%PDF-1.4 % 1 0 obj << /Creator (sick donation form - Microsoft Word) /CreationDate (D:20030319100455Z) /Title (sick donation form.doc) /Author (STAMPERK) /Producer (Acrobat PDFWriter 5.0 for Windows NT) /ModDate (D:20030319100734-06'00') >> endobj 2 0 obj [ /PDF /Text ] endobj 3 0 obj << /Pages 5 0 R /Type /Catalog /AcroForm 19 0 R /Metadata 47 0 R >> endobj 4 0 obj << /Type /Page /Parent 5 0 R /Resources << /Font << /F0 6 0 R /F1 8 0 R >> /ProcSet 2 0 R >> /Contents 10 0 R /Annots 18 0 R >> endobj 5 0 obj << /Kids [ 4 0 R 12 0 R ] /Count 2 /Type /Pages /MediaBox [ 0 0 612 792 ] >> endobj 6 0 obj << /Type /Font /Subtype /TrueType /Name /F0 /BaseFont /TimesNewRoman,Bold /FirstChar 32 /LastChar 255 /Widths [ 250 333 555 500 500 1000 833 278 333 333 500 570 250 333 250 278 500 500 500 500 500 500 500 500 500 500 333 333 570 570 570 500 930 722 667 722 722 667 611 778 778 389 500 778 667 944 722 778 611 778 722 556 667 722 722 1000 722 722 667 333 278 333 581 500 333 500 556 444 556 444 333 500 556 278 333 556 278 833 556 500 556 556 444 389 333 556 500 722 500 500 444 394 220 394 520 778 500 778 333 500 500 1000 500 500 333 1000 556 333 1000 778 667 778 778 333 333 500 500 350 500 1000 333 1000 389 333 722 778 444 722 250 333 500 500 500 500 220 500 333 747 300 500 570 333 747 500 400 549 300 300 333 576 540 250 333 300 330 500 750 750 750 500 722 722 722 722 722 722 1000 722 667 667 667 667 389 389 389 389 722 722 778 778 778 778 778 570 778 722 722 722 722 722 611 556 500 500 500 500 500 500 722 444 444 444 444 444 278 278 278 278 500 556 500 500 500 500 500 549 500 556 556 556 556 500 556 500 ] /Encoding /WinAnsiEncoding /FontDescriptor 7 0 R >> endobj 7 0 obj << /Type /FontDescriptor /FontName /TimesNewRoman,Bold /Flags 16418 /FontBBox [ -250 -216 1165 1000 ] /MissingWidth 323 /StemV 136 /StemH 136 /ItalicAngle 0 /CapHeight 891 /XHeight 446 /Ascent 891 /Descent -216 /Leading 149 /MaxWidth 971 /AvgWidth 427 >> endobj 8 0 obj << /Type /Font /Subtype /TrueType /Name /F1 /BaseFont /TimesNewRoman /FirstChar 32 /LastChar 255 /Widths [ 250 333 408 500 500 833 778 180 333 333 500 564 250 333 250 278 500 500 500 500 500 500 500 500 500 500 278 278 564 564 564 444 921 722 667 667 722 611 556 722 722 333 389 722 611 889 722 722 556 722 667 556 611 722 722 944 722 722 611 333 278 333 469 500 333 444 500 444 500 444 333 500 500 278 278 500 278 778 500 500 500 500 333 389 278 500 500 722 500 500 444 480 200 480 541 778 500 778 333 500 444 1000 500 500 333 1000 556 333 889 778 611 778 778 333 333 444 444 350 500 1000 333 980 389 333 722 778 444 722 250 333 500 500 500 500 200 500 333 760 276 500 564 333 760 500 400 549 300 300 333 576 453 250 333 300 310 500 750 750 750 444 722 722 722 722 722 722 889 667 611 611 611 611 333 333 333 333 722 722 722 722 722 722 722 564 722 722 722 722 722 722 556 500 444 444 444 444 444 444 667 444 444 444 444 444 278 278 278 278 500 500 500 500 500 500 500 549 500 500 500 500 500 500 500 500 ] /Encoding /WinAnsiEncoding /FontDescriptor 9 0 R >> endobj 9 0 obj << /Type /FontDescriptor /FontName /TimesNewRoman /Flags 34 /FontBBox [ -250 -216 1165 1000 ] /MissingWidth 323 /StemV 73 /StemH 73 /ItalicAngle 0 /CapHeight 891 /XHeight 446 /Ascent 891 /Descent -216 /Leading 149 /MaxWidth 971 /AvgWidth 401 >> endobj 10 0 obj << /Length 11 0 R /Filter /FlateDecode >> stream HWnFüU "%Z)P ͋b%LּwFRM  3sΙ/3%dW3Կfg< _g o$%%z_ϫVpb}.~scuxfHJ}Um0,|NԦ /gn`A|s(O Bsʃ`\e^S Abbj* Ѥ=)K 7"F겧,< TėTdp+m6i󍬬-h~>8qdGU^O#?w*?"n $& 4%fN곤l=2)xxρi#Q [~G>.&m&- #HA5Y'd)慧SŝƸz3dx{SH rXY9ºI 0i!c`ݎ1,˧r wLT b'ie#X%톑Dݜܽkۺ E Q`R)ElUeO{;|9bsd]NGe;xLE*@8Ew q0i|?19ñ^jô@WRj<-Ҽ |Q05uXTb6svJDH 8u&4ql\Py-IDe!gʂՅO*8rnpHDWa}݈L[jnRl_DQetlNXPeCѴFZ cBgMO 찎`Ctcajk%i; vFjƝR.zefA|2i$7.P:rҕ q 8`jtF]P Z;^Ju,tؔDeOO~GODdT7*Lk Ktb'IF~6j*P~Z=)5בqR욄 JRZ?r~c{ES5cj0e0^P}v;\jsQ.ԥ6 -̊Ń4nˢҍ|?4bg_x\pO6q -Atb9N9emz4uc`_]ɫMiMfE endstream endobj 11 0 obj 1280 endobj 12 0 obj << /Type /Page /Parent 5 0 R /Resources << /Font << /F0 6 0 R /F1 8 0 R /F2 15 0 R >> /ProcSet 2 0 R >> /Contents 13 0 R >> endobj 13 0 obj << /Length 14 0 R /Filter /FlateDecode >> stream HTn0aޖ>$%׾Z. .+UL0]oJBڱIt=sg@._w;BNFXM0ƏC?V?'0.pڞ<=KΓ,KSز;;rs?= 7#\#iРru> endobj 16 0 obj << /Type /FontDescriptor /FontName /ArialUnicodeMS /Flags 32 /FontBBox [ -250 -271 1217 1069 ] /MissingWidth 278 /StemV 80 /StemH 80 /ItalicAngle 0 /CapHeight 1069 /XHeight 535 /Ascent 1069 /Descent -271 /Leading 340 /MaxWidth 1014 /AvgWidth 441 >> endobj 17 0 obj << /Type /Annot /Subtype /Widget /Rect [ 82.64465 647.37186 266.11578 672.16525 ] /F 4 /P 4 0 R /BS << /W 2 /S /B >> /AP << /N 41 0 R >> /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /Ff 4194304 /T (don emp) /FT /Tx >> endobj 18 0 obj [ 17 0 R 24 0 R 29 0 R 34 0 R 39 0 R 44 0 R ] endobj 19 0 obj << /Fields [ 29 0 R 34 0 R 17 0 R 39 0 R 24 0 R 44 0 R ] /DR << /Font << /ZaDb 20 0 R /Helv 21 0 R >> /Encoding << /PDFDocEncoding 22 0 R >> >> /DA (/Helv 0 Tf 0 g ) >> endobj 20 0 obj << /Type /Font /Name /ZaDb /BaseFont /ZapfDingbats /Subtype /Type1 >> endobj 21 0 obj << /Type /Font /Name /Helv /BaseFont /Helvetica /Subtype /Type1 /Encoding 22 0 R >> endobj 22 0 obj << /Type /Encoding /Differences [ 24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring /tilde 39 /quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash /florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft /quoteright /quotesinglbase /trademark /fi /fl /Lslash /OE /Scaron /Ydieresis /Zcaron /dotlessi /lslash /oe /scaron /zcaron 160 /Euro 164 /currency 166 /brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron /degree /plusminus /twosuperior /threesuperior /acute /mu 183 /periodcentered /cedilla /onesuperior /ordmasculine 188 /onequarter /onehalf /threequarters 192 /Agrave /Aacute /Acircumflex /Atilde /Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute /Icircumflex /Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis /multiply /Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute /Thorn /germandbls /agrave /aacute /acircumflex /atilde /adieresis /aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis ] >> endobj 24 0 obj << /Type /Annot /Subtype /Widget /Rect [ 280.16537 647.37186 418.18195 672.16525 ] /F 4 /P 4 0 R /BS << /W 2 /S /B >> /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 36 0 R >> /Ff 4194304 /T (social) /FT /Tx >> endobj 29 0 obj << /Type /Annot /Subtype /Widget /Rect [ 71.90085 596.13217 236.36371 620.92557 ] /F 4 /P 4 0 R /Ff 4194304 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 33 0 R >> /BS << /W 2 /S /B >> /FT /Tx /T (insti) >> endobj 33 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 164.46286 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 164.4629 24.7934 re f 1 g 2 2 m 2 22.7934 l 162.4629 22.7934 l 160.4629 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 162.4629 22.7934 m 162.4629 2 l 2 2 l 4 4 l 160.4629 4 l 160.4629 20.7934 l f 0 G 2 w 1 1 162.4629 22.7934 re s endstream endobj 34 0 obj << /Type /Annot /Subtype /Widget /Rect [ 309.091 596.13217 356.19846 620.92557 ] /F 4 /P 4 0 R /Ff 4194304 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 38 0 R >> /BS << /W 2 /S /B >> /FT /Tx /T (days) >> endobj 36 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 138.01657 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 138.0166 24.7934 re f 1 g 2 2 m 2 22.7934 l 136.0166 22.7934 l 134.0166 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 136.0166 22.7934 m 136.0166 2 l 2 2 l 4 4 l 134.0166 4 l 134.0166 20.7934 l f 0 G 2 w 1 1 136.0166 22.7934 re s endstream endobj 38 0 obj << /Length 221 /Subtype /Form /BBox [ 0 0 47.10745 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 47.1075 24.7934 re f 1 g 2 2 m 2 22.7934 l 45.1075 22.7934 l 43.1075 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 45.1075 22.7934 m 45.1075 2 l 2 2 l 4 4 l 43.1075 4 l 43.1075 20.7934 l f 0 G 2 w 1 1 45.1075 22.7934 re s endstream endobj 39 0 obj << /Type /Annot /Subtype /Widget /Rect [ 71.90085 552.33051 292.56207 577.1239 ] /F 4 /P 4 0 R /Ff 4194304 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 43 0 R >> /BS << /W 2 /S /B >> /FT /Tx /T (emp don) >> endobj 41 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 183.47113 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 183.4711 24.7934 re f 1 g 2 2 m 2 22.7934 l 181.4711 22.7934 l 179.4711 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 181.4711 22.7934 m 181.4711 2 l 2 2 l 4 4 l 179.4711 4 l 179.4711 20.7934 l f 0 G 2 w 1 1 181.4711 22.7934 re s endstream endobj 43 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 220.66122 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 220.6612 24.7934 re f 1 g 2 2 m 2 22.7934 l 218.6612 22.7934 l 216.6612 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 218.6612 22.7934 m 218.6612 2 l 2 2 l 4 4 l 216.6612 4 l 216.6612 20.7934 l f 0 G 2 w 1 1 218.6612 22.7934 re s endstream endobj 44 0 obj << /Type /Annot /Subtype /Widget /Rect [ 347.93399 550.67761 485.95056 575.47101 ] /F 4 /P 4 0 R /Ff 4194304 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 46 0 R >> /BS << /W 2 /S /B >> /FT /Tx /T (don ssn) >> endobj 46 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 138.01657 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 138.0166 24.7934 re f 1 g 2 2 m 2 22.7934 l 136.0166 22.7934 l 134.0166 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 136.0166 22.7934 m 136.0166 2 l 2 2 l 4 4 l 134.0166 4 l 134.0166 20.7934 l f 0 G 2 w 1 1 136.0166 22.7934 re s endstream endobj 47 0 obj << /Type /Metadata /Subtype /XML /Length 1355 >> stream sick donation form - Microsoft Word 2003-03-19T10:04:55Z sick donation form.doc STAMPERK Acrobat PDFWriter 5.0 for Windows NT 2003-03-19T10:07:34-06:00 2003-03-19T10:04:55Z sick donation form.doc STAMPERK 2003-03-19T10:07:34-06:00 2003-03-19T10:07:34-06:00 sick donation form.doc STAMPERK endstream endobj xref 0 48 0000000023 65535 f 0000000016 00000 n 0000000255 00000 n 0000000287 00000 n 0000000376 00000 n 0000000526 00000 n 0000000624 00000 n 0000001734 00000 n 0000002021 00000 n 0000003120 00000 n 0000003397 00000 n 0000004755 00000 n 0000004777 00000 n 0000004923 00000 n 0000005633 00000 n 0000005654 00000 n 0000006767 00000 n 0000007049 00000 n 0000007288 00000 n 0000007352 00000 n 0000007541 00000 n 0000007633 00000 n 0000007740 00000 n 0000000025 00001 f 0000009089 00000 n 0000000026 00001 f 0000000027 00001 f 0000000028 00001 f 0000000030 00001 f 0000009328 00000 n 0000000031 00001 f 0000000032 00001 f 0000000035 00001 f 0000009565 00000 n 0000009930 00000 n 0000000037 00001 f 0000010165 00000 n 0000000040 00001 f 0000010530 00000 n 0000010886 00000 n 0000000042 00001 f 0000011124 00000 n 0000000045 00001 f 0000011489 00000 n 0000011854 00000 n 0000000000 00001 f 0000012094 00000 n 0000012459 00000 n trailer << /Size 48 /Info 1 0 R /Root 3 0 R /ID[<652eb5ba26998a8538877b8e694ba16f><429fcc40e629b9f03d4fb0b444928eb6>] >> startxref 13899 %%EOF 1 0 obj << /Creator (sick donation form - Microsoft Word) /CreationDate (D:20030319100455Z) /Title (sick donation form.doc) /Author (STAMPERK) /Producer (Acrobat PDFWriter 5.0 for Windows NT) /ModDate (D:20030411155542-05'00') >> endobj 3 0 obj << /Pages 5 0 R /Type /Catalog /AcroForm 19 0 R /Metadata 121 0 R >> endobj 12 0 obj << /Type /Page /Parent 5 0 R /Resources << /Font << /F0 6 0 R /F1 8 0 R /F2 15 0 R >> /ProcSet 2 0 R >> /Contents 13 0 R /Annots 68 0 R >> endobj 17 0 obj << /Type /Annot /Subtype /Widget /Rect [ 82.64465 647.37186 266.11578 672.16525 ] /F 4 /P 4 0 R /BS << /W 2 /S /B >> /AP << /N 116 0 R >> /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /Ff 4194304 /T (don emp) /FT /Tx /DA (/Helv 12 Tf 0 g) >> endobj 18 0 obj [ 17 0 R 24 0 R 29 0 R 34 0 R 39 0 R 44 0 R 48 0 R 49 0 R 51 0 R 52 0 R 54 0 R 55 0 R 57 0 R 58 0 R 60 0 R 61 0 R 63 0 R 64 0 R ] endobj 23 2 obj << /Filter [ /FlateDecode ] /Length 25 1 R /Subtype /Form /BBox [ 0 0 138.01657 24.7934 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /Helv 21 0 R >> >> >> stream Ht 0EMIƴٶ]؅liwT Ιp"F(qPdjڮaFvo?