%PDF-1.7 % 1 0 obj <>>> endobj 2 0 obj <> endobj 3 0 obj <> endobj 4 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 0/Tabs/W/TrimBox[ 0 0 612 792]/Type/Page>> endobj 5 0 obj [ 6 0 R 13 0 R 15 0 R 17 0 R 19 0 R 21 0 R 23 0 R 25 0 R 27 0 R 29 0 R 31 0 R 33 0 R 35 0 R 37 0 R 39 0 R 41 0 R 43 0 R 45 0 R 47 0 R 49 0 R 51 0 R 53 0 R 55 0 R 57 0 R 60 0 R 65 0 R 70 0 R 75 0 R 80 0 R 85 0 R 90 0 R 92 0 R 94 0 R ] endobj 6 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 20/P 4 0 R /Rect[ 35.64 577.68 325.56 594.72]/Subtype/Widget/T(Identification Number)/TU(Identification Number)/Type/Annot>> endobj 7 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 8 0 obj <> endobj 9 0 obj <> endobj 10 0 obj <> endobj 11 0 obj <> endobj 12 0 obj <> endobj 13 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 13/P 4 0 R /Rect[ 344.04 577.56 559.32 594.72]/Subtype/Widget/T(Group Number/Group Name)/TU(Group Number/Group Name)/Type/Annot>> endobj 14 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 15 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 20/P 4 0 R /Rect[ 35.64 546.12 325.56 563.28]/Subtype/Widget/T(Last Name)/TU(Last Name)/Type/Annot>> endobj 16 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 17 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 13/P 4 0 R /Rect[ 340.08 546.12 528.36 563.28]/Subtype/Widget/T(First Name)/TU(First Name)/Type/Annot>> endobj 18 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 19 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 1/P 4 0 R /Rect[ 544.08 546.12 556.32 563.28]/Subtype/Widget/T(MI)/TU(MI)/Type/Annot>> endobj 20 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 21 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 36/P 4 0 R /Rect[ 35.76 515.64 557.4 532.8]/Subtype/Widget/T(Address)/TU(Address)/Type/Annot>> endobj 22 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 23 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 36/P 4 0 R /Rect[ 35.88 485.04 557.52 502.08]/Subtype/Widget/T(Address 2)/TU(Address 2)/Type/Annot>> endobj 24 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 25 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 25/P 4 0 R /Rect[ 35.64 452.88 397.92 470.04]/Subtype/Widget/T(City)/TU(City)/Type/Annot>> endobj 26 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 27 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 2/P 4 0 R /Rect[ 426.96 452.88 456 470.04]/Subtype/Widget/T(State)/TU(State)/Type/Annot>> endobj 28 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 29 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 5/P 4 0 R /Rect[ 484.92 452.88 557.52 470.04]/Subtype/Widget/T(Zip)/TU(Zip)/Type/Annot>> endobj 30 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 31 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 25/P 4 0 R /Rect[ 35.16 419.64 397.44 436.8]/Subtype/Widget/T(Country)/TU(Country)/Type/Annot>> endobj 32 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 33 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 20/P 4 0 R /Rect[ 35.04 357.84 325.08 375]/Subtype/Widget/T(Patient Last Name)/TU(Patient Last Name)/Type/Annot>> endobj 34 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 35 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 13/P 4 0 R /Rect[ 339.48 357.84 527.88 375]/Subtype/Widget/T(Patient First Name)/TU(Patient First Name)/Type/Annot>> endobj 36 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 37 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 1/P 4 0 R /Rect[ 543.48 357.84 555.72 375]/Subtype/Widget/T(Patient MI)/TU(Patient MI)/Type/Annot>> endobj 38 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 39 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 2/P 4 0 R /Rect[ 35.04 327.36 64.2 344.52]/Subtype/Widget/T(DOB Month)/TU(DOB Month)/Type/Annot>> endobj 40 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 41 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 2/P 4 0 R /Rect[ 78.48 327.36 107.64 344.52]/Subtype/Widget/T(DOB Day)/TU(DOB Day)/Type/Annot>> endobj 42 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 43 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 2/P 4 0 R /Rect[ 122.04 327.36 151.08 344.52]/Subtype/Widget/T(DOB Year)/TU(DOB Year)/Type/Annot>> endobj 44 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 45 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 1/P 4 0 R /Rect[ 199.32 327.36 211.56 344.52]/Subtype/Widget/T(Male)/TU(Male)/Type/Annot>> endobj 46 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 47 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 1/P 4 0 R /Rect[ 246.72 327.36 258.96 344.52]/Subtype/Widget/T(Female)/TU(Female)/Type/Annot>> endobj 48 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 49 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 10/P 4 0 R /Rect[ 340.08 328.08 485.16 345.24]/Subtype/Widget/T(Phone Number)/TU(Phone Number)/Type/Annot>> endobj 50 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 51 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 1/P 4 0 R /Rect[ 71.76 295.32 84 312.48]/Subtype/Widget/T(Member)/TU(Member)/Type/Annot>> endobj 52 