mso-greek-font-family:Wingdings;font-weight:bold;language:EN;mso-ansi-lan=
guage:
  EN'>&uml; </span><span style=3D'font-size:12.0pt;font-family:Arial;mso-de=
fault-font-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;font-weight:bold;languag=
e:
  EN;mso-ansi-language:EN'>For returning families: </span><span
  style=3D'font-size:12.0pt;font-family:Arial;mso-default-font-family:Arial;
  mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-font-fa=
mily:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>We would like to be listed in the school directory as we were last ye=
ar. <o:p></o:p></span></p>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:3.0pt;margin=
-bottom:
  3.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>(=
Grade levels will be updated.)</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D41 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:30.85pt;padding-left:5.4pt;padding-right:5.4pt;border-left:solid b=
lack 1.5pt;
  border-right:solid black 1.5pt;border-bottom:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:3.0pt;margin=
-bottom:
  3.0pt'><span style=3D'font-size:12.0pt;font-family:Wingdings;mso-default-=
font-family:
  Wingdings;mso-ascii-font-family:Wingdings;mso-latin-font-family:Wingdings;
  mso-greek-font-family:Wingdings;font-weight:bold;language:EN;mso-ansi-lan=
guage:
  EN'>&uml; </span><span style=3D'font-size:12.0pt;font-family:Arial;mso-de=
fault-font-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;font-weight:bold;languag=
e:
  EN;mso-ansi-language:EN'>For new and returning families</span><span
  style=3D'font-size:12.0pt;font-family:Arial;mso-default-font-family:Arial;
  mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-font-fa=
mily:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>: We would like to be listed in the school directory as follows:</spa=
n><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D32 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:24.55pt;padding-left:5.4pt;padding-right:5.4pt;border:solid black =
1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;font-weight:bold;languag=
e:
  EN;mso-ansi-language:EN'>Parents&#8217; Name(s):</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D32 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:24.55pt;padding-left:5.4pt;padding-right:5.4pt;border:solid black =
1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;font-weight:bold;languag=
e:
  EN;mso-ansi-language:EN'>Telephone Number:</span><span style=3D'font-size=
:12.0pt;
  language:EN;mso-ansi-language:EN'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D32 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:24.55pt;padding-left:5.4pt;padding-right:5.4pt;border:solid black =
1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;font-weight:bold;languag=
e:
  EN;mso-ansi-language:EN'>Address:</span><span style=3D'font-size:12.0pt;
  language:EN;mso-ansi-language:EN'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D32 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:24.55pt;padding-left:5.4pt;padding-right:5.4pt;border:solid black =
1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;font-weight:bold;languag=
e:
  EN;mso-ansi-language:EN'>E-mail address (optional):</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D684 height=3D32 valign=3Dtop style=3D'width:513.3pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;text-align:center;margi=
n-top:
  6.0pt;margin-bottom:6.0pt;text-align:center'><span style=3D'font-size:12.=
0pt;
  font-family:Arial;mso-default-font-family:Arial;mso-ascii-font-family:Ari=
al;
  mso-latin-font-family:Arial;mso-greek-font-family:Arial;mso-cyrillic-font=
-family:
  Arial;mso-hebrew-font-family:Arial;mso-arabic-font-family:Arial;mso-latin=
ext-font-family:
  Arial;color:black;font-weight:bold;language:EN;mso-ansi-language:EN'>Chil=
ds&#8217; Name</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
  <td width=3D177 height=3D32 valign=3Dtop style=3D'width:132.9pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;text-align:center;margi=
n-top:
  6.0pt;margin-bottom:6.0pt;text-align:center'><span style=3D'font-size:12.=
0pt;
  font-family:Arial;mso-default-font-family:Arial;mso-ascii-font-family:Ari=
al;
  mso-latin-font-family:Arial;mso-greek-font-family:Arial;mso-cyrillic-font=
-family:
  Arial;mso-hebrew-font-family:Arial;mso-arabic-font-family:Arial;mso-latin=
ext-font-family:
  Arial;color:black;font-weight:bold;language:EN;mso-ansi-language:EN'>Grad=
e</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D684 height=3D32 valign=3Dtop style=3D'width:513.3pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
  <td width=3D177 height=3D32 valign=3Dtop style=3D'width:132.9pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr>
  <td width=3D684 height=3D32 valign=3Dtop style=3D'width:513.3pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
  <td width=3D177 height=3D32 valign=3Dtop style=3D'width:132.9pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr>
  <td width=3D684 height=3D32 valign=3Dtop style=3D'width:513.3pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
  <td width=3D177 height=3D32 valign=3Dtop style=3D'width:132.9pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr>
  <td width=3D684 height=3D32 valign=3Dtop style=3D'width:513.3pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
  <td width=3D177 height=3D32 valign=3Dtop style=3D'width:132.9pt;height:24=
.55pt;
  padding-left:5.4pt;padding-right:5.4pt;border:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:6.0pt;margin=
-bottom:
  6.0pt'><span style=3D'font-size:12.0pt;font-family:Arial;mso-default-font=
-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>&nbsp;</span><span style=3D'font-size:12.0pt;language:EN;mso-ansi-lan=
guage:
  EN'><o:p></o:p></span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D41 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:30.85pt;padding-left:5.4pt;padding-right:5.4pt;border-left:solid b=
lack 1.5pt;
  border-top:solid black 1.5pt;border-right:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:3.0pt;margin=
-bottom:
  3.0pt'><span style=3D'font-size:12.0pt;font-family:Wingdings;mso-default-=
font-family:
  Wingdings;mso-ascii-font-family:Wingdings;mso-latin-font-family:Wingdings;
  mso-greek-font-family:Wingdings;font-weight:bold;language:EN;mso-ansi-lan=
guage:
  EN'>&uml; </span><span style=3D'font-size:12.0pt;font-family:Arial;mso-de=
fault-font-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>We would like to be listed in the school directory but not have our t=
elephone number listed.</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
 <tr>
  <td width=3D861 height=3D42 colspan=3D2 valign=3Dtop style=3D'width:646.2=
5pt;
  height:31.6pt;padding-left:5.4pt;padding-right:5.4pt;border-left:solid bl=
ack 1.5pt;
  border-right:solid black 1.5pt;border-bottom:solid black 1.5pt'>
  <p class=3DMsoNormal style=3D'mso-pagination:none;margin-top:3.0pt;margin=
-bottom:
  3.0pt'><span style=3D'font-size:12.0pt;font-family:Wingdings;mso-default-=
font-family:
  Wingdings;mso-ascii-font-family:Wingdings;mso-latin-font-family:Wingdings;
  mso-greek-font-family:Wingdings;font-weight:bold;language:EN;mso-ansi-lan=
guage:
  EN'>&uml; </span><span style=3D'font-size:12.0pt;font-family:Arial;mso-de=
fault-font-family:
  Arial;mso-ascii-font-family:Arial;mso-latin-font-family:Arial;mso-greek-f=
ont-family:
  Arial;mso-cyrillic-font-family:Arial;mso-hebrew-font-family:Arial;mso-ara=
bic-font-family:
  Arial;mso-latinext-font-family:Arial;color:black;language:EN;mso-ansi-lan=
guage:
  EN'>We would prefer not to be listed in the directory.</span><span
  style=3D'font-size:12.0pt;language:EN;mso-ansi-language:EN'><o:p></o:p></=
span></p>
  </td>
 </tr>
</table>