א8v i>lM?[_ZZ፬qd#9# *U$EUD#TW+֚> /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 114 0 R >> /Ff 4194304 /T (social) /FT /Tx /AA << /K 27 1 R /F 28 1 R >> /DA (/Helv 12 Tf 0 g) >> endobj 25 1 obj 184 endobj 26 2 obj (400191903) endobj 27 1 obj << /S /JavaScript /JS (AFSpecial_Keystroke\(3\);) >> endobj 28 1 obj << /S /JavaScript /JS (AFSpecial_Format\(3\);) >> endobj 29 0 obj << /Type /Annot /Subtype /Widget /Rect [ 71.90085 596.13217 236.36371 620.92557 ] /F 4 /P 4 0 R /Ff 4198400 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 118 0 R >> /BS << /W 2 /S /B >> /FT /Tx /T (insti) /DA (/Helv 11 Tf 0 g) /V () >> endobj 30 1 obj << /Length 229 /Subtype /Form /BBox [ 0 0 138.01657 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 138.0166 24.7934 re f 1 g 2 2 m 2 22.7934 l 136.0166 22.7934 l 134.0166 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 136.0166 22.7934 m 136.0166 2 l 2 2 l 4 4 l 134.0166 4 l 134.0166 20.7934 l f 0 G 2 w 1 1 136.0166 22.7934 re s endstream endobj 31 1 obj << /Length 229 /Subtype /Form /BBox [ 0 0 183.47113 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 183.4711 24.7934 re f 1 g 2 2 m 2 22.7934 l 181.4711 22.7934 l 179.4711 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 181.4711 22.7934 m 181.4711 2 l 2 2 l 4 4 l 179.4711 4 l 179.4711 20.7934 l f 0 G 2 w 1 1 181.4711 22.7934 re s endstream endobj 32 1 obj << /Length 229 /Subtype /Form /BBox [ 0 0 164.46286 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 164.4629 24.7934 re f 1 g 2 2 m 2 22.7934 l 162.4629 22.7934 l 160.4629 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 162.4629 22.7934 m 162.4629 2 l 2 2 l 4 4 l 160.4629 4 l 160.4629 20.7934 l f 0 G 2 w 1 1 162.4629 22.7934 re s endstream endobj 34 0 obj << /Type /Annot /Subtype /Widget /Rect [ 309.091 596.13217 356.19846 620.92557 ] /F 4 /P 4 0 R /Ff 4194304 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 112 0 R >> /BS << /W 2 /S /B >> /FT /Tx /T (days) /DA (/Helv 12 Tf 0 g) >> endobj 35 1 obj << /Length 221 /Subtype /Form /BBox [ 0 0 47.10745 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 47.1075 24.7934 re f 1 g 2 2 m 2 22.7934 l 45.1075 22.7934 l 43.1075 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 45.1075 22.7934 m 45.1075 2 l 2 2 l 4 4 l 43.1075 4 l 43.1075 20.7934 l f 0 G 2 w 1 1 45.1075 22.7934 re s endstream endobj 37 1 obj << /Length 229 /Subtype /Form /BBox [ 0 0 220.66122 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 220.6612 24.7934 re f 1 g 2 2 m 2 22.7934 l 218.6612 22.7934 l 216.6612 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 218.6612 22.7934 m 218.6612 2 l 2 2 l 4 4 l 216.6612 4 l 216.6612 20.7934 l f 0 G 2 w 1 1 218.6612 22.7934 re s endstream endobj 39 0 obj << /Type /Annot /Subtype /Widget /Rect [ 71.90085 552.33051 292.56207 577.1239 ] /F 4 /P 4 0 R /Ff 4194304 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 120 0 R >> /BS << /W 2 /S /B >> /FT /Tx /T (emp don) /DA (/Helv 12 Tf 0 g) >> endobj 40 1 obj << /S /JavaScript /JS (AFSpecial_Keystroke\(3\);) >> endobj 42 1 obj << /S /JavaScript /JS (AFSpecial_Format\(3\);) >> endobj 44 0 obj << /Type /Annot /Subtype /Widget /Rect [ 347.93399 550.67761 485.95056 575.47101 ] /F 4 /P 4 0 R /Ff 4194304 /MK << /BC [ 0 0 0 ] /BG [ 1 1 1 ] >> /AP << /N 45 1 R >> /BS << /W 2 /S /B >> /FT /Tx /T (don ssn) /AA << /K 40 1 R /F 42 1 R >> >> endobj 45 1 obj << /Length 229 /Subtype /Form /BBox [ 0 0 138.01657 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 138.0166 24.7934 re f 1 g 2 2 m 2 22.7934 l 136.0166 22.7934 l 134.0166 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 136.0166 22.7934 m 136.0166 2 l 2 2 l 4 4 l 134.0166 4 l 134.0166 20.7934 l f 0 G 2 w 1 1 136.0166 22.7934 re s endstream endobj 48 0 obj << /Type /Annot /Rect [ 68.10454 188.952 267.89548 204.45615 ] /F 4 /Subtype /Underline /Popup 49 0 R /M (D:20030411155250-05'00') /C [ 0 0.5 0 ] /Contents (________________________________) /T (STAMPERK) /NM (1900030) /P 4 0 R /QuadPoints [ 72 204 264 204 72 189.40814 264 189.40814 ] /AP << /N 50 0 R >> >> endobj 49 0 obj << /Type /Annot /Subtype /Popup /Rect [ 72 4 272 204 ] /Open false /F 28 /Parent 48 0 R >> endobj 50 0 obj << /Length 50 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 68.10454 188.952 267.89548 204.45615 ] /Matrix [ 1 0 0 1 -68.10454 -188.952 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 72 191.4927 m 264 191.4927 l S endstream endobj 51 0 obj << /Type /Annot /Rect [ 68.10454 133.452 267.89548 148.95615 ] /F 4 /Subtype /Underline /Popup 52 0 R /M (D:20030411155251-05'00') /C [ 0 0.5 0 ] /Contents (________________________________) /T (STAMPERK) /NM (1900033) /P 4 0 R /QuadPoints [ 72 148.5 264 148.5 72 133.90814 264 133.90814 ] /AP << /N 53 0 R >> >> endobj 52 0 obj << /Type /Annot /Subtype /Popup /Rect [ 72 -51.5 272 148.5 ] /Open false /F 28 /Parent 51 0 R >> endobj 53 0 obj << /Length 50 