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 53 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 1/P 4 0 R /Rect[ 137.76 295.32 149.88 312.48]/Subtype/Widget/T(Spouse)/TU(Spouse)/Type/Annot>> endobj 54 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 55 0 obj <>/DA(/Cour 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/Ff 25165824/MaxLen 1/P 4 0 R /Rect[ 203.16 295.32 215.4 312.48]/Subtype/Widget/T(Child)/TU(Child)/Type/Annot>> endobj 56 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 57 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 264.96 300.72 339.96 313.8]/Subtype/Widget/T(Other)/TU(Other)/Type/Annot>> endobj 58 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 59 0 obj <> endobj 60 0 obj <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 75 0 R /Rect[ 339.172 231.452 352.035 242.284]/Subtype/Widget/Type/Annot>> endobj 61 0 obj <>/Subtype/Form/Type/XObject>>stream HPK B1 @BҴAЕ `yt)3Δ0BA<D%S='>܎ X gR%M587h̜X; 60CUDIug!̔k:hZ^IҔlm GKw&hB)WazCӓ5 endstream endobj 62 0 obj <>/Subtype/Form/Type/XObject>>stream HRAn0 r;{€ösSӱTH%WII8mRK=|Φ9nu+t$qĵa @!oahJH44.✖>+t`33m4 M օZ߽pJ=SI;J%]1oSə!o#;|<P+CvLˬ-uOl9ۙ,x{:fUy»u' endstream endobj 63 0 obj <>/Subtype/Form/Type/XObject>>stream HK0 D9/`+5HbDTb7®ތ;S{9_pDSӵ̓Jaa\-G P*QhЮNhrvGO}(sb۲ 64CUD٢A:}>εs8.}+pa\=цrDr dE]P?7903 endstream endobj 64 0 obj <>/Subtype/Form/Type/XObject>>stream H1 EwNp I8AGN_*I`'iކ` L鼭RbACQIfnР>,Op yJ;#T^=OOH˨ $F3ThPvK?9wsb/9w_r_!z+-8ӊRty{BZFҬvkK?ΨH)4(G{緛uwP: QII2NiUmv " endstream endobj 65 0 obj <>/N<>>>/AS/Off/BS<>/DA(/ZaDb 0 Tf 0 g)/F 4/MK<>/P 4 0 R /Parent 75 0 R /Rect[ 384.53 231.452 396.716 242.284]/Subtype/Widget/Type/Annot>> endobj 66 0 obj <>/Subtype/Form/Type/XObject>>stream HRA0 @(ygDMt$C쪄yRJ0ͤ9wuIPhYx (MbFm@ n-L֧„g >=P&1nug!̔K))kI|HGdπy.%ߙ e 9{d;. *BDlLwp{*ǫ Z}G\O endstream endobj 67 0 obj <>/Subtype/Form/Type/XObject>>stream HPA! >Цe/l}< Д*QnҀm閾>}+V;N%^2kZ^Aٕ 6{sw&p0yCvU endstream endobj 68 0 obj <>/Subtype/Form/Type/XObject>>stream H10 E"pMO8L KƩuýXs0qV{ETYPđ%dee#`j[4(ww93Eڦpfk Y5An n!G,\Űĥ9P.oOH6kڒ:kod;9hvsvZ.$dw2}*',mBsVD endstream endobj 69 0 obj <>/Subtype/Form/Type/XObject>>stream HK0 D9E.`ˎ5HbDTj7®ތ;S >W$M3.5ޞa(Pņs 6pCUؤ:˯> ׄ3p/ڟ7եIMwC5>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 78 0 R /Rect[ 339.172 217.236 352.035 228.745]/Subtype/Widget/Type/Annot>> endobj 71 0 obj <>/Subtype/Form/Type/XObject>>stream HPA! >Ц׺/l>/Subtype/Form/Type/XObject>>stream HRAn! >`dᅠOԞzH)`Rj̘&Klx0/n!Gl_D5SoD7 QaM"Cy X)E"IQι,}aIj h)-j}^NЭreȭk=Y$me(OKɕky>[? PT84/Pa|sڙK0`NX/݋e@ ])tsY _ endstream endobj 73 0 obj <>/Subtype/Form/Type/XObject>>stream HA! E PDNx]0?L ąaђ_ӽyl)p"9/wtM9JQ. ڤ[f@NhRK;Oy6(?2Pg̀nФ~Z /- 뒗{^k#+nc ֤ay Ar` endstream endobj 74 0 obj <>/Subtype/Form/Type/XObject>>stream HRAn >`= vO=TTJC'3@v}l-PF%B?@ xm14%Kh@8/fS8bBRj .2eOCx?Zj9@^K>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 78 0 R /Rect[ 384.473 217.603 396.716 228.435]/Subtype/Widget/Type/Annot>> endobj 76 0 obj <>/Subtype/Form/Type/XObject>>stream HRAn0 J;{BsSӱ@THy),pZ/IkАyXy*!wP:QsX>_YO>#CFP;io9,}Z9ȿJQҐV/i %GUhx; W:8(GM)ėYkmO s3qY5̬ w_ ó endstream endobj 77 0 obj <>/Subtype/Form/Type/XObject>>stream HPA! >ЦeY^=yPHm)23e¼ aHTr6uwOǞa"|…Sׇ;yK(Cy8mpt@ Nο,XfN,C}, P"nҀni>-_װɱ>>/Subtype/Form/Type/XObject>>stream H1 EwN0I8AGN_*I`'iކqF7qL2ĂR9$4!-*ȓ;P:A-}Y%)mp GF4{QIfnР~r^r4|BWZ^qÊRty{BZFҬvkK gYCo$ۺ;(K QII2NiUmv " endstream endobj 79 0 obj <>/Subtype/Form/Type/XObject>>stream HK0 D9/`+9# Q|$ z3L|yVDZ8f=]<(g' Eegs_}ڧGa.G`oC3JMw)zQRyJ>~߁Wξy m 63b$&mr !G endstream endobj 80 0 obj <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 81 0 R /Rect[ 169.247 203.019 181.433 214.528]/Subtype/Widget/Type/Annot>> endobj 81 0 obj <>/Subtype/Form/Type/XObject>>stream HPA! >Ц]+/l>/Subtype/Form/Type/XObject>>stream HRAn! >`˰lOԞzH)`Rj̘!Jy@w [Hڗw佔pGXX Д"(\~>y0c$CZJˀzDtsY}z e,v+e(_+elyRw&XB StyQrNǜ`=€ is ~v/k5tHsЭrec~ 0/˵ endstream endobj 83 0 obj <>/Subtype/Form/Type/XObject>>stream HA! E()PDNx]0?L ąaђ_'ӽ]j'S//wt&9JQ. ڤ[fPNhRK;Oy6J1HQ~4ͥ%he->"A:I9,<3\Z4J˷%/,"E9yGVܭ6k%3I/or9&d+ ) endstream endobj 84 0 obj <>/Subtype/Form/Type/XObject>>stream HRA >(򂝧=ava1JIv>xvuXBLGh.-`,$lJwoUrNKz'> W0xwPSJ ୊RiAЗK.c7/dǩ̀An-ZN hl8qܜS;m9CpY1:Aɀ$) VE) c endstream endobj 85 0 obj <>/N<>>>/AS/Off/BS<>/F 4/MK<>/P 4 0 R /Parent 81 0 R /Rect[ 220.022 202.709 232.885 213.908]/Subtype/Widget/Type/Annot>> endobj 86 0 obj <>/Subtype/Form/Type/XObject>>stream HA0 y?I3 Hp_"jk'N$$ԃ[ |LTr^.'y ɧRܞP*O%f6TCݔa ]~gџªC!jJKP [}Eشzu@;ϔk}}Jr+ɒ6e(dOڐ[kw&B C endstream endobj 87 0 obj <>/Subtype/Form/Type/XObject>>stream HRA 1 @Bn :U4jTMu?- endstream endobj 88 0 obj <>/Subtype/Form/Type/XObject>>stream H1 EwN bB9AGN_*JbAP1 to z^C;;mO%f)E2TAa  nmP˳_ªET <LjiueSOJZZϔkNye1WRs'hemS,8Κ6N!3hP #یa endstream endobj 89 0 obj <>/Subtype/Form/Type/XObject>>stream HRA  ?f\B{PC đYg`m vu%d/S)f^g̀%M58s=[FU+()5b8$M58ǻ^J5ϥob<y=آݎh9E't0nNQswD#r7ݮcEFDh[7p_ endstream endobj 90 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 180.6 174.6 348.6 187.68]/Subtype/Widget/T(Name of Insurance Company)/TU(Name of Insurance Company)/Type/Annot>> endobj 91 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 92 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 362.88 174.6 506.88 187.68]/Subtype/Widget/T(ID Number)/TU(ID Number)/Type/Annot>> endobj 93 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 94 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 4 0 R /Rect[ 44.16 43.157 576.12 59.6219]/Subtype/Widget/T(Signature/Date)/TU(Signature/Date)/Type/Annot>> endobj 95 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 96 0 obj <>stream x]sqWL*_vSޏ.