</div>

</body>

</html>

------=_NextPart_01C5A324.7C754EE0
Content-Location: file:///C:/2674CAAD/PTODirForm_files/pubmaster001.htm
Content-Transfer-Encoding: quoted-printable
Content-Type: text/html; charset="us-ascii"

<html xmlns:v=3D"urn:schemas-microsoft-com:vml"
xmlns:o=3D"urn:schemas-microsoft-com:office:office"
xmlns:dt=3D"uuid:C2F41010-65B3-11d1-A29F-00AA00C14882"
xmlns:b=3D"urn:schemas-microsoft-com:office:publisher"
xmlns=3D"http://www.w3.org/TR/REC-html40">

<head>
<meta http-equiv=3DContent-Type content=3D"text/html; charset=3Dus-ascii">
<meta name=3DProgId content=3DPublisher.Document>
<meta name=3DGenerator content=3D"Microsoft Publisher 11">
<link id=3DMain-File rel=3DMain-File href=3D"../PTODirForm.htm">
<!--[if !mso]>
<style>
v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
b\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style>
<![endif]--><![if IE]>
<base href=3D"file:///C:\2674CAAD\PTODirForm_files\pubmaster001.htm"
id=3D"webarch_temp_base_tag">
<![endif]>
<title>Page Title</title>
<!--[if pub]><xml>
 <b:Page type=3D"OplPd" oty=3D"67" oh=3D"263">
  <b:OhMgPage priv=3D"30E">287</b:OhMgPage>
  <b:PtlvOrigin type=3D"OplPt" priv=3D"511">
   <b:Xl priv=3D"104">22860000</b:Xl>
   <b:Yl priv=3D"204">22860000</b:Yl>
  </b:PtlvOrigin>
  <b:Oid priv=3D"605">(```````````</b:Oid>
  <b:OhoplWebPageProps priv=3D"90E">264</b:OhoplWebPageProps>
  <b:OhoplFormProperties priv=3D"B0E">265</b:OhoplFormProperties>
  <b:SzMasterShortName priv=3D"E18">A</b:SzMasterShortName>
  <b:SzMasterLongName priv=3D"F18">Master Page A</b:SzMasterLongName>
  <b:PgtType priv=3D"1004">3</b:PgtType>
  <b:PtlvOriginEx type=3D"OplPt" priv=3D"1111">
   <b:Xl>110185200</b:Xl>
   <b:Yl>110185200</b:Yl>
  </b:PtlvOriginEx>
 </b:Page>
 <b:Margins type=3D"OplMg" oty=3D"76" oh=3D"287">
  <b:CGpv priv=3D"104">4</b:CGpv>
  <b:Rggpv type=3D"OplGpv" priv=3D"214">
   <b:OplGpv type=3D"OplGpv" priv=3D"11">
    <b:FRightGutter priv=3D"300">True</b:FRightGutter>
    <b:FMidGutter priv=3D"400">True</b:FMidGutter>
   </b:OplGpv>
   <b:OplGpv type=3D"OplGpv" priv=3D"111">
    <b:Zlg priv=3D"104">10058400</b:Zlg>
    <b:FLeftGutter priv=3D"200">True</b:FLeftGutter>
    <b:FMidGutter>True</b:FMidGutter>
   </b:OplGpv>
   <b:OplGpv type=3D"OplGpv" priv=3D"211">
    <b:FRightGutter>True</b:FRightGutter>
    <b:FMidGutter>True</b:FMidGutter>
   </b:OplGpv>
   <b:OplGpv type=3D"OplGpv" priv=3D"311">
    <b:Zlg>43891200</b:Zlg>
    <b:FLeftGutter>True</b:FLeftGutter>
    <b:FMidGutter>True</b:FMidGutter>
   </b:OplGpv>
  </b:Rggpv>
  <b:DptlPage type=3D"OplPt" priv=3D"311">
   <b:Xl>10058400</b:Xl>
   <b:Yl>43891200</b:Yl>
  </b:DptlPage>
  <b:DxlGutter priv=3D"404">91440</b:DxlGutter>