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 68.10454 133.452 267.89548 148.95615 ] /Matrix [ 1 0 0 1 -68.10454 -133.452 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 72 135.9927 m 264 135.9927 l S endstream endobj 54 0 obj << /Type /Annot /Rect [ 320.10454 188.952 447.89548 204.45615 ] /F 4 /Subtype /Underline /Popup 55 0 R /M (D:20030411155253-05'00') /C [ 0 0.5 0 ] /Contents (____________________) /T (STAMPERK) /NM (1900036) /P 4 0 R /QuadPoints [ 324 204 444 204 324 189.40814 444 189.40814 ] /AP << /N 56 0 R >> >> endobj 55 0 obj << /Type /Annot /Subtype /Popup /Rect [ 324 4 524 204 ] /Open false /F 28 /Parent 54 0 R >> endobj 56 0 obj << /Length 51 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 320.10454 188.952 447.89548 204.45615 ] /Matrix [ 1 0 0 1 -320.10454 -188.952 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 324 191.4927 m 444 191.4927 l S endstream endobj 57 0 obj << /Type /Annot /Rect [ 320.10454 133.452 447.89548 148.95615 ] /F 4 /Subtype /Underline /Popup 58 0 R /M (D:20030411155255-05'00') /C [ 0 0.5 0 ] /Contents (____________________) /T (STAMPERK) /NM (1900039) /P 4 0 R /QuadPoints [ 324 148.5 444 148.5 324 133.90814 444 133.90814 ] /AP << /N 59 0 R >> >> endobj 58 0 obj << /Type /Annot /Subtype /Popup /Rect [ 324 -51.5 524 148.5 ] /Open false /F 28 /Parent 57 0 R >> endobj 59 0 obj << /Length 51 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 320.10454 133.452 447.89548 148.95615 ] /Matrix [ 1 0 0 1 -320.10454 -133.452 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 324 135.9927 m 444 135.9927 l S endstream endobj 60 0 obj << /Type /Annot /Rect [ 320.10454 77.952 447.89548 93.45615 ] /F 4 /Subtype /Underline /Popup 61 0 R /M (D:20030411155256-05'00') /C [ 0 0.5 0 ] /Contents (____________________) /T (STAMPERK) /NM (190003c) /P 4 0 R /QuadPoints [ 324 93 444 93 324 78.40814 444 78.40814 ] /AP << /N 62 0 R >> >> endobj 61 0 obj << /Type /Annot /Subtype /Popup /Rect [ 324 -107 524 93 ] /Open false /F 28 /Parent 60 0 R >> endobj 62 0 obj << /Length 49 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 320.10454 77.952 447.89548 93.45615 ] /Matrix [ 1 0 0 1 -320.10454 -77.952 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 324 80.4927 m 444 80.4927 l S endstream endobj 63 0 obj << /Type /Annot /Rect [ 68.10454 77.952 267.89548 93.45615 ] /F 4 /Subtype /Underline /Popup 64 0 R /M (D:20030411155259-05'00') /C [ 0 0.5 0 ] /Contents (________________________________) /T (STAMPERK) /NM (190003f) /P 4 0 R /QuadPoints [ 72 93 264 93 72 78.40814 264 78.40814 ] /AP << /N 65 0 R >> >> endobj 64 0 obj << /Type /Annot /Subtype /Popup /Rect [ 72 -107 272 93 ] /Open false /F 28 /Parent 63 0 R >> endobj 65 0 obj << /Length 48 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 68.10454 77.952 267.89548 93.45615 ] /Matrix [ 1 0 0 1 -68.10454 -77.952 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 72 80.4927 m 264 80.4927 l S endstream endobj 66 0 obj << /Type /Annot /Rect [ 265.78593 644.952 297.38132 660.45615 ] /F 4 /Subtype /Underline /Popup 67 0 R /M (D:20030411155307-05'00') /C [ 0 0.5 0 ] /Contents (____) /T (STAMPERK) /NM (1900042) /P 12 0 R /QuadPoints [ 269.6814 660 293.48584 660 269.6814 645.40814 293.48584 645.40814 ] /AP << /N 69 0 R >> >> endobj 67 0 obj << /Type /Annot /Subtype /Popup /Rect [ 269.6814 460 469.6814 660 ] /Open false /F 28 /Parent 66 0 R >> endobj 68 0 obj [ 66 0 R 67 0 R 70 0 R 71 0 R 73 0 R 74 0 R 76 0 R 77 0 R 79 0 R 80 0 R 82 0 R 83 0 R 85 0 R 86 0 R 88 0 R 89 0 R 91 0 R 92 0 R 94 0 R 95 0 R ] endobj 69 0 obj << /Length 61 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 265.78593 644.952 297.38132 660.45615 ] /Matrix [ 1 0 0 1 -265.78593 -644.952 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 269.6814 647.4927 m 293.4858 647.4927 l S endstream endobj 70 0 obj << /Type /Annot /Rect [ 314.43889 644.952 351.96909 660.45615 ] /F 4 /Subtype /Underline /Popup 71 0 R /M (D:20030411155308-05'00') /C [ 0 0.5 0 ] /Contents (_____) /T (STAMPERK) /NM (1900046) /P 12 0 R /QuadPoints [ 318.33435 660 348.07361 660 318.33435 645.40814 348.07361 645.40814 ] /AP << /N 72 0 R >> >> endobj 71 0 obj << /Type /Annot /Subtype /Popup /Rect [ 318.33435 460 518.33435 660 ] /Open false /F 28 /Parent 70 0 R >> endobj 72 0 obj << /Length 61 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 314.43889 644.952 351.96909 660.45615 ] /Matrix [ 1 0 0 1 -314.43889 -644.952 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 318.3344 647.4927 m 348.0736 647.4927 l S endstream endobj 73 0 obj << /Type /Annot /Rect [ 389.96422 616.452 475.57938 631.95615 ] /F 4 /Subtype /Underline /Popup 74 0 R /M (D:20030411155310-05'00') /C [ 0 0.5 0 ] /Contents (_____________) /T (STAMPERK) /NM (1900049) /P 12 0 R /QuadPoints [ 393.85968 631.5 471.6839 631.5 393.85968 616.90814 471.6839 616.90814 ] /AP << /N 75 0 R >> >> endobj 74 0 obj << /Type /Annot /Subtype /Popup /Rect [ 393.85968 431.5 593.85968 631.5 ] /Open false /F 28 /Parent 73 0 R >> endobj 75 0 obj << /Length 61 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 389.96422 616.452 475.57938 631.95615 ] /Matrix [ 1 0 0 1 -389.96422 -616.452 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 393.8597 618.9927 m 471.6839 618.9927 l S endstream endobj 76 0 obj << /Type /Annot /Rect [ 225.09258 588.702 319.74527 604.20615 ] /F 4 /Subtype /Underline /Popup 77 0 R /M (D:20030411155312-05'00') /C [ 0 0.5 0 ] /Contents (______________:) /T (STAMPERK) /NM (190004c) /P 12 0 R /QuadPoints [ 228.98804 603.75 315.84979 603.75 228.98804 589.15814 315.84979 589.15814 ] /AP << /N 78 0 R >> >> endobj 77 0 obj << /Type /Annot /Subtype /Popup /Rect [ 228.98804 403.75 428.98804 603.75 ] /Open false /F 28 /Parent 76 0 R >> endobj 78 0 obj << /Length 60 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 225.09258 588.702 319.74527 604.20615 ] /Matrix [ 1 0 0 1 -225.09258 -588.702 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 228.988 591.2427 m 315.8498 591.2427 l S endstream endobj 79 0 obj << /Type /Annot /Rect [ 315.10796 588.702 400.4924 604.20615 ] /F 4 /Subtype /Underline /Popup 80 0 R /M (D:20030411155314-05'00') /C [ 0 0.5 0 ] /Contents (_____________) /T (STAMPERK) /NM (190004f) /P 12 0 R /QuadPoints [ 319.00342 603.75 396.59692 603.75 319.00342 589.15814 396.59692 589.15814 ] /AP << /N 81 0 R >> >> endobj 80 0 obj << /Type /Annot /Subtype /Popup /Rect [ 319.00342 403.75 519.00342 603.75 ] /Open false /F 28 /Parent 79 0 R >> endobj 81 0 obj << /Length 61 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 315.10796 588.702 400.4924 604.20615 ] /Matrix [ 1 0 0 1 -315.10796 -588.702 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 319.0034 591.2427 m 396.5969 591.2427 l S endstream endobj 82 0 obj << /Type /Annot /Rect [ 178.64586 560.952 264.02591 576.45615 ] /F 4 /Subtype /Underline /Popup 83 0 R /M (D:20030411155434-05'00') /C [ 0 0.5 0 ] /Contents (_____________) /T (STAMPERK) /NM (1900052) /P 12 0 R /QuadPoints [ 182.54132 576 260.13043 576 182.54132 561.40814 260.13043 561.40814 ] /AP << /N 84 0 R >> >> endobj 83 0 obj << /Type /Annot /Subtype /Popup /Rect [ 182.54132 376 382.54132 576 ] /Open false /F 28 /Parent 82 0 R >> endobj 84 0 obj << /Length 61 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 178.64586 560.952 264.02591 576.45615 ] /Matrix [ 1 0 0 1 -178.64586 -560.952 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 182.5413 563.4927 m 260.1304 563.4927 l S endstream endobj 85 0 obj << /Type /Annot /Rect [ 239.93254 533.202 325.37411 548.70615 ] /F 4 /Subtype /Underline /Popup 86 0 R /M (D:20030411155435-05'00') /C [ 0 0.5 0 ] /Contents (_____________) /T (STAMPERK) /NM (1900055) /P 12 0 R /QuadPoints [ 243.828 548.25 321.47864 548.25 243.828 533.65814 321.47864 533.65814 ] /AP << /N 87 0 R >> >> endobj 86 0 obj << /Type /Annot /Subtype /Popup /Rect [ 243.828 348.25 443.828 548.25 ] /Open false /F 28 /Parent 85 0 R >> endobj 87 0 obj << /Length 60 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 239.93254 533.202 325.37411 548.70615 ] /Matrix [ 1 0 0 1 -239.93254 -533.202 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 243.828 535.7427 m 321.4786 535.7427 l S endstream endobj 88 0 obj << /Type /Annot /Rect [ 211.08922 505.452 296.15726 520.95615 ] /F 4 /Subtype /Underline /Popup 89 0 R /M (D:20030411155437-05'00') /C [ 0 0.5 0 ] /Contents (_____________) /T (STAMPERK) /NM (1900058) /P 12 0 R /QuadPoints [ 214.98468 520.5 292.26178 520.5 214.98468 505.90814 292.26178 505.90814 ] /AP << /N 90 0 R >> >> endobj 89 0 obj << /Type /Annot /Subtype /Popup /Rect [ 214.98468 320.5 414.98468 520.5 ] /Open false /F 28 /Parent 88 0 R >> endobj 90 0 obj << /Length 61 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 211.08922 505.452 296.15726 520.95615 ] /Matrix [ 1 0 0 1 -211.08922 -505.452 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 0.912 w 214.9847 507.9927 m 292.2618 507.9927 l S endstream endobj 91 0 obj << /Type /Annot /Rect [ 141.20734 414.74541 335.79268 431.83046 ] /F 4 /Subtype /Underline /Popup 92 0 R /M (D:20030411155441-05'00') /C [ 0 0.5 0 ] /Contents (_______________________________) /T (STAMPERK) /NM (190005b) /P 12 0 R /QuadPoints [ 145.5 431.32782 331.5 431.32782 145.5 415.24805 331.5 415.24805 ] /AP << /N 93 0 R >> >> endobj 92 0 obj << /Type /Annot /Subtype /Popup /Rect [ 145.5 231.32782 345.5 431.32782 ] /Open false /F 28 /Parent 91 0 R >> endobj 93 0 obj << /Length 55 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 141.20734 414.74541 335.79268 431.83046 ] /Matrix [ 1 0 0 1 -141.20734 -414.74541 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 1.005 w 145.5 417.5452 m 331.5 417.5452 l S endstream endobj 94 0 obj << /Type /Annot /Rect [ 355.70734 414.74541 466.29268 431.83046 ] /F 4 /Subtype /Underline /Popup 95 0 R /M (D:20030411155444-05'00') /C [ 0 0.5 0 ] /Contents (_________________) /T (STAMPERK) /NM (190005e) /P 12 0 R /QuadPoints [ 360 431.32782 462 431.32782 360 415.24805 462 415.24805 ] /AP << /N 96 0 R >> >> endobj 95 0 obj << /Type /Annot /Subtype /Popup /Rect [ 360 231.32782 560 431.32782 ] /Open false /F 28 /Parent 94 0 R >> endobj 96 0 obj << /Length 51 /Type /XObject /Subtype /Form /FormType 1 /BBox [ 355.70734 414.74541 466.29268 431.83046 ] /Matrix [ 1 0 0 1 -355.70734 -414.74541 ] /Resources << /ProcSet [ /PDF ] >> >> stream 0 0.5 0 RG 1.005 w 360 417.5452 m 462 417.5452 l S endstream endobj 97 1 obj << /Filter [ /FlateDecode ] /Length 98 0 R /Subtype /Form /BBox [ 0 0 183.47113 24.7934 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /Helv 21 0 R >> >> >> stream HtM @+c]Vg\H,tRA4ȢY!10,<.EQ !