%PDF-1.4
%
1 0 obj
<<
/Author ( D a n i e l a S t s c h e)
/CreationDate (D:20181113135509+01'00')
/Creator (PDF-XChange Office Addin)
/ModDate (D:20210422125154+02'00')
/Producer (PDF-XChange Printer V6 \(6.0 build 322.3\) [Windows 7 Professional x64 \(Build 7601: Service Pack 1\)])
>>
endobj
2 0 obj
<<
/AcroForm 3 0 R
/Metadata 4 0 R
/Pages 5 0 R
/Type /Catalog
>>
endobj
3 0 obj
<<
/DR <<
/Font <<
/F0 6 0 R
/F1 7 0 R
>>
>>
/Fields [8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R
24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 34 0 R 35 0 R 36 0 R]
>>
endobj
4 0 obj
<<
/Length 3142
/Subtype /XML
/Type /Metadata
>>
stream
Daniela Stäsche
application/pdf
2018-11-13T14:55:09+02:00
PDF-XChange Office Addin
2021-04-22T12:51:54+02:00
PDF-XChange Printer V6 (6.0 build 322.3) [Windows 7 Professional x64 (Build 7601: Service Pack 1)]
uuid:71fcbdd0-4b69-4008-88a5-ec89c5032af8
uuid:6c662b0b-8877-4233-8202-3c4ae8106ba2
endstream
endobj
5 0 obj
<<
/Count 1
/Kids [37 0 R]
/Type /Pages
>>
endobj
6 0 obj
<<
/BaseFont /ZapfDingbats
/Subtype /Type1
/Type /Font
>>
endobj
7 0 obj
<<
/BaseFont /Helvetica
/Subtype /Type1
/Type /Font
>>
endobj
8 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [38 0 R]
/T (Check Box6)
>>
endobj
9 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [39 0 R]
/T (Check Box1)
>>
endobj
10 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [40 0 R]
/T (Check Box18)
>>
endobj
11 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [41 0 R]
/T (Check Box2)
>>
endobj
12 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [42 0 R]
/T (Check Box19)
>>
endobj
13 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [43 0 R]
/T (Text1)
>>
endobj
14 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [44 0 R]
/T (Text4)
>>
endobj
15 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [45 0 R]
/T (Text5)
>>
endobj
16 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [46 0 R]
/T (Check Box4)
>>
endobj
17 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [47 0 R]
/T (Check Box5)
>>
endobj
18 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [48 0 R]
/T (Check Box22)
>>
endobj
19 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [49 0 R]
/T (Text7)
>>
endobj
20 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [50 0 R]
/T (Text2)
>>
endobj
21 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [51 0 R]
/T (Text6)
>>
endobj
22 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [52 0 R]
/T (Text3)
>>
endobj
23 0 obj
<<
/DA (0 g /F0 0 Tf)
/FT /Tx
/Kids [53 0 R]
/T (Text8)
>>
endobj
24 0 obj
<<
/DA (0 g /F1 0 Tf)
/FT /Btn
/Kids [54 0 R]
/T (Check Box17)
>>
endobj
25 0 obj
<<
/Kids [55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R]
/T (Check Box3)
>>
endobj
26 0 obj
<<
/AP <<
/N 61 0 R
>>
/DA (0 g /F1 0 Tf)
/F 4
/FT /Tx
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Rect [181.561005 267.972107 535.129395 289.472137]
/Subtype /Widget
/T (Text9)
/Type /Annot
>>
endobj
27 0 obj
<<
/AP <<
/N 62 0 R
>>
/DA (0 g /F1 0 Tf)
/F 4
/Ff 4096
/FT /Tx
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Rect [267.089722 219.976746 532.128418 260.974915]
/Subtype /Widget