$;sOҕrȕ} \:P8OFAby#̧RM>j]wS?vZtW]z$]wEwX݇X@7' ~(I| unM/Wv]Bݎ^S'Q+x_n?twIwE&s[ao߮= .~%̷zOd,%:\C"z9Yj d6 d0p~L&Rtx߫OT?U*>; Ѳ9Vx8wKY >f8I~VK q@GKSBP Yj+#mBȡ 2M̒xR̚u#ֻ2D:}M]%mX)["${( ɏ 9 47&C4-Igd+bx|h69Yns{߫*(Tlf~B{cj1ј,Yԛ&V옞;" RFIE/q喓CLr~H h|ypN'z\oŊ;"񠉓_&֍}f=eѰ2+oX;\c57J?)sJOD|Q!~AdK߽$xqF S+ހ"iƨ 6TC9WQ>^**RlW1Yod)I4u%(:ι u\@8 N4靫3Lzo:Hr;S4Q'Gw3mDjʜhbnL/oa#L:{ _1m:{ e -je]V5V^QfbuyCLOK#U ӭ}VP>+kb5ZWQʸk&\Ev귆SB1pGgdFzAi})Դ^*Z`H򡎄V{Hu@[4Xm\y^ayZjO z f9VUI֣TOI/ttKIH-Zqj[>\~91g% s&YCF)ܪ{!q3Ѯ-RӋoE 8i!?LIxX 3b)Q ˯~M =>0fKp1 .eb4]rkjz=+5U`3vJTK.zQ2o$mWb0\;,$y?$De T_tjCSx ;'þdkODžHI°&,:iL$QWf.a" M"4&Dv3QA$gov> mW7ՔMcjQKmsࣥ2Tf= C.hiW ]2,rhPKJ&2%HY|Q_An*  nqM\LZW(y4~?{0xMXɳФ2ճə㱥ȭᲹ4֯`ǻӳ>ڹ_w[|.<K # #5Os5i׺Ǣ  _Ӟ&ǀ4l촩ٸYxI1F0ӈ(!"iiPM8ɟQU1OPe>?^zr,U kE§A$\'?m5q J45S?q?J#I_ *s# %ǖfB7LUR{>A1O-9nOOqI}d.)?.rʐd>bnzKѼv{7R~˛vPdշ|ݫZ~pl3ENC(*`^*S?xU#S]^.vwݱ0 J?jT-nMww25 w%f&/ox{+\FvV_q9O2c ^i)ze2{`jnZ^PLV5_nPF]4v\n@I\B;,ycjG;Xx._n2Az_-W hI@3q|tN^^ᦵKYvQGz{u9(ێ-l2eA @ʖǭhʃ+^Zn+rrExXrWC!AyYq!grYRPhU =,b`ُ> g|;\׼$X4pZ_]-RUiwͲ? !o|Kzrw#b}R*=Ӗs^gm۫V}c hJSDGw~8.@ :AGMZ0^]< p{XY?q:/{n5W]P@2ەp']\vCF oY@$\v$.{}f[q<ɿ^FhVOdҐUB7E8Xek HzZ/vi*Y+ʝ*h(&*\'ZC{rk(zrW`Ϋ*&:'VAa")Yv@zQoВm*[8kq^M1Nv?*5VyVLC3SvpE?jACȢ#Udђ*IY4̺Rm!}"TEgȢ5Udћ*hNYtgiO]l5 a=G5; 8ޡM N5R5N6} \GbhRlݎb Q#1hZn^lYw W+]"uWźbUd*2[wW,]E"uWźbUdfݵwrs ӯWoуzL,_Eӯ"7H*_G_lU|~;ziP_b) 8 hQ*i *f WA3:7UY H Ց1 ,|WxH*|C"*\{*= 江0M&B&B5B5XxTs6|Z]mlLY 7 5 نVlʶI=o)'Wԑ@֛҇d1m$ 3e]kEotֻDY&*n4"huP#,2 "q ;9T oR{Lj8xT gREG *<7"I!IIU$MHr4ZC D8T\C !8T܃G ,yT-܃G {/YGud>\Gd@ud:\ŕ#ud>\G!1:2S#A:2T#+G'HK9\G$stY5)GJk Cy4 "PVGwToFKxeҹ4#2A3'HiFhKHz | <_L==%cU 3 ͏9Ya(@HCmdQw8:-@,5At}y 1C`]5 nP%|.XbKP"IafHFv%|]Y]y2(ӥd#.xA|3`/Չ fxpKS7rG4az58>YE;8h1Z<|t&x4/y2Rh|-xow+/:ac0 q6q1|s*EAnuˆ$I4Wt1eSJ&M@s*}ei1p4bN4ϳZ0Ƥ " V)hf^rfG|h':  L34#tIRDآ>E~aEz3`ݱa= ̥S:fjH|C8Lh `x> &=DIf6(Z+$(UQ)qOȃC`$ KJ CȓB NsVi. i[&@@#L fHLt?G: t Zg+Q:+UJQ6uԡ%ɍee{]ZQ>|޷%C1a(py9~EB RÍQjla_+PR˳ y#Xst3f rF rU F O8X(`"4waRtgt#D|g!~,J % A>Cã1TPs/q G79 Pu@O{$~[SO#çO3SFO5f=it=-Y;>] endobj 98 0 obj <> endobj 99 0 obj <> endobj 100 0 obj <> endobj 101 0 obj <> endobj 102 0 obj <> endobj 103 0 obj <>stream H|TiXY"T%(L1!( " む!6H@LnȢ,. ,ʠ(*ڌ-ح9æJ? 1w}wy=p/RX4%x>^ 릅iu ?]Ƃ`8'3_ o8{1[FE֥*\]]ZF|.ZۜMLQ$::UqQOHPZR`)p sQTcԙ\>Sħ( 6._M(Rj6Qߠ/ SmN*f)4X ca&0̞ ¦b 6 ŰNX<0̈ BBp~ﶚbhm^&H[ϰe}1P r,%+E2LQW6Q6mF3 F>+-Įھ1ƤҘߡW8(ӂ5eᣑ7G"J%p;7s"(>&#(oʖ±Ű4%e%z[55QqqESY^ oY5%@@/}xcӈ /֞yc=7"t+oN39JR!k$&{)PE0=\aKNyd4]Jx۟@SApp+\:!2g/*{ykQyPݮvK`fUD8vЏ+(9ܮR-\n Z %7jdޫ5[wSW\Kp_3̜A?ܹ_w$}ߚX [4!M7KɃ,cF7Y+O9! 앖S neyCLX<&"*Ôйr1/4^`],%@p~cNA#>t|@X$׽"Fp {;D@IVsXI_shq-'ҷ,\-,']w/ɛC5 "t`Mp-.sEE,hy uFxOcsZ =g^'\xGx~Ę=T O~v7@`Cf@lȰM#i) Ǔ+ ^6Os% c1 BUFnqCn{{CW TIA GA!!ɾ<ȷ/or};>QoʽM#} #A*<,SS $:+7{NC$;|iJhN${>.2d&(ry! l }MnbwX4xI'dtY WBdbut=q?emODŽ+ռֱ^8{W2hf\8u]QY&'sO'냜/ق SI{}&<>1 V+Pk߃UVhku[(D!@8BhT$\rCnPTxW;bQ.-9?vvy}/<7.փ`U\IE61 xQ~875I-3\K(oFSB\ƎkDsb۰xv7RaU:"jX[E1JOr'XD: sI[m0BN/Olz;5XD';T*NdW&͔UA!w7mӜK3.zpsI -Ļ"JWeJ^cRepp/c|G|a 49Gs㿌o]Grr;IwX$ l|T.j"w4p ,(ĀrtGE0$;p,EE$An>m> _n-<Gl0~u|f_ 8GV/+|=AҙfH+c퍭e ޏ]s鴈'^3eBVV! K⣿aG*@? }CNϰx H_Z/~ W® Mۗ<8ZFw_xE_y41;Ï|5Ad'GXWAHN~1 r$?!©kȊLu1bUbD)N4vQ׭-L[~`P9$#R*2wz2T@!c"g^˞X pp8rf})A2͠+g>,ៜ~PIgd, =  UO`. sXf{dI[k_aB$FǐqښF _ok|nGԯ%G\RBt]N_!3f)]Iz$L80[~Yjr#Œ@ ixE;Vbygc(aWp /#/C% @۰ulvbf+rG=uMi_6vk">})g \FXUYG dP0?l?%5_!3Yt q>+"bSWy+}>zO5K]ΧHЗ:{-Tq6829:7i;t:ey0fV{移 bX{Wxɼ<`bsGo&b6'o>ykE;vP艔C!dzWiakL" [E}Hg6X(k}2weڤ))_@[0XuNvj/+z'gO0ةPhj%ȥT˗7{k- J'cX=yu݉ u3ohl0.?_KEE%35Au.A&磜oU¬sǡީEIJ(I۷Rz;J*MMI/6gOpavP9"+U-Tp"[7?h8YL`vjzD8GsDFamgچt-ڨޒBHr/jee]jw[*ȼb D$ =D?K~pp}]Bn >Zm2&H.T Ur<ŒR(,OCzX-x\y.LhTӨB4-7[+!,%'sD eBM$ZEU-3/s`gVώb0ᒼw$ޟ`BDM87=oh[LӝuS8aY;=rӉ٥7[M /x7x[`ږ!1.CC6`m#(X?u t1L('-ؠݴFNÙ63pك Sg rb)>stream H\ݎ0Fy _^Y$)J菚8)R}E[HC<٤nwKOCs;u};pIk\1I:˾? IUG=mԆmKgrk).֗e˾|sE{Ffhu09$*^kW}ko\_9xj~SRe1xRwN|G䌜 r~%K2wKނ`戏*~ _`"'`*ؐ7======'{dţZ}3o7o7o7KW/ 2KOb9TӃ6ivT,'dFgN 0i endstream endobj 105 0 obj <> endobj 106 0 obj <> endobj 107 0 obj <>stream HlOMkQ|1Fl zM ĖP$imLx&t0bt' 1Ep+ t!&}Yƅ+s*LLQۥr]dD׶vkV4T;wllFQZ;%|V(v9 lZM;6P4MF TAڍLq@F5{Wfi)SWok"ZP,tuHMLEmق luPըvc#e@[@$'K)$8-gqTێ<wc2w8 .ٴć(AO i?5Mr^R'q&b"Rpޛk;fx (%"ғRb //PT0G .Y#2_)|ުD՗jR endstream endobj 108 0 obj <>stream H\j0 ~ C e{VRb9' l!~}{ mFWN>cogdߖs(i݋Ca߃ה~pƐAAۂÑafYCXy;0%ǻ.X$&Zq8Zӛ;5fHӉ{TFՊS!=e Ov%boT>Ob m4r endstream endobj 109 0 obj <> endobj 110 0 obj <> endobj 111 0 obj <>stream H|T{PSg˽%{H47ZR_{( @H4ADECȫ\ */K]Sm-:s ?:3;̙;pe;3Q yU7bef k-Ms$A֐`ga[*"DQusTIZl._,,svv%d07Q'߯l WԡqrdCLd*Fkx$JDSՒPr$N*UGKTf˟ĈJp$J)5X.j*KPlZ)8-x@.Y)#0 fap̆"1 }b}aNǾþ|xr-vaX =+2wVVz=Yo>f}&>C mlf̜Q1gj1ւstn eiJL@rI␽ˀYMRSc#R!E/~op`'l6^gZՈq,`)8_u44`^#5kdBA М5#u5h*!o׳~女|O hO>'.&WU4zkB6"z IXn}-X~c4 _.g+o!ַͻUu]}g%!5borQ^}&EP&+x]B tY.SK` \?Mt C\ᩋg]-RqLlJ&_8tn+:Bt25+C^ $lh:{ =22a)IiwF[";!Z؅x@laHuZN7Xeiy])>l`aɖ 9ۥ5u )2 ~#±  4)0!oq2鲻< s-3>0f4[V /ut :޴s_O{T)xog]oT]5m5lKTcz=bQg4W(6=#K/Y&!i>p!