@+Pxھq0K"sKp-;+bR }5a+?4?q28lF™9̞ ޮh WFZC@F,^򮸭j:,y 0G endstream endobj 98 0 obj 184 endobj 99 1 obj << /Filter [ /FlateDecode ] /Length 100 0 R /Subtype /Form /BBox [ 0 0 138.01657 24.7934 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /Helv 21 0 R >> >> >> stream Ht 0EELfRtaB-H+~ӇR$L*9meŽB AˬEdH}#{ g-"&S=lŎfqx#+s'52f+{dA}4B-R$[΂LJE#kpE8(;E endstream endobj 100 0 obj 184 endobj 101 1 obj () endobj 102 0 obj << /Filter [ /FlateDecode ] /Length 103 0 R /Subtype /Form /BBox [ 0 0 164.46286 24.7934 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /Helv 21 0 R >> >> >> stream HtA @+ޱ.mCAF.B%fx;y.!"W;U>ʣᰪ> >> >> stream Hl 0y9%&i\[Aiwc?, ,Nr1kCA O1f3{[Aǝ7LĆ'PDV @%s3SdAD۪4B-R8MLyXF8"QKBf endstream endobj 105 0 obj 177 endobj 106 1 obj << /Filter [ /FlateDecode ] /Length 107 0 R /Subtype /Form /BBox [ 0 0 220.66122 24.7934 ] /Resources << /ProcSet [ /PDF /Text ] /Font << /Helv 21 0 R >> >> >> stream Ht 0DYMbc‚bč(m>X+>239I2pZRrT*RPX]C}{K}VSB&o=;BRJdG W0I"L)d!X٠$NfPSwB<=#'E=gn+0f;TC#5qSP endstream endobj 107 0 obj 206 endobj 108 2 obj (Margaret) endobj 109 1 obj (40019-9999) endobj 110 1 obj (Austin Peay State University) endobj 111 1 obj (30) endobj 112 0 obj << /Length 221 /Subtype /Form /BBox [ 0 0 47.10745 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 47.1075 24.7934 re f 1 g 2 2 m 2 22.7934 l 45.1075 22.7934 l 43.1075 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 45.1075 22.7934 m 45.1075 2 l 2 2 l 4 4 l 43.1075 4 l 43.1075 20.7934 l f 0 G 2 w 1 1 45.1075 22.7934 re s endstream endobj 113 1 obj (40019-9999) endobj 114 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 138.01657 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 138.0166 24.7934 re f 1 g 2 2 m 2 22.7934 l 136.0166 22.7934 l 134.0166 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 136.0166 22.7934 m 136.0166 2 l 2 2 l 4 4 l 134.0166 4 l 134.0166 20.7934 l f 0 G 2 w 1 1 136.0166 22.7934 re s endstream endobj 115 1 obj (Margaret) endobj 116 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 183.47113 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 183.4711 24.7934 re f 1 g 2 2 m 2 22.7934 l 181.4711 22.7934 l 179.4711 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 181.4711 22.7934 m 181.4711 2 l 2 2 l 4 4 l 179.4711 4 l 179.4711 20.7934 l f 0 G 2 w 1 1 181.4711 22.7934 re s endstream endobj 117 1 obj (Austin Peay State University) endobj 118 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 164.46286 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 164.4629 24.7934 re f 1 g 2 2 m 2 22.7934 l 162.4629 22.7934 l 160.4629 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 162.4629 22.7934 m 162.4629 2 l 2 2 l 4 4 l 160.4629 4 l 160.4629 20.7934 l f 0 G 2 w 1 1 162.4629 22.7934 re s endstream endobj 119 1 obj (Austin Peay State Universtiy) endobj 120 0 obj << /Length 229 /Subtype /Form /BBox [ 0 0 220.66122 24.7934 ] /Resources << /ProcSet [ /PDF ] >> >> stream 1 g 0 0 220.6612 24.7934 re f 1 g 2 2 m 2 22.7934 l 218.6612 22.7934 l 216.6612 20.7934 l 4 20.7934 l 4 4 l f 0.749 g 218.6612 22.7934 m 218.6612 2 l 2 2 l 4 4 l 216.6612 4 l 216.6612 20.7934 l f 0 G 2 w 1 1 218.6612 22.7934 re s endstream endobj 121 0 obj << /Type /Metadata /Subtype /XML /Length 1355 >> stream sick donation form - Microsoft Word 2003-03-19T10:04:55Z sick donation form.doc STAMPERK Acrobat PDFWriter 5.0 for Windows NT 2003-04-11T15:55:42-05:00 2003-03-19T10:04:55Z sick donation form.doc STAMPERK 2003-04-11T15:55:42-05:00 2003-04-11T15:55:42-05:00 sick donation form.doc STAMPERK endstream endobj xref 0 2 0000000000 65535 f 0000015015 00000 n 3 1 0000015254 00000 n 12 1 0000015344 00000 n 17 2 0000015506 00000 n 0000015768 00000 n 23 10 0000015917 00002 n 0000016297 00000 n 0000016590 00001 n 0000016611 00002 n 0000016639 00001 n 0000016711 00001 n 0000016780 00000 n 0000017046 00001 n 0000017411 00001 n 0000017776 00001 n 34 2 0000018141 00000 n 0000018399 00001 n 37 1 0000018755 00001 n 39 2 0000019120 00000 n 0000019381 00001 n 42 1 0000019453 00001 n 44 2 0000019522 00000 n 0000019793 00001 n 48 74 0000020158 00000 n 0000020494 00000 n 0000020609 00000 n 0000020875 00000 n 0000021215 00000 n 0000021336 00000 n 0000021602 00000 n 0000021929 00000 n 0000022045 00000 n 0000022314 00000 n 0000022645 00000 n 0000022767 00000 n 0000023036 00000 n 0000023357 00000 n 0000023475 00000 n 0000023739 00000 n 0000024069 00000 n 0000024186 00000 n 0000024447 00000 n 0000024782 00000 n 0000024910 00000 n 0000025074 00000 n 0000025353 00000 n 0000025691 00000 n 0000025821 00000 n 0000026100 00000 n 0000026448 00000 n 0000026582 00000 n 0000026861 00000 n 0000027215 00000 n 0000027351 00000 n 0000027629 00000 n 0000027980 00000 n 0000028116 00000 n 0000028394 00000 n 0000028740 00000 n 0000028870 00000 n 0000029149 00000 n 0000029497 00000 n 0000029629 00000 n 0000029907 00000 n 0000030257 00000 n 0000030391 00000 n 0000030670 00000 n 0000031031 00000 n 0000031165 00000 n 0000031442 00000 n 0000031781 00000 n 0000031911 00000 n 0000032184 00001 n 0000032563 00000 n 0000032584 00001 n 0000032965 00000 n 0000032987 00001 n 0000033007 00000 n 0000033408 00000 n 0000033430 00001 n 0000033804 00000 n 0000033826 00001 n 0000034230 00000 n 0000034252 00002 n 0000034280 00001 n 0000034310 00001 n 0000034358 00001 n 0000034380 00000 n 0000034737 00001 n 0000034767 00000 n 0000035133 00001 n 0000035161 00000 n 0000035527 00001 n 0000035575 00000 n 0000035941 00001 n 0000035989 00000 n 0000036355 00000 n trailer << /Size 122 /Info 1 0 R /Root 3 0 R /Prev 13899 /ID[<652eb5ba26998a8538877b8e694ba16f><23ba5b89d35394773aa834191e1dea13>] >> startxref 37796 %%EOF 1 0 obj <> endobj 4 0 obj <>/ProcSet[/PDF/Text]>>/Type/Page>> endobj 6 0 obj <> endobj 12 0 obj <>/ProcSet[/PDF/Text]>>/Type/Page>> endobj 15 0 obj <> endobj 121 0 obj <>stream Acrobat PDFWriter 5.0 for Windows NT 2003-03-19T10:04:55Z 2009-12-10T12:30:32-06:00 2009-12-10T12:30:32-06:00 sick donation form - Microsoft Word application/pdf sick donation form.doc STAMPERK uuid:5affba71-d3bd-444e-af26-68571ddafdb5 uuid:53be849e-6394-4dae-a24b-2231831c0d03 endstream endobj 123 0 obj <>stream HV[O0~ϯ8C'41mt4&TuB "||IL`cHk=>99QGvP(*+HIPW TeJ&^gt6tz<|X||r6[G3XYɧp/W5,a-as?ow`PF"%!:$p ҺgQJ-|~`_-.ud#B$DTv% qyr1j[ڡ%!K4x: y a?p>c<_xY_)H83T Lu;I0c]J$_jljbtzaAn(1 %vi_{"CvsɨwT#ɛi a>2CSME[tUz Q[=(=0 a,A>åU߳#*Ӯj⳦Pո3b+蓙6=$.败T/$qԆߩ;č