/T (Text10)
/Type /Annot
>>
endobj
28 0 obj
<<
/Kids [63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R]
/T (Check Box8)
>>
endobj
29 0 obj
<<
/AP <<
/D <<
/Off 69 0 R
/Yes 70 0 R
>>
/N <<
/Off 71 0 R
/Yes 72 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Rect [170.557312 81.990379 188.557312 99.990379]
/Subtype /Widget
/T (Check Box9)
/Type /Annot
>>
endobj
30 0 obj
<<
/AP <<
/D <<
/Off 73 0 R
/Yes 74 0 R
>>
/N <<
/Off 75 0 R
/Yes 76 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Rect [205.569077 80.990479 223.569077 98.990479]
/Subtype /Widget
/T (Check Box10)
/Type /Annot
>>
endobj
31 0 obj
<<
/AP <<
/D <<
/Off 77 0 R
/Yes 78 0 R
>>
/N <<
/Off 79 0 R
/Yes 80 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Rect [240.580841 80.990479 258.580841 98.990479]
/Subtype /Widget
/T (Check Box11)
/Type /Annot
>>
endobj
32 0 obj
<<
/Kids [81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R]
/T (Check Box12)
>>
endobj
33 0 obj
<<
/AP <<
/N 87 0 R
>>
/DA (0 g /F1 0 Tf)
/F 4
/FT /Tx
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Rect [111.037315 54.492638 256.035645 69.993263]
/Subtype /Widget
/T (Text11)
/Type /Annot
>>
endobj
34 0 obj
<<
/AP <<
/N 88 0 R
>>
/DA (0 g /F1 0 Tf)
/F 4
/FT /Tx
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Rect [76.525726 36.494373 255.535492 52.994907]
/Subtype /Widget
/T (Text12)
/Type /Annot
>>
endobj
35 0 obj
<<
/AP <<
/N 89 0 R
>>
/DA (0 g /F1 0 Tf)
/F 4
/FT /Tx
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Rect [339.614136 72.990868 527.126709 86.991638]
/Subtype /Widget
/T (Text13)
/Type /Annot
>>
endobj
36 0 obj
<<
/AP <<
/N 90 0 R
>>
/DA (0 g /F1 0 Tf)
/F 4
/Ff 4096
/FT /Tx
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Rect [395.132751 22.995667 546.63324 67.993454]
/Subtype /Widget
/T (Text14)
/Type /Annot
>>
endobj
37 0 obj
<<
/Annots [43 0 R 50 0 R 52 0 R 44 0 R 45 0 R 51 0 R 49 0 R 53 0 R 39 0 R 41 0 R 46 0 R 47 0 R 38 0 R 54 0 R 40 0 R 42 0 R
48 0 R 55 0 R 56 0 R 57 0 R 58 0 R 59 0 R 60 0 R 26 0 R 27 0 R 63 0 R 64 0 R 65 0 R 66 0 R 67 0 R 68 0 R 29 0 R
30 0 R 31 0 R 81 0 R 82 0 R 83 0 R 84 0 R 85 0 R 86 0 R 33 0 R 34 0 R 35 0 R 36 0 R]
/Contents [91 0 R]
/MediaBox [0 0 595.2 841.919]
/Parent 5 0 R
/Resources <<
/Font <<
/F2 92 0 R
/F3 93 0 R
/F4 94 0 R
/F5 95 0 R
/F6 96 0 R
>>
/ProcSet [/PDF /Text]
/XObject <<
/I0 97 0 R
/I1 98 0 R
/I2 99 0 R
/I3 100 0 R
/I4 101 0 R
/I5 102 0 R
/I6 103 0 R
>>
>>
/Type /Page
>>
endobj
38 0 obj
<<
/AP <<
/D <<
/Off 104 0 R
/Yes 105 0 R
>>
/N <<
/Off 106 0 R
/Yes 107 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 8 0 R
/Rect [102.338112 420.779358 120.338104 438.779358]
/Subtype /Widget
/Type /Annot
>>
endobj
39 0 obj
<<
/AP <<
/D <<
/Off 108 0 R
/Yes 109 0 R
>>
/N <<
/Off 110 0 R
/Yes 111 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 9 0 R
/Rect [102.454865 538.445374 120.454865 556.445374]
/Subtype /Widget
/Type /Annot
>>
endobj
40 0 obj
<<
/AP <<
/D <<
/Off 112 0 R
/Yes 113 0 R
>>
/N <<
/Off 114 0 R
/Yes 115 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 10 0 R
/Rect [458.605225 491.427551 476.605225 509.427551]
/Subtype /Widget
/Type /Annot
>>
endobj
41 0 obj
<<
/AP <<