(х50Բݹ¸<=͞^Dc=VV"2/il`jK:{ߵLlʆ!oc/"D_kYו~g&=;XeYG g8 KI:ӝӏ455O xedGƊV B={8\_ZyGcsDė`6li}8Wr 5բZne6k#vli'FF9`mNO\%5%KҝYp\LzL \A (  ?8,~%|0|t1Nhh禦?kqP!dcҩƤk~%3D@k1*pfe1iJ>Jw;2> kv^lmix53 osB5Vb9eTVrIB\`Q UY[咨8Uv.i7Gw ݙΜ_g{>{ t RYx_T%Թ8z'RT z#;L|;ކIO~B`⮵ z>zs;Z!,z o03 q=o 61s X {X; uKlĵXT4zzhn4$kLS}<"KqaI 4OxntKShs3X/nbW{ZfvЯO쩑m쾎;ŽΉZ) S"'赻<'9~@1' rcV` +q5Vj&e\l~LCw%e9h!żcl /MT&V.|hH-_FEJ{$Nm$_\C5ha9v9\ބbȿUճLI ^"p.pN9 HELpH_rGtR~㭍-8(i~A䰁Ф21 3WFz~M1du C6[\e%в.zv| |COI&*(u]Q9~Xf:Mqi`loG|RϻHO%39Nr̺|ӀpHd%ѻC}-U劬"0J^ D 9ƺfxB:U|$v߽̓w566]f{6uXʧL2Cvroc-V yaꇵCY09bT~\[ 5cQk^jy3tKKy` c{:u緃QBF?D\Lagcȓ#CË;(hQ ug3V1#Td]Fz]z {DjՍVt6PBʥf62?U-͖2StPXRs}7KB tmL{c8xb׋},^*nX4n.MޱLy2#MJ%*лs OQY!3 ] a<)1;9W3izxp#*<2#Y'0S)l*VhÍr6S-KGGԤ>,Rԇd$0+y ~ʀ5٤W%H_fNywFw;ږ:iKk#%=&UUխ%&;.(u*ny@/3'U^:4~Ĝvʚ+~ZXWnhNk+ۺmuF$fu+O>Ml+Oep֒K8/|ui;Jk~ ORƏ߹ٯ;xs튆9rsNL$[*QT>Z7L>{fL8wML8Dv8~N1qO[}>"0 endstream endobj 112 0 obj <>stream H\n0~ /EҤMf"5YLJuA>>6ڛ:5Mڜd6舏&1q}?lϳDZڱheӮMv<i6^ƺSݟ)tT|OGeb^r;z2e>stT\s%vd~&?_%oo70k)]A.+ ̺u] dͭk0Mp D endstream endobj 113 0 obj <> endobj 114 0 obj <> endobj 115 0 obj <>stream H|R{LSg~Ţ\ִwnT@CcTDU@IB' ;5SC4lAi|elqz.~%'w~ IR8iii+r Z&ޠH,5)d~nrGQt³?L.l>Wbhh:3+,,l43 4,k4Ffnސ7M&Y};3jad 5dogbF՚XT-7dPkta1[1P/NʻGlgL-k I\2 H$1 >$b!A2XIbQ>'sb% Z_pG' 8pA%J|9 &360q_}Ḧq5[5ßHI8U>( m9<!ʷx[X$@BcX_h95!X$Q8 eCM(&xSڇڡHI(tJ(X!q\]pDuB`#$8MՇ x8ws|d=oF5+W"$벹. IHWH"^6#f4UxʮXZM\6(6z.oI6d%T& A$7}Τ=00$!i$X&u?-<'m0@i]{E6T3gJW]Bv ͏-)6onܢ2TUp3'#d1hb*JpA`6C'd59iUZT~*oVm k(X%t4i) m X±ZV?^E@dj%Y5ԟ/T\"Uhyγ+dNH?.q>/%2[/_82kUh~期%=KsfUBG|ݐ5Tn[~^cȴ٭3^Г}/ _PO^=ҙimP]T/j噟]u2-S{N4[ Mgڪd1OVlؔǪ=T=?nMIŽ%L\7/ zt>/m*sytW~b"EKWY}f9-Z,V,[dcv+4}-}/u6IO+MlTUV~Xcˑbn:r9aqF?nLW3enץX}y*Nnly_CI*%R^5e9f'ү8l{Piov+;kjm{ݪV8N=E6*ą(CBNፎsr fMvgʺyw2`<؃J,q endstream endobj 116 0 obj <>stream H\j0 ~ CqY !0rd1{OKY_ۦ7+8* ~ z8uq8zYY g9_qhas-fN$PU qBy'dVR^uG_A9mGdeBVABV1_>=Du߽ee/' 9cSq^&GyבkM9H#>D>xu _ky{4xNܬQ~N)ib xEc endstream endobj 117 0 obj <> endobj 118 0 obj <> endobj 119 0 obj <>stream H|T}TawepvtgB*Vk"(Z ȮdA>E @D@ "H E"ј&D%-8'9~swq/bo@ІZ2VW7s [ǯyQb02?W[na"?{ޥI(&gr6--vsn|5*..S%h2Sp:NҩYKo :NLVi9U ZU"U&Rf 7iELaS)=r͉LZs ?UI fcp|1laq,/0pX0v3b7q<bŧ"H'.[ 1M^-ǿ 鞨L̗,X,!Fi>T0C" Ұ,^\$c>^ܡ%6>"YʊBЇz;ߓ_挬&D㛲Ϩ3!~0Aaf~8>\>r/Z̞hߥM𭬨7MXKܣ{>Kّ}|6+!p&:Gs&A6ɑw(3In^D!Ηq{/3j7V rXͥ. F1 F6-Ю[bw"[$Mo={56|6`'&E6?o߶# "#Ԕq9T Cfp/Q>iUXlgPXd K;?x9TDRcgӬM#ɉȨ#L7_9S[[ZjfaC^?bFGhĨ~BM(QAݨ0쐧#Ǟ'oUчɴP\<^4]9/lyGڐ(4ؼڢ+r8TRza 7pCF>':.S \~t4dkY)Zߘ$yV>,8JDܭ?.)a*㣻&ྱ"ܔٴ!')S 3 /YVv^ @vNGnC޿SvrYQ/ehBHP}TVG/g=l I:M+,RzO!y08/(nO?yu 򖖺ܼFED. =܎ѰDK:.KP (p!X/u״މ"B*t(H*IOƽU~ᲢtNi&%?ul5h"]D(] ,w45w*ds vvѲz⭀~)5 jn2He*@^a52jT6Z'.ؼYn6o̵ >stream H\j0 ~ CqI !0rt1{OC3eyk{nT zzN)+z# tW y8ԦEY '=^q-zsשYlCU;Jv@!lSk~P̟l5jlе憢LTP^TgOvwD^9Ie!}vY`[昋(4Mww{|s3,b݂nuLƣc4|c%o7i;Z(W3a endstream endobj 121 0 obj <> endobj 122 0 obj <> endobj 123 0 obj <>stream H|TkPWf ؀38ݠ:ĨC" q B@مՠe2%QkYbޙ_[]u|}99}IBlG$) غ%hɎ]j\bNl6-_h) n,B59Oӝ;6NN1+,,֮]ԺK˗/x 7h֌.S3hUƴ4FuFeT=I5ht|LNuDޠKԤZO1jEaQe$zc-JPAѫs25>QD$~1A8{ƒ ^> B" ᆕ%v`C%R'w*Ebx8]|Rp @H83j 0c/}Dׅ}"X() hxt+df66 iZȊXڜcAxPCyV "1ҡHjn1?{|7@A(֣P*nllIz4:j=G腩Χh^ 2H AL+HUHyhe S'!SyqH^[8= K-,)k95M+$lglqi%bh乡e! RZjFb`Elg`P~Hb^ teT}۩Ip$19Cp#EK; ~k/pY` ~ oT peً56>stream H\n0EY6 $BH"CMRb,C}=LJ^3Gushl?CG}xފ$>ųծL3ϖ <=yWx7~p@;C UҺv@V۶1am)>F'j(0*(OaTltLIX2K⚹,Y#I#8eN++"Θ39'. xϼx/E{)W8_Q|EjG#9Nq]Օq-Ւq~F9s)HZ8!O; xR߼m\?\oq  5 endstream endobj 125 0 obj <> endobj 126 0 obj <> endobj 127 0 obj <>stream Hl;4Wb۰->nV:\7yLțaF}b.Pv.@G{aӂs `J\TftG uɱR<]b.=ͭ3dF<_Q͎4#q0N'\ܟ>L*bF }WOyD2\H5j5ϘȔ6v!|2Tii)FX*^{B=EV'Nx?1F*%¿R &?9z|W endstream endobj 128 0 obj <>stream H\j0 ~ C`eڱlJfXl8dt0-įOL:{2(h[p87.fF;tu3[Bhj}ᒌE2aBG ?Qh ̽Jq*djũ2WAzj'K1S_\{q endstream endobj 129 0 obj <> endobj 130 0 obj <> endobj 131 0 obj <>stream H|TkPW{FF1],kń.Dĸ((!53Ĩ&<knթS|~܃c6 q?Ƈ|V-Wh5PNkAᜓ ٞB^H7m&0<ݣ9Qe^nVnޞ֗ݭФ(ٸ<]2Cdžej4ZyRNOgKXRX7{"Vc,R5U*,\̐kX5?CŪ3Y,~S3|:K&;3KV=BwLngO1 &ư 6& s0a#1LKb0v|W-[>>񲩴'aK$p+=8o]{6\jZ1 tBApe+XJF~C1RVY##|1@p( FQ!Tne2(Md΁CNwS{N]v$2lJO8@{(p_IrUNqLY\֋zo8W^'Dc{QaLm(ysO<_b aKV*)x.\ E_~j3"5!aZ .f[?N 8$&%s 2&LFzyzԏ#,yrﺉе5"Qҋ׶/]u6%jeXiP |WߥK3'?hQv.! ͂x#ўxuJ:]LV[vHyu1o6nŹň q]/?ݓ)3w.3dKg#g"}C\.MbBC/u ʹ=ych}itE\OINe뒮 I:nM.^9(O=Ls&{U?…DyoErTD(5 dlgUgeTTVFĚQ87 -J~5驢Ee 0]ɴ_+9/HoM4]3$P5mj_YTtJC:d`0IRGҵeqn2svKB2mp|ض)fAYAA[[O ·Eʳi1zr>ճWD)9ܣ¼T9>'S$ӳۇA7(ݳ?E.$8t#i<șvU۪crmɿ6e?OPkkM4 [PW5S_fQT.ӒA4(;MNNr& d,k#:ޞriPzJ'>n j22w(%UHބ5(hXd~%;ZHah7I1ˇrOgh˥`;:Q)^\dlv֓5cj&3OG7rk|m~s1/yB_: >4THY]TU }>oJF޲YUnF0L2 endstream endobj 132 0 obj <>stream H\j0 ~ Cɗӵ }JX㤇t0-%[ձrGL SI 3oH\}ADd0\=X |7G7A e [ G٦dyC?