2<[`P(f,.{ѷ/(Jt(JIe.㛻fw,avuY]n]1"Brx^Bw-}iMz/lvX6 , endstream endobj 124 0 obj <> endobj 125 0 obj [127 0 R] endobj 126 0 obj <>stream H\j0F~ -E-J40> endobj 128 0 obj <> endobj 129 0 obj <> endobj 130 0 obj <>stream Hj0 endstream endobj 131 0 obj <>stream H\UtTo.HƦ aVZT @{uAHJӂL9D$Q6^iX`:)`JB r\N}3̝7oD.4 mY}z};t/-&>9/[rD E9)RU`V~ָ6f>v3fvs@IcսC@QѓgTہ}]>y-"NzE9\o_{⚵ oL+ _oB)F)6Q.ESOl$ci} k-Zη7B6Ѕk|OWu-N^ ぴA'+QO"q8" [.!PHAEiB/\f#96{aC$b;$Xک*Zq '64Hj jbg(yrHCɷ;qVz9B՝Q%X{v8;XB;PD DE:  6v[: =0 Phu F663)Me6n`J1H iU0&o+P?I%#Lbbk {'$>\AN#gi|w8q2HSz[ͷV{2SB0٘YO _TUgs5*6Ƚq&q5]2P2erQ.* USN[clrX5y\FDJT)*S-$ IuN =_.}с8ִ$RM)qwGSݣ|G<쇿UjM;!pĠ9.&ub#f.8_(1e6DԺHwAb$ed%Wޑ)uRJ2qR&yERIρBA}y7)('BGڗ% L;vqi.xi()8v,]0!i`#6Ku !օ"+|ܐ)2bbj x$)O-L iW O ,yWF>Gj'w/,?[.;DQZ%u\xZZ (dlܪo" 9>K!N'MﱌƁg9GE${R2ISɵu'T2.٘?FNb?=g) ?ē9ybPH'^mbhl0@e "-@ ')~jW\MwVhqT#FY )ѵT.V& X`>.;tqښسD2'1ʲÒôXڳܱ9ܲǤ:?z嘰_׸CEI4ݑܨ۰Gո)<%b)K"BT0zW#hWx:O ~IJ>YJyФmwjEVe3(_CO0 '5HϢ(=DP;c ~ip*g=hvpԡ~ё_4[;XPRhֵ|Y*CYjkQ :fp=w~yj*qMIÜ Z6{>u#ٿ~(ŷEyCk htkSTbv4,U8prr8xnP̲l2sf򝳸s;fz;q|=}O~ 6ZŪUm^0:7m>ʳջ֜ￍ#ղ4jͰ8Nڲ=ϛxٟ7ɻIв<4ip[?j:R6w 7 ʸJ.bf0Eu--QhlPtђ7Jov͗.=_G/vt VUcOs<{ʬ"UUUEo2EؼsF|ssŝvsvgnp+JH"ÕeJ6cksUr65a5Ppe5K 0WFCTN%@Y[ǂ*lP]gGަt[^޽f 1WrOnvK+55ֶ`p[ܾ_eu@SWBN.3XEOkeS2?`|Qg*9v}VEWK0V b{`Tk/ivN+)8.o ~WZm>߶m_(W/u{d+ Zbw6h c"̆ӴN 3~&d.0w | SN4*wXdk܇QZh}zP8=1V飰ОzѨ#&;V ]4=溂!kلsdQ{pPUYEX7>j\2GazWf֩2 >MEYtUa~;98׃)U7CPVD⬖F?fh _Nyǿx֩K>UkM3L; 驿Sc/߹e0{r-Xu{VlK+[ֲ, 4dڄu0@ԏкbOڦ$h p F6 N!LniC)T3{e0o7Myye^d LiP?w`,n^W wt?z?=OT(q%fTc[UTېhs}2\ʔ45&fj3٭GU&~ׁ% m퍘11gTRTRhW`+1w^ O ~X؝вy#>{˿߰g?]-6IU8sԍJ9yVe>b[_!]ex*~*8ȝ%o揕\)y,$.,HN WeI.~,JY?IX2)J2Ll1?i;ؓЏiqMR'=I̬,;qG->ܗԭ JggLOD&۫'']h _R(g|#lvX.|q TH XrIj7n|k f)+,cIawOӧ"͞PȬC3R뢡=oݵ}}< rc^\wV~Cԯ}e`Ȯ?ϱբm`sšK{7t3ZB,TTPdL ,m /,dp$-$W<L@-hx?˰^,dY`;Q. B3*r$t5VPn?L_]Ya&*g3]0%1UU֎2CΐӨr7:rttGK߃]\ϽTɯ{PG %?:N_cc5Ʀ煎^Ϸ/ B* 9],%;/g4A×I^^Cx97Ø8Axb KvI Sp ujȝ& 0ari jzOhDkftҞ@iZH}2"0i{zhOPD☠A,YEfoq=*l h$CS|c͊tunmy[JBH銕ۇBݛ#o&7tE|~^NL3C~XQ̅hSB~p[@Z”f%}Rl>6 S8*k|8sV E v^Iۅ11_| #b5(l3M1m26zߝ M&lh 4RtV84 ~_d4̚|O}kC"`g"ׅky#|+!w_P:;-//J \ I'ؙj%(K[ثI4g-3Q|#.tq$<\$ʢ]QEh*Ga VzY/YU/?N tjFgզ'۵3-η8Z8 T-įF͂-n͉Kn!?F _izqⓢp5巹'}XwG.rWmʆo44|-'LC?<N~_H fsL>;!NOB MF$;sT=ޟȤ L@fr3&x4i=ּrg\}I͔vfWk" 琣(&:|"X2~{hځ.BW lQs ,P 'lW}l=w6I|c;پ{v/9; K.-& ##ihA"UZ}5m nm@ cBMUvGi4~ 6Mwr~{~ ` mA49` xws^XdLkcɃ9Sdُi[y$"Hbư OK4eLQI`C* ϻg(=H9Ckݪo"w܈h#-ešςX;X=txs]K8~ܝkM #ӷ镅ߡw zP# if@+龑g6ldR;:ohEhe., T}q1,b30\xdsdbFcěټ k>8X0Thttm 8;9w%¹\{"q}k&X4P,^<1+}˿5>bUڶٴ&?[Dzϳ١$װ=3ǵ<)M**TQ7Z[b? U{uG'W+뫋Y.DqwJ"Zk"a)U[[é`NLg|K{"{XX՞&hXUIDDD@pڇ=tN+XMSF,+Lt{h$ z]"HWA?sW4yn}##;|G acтQC J{2s 5GJء 9/_||FZBa:F=rP3PqXV~gt_'k%q=?tNrS˥Ib($[ <\"Rz%E#㉙LY!ȇʤqn&&ފFcR;́ 'p Ϛgm,eҊ,:)ɢ%^YqcW~8r3 `"P PifCM箟GGaOa".}p!VGX1J-09#3Nh$J jb@⭃恎glW-dΩ뵵 T.cUGjϝ #-"&$fs*xKm/jћ UOKzHّoSzϻ 7szVX| xw𒈉R/>%%^#>i<-^Ao +a~γK<2.go,_K:C1 Ir"}C_iMRi;U1(.]}U)aH x:y/5n)cxMD- ]כN_%Q ,ɌX0oF³V6$rtۧnhi2wOC T:>@i`[$rجkq w=`Ce/څqg6yMAG˭_6J= ZiP$d}Vg~ #_ $^o%sM""QX::I|^S|>s˓,!˅}.*tŪmze,xzug؝ D $n@r 7#b۶0E(KؒHQWKeT%9X5iN!$aڤn-di3ސIׇ62k,CZ{I[ܵyH;]H aixHFglvh< (VFagK8 90 j>οC2~4'nSaF%:B?+"~^EosŸHN" =x }` Y(خՔ@yjJN d~`zC _O4g2siz bEWe=DEwQ͗8$ED"4:1٩V퉺m6[=nlhGF0}fUWYEf2vtoPz0x T1x+.&/Cۨi#0ԁW8 12F12w画[fRuq4zYJ>_zxV@볗ZM˹.ram:|e޽|iXtb5d+ GyHFx(H3dYt9T?h+RcX͘{gXkAGdͤ{g23EMx&W)r|!l"r$N7Q;Y.a=>fScVߖޖ QsR`=}|_wqi'\ؖ֋¨`8}\;Ois[f7`ZEb)E#=H:̚ɬ$vEY3F]r3F7d%p(Y[\e3Ȕcy¸Aq׼/xzxmYrBY/z]]Ț > lQu2# v@ƫT2#`@GD]5 (Bic}t70?[\g{ď@BjKB}JkbsDڃꃆalvՔI]; |͑Cb VS%'\ SangͣSA;Q4]cPy* ,2ia9UEޜLV1J&B% ^_43}2;ٖ 膆`S_>_=Z:탷3/~>^5C=McϔkCfqf^y AѢhg8eEIgD?NIDg9Ǣ aֻK"1K*fa-fb-b-fbcuጌ̍ d^_)"u˟:`#]`z禹^`a3W^N0<>(l ,G_4p,>%O-_5і~%N-WN~*#CxWOqU&NYԚNzgmHHEH!4 .y搖E3:jhdiSw <"`CQh^N [6=T7{u$S\O F%mqq/mˎnqvz9z=zs/ϵ/WFvk?ahC DxD9ѧitpJ|U::3lWMVfdCdVqHN3 vKxҡQ=vmn뢻^FфMt8Ko"y;+ !1R ˞k& C4XIbJv$`S.X%%'ŔmsFfw:CG\k1(I2tZM`BB ӵZ]ײo$= ìOH) H&ArN'lg̦B÷h3٬D٬3۟}(;l >2k?9\HF LWkes*͒D5*j+# K`Gx랴I;_0+L )oi޽eNX\VQ.ʸmݧ;'؎/ĎoM&mQRY∊2FCUmLMjץmP`D*S'D!HFHmhtL(w;߽t8EePm9`0qÿIFĮ$Jf^ nd+gSwYѽa?,1xvꤤB3ʄ6-QO?FYq_2oSk.V̟hDi.{s,N`}>d|&&g|gs=':˲ҔbTHi|*ّҺu}#6O='#{R7O&:stUu_^ү /)4:Ec GJ0RAF:E X&c\/uKO&d6*arw~sD  2EƮ:$oi/*I=i$zr6'o#CO@+ThT*2VC,0Ե-+'I 79I/ᴙXؕ% Sq$"V/ofuf&Sp`0o4Of >4.ŝGr; U½O57 `MܦiLǾVP([Gs#lh@좓Ө!ff+=x`kZTLq3Lϣ5h-=Ԫlڙ:.id]Tq'[M"TK BXMkUtoR#WhO(tDB~YC2B0\PAZdFM3qh{b["''A@׻I.ȵs\Y5*u>61r'rŹ9Qqޡ,!( #":b\R%UQUY%TԻ]=C;nլ<,7%,RP"%$# 4.dBߟ P|.X4w98S838 ^L`&/&j`{wGs;N_ ;BMMhݤNY֪(CQ#F`cBh ҊRZX#E(Mh"e*sj|߿T]2bRme%l=WǥȍV܊KEԃ!TKsYaRuȄ+ X /&AknƇml!rO_n~b|7fg?kX芦P{`os`J0VMYM|X%,ͮZr<4_zϳE"p)dinY8s+ 'xCQH, `30`!;]q`u3Cz*D;y>6oTͨ|~ rJݯ̤Hl2 #XtXA)Y5vZv}낰Uzj-ܻۛSB%d0y@Tpsޭ?>S9R=**Awh!f*ݵP!BC'CQ1ƆI403d:|{@e,ۖ8 EB2G$?UQ#QIGq%NW)J.RԹ* q!3VRu%c}/?zrQ] gX%_-%=̓3O>eý?Ɲ])%{7Nt]ZH;^ q^vyP}q1Qs8HA)iaAHlJ0].q HF h+t4|@[mSb DPU,)ASbPq#VV'Q}H^b6˂.,88(3ncɫX( :IV 'ܒPn//^,oйL M2TWaU`9BdVBF Q2vos2~PUf`1~y?8" eYϝX2, #qoOK(PZI'cQf=rų'ߙ[6 `$,LDwi3/yPZSTJNRMSU8 _p#M5s#{/"|&j1_Ω}mBcϘȤ ʢ)Jȋ$CWlTҒ)H,dI% Kd&VK=ؾ\Z.R*BX/%2F]kSkCyEg$Qk+*q{0Ôhq@#?x>08D8P #f}+_ʕze^Y)YsyuWJ_sn+ Axû%B7߾ߺ|g{Zz2?{=?`w7??ԍd0JvGT&Ig`Y(5a\cBTRhSx"OV$ "lroVE/VJ~~Q^R%dr1&~Il41O2S_Mqʹl:ג?'Ɨ)u*vC!-“0-N[\3 O 5_G\P(N/!R&ŋM3Pfe&քK>t3׭ƴhpڸ҈Ց$ϳ<+TT ʮE.l x{T(b<ږ_6ihшh1?j4ApIryikp֒ug@ Hk@ꘪ *?uG6.hm-}]&X E_=ohufvmmَDk0۽ІO=7)Zѩ%Af^5I~:_=oё nr쑍7OlqkMusڹ˙* }tu-ilKCv%;f8J|9t(B>Ǒ'Ѵ+ttB[լ!}0^C# C_n &-p'S`O{pψY~զ[;ea~xH.lݎή4]9Ŧ͐4#vHgsIv@Bʜ졍/Hh,HH(c21Ub 1.&I1]um[W(LR%JDҦ$ی(m'cKq;n9Ҿ,[40{I-dX ^l+F&O}+uE t1ts,y%s @zEs.7ᥱf!7;cdL‹C/?sd.$`aZaw?/r_kN\ ?e$3Յ2FO }in"-@7[40J&1)nJ SغQ6Äwu|d23ɏ"d(nAqp#8?eܙفF>+ēJᔕIKNHl0c&4f)kO9LeŘ#FFIȱ@;>x#^PLf1GטCD2v >HunZ[`4/l q5@$(*|CqXy=mU>TH"p|."ܳ{>~ qwKk.UU>3/石4y臭i߽l/v³d߳ݲ6_`r| f}@i*zfĵgzrdtn<_Z.OmWhJ)T$:M4ӴyLϖ_cLpmjڍx.X2ɖ<_ZYLZ}Z[r*-*rJDkRKtLw"=w'N;Zq8Vg>m Q ]%U,xr'"_/wx7"0aBq2 ʬffܙJXPbeU!ٶicJEk4i'#ަ7 Te ~4D5fMCK[C ;Iɡ OVڃ-|]homVETm:}f:㬦 #&;'۱jAt̵=2P43sud 089p "YWzPqACp߇] xϯ(>,7vonM[k`pŊހP ~>/}To%d(i!v(t:}'&p=p""7p.s,>a4m:13:~a| ) sN!