  <b:DylGutter priv=3D"504">91440</b:DylGutter>
  <b:CColGuides priv=3D"603">2</b:CColGuides>
  <b:CRowGuides priv=3D"703">2</b:CRowGuides>
  <b:DylHorBLSpacing priv=3D"804">152400</b:DylHorBLSpacing>
  <b:DylHorBLOffset priv=3D"904">152400</b:DylHorBLOffset>
  <b:DxlVerBLSpacing priv=3D"A04">152400</b:DxlVerBLSpacing>
  <b:DxlVerBLOffset priv=3D"B04">152400</b:DxlVerBLOffset>
 </b:Margins>
 <b:WebPageInfo type=3D"OplWebPageProps" oty=3D"96" oh=3D"264">
  <b:LeaveOffNavBar priv=3D"504">1</b:LeaveOffNavBar>
 </b:WebPageInfo>
 <b:otyFormProperties type=3D"OplOdpoFormControl" oty=3D"119" oh=3D"265">
  <b:FCOSubmitType priv=3D"C04">2</b:FCOSubmitType>
  <b:FCOEmailAddr priv=3D"E18">someone@example.com</b:FCOEmailAddr>
  <b:FCOEmailTitle priv=3D"F18">Web Site Form Response</b:FCOEmailTitle>
  <b:FCOConfirmText priv=3D"1018">Your information was received</b:FCOConfi=
rmText>
  <b:FCOResultsFile priv=3D"1318">FORMDATA.HTM</b:FCOResultsFile>
  <b:FCOPageNumber priv=3D"1704">1</b:FCOPageNumber>
  <b:FCOSubmitUrl priv=3D"1818">http://example.microsoft.com/~user/ispscrip=
t.cgi</b:FCOSubmitUrl>
 </b:otyFormProperties>
</xml><![endif]-->
<style>
<!--
 /* Style Definitions */
ol
	{margin-top:0in;
	margin-bottom:0in;
	margin-left:.25in;}
ul
	{margin-top:0in;
	margin-bottom:0in;
	margin-left:.25in;}
@page
	{size:8.5in 11.0in;
	mso-paper-source:1273;
	mso-hyphenate:auto;}
-->
</style>
</head>

<body style=3D'tab-interval:.5in;margin:0'>

<div style=3D'position:absolute;width:11.0152in;height:.0152in'>

</div>

</body>

</html>

------=_NextPart_01C5A324.7C754EE0
Content-Location: file:///C:/2674CAAD/PTODirForm_files/image001.gif
Content-Transfer-Encoding: base64
Content-Type: image/gif
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------=_NextPart_01C5A324.7C754EE0
Content-Location: file:///C:/2674CAAD/PTODirForm_files/image002.gif
Content-Transfer-Encoding: base64
Content-Type: image/gif
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------=_NextPart_01C5A324.7C754EE0
Content-Location: file:///C:/2674CAAD/PTODirForm_files/image003.gif
Content-Transfer-Encoding: base64
Content-Type: image/gif
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------=_NextPart_01C5A324.7C754EE0
Content-Location: file:///C:/2674CAAD/PTODirForm_files/filelist.xml
Content-Transfer-Encoding: quoted-printable
Content-Type: text/xml; charset="utf-8"

<xml xmlns:o=3D"urn:schemas-microsoft-com:office:office">
 <o:MainFile HRef=3D"../PTODirForm.htm"/>
 <o:File HRef=3D"pubmaster001.htm"/>
 <o:File HRef=3D"image001.gif"/>
 <o:File HRef=3D"image002.gif"/>
 <o:File HRef=3D"image003.gif"/>
 <o:File HRef=3D"filelist.xml"/>
</xml>
------=_NextPart_01C5A324.7C754EE0--