#9ǘqWTELFd'Kk68D8aNSL8cšy+e GKqh5k^x|>⟳.6ҳ䢍?!:[ڥKѹó<կ" endstream endobj 133 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/StructParents 1/Tabs/W/TrimBox[ 0 0 612 792]/Type/Page>> endobj 134 0 obj [ 135 0 R 139 0 R 141 0 R 143 0 R 145 0 R 147 0 R ] endobj 135 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 133 0 R /Rect[ 503.16 646.56 575.16 660.24]/Subtype/Widget/T(National Provider ID Number)/TU(National Provider ID Number)/Type/Annot>> endobj 136 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 137 0 obj <> endobj 138 0 obj <> endobj 139 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 133 0 R /Rect[ 126 615.12 576 628.2]/Subtype/Widget/T(Physican Name)/TU(Physician Name)/Type/Annot>> endobj 140 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 141 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 133 0 R /Rect[ 132 600.72 576 614.4]/Subtype/Widget/T(Physican Address)/TU(Physican Address)/Type/Annot>> endobj 142 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 143 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 133 0 R /Rect[ 174 586.32 366 600]/Subtype/Widget/T(Physican City state zip code)/TU(Physican City, state, zip code)/Type/Annot>> endobj 144 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 145 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 133 0 R /Rect[ 432 586.32 576 600]/Subtype/Widget/T(Physican Phone)/TU(Physican Phone)/Type/Annot>> endobj 146 0 obj <>/Subtype/Form/Type/XObject>>stream xPpuVru endstream endobj 147 0 obj <>/DA(/Helv 0 Tf 0 g)/DR<>/Font<>>>/F 4/FT/Tx/P 133 0 R /Rect[ 96.6 538.56 574.68 565.56]/Subtype/Widget/T(Additional Comments)/TU(Additional Comments)/Type/Annot>> endobj 148 0 obj <>/Subtype/Form/Type/XObject>>stream xPpurb& endstream endobj 149 0 obj <>stream x}[oGtA@YϬܲŝEkamq(ɢnϋ;'2^=hbɸ8 r ix8}OG2c,~}~7GJ 9 ~\WG?}qvχ? _vz{ޗ\H#_2,czhOǏOVW77W/]I['g'쟵/ώּܺm9 6\mǵnAuBmm>2NJ<><7ūoTIķ_]_B\_7!/r<Ȕ//dW/_Hs IԋW/'><~1Ԃ/Xć5gOW7sJ:[siXSx:~|bTjrW8_yY!sy?qW͛/7WȔC8>;.Wowz "{ kV bf@SigB `dwAy>wnL9\! i%yOiG(B)%O9-w򯯇?ظN$-X t=9)pjeu{9OT6%6ly5iļS"h+_KOբz(fMfdx))vY-VKSӟ /g5e$XѰnls1Ԝ{r s;z`ח,4< g2u q$:V>C^ֶJ%5V8 bxT[`o%"]m/B8?)-[7au\GC'"NaݼVz9\_n@z-bZ-wR5uQ]X;cQE'x~ia\V$БHl:hA[,C@3z|O=Q a{!(?#uG xlRg6~}ZPs/~WyGbq=֠n./gW?=?;(kA2{QW'sCL [cЅȾx6Gdik3\mMxAb;Y YVL/u$|WŻI$^mY_  xf>YI-܋ɴ4 E}M#w:Eˋmϋh+FBl뜅#(&h*,"-{{w 8H8Y4㿊$mp{E\>{'h`Q j"n CM_@ZVA;qvgJ'_?|ݗ #|ǂ.yAXz:;Q82-yQ<E1巐ʊ7Ϳ·//{!K$ޅTyZj4N)Jgzs|TG|xq텵tW|ndKtr"ڰ]7ze_M 41dWK>ÐȤ_Ģ,ڵm]bUֳܰ*݊ɐz/AC( >!K Յ4SG]Dr~j 1Fr0w<[Csx07=xW A\ŃJq*U:tW 6~&?aQ,rsx~GsaX em0fq'ɇm f)oUf~"b 9fɷGدBӣbɈMͷs0âB$虈o>7.ð6O=j<7Çϟ>3ϳ#zx1鴡ߐ=}9dBuBփvAAk"zeRadJ\E(aYO]J~g.5Ѝ6c/GVM $~e%W@BSHAÀ\ ) \J;.Y}5B!H0NP(+,Бb\O_5\3RbFvN'z)lmInTdYH6x:> @a,^,f`nU414" =FX+KJj#T3) 274‘x,S$1}Nm[&y 7,Kī x:g9q)JB/*e$얞GuɔC4]8|ü)˕K]] Yԃ@,4Utc(l}.S.׃:4\a,UVZ]U]zl$\!+P@- K`ZQQ"*v0MDk iz) =(o!%NIEz62BOXvU;sZg Xl8|+8itSJ;.#C< AY R7VjX`3r.V1` 䢊d{G+ƈ1Ь BKA٪Z*s5 V"(#x!" C!hyoS*4*6Bu y-8z }ab"8ڧW[LҥPpz6չ\Po6.AZFKç3`cV;vNM ,Lne;To8S qF,p5aQjUz{y-3hѱ(+gRzIIJ#E#zb2e9Q !fZU:|Qy2h fP;.vr{Q n'qUQ=U#*( h Y؂dTDi6:^֐ @,*E FPD`( #c(PF1 ]fOA.guifH3UP4Uh`@>][t\;Wjƕ%ƒ/Z[jj5Z-jZ;j?V- Z괊 5S ~RMj|R 귴H[kҤxVEDƥ%^j2(ōWϛAAPAML+sv;d_Xn2]nNrFPAlX([#jLHw\kޅ,R\x`nׅZe-@RxB4zV 1U/dz:l1L/~\DT曦}-Hq(b$cW@50=FMB*H#G&H= wd@vb eD(TBiCkRK(LeȖ3V5S+c_+0 yJaeBz pAbTD*ԖVO!DfUi\ !R &.AmLA {9cb1  MzHr OHb hiߴDGYzd Z %AC1@0Bf]DV&$#a& aFkEslD1@m\33)#lS~d{ 38ʹ@/{uJvA>'LsEi#Gal` IfH?e|Hxw2 S¢,BWF.DU!fo DtccWqA.AVwe@ET[e4KuP[Q5I&k ! G0y'ͫ'fFt3Scf^ 6FF7Dt0p@d1ܺ8(ZjI'HGbmE1-G(2`&2N21ڍԌAY=#Y*Fh,dwTpqXB4gr%A4+۴eDxn) B+C;0NL#{15.Ǟ! h6TSf -hJ)mFn: R#M$`3`k&-@)hӚAu{M.%SBGxs轐pfn$"0{ p'm†K4 JC5JPq=gQ5@*P VD%bS5bHp;ӌ2i bvh8r g: Cgŀ0Bݡwp -rhdLCAꀵ*u c̨Z1vxamT.Ff8+>qęTyh7@eTPX!4 _{ O:<~bұM_n-`CʰBt W8c dadh>+'D5J. ­Գ`X^@^pdKl2C}WhGxr/%*cn4wseT4TYO'3h.m 0 "v*PEpVJ5}!`s/O,'REL W:cɦX<_TX3Pm,2lH5GH[7-fn/-)W>B(" dPDt- H*gwU=2+K ;rT}J1!Mo䞵Q8)'3 ܔz Z%Fa)csට0K!.s,UǍ:3PyVXIh{jA|0"Uڶtf+t 8bƒk54a@U!z<xJ(O$AS(ȫk!0) - G`r Qi\l-GK| 2c{֖ՐALFx l螆;@3,Gn-AZ)}[GH]4 q4S2o12 L=0ؤY-cPqeLq)U.6uGWo2!)C%ip֓B4Oژ%U0^w-Pi!gFMq (\]4f9MTq EUJ- EcԈ2mɈ@D|U&a:&~Kҩ13f͑L`TѺi*M+VNuLݏS˷ZtẈ\#KFK7 !4N' $m{^P]dBmMۍU uhH<ٍ=- H;熍 #lp;tA !5Vm ;w爓 1l[HȫevIPo)bxAOch: 5ώzm[43dUF(&ʖGnD@~G!21Ǝ0;JH1+B+*xf2torKCll^9魕j?S$yF=}NST'&݇ H—t]7b uWMI |P)@IW%:WyHvUPS]DN,Z0F@(oR"m@= 1 *&eA]Qym$G(&meoTb1Ѵx/mfOHpzr;O zFBK=/o"ýKzdġ x-_c0-ZWJ|lW>ICc^!yryVynyZ^FKuHÑ't/vl}Ko۔Ұ;)- iJ#Q qLCSoJ)}) YARɳlOJ5XߒrRe.KݵvO4O|76צWl>97RYco-hA Le{As֦<7ygK $6Әo6Щ" GP]UUŕUH{ 僋Pqݷ, c(| _+,\淮9 w$ݲ4 GN(c8J*ni݄@> Ǹ!=HWYLcߕuVN AeNTVQp Rq j()!3FPz; 2ۦfVYm(cq[LӒ3|Vsqueљ OFOfvy@o1 ?us[]Y P}ݐik4I빑cأ0F"̱‹G?KSS!e#l5!,Ds2{L9]~[#4Jg6+ΜÂ}OYЎ*z{:^w 4\FV[ ~7YKBWޮjo&-O!7&MZ2T .3nl(=u~ON ᄆ.6-I?6*֤=w Ş=P%rïpRYeyxe>1ҷFN$#Cbɻc 8IKVQ*8r*+.de#P M[1[Gd}^hjE`|w`91|ʖ/Z'4!@)\`z?}aBoø:89cC'#HeE5r9erQfU-0B^#(ʿ bJy{xۡ]xCK< YqD9@<5@nYqyO=_Wdt.e6n|O_~K_~1- iِ.ڔ!R%zN ~x{vƢ#DFŧfyt;wdCV=VGr|AK8FכHWr '?y=ܚlOسѲӵέ"]3@i8gj{|OԎ\ =_~k[gu|{XوߡW~og2m aLQWF395D^~dܱ"%-IcSCx]~򃵈j.b>#)+9 u_s|_k;u$Rt18t|Ϛb!Ѿ9N&v'VkeS+.iʒ%; x΃_0ߒ!&S&zfA䓅( >eNb2AKW!E'#3o3낕eke>Q"JDᣑhqIXf76SS,Tg4ß=yϷ˜(r/ZٲBnxeF}_G{ϾfxٻNuo{`~na*D$h|Egy|3XX5PWbJ \A!\&YQGc;Ι|Q( ͽ,<^woNViP*9QQK=R w=יe?}Y_tξ||6)on\KB'N/!6:ROp>h _u9GU2w?2}勳mE6}vzc H= lTl|Aoܸ}oʸ eѷ"V endstream endobj 150 0 obj [/Separation/CVS#20RED#20Coated#20/DeviceCMYK<>] endobj 151 0 obj [/Separation/PANTONE#20Cool#20Gray#2011#20C 152 0 R <>] endobj 152 0 obj [/Lab<>] endobj 153 0 obj [/Separation/Black/DeviceCMYK<>] endobj 154 0 obj <> endobj 155 0 obj [ 156 0 R ] endobj 156 0 obj <> endobj 157 0 obj <> endobj 158 0 obj <> endobj 159 0 obj <>stream H:``N'g endstream endobj 160 0 obj <>stream H|TkTT07;PA#&`dBP`FFGH@" PEDE hA_f_<;m^g}g37pܴ#2\E:Jn8s4ފ9XQHބq'j!:sys_Y-#11=7[+WG(6*RNGʖZdqeɒ%U6# H*6"՚jMV!wB4X&tng2VPjY8_R\Մ5{ejS?gLX@ҔhXYJ1>jX}%WV aspl.ðl19b3-1W3SK`ÔŰxL`0'ɤfl+.cx3W3/]fͦÂg+39""-C^apJB)j4N-4T[XZ^v|\)Лs[f2ICB~ yoR`Jf 3d< tBLaj&kTWP" OK(аA ]9 'Ȋa\![6hYzhm E 2|^pYRWkM~":?먆ʚ6V]cŰ*Q1E"i7Do݈ ˆA7<FJwqs" ;ǏfGɪٸJl.7WgpC8rCozMCpMUʵoY vgAL޴<:>H);j}n +΋7)yLA`Z )6*"Uqni7꭛qM(.