{LxiP!R3ȂQ1jeь)up00st. Lo}Lٱ"$8NȰGRl_|m$#o?7ǴE BTrYyxk~E逯ݨ༰4A$I(;GOqMauw`O#}##VϛƺZH<ַc69:4C.-"@0nP[tfw`Hȫ!ANшc%Tw79GޢmPvTB v$S|8‚)&HL*"W}rU77̆lX,,WnA )L ݙDʁ`PDIw/Ϥ; p>QeLsP Mm콄m%%AN"/I _d yT47=Q^>]VU%(Q&6cd%YWU噲YfB^!m',Ua;)U71|2~ԤPy(KƒK1[~ kj 4+mi>ck^q>U2OMFڴBvA [u6*l7$b}'Meb<"V\*8 Ҋ&A]-~0.4)rȷ>M [mhMj-tՄQg8A{=~O_@908=n-2z_vuJ?k?PA#d:Ď4W[,:,;.ND dg@=4: ~8g0 &IBڀgJ(Hи{H@"v!@ ȣ dmgon|iiߏg,8;#b,5m%YRђ,IRlHK~_gl|0Su͍LT'Yu^]T/Dzw6ǒ.i=DS( /JlRbҼ(]һ&iOd lG*󴲴q&4<py[%?hyR[r;dӺ &+K[f|{LA\q=k= {n5^(Ӽ2L@)Wkj[_¹UܠF^ĎϦ0pJZiE/R H1, ڇZ?ƀNGSB{оi&-)D.83Vh8̀_r?mAC}u8 $gl ;N~>e&x&TgtWr3Mb?iXcgA7Vne9=1$e@rp7ڧn8Ȯ}z= j}kؾbY7V2\l%ǂk=E=걉}=^=BUt-au-Qc0k僱.Q/QO쩉CbR}b< eo;ymIeV0=E}Hn|qO*'xm/kL7a~?+J})MLIY4@#d2R^YL6o0Y,K~8GgQH x&u(I$>D%˔0(Ҧ'h%Vf/NW(-R(A qYoY4jHNGns Y$فͻ~ (G Gd%`"O[M!# Yc6^T0sԦ Z=IS$5D.0Eif:4^M: Sr;ttULEm 0laXnI[*ؖ ~fc`,[󺰠/KeQ; aHumr/[׶+ńHeJ`bR!Ŭ5Ncc堖4 $ ~\yYS܎fg9r ?yS!(4ӽ^kFg(d;xyO>䙇zu $G'kt 簀0})4AMN9ŵ{ ya\AL?!/dol BL1I ~;{Gu~`{:v+;܉f w.Gaތb{7t~V<) ¢$؄ tJF zR߁sJWOवN#sW\ؒoߓE6݂:4@4¢)w/ul^_,1ZA;|.Yc NUBV8 C c;Mqt+.q?fG?s#5yfK{ ##jw"&A9xn>}?(qo;?rܣwyo= Eڣ>47cM/ȪyG?^6# qE4뵶_#D.2v>SpXrHG6{X#"\Ѯ7X mj}˯=@;Al:m;­8ҧ4܌Y`V͝X qnp3cy󖁨>(!ZG ^ +eJ /e'|_l'>peKCᗇEK[z|WlWw;w󏻳㻋N\YݖM ڠ5@[5zm tHdDKD! :o"(QՉLhS~޻^>/Reܱ'-,!ڋϤ*![Ν-7眸{Gj{tD|p5ɠ(?t925Oox"}s*NZ%r]"9W H豐E,'z}=ߠc̄0utb4tKD$2JT [u:m1VΫT 6bw=c^. >X@I C$g3~@܆w.1]/?|XLZ;JwNak.S@c,Wlʲ٤B(lȥ}g~b }ڃ*P M"Ucp3U.ezYX,h bS~01E4Gρi|%UI^*kSڄrjrΦpeT"gŤ44pBINu?4"w֒:k l!]2$|ϻ 4f H's(!Rg3E*|,:E.b˦Qz`f<ӆ>+f$0ď:{%?s~s_7\O-&9 ww^fAL*a^ha>Gs0A~?"#L22o"x2V>b{d- Ѱ+m*fWî'7?1rՇqSQqoGG0"9E؛#7pnyDp%IAK}"Z ;ZmUlZ'Z/Q8=izo1y9Po>tFC:/bD&QTA _@Ld{Zf?}#fy4S2@<˕ }tNQ]F,UyM~K3 emm X:6 #O  8y^CH Y'lv4G]!+UY>X?|QfG2Ґ@7 =EUr0z0XoO2kd&%<7s"({!d<T<} eQQ0 bV"iVQ;β әYG,0v24q&l 3<$>Y8{{xw$v5Tb ~jq@HVQd̀Lև k׷{[cIdJM; >6.GL$?lW[lэҡ$%S%&t#ѱR6Y B:lŐCciQ Ð= ah'hِyX6@aȺ,Ȃ l#~(B (u:(V|ouԸ(O4~:ev:ݙi~>OKgs1>rx0GnA1L| #'VHgO98Yޏhtͅ}98n?WߕE/z#|vT(FK,KIPm HXѶ!#ذXyL,òC]8&Lv;3o(:{Gסn$ƿ}Sb"Y)')&";x%^Qlk#61InG1d^e%]-:kxVz=6s]▄eMi->tSx= ,"wY\ݍǼ(^ܷϋbы90+w TV8W:VAY.ɲ\VJ,=,Y" IbXXArs%n[i6K@;! ʼfR u<8Ƌ#ŮCYC7 8ĥX^ *ryr~腴)|,R)&.։zvj6h n -dp;~M)6'e(p:\(`S@^F"fbb"QHyF"נp T@4Mt[&R M'ftaK%#<=AMu:Y\AL'":#?dJLE6P1kSG:}TC40Hif3`82Pϸk CvD=Q&6c7&m>W5߼E6aJ Z#"!;DTE,Vk: @Tّљmi̴+ J1EJnh6)L!&N 62$ w/f* )wt!IxC':ƎlQA[~9ܸ s=[Tn@Or._l+?=ň}:p}c~Xmx,E 3꿷#'Ե@K٠3 UyOhl̺۸.l|6[߮1Kp)2ŝ5ؑqF> ‡vxiLx349qWLM7e7N(% yF.@Yd 58ذfcGl&+qmkɚjL:Dj`?hZN#[ N2mLW/ZVVgzm`VE.9jqHZׇkdHbxN,ry " IVUT y4J[ .*"Fϋ2AjwѱtЃEjk+Tj.5}Y'Pxd[n[]b†P/jgH ƴ-l;]/:]܀V5ŭWI\!00; vI&|T85P,"dblot-Y*,wclven!&GYhBpe-[A,PKCbRk18"-0Aq:L NCJIlHSC~yｏs$3%%c+hїOy@VUif57S]YՓ!$"T٦F+ʬ)#Om9aͥ "ՂΌMX̪HdJՒWp䄍BaWTMJZZX sU+P& Io>U_Ng#9|/q8TJQrMx7Ž%[wxl5U9bkuuvyh:1;˒`OVwn,7ꤊ {}ֲXQؽ5V xLN1 Q/^ ecrJU$WDR3ԝwYSg3*>z05O'=꾂w! =oX̣}\8sћ,ѓ3Z@KUbI\ǶQN4epvwXapGi[n1>I42rpL0p^ݧp ]9I hCOaPoǷHm1ob*þ']c̎bt,Dn}V>qK#݂YAU\z7q·(1_fǥ A]\wuHi/3.ڱ_7b{Bڭ1|g{焳w@>sib m2;1 ݻЕCQw'Fy{`A$󘺟< 8F= \Vߢ6ׁ>) qA8glc9= ؁S-GZ3M"%#9 7iĩ2$[3dq{Y8;kh#{$z>@JX {^bZ¨[ulkՐ8W ޔ_bc1&YwI{f%Gog.GĠ<"(J'>C^)gCՑ$̬_W>ߕMG7)F!Dy?pBa0_,9)(]0v5$ :5H#G%^eG 4>igeE %)U3+UmRղ9T y|`7[|wYDh?gt?23d1ɩRSqPs9ϖϱCy05Gq3OjtM2myQU[[bT0S,9XJ 8fY|1<GKx++Snqߖ%;$ߋ"K-n%#T'X_AQ]W?ݷ E"b( PP@LlSEX@td1)Z&!hK[ccmDc_Lm&h, dsϹ?y{ϹZgzI=Zdlɣ%Cb<۸V듟s{= fZn<*E]gs|'%y}W0VD2E+2%mf>| =6g1EbD9{єɱJx z42-["4G9Ff!^ >Ѓ"V +}矶*O:+YgLGW(qϟ =?y,o =}ӌvyL؃9|AI|O`4tr[/ɚRQWBD2a{Tbcbbzu< PO6Fe&9PW~0s>W c,I7y@S:ȧ@JS|*Y9{7o}u _>+(pd y+h[H}Z ^9DB+ҥ q AG40/!۬*pXϐ7F]0Yك:5@wݿNa [L_cx9Ыǹ x[,%{o"t h^3f>w >o V#4bCoWhWgɻ!mD^jO;gi$ZQ@YoMGYJvM5rv^u |GMW٢ 'z`ZoAgD^kCf&<1_A_Յr X^df QC?+{\CCDf Ks?4H1 X?cA.=<湬3{%9Aǐ6yW=/9>očUM- mӉdÙz﷗#bko6Oc4lpƆi4FGLu a(#:8xˇqF7wXK =kgb(}7RBi Bq~3MAHB̚HS@4x]ٰ},zշ_"  O} .qkD}h|d4&1)[AгGlƔw>&NT4h%e?V_x',!*|ITdilbbbbbbbbbbbbbbbbbbbbb2b$"fzR=ELQJD Ġ٨_M"IMWee^ܨ#Jގ2)we؇zYqt(IV7eeܲJh=ՒIk!UJB C5R)e-ZTE"^|Gn6B66؜{W:nR%l >տ{Bm+*-U+2<\!saTB^U\R%.SäzԨUkj ({ŧ.Aٙi)q՜*ȽS\>UV\"wqr[j(T;kk M>,sU;#UunuՏ+NLuU\ hf?_+VŔз rÈ| hnU|K^\|:rqh i6o7ƅU'j4 PLjnZ"yӘ+;$phw d]֤Y֘Ɏ_4a:)V\m?_/d<Nq\y]]e(IՖdw3m$$QI;u2챐߃wuՉ~~]fָ8ԫ 0vS7YxQHd&1]SoCݘFL}#f3H 6m6hmR_֫7}>ǹظ l_Q*sbG$v!v:T6K4VKT-D)24Nۇ}L6!5Z}-Sny_(_&y{ <'9Uig_5`D{xs%~ ؂Y_Ulcf,~E<6ţ'c[uU28ώܵ,:^zp}#Q'7_C^L:(Ţt'#2ĀEs=>}m (N*q_̉U۵bvtx/|^Dz%`jVz߇o :D밶k EKAKAK9f@5|?^9>7GPεЙjD ~NܼcB''Z?kq=wimz[sۼCT]mV}}9r}}>c:'ܳ;e< |Dq`p`UXBt %'z, XX| E\y{GG0 <繻rx9Wx !r$$CC#U`X~%΋QSٺ^%6:ٗ  }psn2zʯ{*[p"4D?2= BBO(- }",1㼗sԬ);!NH9Rb6Uzuν7URNUI(Euy ޤOUmepl#m6A>U)]閚XOA{} =] աS./HXfo;~?6EO-D3!Ӷ&m<&cI`1 l&}Պ_/BT:(dʴֶBY^T[H4>FI7k+$USERe\aNI9h؋/2/Юm*Ӄ-H\EEu9zL]xv^CzhUֆ7umT*y W|ltg,2E4P̬QwhT#L{J֦2J;X>5>u^!.Z0)רkk ]]_ur\#˲$;dA&r}ޚ!x %}c{ TXOi!=E-tYtuo-䁯gV(Q-KAlP:`3m_k`zk,M[c$=:j YN+@6mߝ| W9DxӃWY+N5f֞%0J^&d3+~$l$,LF &V"af#aZ>n6 +pa&lXe&XL`6&>Vٰ*y8X-^>62ӊՙeSaEŇiML'Kt^GY^҇dx"c0#cq-5Ɓa/?N+GnD7=tdܺ'#Z222Kh2:Y3Ǔ9FB;H3ju3X j-NfҬւkw@fE&]- < l.p ^m dZRjM&X O'K!쭦 5\US>i]4z>7O1 T!cSxhCikeXF2YnGztgL5!LEcژ5 gE-|=,bx:<^K,q8s4f&:#5 PT!yR.Rtga2]/V $ 8wgwbk*|UFK' JĶ#G+:8TފXj;j^|xSr{_c|Bef$>AcQ>2E#8la`w}t/,n&ͳn 0Y6 endstream endobj 132 0 obj <>stream HWKo6б- O( uuV%zhzr(c.$C|5in6.U$H5Pxy wc@g=%"mѾYF*hU_Y4EPa}cl氇7"X_x 5%GK#-W&-WyyOKc1W%7d"(Wqzq&S䩛aph(gTQ>JWx FKCT&Vn!l%Ĵ3-HMR+n 5:7\쐺B{uHۖօչA60t~haS+Z"n-8>|*m(o˜eu+c9UR|#ީؑv퍀)q [3Q!$ TS"&ɑg78$}dZ'[\"6&kkd3lFlȋaF}傊5eǓRE)'(*wRy~#oQe.C@\7ŽLvds" -R&W>/&"0gWN3)FVkQ'KLM#{LaKGۧpiy ',;.J'zp<8(&= iV(e3YQ5e`QqD ֢Xgb/p}\UA-\oOn endstream endobj xref 0 2 0000000000 65535 f 0000039986 00000 n 4 1 0000040210 00000 n 6 1 0000040349 00000 n 12 1 0000041408 00000 n 15 1 0000041559 00000 n 121 12 0000042621 00000 n 0000000000 00000 f 0000046372 00000 n 0000047184 00000 n 0000047322 00000 n 0000047349 00000 n 0000047892 00000 n 0000054577 00000 n 0000054647 00000 n 0000054926 00000 n 0000055007 00000 n 0000086841 00000 n trailer <<262701ED29BC84488DFAF35B07E24B70>]/Prev 37796>> startxref 88456 %%EOF