¯r.z/'=%I$waf%2FB+q/H5gVV/m:?XՃeC."1a} s@Ę$!Y(EYOӞ3Wyn"ͽi7FJќ<ׯ,R{/zl>}Fy燠nV֑ERlg {7cOTGܝaxx8o<=ƛx7桀[䧾, m JaY}$A~aFZ s1~toWyG6*?֠Zd{3F`5TreG5@45Is.tϧ-g* DݥunfEtC땑%eZFj 7Akm^14H1,ig a/?߆u 1,DQ;"`. ] ?7 S$N"aǐĤx<(-N}& J%+;5UT1y$)?tӧfcB4Jzޚ?\bź8oa'tydD}]CX.ϼ"C4lTxdnV3*֗3m_շ_k;EW)O`2 Ra|ojKh]@]z[6D& hzD uGS]aQ9%j_EY¶Chye}.O72|F)wO9SAI:f2Os$8[wngsR)RHlY?8 Nx G}iwp{9;9CR[! y&:閖]Yx=F0~'ؚ[m߲zPi߭3'~ 9>Of#uAR-3kb:wuJCQ6"Km ?Y|nǧmUl){1 _g/__Umښ6%[635])P? ؀@ TZZJBJA2>P-S:R ?őlх%.gesw{gs@鳞>cZf-_ϓK 49u?BYOՔZKt3`e⿉MC!ىL3=GS/Zmi2D{Ѩx"Xhd/4|DjuVVL)vYF 5gS^OlN߬+bipC4(xlب1hU"MD$]MLSḶyh,kpa[na'tע,ڴE[6S@4 wșav(eHJSwKX-mmzza$s/&I[}FZUWo-8f ~4m gcu"@;(VYji~y$MQ'@k*%t;{**r{7/{ݺnI4NRQ^:ۑ./ ?W҃ BJ.^D >stream H\j0@ -EJj!ڤ,:S&3Jjhd8}8Hq.WraV{~}p:v0T?twl,ivǍߏb?4{ǝߡwauoWڐzQTE z'h-5I P TCBP/N'ԫZuMuMzz54jDB!NеŐEb"d1,84S3za]p7ZCL2 A`q8X4A`qtm\O+*Y*mǮKߊB\V_yMb} 0Y endstream endobj 162 0 obj <> endobj 163 0 obj <> endobj 164 0 obj <> endobj 165 0 obj <>stream H|SiPTW~AGL?4,#" c@PHƥ[hQd@,&QePqaB@EEP\bBVHH‘xNoB"'&V+wYq6rWgg.BL֪%4 Vtw|E\JViRgS'W'UjmJ#WdרrFTSh ̯s\/{ճ(D'x2K) )ZZ?$`JRTW?dah>>5B4B dB. DA""D8%BR!=B@h)B#!/|@99nr#OK ()P4'ym T~hїFO c!! vHQ>iJ %AcXambiۤL]LL{M_-5;fgo~ּռ"ӢbJ"9ƽm#M+䲦gH^Kq;`PmOKbW f1p-/ޓ 9{lß=}",/"+-)8y;b;=U9w8'il1y($u𪺸N!y4`B0EI'ԑd#^,$"/>~P}l$ bwŌ?BHM|ʈ|냧q-LڿՌCƒwE`זG黍/3ss5<L TCٺmUZ;vv/$gt[OI \$u(6LF}xMJNڰ4VEb `s:]Rr l 8)`N>ɀ}3bdL֜`*߻J33CIqt?ai˴6x%XeM3̸-(pR~-MJfK);WX(_Wb??+Ul6'-e☔t7W+z@(s:}(0r0R3ww7)K؂2]5@M]Y}/h16U ւJ*U)(X:7Y$BW! AZTZI+RU[qv:3oͼys{}G]q-K,4mNfXRYZ|Smo7XlN!,}#(!1_U98IO8R ?`nӡm2RwMk9Q[ԜQ-~C/^/#F!4K7H'a-l!f/˚ f#t8hc<-V?̤nYܬ`" d4}O~1N[Ш:PtON|΢Vh߂ļ$FR(T/ ziTt-$Ǥ6Vyɍy@~Ϫzh| `kmJÊ@JH]l g/8y9A3/F3]#g _`5|S9K gq3?7+2z2g3 mQ!x> +4XƭqH!(^W3D"=~w>r _R6[/Wk|zPR`+L?5’={Ku1A]/U z9^uN'z- rs4itDVE :\Y(*P[btFTN)D=dVa<&6;&ft> =Q  3-I)K0U,2V_(y%%q0NI,$Q=AgGĪc P/ L AnA~*GQ-_pǫ4eJFRN޺I݁*Sw.c#9ޑ/ΞƼy-D( mXcSzȱsUuLQEb(EĩH2[ 8fA&̷$"_"(iVxth^>h)]H ys>? f%v@ ]%toU%tF9H(Z.(0nm|m(LiTl,#aNKqaG`e&ï=r√Aq?l"qCgyW)g-Y>stream H\n0Fy _ 8R&Ѧ,R!yە tgsNaSwt:cmΩ cs]9ICq[0dV0y[C=m䞓Ƌz=>ɳ24w[;ǯNr<^BοT.tSns9ߎp5jWo,v:wZuβh\-ؐ5wJ5Ƿ`+\Jo~eْek7 g ,74*C^5 4=uC%1t`M\PZ>ԡCr0JԩXYkbг.cbhbгKltx6H"kѥ@ϖ.Ht)7?^ 8n8:)~ѰE^f gJ}}8rdc:4;` endstream endobj 167 0 obj <> endobj 168 0 obj <> endobj 169 0 obj <>stream H|Q{LSgX&˔wâؙHDN(vD: Jv) MDtJ:K371\un1KKNsw~b0Ǔ7l۲hyq+WkxCFC&,\HRiaI|2Zܩ1K pᏩ1D,ǿ|C^WoV[G9F)rrrj.OcrVId46i5+FnF-o9T9H|^LZmR ! oZܶf})Mbȩ5+*.wM^k\rE˭4Z$O+6aEX V)Jl(*VYGz܍D5sq. F]e.hF>Hġ4D@_&wDL W與"Hjb֜g&Twx]-g=5e7aۿ&A,tMOiQF3c 2wu-l!Q,xF)T,!;G.Pv8 =:1{az,!%dcJ'`u_snG,5> A5T20š4$ ӗ=Vzăge /E v]^)%p9 y2SZ` NLcu FGW6>?/&G[h5[uͪ[ջlI:gDjWeI p*aRpH z) *E5H2كo+te73z+̀`ie,2#ȡB^#9{r9s:},4 r:zLUYS>"J&ޝ)R։Κq`!-l% Ȯ/x.b]d_u%X I֠J\T15 *xU;Sk`-Z$yg_^=ac)F[cn/aSP؇c}q=o:y R' K endstream endobj 170 0 obj <> endobj 171 0 obj <> endobj 172 0 obj <>stream Hbd`ab`ddus twrr)I-K,IK]3UӿI*e`ddd`/D}On Ѩބִڂ΄ĮԾI S&^P2riV5:VZշf⚉Kϛ`SN:q[ߎVl־m{ֺU VH?1CesʎMfLJIM̓*ʐj⦚ 2Ҿ ӛf,j_Ӷcm:u]IY۳Qgc +&mpSVo??>:ov)?:|3E ], endstream endobj 173 0 obj <>stream H\Pj0 +tlIz51akYpl%5,QC~S:@{> endobj 175 0 obj <> endobj 176 0 obj <>stream H\mL[M_Mf23vk7[5[:E˚fktM"BHC 6~/׆c0~ǯlp!$JDYR4iڤNC7M%.߶߇yϿgOcv@wZ~}o݆ |onN |9pZ9r9oq8+w98g9Mh_㙃0m=Ír ))fAYD .ͩ CvhvB.[@}΋i7}7ڬ(Z-t<0n%}Otm 6d70D#"**iIShT# \)S=wwǯ, HX =JW:oVF`J>R&2 BIT3Up.= J)U:v4 ct0ʅ:̎'l a Z"f9]׈O3˚.XguhEb04ׄ4!28Fg3>s5gNK#x9c~i}Ʉ3tK8#4" b5E+<~C!d1_ P MZ4Ec\3 iG,22zj$00595[az]Z_[sHe]Tq_%cy6OjÁjZup놳icv umEJfYaZFv)ѹPWGYhW7m t)^!ۆePJ}*\R=e[`Vj;P$ Q8 cJ59gB(f$(D4$")?0kO IGT"8R[I+I:4y7T=oyxLf7m4nsΫE638 π&ĵYC <:y}^)D`.{t* Wz㻏j4$9墳" dbd: Y[ڜ6h]Fb%],F 3T b#)fYiB #9N$cqI, , %7*(-_=Xoskb~= 2Eh MrN;@AKդJG~9_Qjxia:HKh<ٱ& ^YIg3r8c1(B5 ,WvQJ|NtxoJM.ʹs;i2 긝;u?Ϸko_?B Eu!vxx %܆Nin,֝61~9H;(h4jWS)3'RW3`Nôw^Z]@㿴xL+Q3~7Oq9r!sR}춸V5jX=B!߆n6}u_Х=̬#NfZKEn]B]n _bY3nld_JNҽyF_aB& `뚺R1X*s{Ϟo??g_?mI[׻  %:^997vOr\G>T YAO>Wk6Jpљ%dJ (P/pZ=6_4 aH C!oX\DrzjaNy ˢ"'G@z]rLO'~`QEq*\2f!T:FFq E. Yv@gQ4mLjc>stream H\͊0{bhmPl ul2v5h8 |!t{M#4 oSlkh~*jFJ* a ,REobh _E{bsF/;h[qZQߊ#$x-cz Pe1 \Gص1uPY‹:mֳ#'ℽoZ٩8eo[Nc{A| kɥ9}4e(> q>O̾Y*J\J9W*gnw`!P+o> {(~ԯE endstream endobj 178 0 obj <> endobj 179 0 obj <> endobj 180 0 obj <>stream HDTmPSGqi6vfۮݥjv:; ʶ+B@@>BHBBH"$n !~Qu:ZPˬW\L?>yϜ}}sXNN+;T;)ۿ;ܹVuG xY^m/oM'b9,M9v ~Ê0]~sw1l/İsv~~}) O7^{+o6oSq?k6mզ}][llydW=\ |p$⋡Q8jiÚ'CR4i@1)e<$)ڈ6f (`0izW ;(vx)u<nsDeղ3\!WF/qr|%9'sŊ|EvE<q&dY8~JU Q(Fu#-H߈<7}||8uOd EDKWe٭+Se*۳"A!g,SWbe-4Sf`?C7"S)0_S7G#qF<'1@9-bI*: /%YĜq4)SH BZZ΃^\ߥi{ԽJ}/:ș4 A'Z@{Ӭ囵]:ܠ6za9^W1x@k;߬|fyK|FL۸|ZE~oY~;ss(0B#4,&QH׆bAS4U#G)BIeg.!7 mwٝ(&dG0DQE_ (46U2iw+ݿ7K%zX e9$ 7$*PɌ- I1?-yDL"3>4q\5WQmC p#Cq"JImcBU-"UQ#o$LFH*43&u1uLFӮUx 7 =.5+ZFo77zAuX6|0;#bqWQ_9n$5$k]ZZ.'\W9XtFGXmƩq.܍0ܠ5d#!0-^Y/  " ?QD/M0j/dHF"a-)7E ]'}2| ZTpȇP 0sI..,-bCW-~9qCV*ִjNϡA2"3Ko- WwҢȭp/*fk*z;]}(8dti]rw[/~\\Ά~:N.*5̄5&sG^P{v5jfXu%%"M, <xWd)ո$.7AU m*-rn=h'a!xcՐyTMt]^Gl\&H؋mmkO\Fq~,ZakQy&+v'qle!]=B H٢e0z2z1'Y%U{w#$DP %KH&l%3= ψ'.!K/JX// x©gl0[:鞦&cY ǜ4NSIÔaɧyBُ8!zq~~qپf=N \?r-Cb~`68S di6 !I|IAgҹE8 l3i*$#̓MMdL1/d$9USSSk+ٙLh&ԓiFB%;1~"̔/)HFC(H&?(KDЄAxۚu" ;$8;$z~{]X-maN%J)C{H>@V]ɣ-޲ɒ"vճ)%K(&/q?Չ?Y@.Y+f3kQ:IQ*Y2HY}t٤^>%P otaPB+ vk *J(nG,Tka-hDˉ m >\5'jύL!fA zθI&ߚ< o[LUF S&JGK%`Q89ՊzAMea9X#^ P;5uM~;@mdbG`/ӳt=8sP?83 ^`Vm2zuy>v'5+B=#33B,cB?Ґ._a/'V endstream endobj 181 0 obj <>stream H\j0 ~ CIq !0rR[cfH3>}XNթ$8&vE[ /pإuv ,q B&x8Nq'7\`- v*W_z-'e)(҄צ,ey7t،QlqxU yKk([ {=qNF9YƜ+fE3Ĭ-9eNYGbE:J3kblُ"?|">35Ss/M4Ks/M4{YgMs:t 1c@~Yz|!1W{G> endobj 183 0 obj <>stream Elixir Technologies Software 2014-07-02T09:10:38-07:00 2014-07-02T11:09:33-05:00 2014-07-02T09:10:38-07:00 application/pdf proof-1276f0e2-fd56-4161-b006-fe9679c4fc8b - 7-2-2014 11-09-01 AM-922359 Acrobat Distiller 9.4.6 (Windows) uuid:79bb6243-1679-4a6a-8b7e-cb97db9620d0 uuid:eea2ce37-11c8-4af1-924b-aaa31781f496 endstream endobj 184 0 obj <> endobj 185 0 obj <>stream H[J7b/nw({f# rW ~K1[!VeWE6bzm%`9aLxSvc퍟G{a=xFc!񈍦cb:_M5 >M7p,Kc떱ڱ&[:͠۱T%0#)xߠ0~>zfڄN[U~*Oo՜+'e[>`>s͇49! &*,YP;3jͨFd H=EK5Ҡ??6wPh_i4i ӤRdi(=* G KV7\fmi -}N{Ͱki뀯$ Ta… CUYCq-:?F <ٷv9 5] 5&`2h eKPyQ[fܐ =,m J IF5WmsʥW&'bu]n vpy*ϙ79J]Ґ2 f`|dmEWa;93rw`o K<}4^Qcd>tt̤ma粰:P~Q"Kh{ApY4íeum&wAhxYF%ЮX?e' ƕҝs~BM~:'q2_]uA_7X"g5ÎEf6+3|~~|ơgg;1 Ne%9q_ m4#cIH|/E|3vlo$̅J痂 VR"_^)Sx] p"pfU6ٔ&zIiFaQU( ~hpm ejI:eC%8\'02ZRl|&qHlvU(+R1 |Ü~0~OךDeca腗ۼIk6 {_~jK8A=ȴ&45rm*ѝUd`zcBɳ21qLeҟ\EA^y՛G(W]7"؂G^PrdzJٞelhaoJ'ㅢ3_Wg$+`5na]zRsj'H"M+[S @ VMB/ <%*s&: Jjy;ӈ [3lSpim5ulv\ ҍmrvg ߐOy/LCv{(ˁR;3>wh浈QKbŁݞ/ T/+P >*}&&X9ꡪ0\ x^}QDUv&&IvG4iɉ׋a mїn9O Ϛ!^ag]|I?hI]Ǥ;z5]aW"S O%|2 endstream endobj 186 0 obj <> endobj 187 0 obj <>stream HlR]k0}?E&Mg; ۓ4btiݿ_Ne9s +ZeE& U&Vd juCP!:K+-d> endobj 189 0 obj <>stream HVkJ 'b݀}#,SnnΊO´*Զwᩰ*<nԶ[|N 8<V g&**vmὲk׳A'*h/ @|^LNNϏ6]&t+1~k M;Nw02(Zd (@P,ɛ$k\b P @}Z/ܝPpD\t 1Xr<4 K|hI)@7 5d랐Ȁ( e̷ %8JٱmsZjޗaWTcK @ tS~av0\а#d@U >GP8K(ˊ |!aPl4܀B5$JE,Qsʷʞ]c6 Ve@V e'ԫU f8οrSwet%ۛ81hB& th辒kpDf{BlCか:ǘ< <1Q1'upϼ6&[60U's6#Bǹk$fOx9M9_|K]P_>P ,`iXfP4:&ipJ5Bh_ٛXBcIG߇,Mn:e{k:? ё| -ĝNj}~:r{L:iէ GL,1I^۩96-+eUetE,Xh̽"{1s@e= W8ㄠk p6W/x Q#L'ёEnfA&bf̼'Tdٔ#c-])|Dјphvo,*p*Sr^o㉺*Դ.=a%4GJ~"޼A4MOjg+bGw8_NsGlev6YN}H.[_IwbrC'h30c<ڊ:T̩Nf|k-fh[O1 ldA(4Ck %q,t^=t4wK}8mddxX͖_lTv+6lаx8J؝Ug$P/9%v܄qi$kT%_^.)V#g|e EMxo ]gwP| r=j$]Z2L]giOؐn3$IZIq6%rwБ-Qȫhm+Tݬi'7&y، 6ڶe3:l.CtUd;1m{`34_P磺{X.&gH1-;DFK8w$|JIK*x ^ RΪUMji[#|Hxy3N'u*M%_o ˜TF- (6FFsgHp_xvwzZx<9iX{!x\h۴%Mf>=|8bd;(?6!<}[<30>~'y̡;:5_U$ (8 ᳓Ѻ#x'K(U3~1;keȵ-(WoDž@V<>R0'ҋGl-Z}U"AqnnP(W s8hW+24|.6d4rDoiFͲdPbfŢۓR;r/"pօ6>Zٱ/>tG=ܗF6*˴/<X@| (}=%ժiJUv;DM$zHO6;g|t5F͜$wfG@qJ|{~ 䝔gP#2˱SqB\qO!uCs6=T 8PX8.i8$"Cv֣jJn|KevOgӅOVt20o};PprJʪ N)VÀv`+@+/ >l3%WW=&=B3VU-z}6E4;7Ӭ[TdT+S`>mAhñ*)L*!.7=4:V*ߺ 2ʢuL\>,e|\0pص^ 22R-]Ƞ&< X!TdhlVH&N32n)pS8+/6 _S]YO2E͍m =UlzY]O$<.|鰍NH 5y'Km_I;IӲ*h| 2"&~BWPj1|gaU[z A? tv̙g-xr^_ߊg:Q*7,(<`h2 /m #Paa.ocy݋r~õH_Vl0By<*M?zWϔO u㺉?Ҳr׍Bk/ukv#w4zҩ\. Z \W] fUĮyb?BϿÑpF(!io'`t;+Щbȅahfsۺ >q6h7oP_n15pCLJYhD(ݲeV9GyM~\k_8Phzt#͛ӆ+\Ph\nly76XYO"]ROj&zC +_( ag;i|MpU*)%0N(]G_]#ؓ:*9ʏ.k1!B*yzɩ~:L%4PIG9$`,;a ~@G3`Mt 0ҧ^e52XTYekHJ}<\g0--F:j d Q6斬x?s^ß7ۧOi8?OOJ6Lq>|,JN/eBQZ8ؘn$ MPb̦UXȭ" j /ܞ灑)xt} ZȿzVu.r8)"{R`iMlLbq\\^yi@ F-mK ;V^tGj݅+gm*J/>]6ڋW65V:Q!~~vxgS:YH_U3OodUcCp[EG O߉(p% ڗ;0c&re]SM ɳ_k#V_mz= XayUoC/c5 ^DbiA:jþ!0j軙$zR9/J?$8JcTD )J oR+͝[k7r_ˠ,vζ$%`49I,yN M>*7 Ezpޣ/|T?? 53I[<4cKێOt:Nj(\eV2W]mX,B93͍XT>ʽ3QʳĿο;'帿>+)'̰{;»6M@􉈵$R%WK$Чsni,Ssr): +N{ȵYՙ` ʄ{V73ϓZ!F< ?u_! c?֭+.džY w $֝: wt?|kR}7ܠ2M0ߧ@peQlz[E4ڑ\YDX#f|mdYZV[klwޣm=nS C<9@U>"!ht-Y펢tB]9#M\I[ȶt9+oƫ27SfBkގ0 c.ۭΣ|_͗:2}sƍ^a=,#KIUu 8n$i,,֮od0% V4&EHߧr]9kCc-.cSo1u2!-gRty rkjW:!} ڲvrd+rM$v0qlvӯL0p3ϚGɺr<]N~5MI{~W;e饇mN縇n׾~4 u(uK85̑ҁϷO۱;0՝&^̼疷<QzUO GR@ `0 ]6BA!q:|i`w i0 "CөB%B¶+m-HRf%Aq*$c'0Yek{f6ݘ\v~ͼ4Dj?VTA_-V+y\#F(~ڲY YX?ڇN V0GLBSWL rmJc7W6`ۀlC t PY7*PSW *a8T W6~sXԿR|.[׸ }DA?՞6\\ר?2K& su1IBXxNat487W?GA`r8 %(4u  Z"8 2g#sC s-t%f8."R@SN>YMs0'Skf>;j`%T G\ (X 27B <%PB (6JPƆh@"ƆB ,̑JR )Qs.Xm Mj5~DsC VlޅR7>H\~ͼ4_w1TzOqE%IbEm v";J$IOӅx;5"a@>_`.~/]eua,y!2 `:ؖBtN !6JӰ ` ]чx?.l)e7tP#Z#U< 2]s"pyՁS8?-pm&i> endobj 191 0 obj <>stream HWkJ1.@ވ)( |  @gnOMECfj@BeC ,\AJCk>89bJ`a_b(mPiѥ@ t"5WX Y_s)ߟ30U:k J [a`_fhPQׅ֕=GޏbTe/PUNM[[ o0B*>PbkPP"5mStK`%) #!Q[t4J@_;Kh$ P+:˳;v-e|@՛Z e\@pDgEբb#ryYژj v1D:@DV^.@f[@|avm<DIYXiSqgm6x-`gNC!)`ǙK`EfOldd"7S"~QC)H.ʎ e(]Ik[@7s Zӊj9] {s>opNS=ypE֯uTm9ܺ7:,/Z@+_qj6zfm9jl$NjnE~ ebqdG{o^tXFip e~螀4`1#8^u螹w΄Īs̋,gNgry%]^Q):o]y[re'fUaGX4]4pIY, moXͬ(,5 *0a]`ssΌJ0 K8iB>c[+7axk&B*u"g$ {_e$-W8{ g/>/ml"mL.,Bkڎ!xa@p:qߝ ցa)v$8/[џV;&pjIVrs v>79Rꬪ e ޻70Z^X`=܋~PX`2瀭(lE3h ժtnU `ۣL,"36*158;:˳I΀! v^w2ot=-Jx/-d-Cҝf Pa-hW FxO5`],PQcthL KC"|s*>߳ eoߒGTpm>$ߪຖߐGWkWR ^S ސG\m!@oDynҾ\rPi4 sLq˜hlU;6ؕ`pOQz!C Rn!bw6CXG=PڌgpɊx'/N뛔 c&UʳUxUlE \wdگ⢉S/I!rόfA_^f endstream endobj 192 0 obj <> endobj 193 0 obj <>stream HWYs:~j^6cVc 67va#ܜU_kuK讞aڅީ '}WbÞiiU}4&:vpc![ N  IԹW.pWopt" x=nExܠ7P&?E^D_-s3N3֍,FD&L%vk!R ݢ[9p8 a:"*>P/W"*5Јt?/ƁܮE<9Vmݷ"]F#w.DvNpwևBv\5AFȕWYYsF(p,Amo W 6 PH́;E`R@a)W(0݂>Su1[@'1Y@Jpa1ssVwdg\2AȜ?D%.82@dHz~v ~4eFeyw!![sNK\s0"(f 2?7絤SUdQ|jb 'iVl !OH/):ҳlà|{oCQX~Z>=0\Ab} ѢoGC1aBIyU,Bs`H; a41Xٵ"/={jccv䄙4.|b Ff\O_+=@\/֖r8-㞛ǓhO<{6PkUC0[`ZM2cF3-` m0aRўpza"K{Dc`cH0Vti;)^n>.'A4?E8E]*\ŵj/ֵ?R'd舜Z^`xZ*3Ao˧4gA-g:%=r ;CSYEf*TYj*Ojrg阖JC7@Z'䄧 lfSv9l{y~#~f'Mxʧ#GPp :}l/ӎ(v4iܥ\)3!J:WQb3@l4h\ sTDtƩD #BLAΎiK~#^~IS5m@`@|&j>"Wpka5z~s`"ϻQ0lU /u=@lĦ7 s^Ʃ*~$LU~1!m0<"-=9C9ȺYyKhekSxԲ&\C+>~0Fƥ<^V<9عW|ya?شǧX H;Rn`|+NY@8ެmbK- ٬" ^Vّ>tixrz"jw0H(/%G0'*n~?p d _R#o7FȆ55 .B^=Kwחtu^0~89w!ڴyt°[|"{=OfZ̉*U QTbMXmA=?, z'6lt.aCߓjYȮG+ԛd &RW]WI endstream endobj 194 0 obj <> endobj 195 0 obj <>stream HV[s}?U?X◴"x&)(*xA}C*7iL2d2׮e^Z;|)EVf4~xgkp.VZ5(݇E z :]"i--G~ꓽmj|ILm7zs,C~ T($y<2̌>L?a}řjmsxwW94n=>'>6 x }> @aȻ{ M|CLCE[@-Bl!o;%4F14P}.,JQ?u4K nN~kyC]ҺG-bDj} h+}XTqGjj;=OuN@dË =@[{_Kaz=TűT,dE[pEu=K4%'S&$# QoT~,&k3Rp.4FQ0d(iPU4T \Vթ|sihrC6Gq9T-e/qj4FfmCG; $!EI u% Ra-Bf,\fCW)is|-QiϸR :qv[gI#E\gʈӼ&00 1]k] (̵[ҍ Kwzikk!ѴSCO F^&wW~lm-d)1ɱ+R4=ƆFDYrj^:BZaϏ0fSe>e**̢iKtj~ .s]M=ؘ6[S%k4 l$wN=P[~͓5:łk[ml?F )4k16iXyc@ $3|s=0U|€׫at- XdeV@Jvz:ȋ9]霺ŴPW0:`F(FIT*'2M20`[ϣn&Y뻽 jV2"( ayQA x(VŊ4nk@g,t&+Eۡ梋f g#ADdRZ4XLEvgh<.a'I-ԇHYd3>?1awFNCL6sk% 0L[QL~(a Wdʗ톤m..%*V "Z8= ;M -Pw3ېͨiNӘ%N7d=㡗7|i`_g\6$'!X W0{L@Ә)@+Q!hX>@ï3/qptEC_Htx5a_!ED ĠO& ,B pqO:C@|&@C{Ϊ57)g?ë H8{WB ux%cW̉EP7WR}S J#߇4"T_T}9hũ~۾&Y.\ګ:,):WcHެ k-V 3>;Ʌᾃӳh$Օwݠ(=( {v*R'~;BqA'Mӭ]U~bXfrXPp]<Ȃ&d$⑸n o1,d [n,>//򂹐ii1&dnoVd4WQ{J~0_4M)'pe  )e }k=Q~}Fy6Z'㫬N} 3G endstream endobj 196 0 obj <>>>/Subtype/Form/Type/XObject>>stream xM0 =N!)J{'vɱ:g=RAڽ=hrBrb>>9~A RnȇK$+ P\21",q'j^Ԃ-̲v q'`: <+iTOcI _<5h6BUԤąWYI,e\ً"J8o~@Jd+W:`4?++:EԹ^JJkxշNu&E+רbB\ϽiB蹒URk}#uVLFM~mEϗͶO[d 6IJ+J,BPNZ:Ԥ#M^{NbJ/{jf,;:-%Ur%VF(Nb*(Ą &ښ01Iak)qqR|,}4Ljٗ!dq MKź endstream endobj 197 0 obj [ 96 0 R 198 0 R ] endobj 198 0 obj <>stream x+T0T0BbM+ endstream endobj 199 0 obj <>>>/Subtype/Form/Type/XObject>>stream x;1 ОS 3P#ov"UFz2 x Rg% aA68_'ne/X'>MѲIfY˔召ނ4%)X淴2zG+mWOFE endstream endobj 200 0 obj [ 149 0 R 201 0 R ] endobj 201 0 obj <>stream x+T0T0BbM+ endstream endobj xref 0 202 0000000000 65535 f 0000000017 00000 n 0000000102 00000 n 0000000167 00000 n 0000000254 00000 n 0000000707 00000 n 0000000991 00000 n 0000001291 00000 n 0000001493 00000 n 0000002688 00000 n 0000002762 00000 n 0000002856 00000 n 0000004052 00000 n 0000004132 00000 n 0000004439 00000 n 0000004642 00000 n 0000004920 00000 n 0000005123 00000 n 0000005404 00000 n 0000005604 00000 n 0000005868 00000 n 0000006067 00000 n 0000006339 00000 n 0000006539 00000 n 0000006817 00000 n 0000007017 00000 n 0000007285 00000 n 0000007485 00000 n 0000007752 00000 n 0000007951 00000 n 0000008217 00000 n 0000008415 00000 n 0000008688 00000 n 0000008888 00000 n 0000009179 00000 n 0000009382 00000 n 0000009676 00000 n 0000009878 00000 n 0000010155 00000 n 0000010357 00000 n 0000010632 00000 n 0000010834 00000 n 0000011107 00000 n 0000011309 00000 n 0000011585 00000 n 0000011787 00000 n 0000012055 00000 n 0000012254 00000 n 0000012526 00000 n 0000012725 00000 n 0000013010 00000 n 0000013210 00000 n 0000013477 00000 n 0000013679 00000 n 0000013951 00000 n 0000014150 00000 n 0000014419 00000 n 0000014618 00000 n 0000014854 00000 n 0000015050 00000 n 0000015143 00000 n 0000015370 00000 n 0000015760 00000 n 0000016192 00000 n 0000016579 00000 n 0000017006 00000 n 0000017249 00000 n 0000017680 00000 n 0000018069 00000 n 0000018496 00000 n 0000018883 00000 n 0000019110 00000 n 0000019498 00000 n 0000019931 00000 n 0000020316 00000 n 0000020744 00000 n 0000020969 00000 n 0000021402 00000 n 0000021791 00000 n 0000022218 00000 n 0000022606 00000 n 0000022841 00000 n 0000023229 00000 n 0000023662 00000 n 0000024047 00000 n 0000024474 00000 n 0000024713 00000 n 0000025103 00000 n 0000025532 00000 n 0000025918 00000 n 0000026343 00000 n 0000026617 00000 n 0000026814 00000 n 0000027058 00000 n 0000027258 00000 n 0000027513 00000 n 0000027716 00000 n 0000035226 00000 n 0000035380 00000 n 0000035492 00000 n 0000035602 00000 n 0000036162 00000 n 0000036251 00000 n 0000036794 00000 n 0000041757 00000 n 0000042371 00000 n 0000042568 00000 n 0000042882 00000 n 0000043458 00000 n 0000043766 00000 n 0000044246 00000 n 0000044744 00000 n 0000049349 00000 n 0000049927 00000 n 0000050312 00000 n 0000050648 00000 n 0000052160 00000 n 0000052531 00000 n 0000052915 00000 n 0000053251 00000 n 0000055111 00000 n 0000055496 00000 n 0000055975 00000 n 0000056367 00000 n 0000058727 00000 n 0000059155 00000 n 0000059349 00000 n 0000059647 00000 n 0000060213 00000 n 0000060523 00000 n 0000060923 00000 n 0000061265 00000 n 0000063061 00000 n 0000063447 00000 n 0000064075 00000 n 0000064152 00000 n 0000064440 00000 n 0000064640 00000 n 0000065837 00000 n 0000065915 00000 n 0000066169 00000 n 0000066370 00000 n 0000066629 00000 n 0000066830 00000 n 0000067113 00000 n 0000067314 00000 n 0000067567 00000 n 0000067768 00000 n 0000068038 00000 n 0000068236 00000 n 0000079289 00000 n 0000079451 00000 n 0000079624 00000 n 0000079730 00000 n 0000079867 00000 n 0000080011 00000 n 0000080043 00000 n 0000080444 00000 n 0000080517 00000 n 0000080803 00000 n 0000080902 00000 n 0000084402 00000 n 0000084898 00000 n 0000085526 00000 n 0000085785 00000 n 0000086220 00000 n 0000090342 00000 n 0000090885 00000 n 0000091215 00000 n 0000091501 00000 n 0000092793 00000 n 0000092982 00000 n 0000093265 00000 n 0000093726 00000 n 0000094038 00000 n 0000094366 00000 n 0000094713 00000 n 0000097067 00000 n 0000097465 00000 n 0000097877 00000 n 0000098239 00000 n 0000101404 00000 n 0000101836 00000 n 0000101879 00000 n 0000103497 00000 n 0000103566 00000 n 0000105876 00000 n 0000105945 00000 n 0000106396 00000 n 0000106465 00000 n 0000113697 00000 n 0000113766 00000 n 0000116538 00000 n 0000116607 00000 n 0000119113 00000 n 0000119182 00000 n 0000122188 00000 n 0000123196 00000 n 0000123236 00000 n 0000123338 00000 n 0000123697 00000 n 0000123738 00000 n trailer << /Root 1 0 R /Info 3 0 R /Size 202/ID[]>> startxref 123840 %%EOF