/D <<
/Off 116 0 R
/Yes 117 0 R
>>
/N <<
/Off 118 0 R
/Yes 119 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 11 0 R
/Rect [101.5168 514.993591 119.5168 532.993591]
/Subtype /Widget
/Type /Annot
>>
endobj
42 0 obj
<<
/AP <<
/D <<
/Off 120 0 R
/Yes 121 0 R
>>
/N <<
/Off 122 0 R
/Yes 123 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 12 0 R
/Rect [318.709534 492.189514 336.709534 510.189514]
/Subtype /Widget
/Type /Annot
>>
endobj
43 0 obj
<<
/AP <<
/N 124 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Page 0
/Parent 13 0 R
/Rect [130.12767 710.678955 280.127686 732.678955]
/Subtype /Widget
/Type /Annot
>>
endobj
44 0 obj
<<
/AP <<
/N 125 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Parent 14 0 R
/Rect [376.368835 709.326599 526.368835 731.326599]
/Subtype /Widget
/Type /Annot
>>
endobj
45 0 obj
<<
/AP <<
/N 126 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Parent 15 0 R
/Rect [428.283051 680.677063 526.844971 707.936707]
/Subtype /Widget
/Type /Annot
>>
endobj
46 0 obj
<<
/AP <<
/D <<
/Off 127 0 R
/Yes 128 0 R
>>
/N <<
/Off 129 0 R
/Yes 130 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 16 0 R
/Rect [101.5168 464.594727 119.5168 482.594727]
/Subtype /Widget
/Type /Annot
>>
endobj
47 0 obj
<<
/AP <<
/D <<
/Off 131 0 R
/Yes 132 0 R
>>
/N <<
/Off 133 0 R
/Yes 134 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 17 0 R
/Rect [102.469116 442.824036 120.469116 460.824036]
/Subtype /Widget
/Type /Annot
>>
endobj
48 0 obj
<<
/AP <<
/D <<
/Off 135 0 R
/Yes 136 0 R
>>
/N <<
/Off 137 0 R
/Yes 138 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 18 0 R
/Rect [102.104401 491.094299 120.104401 509.094299]
/Subtype /Widget
/Type /Annot
>>
endobj
49 0 obj
<<
/AP <<
/N 139 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Parent 19 0 R
/Rect [178.437851 445.390533 530.121094 465.983429]
/Subtype /Widget
/Type /Annot
>>
endobj
50 0 obj
<<
/AP <<
/N 140 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Parent 20 0 R
/Rect [129.658646 685.005859 279.65863 707.005859]
/Subtype /Widget
/Type /Annot
>>
endobj
51 0 obj
<<
/AP <<
/N 141 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Parent 21 0 R
/Rect [376.368835 660.775391 526.368835 682.775391]
/Subtype /Widget
/Type /Annot
>>
endobj
52 0 obj
<<
/AP <<
/N 142 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Parent 22 0 R
/Rect [129.658646 661.492126 279.65863 683.492126]
/Subtype /Widget
/Type /Annot
>>
endobj
53 0 obj
<<
/AP <<
/N 143 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
>>
/P 37 0 R
/Parent 23 0 R
/Rect [129.720596 426.160126 530.651978 443.469757]
/Subtype /Widget
/Type /Annot
>>
endobj
54 0 obj
<<
/AP <<
/D <<
/Off 144 0 R
/Yes 145 0 R
>>
/N <<
/Off 146 0 R
/Yes 147 0 R
>>
>>
/AS /Off
/DA (0 g /F1 0 Tf)
/F 4
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 24 0 R
/Rect [389.60968 492.237122 407.60968 510.237122]
/Subtype /Widget
/Type /Annot
>>
endobj
55 0 obj
<<
/AP <<
/D <<
/Off 148 0 R
/Yes 149 0 R
>>
/N <<
/Off 150 0 R
/Yes 151 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 25 0 R
/Rect [101.196854 361.275604 119.196854 379.275604]
/Subtype /Widget
/T (0)
/Type /Annot
>>
endobj
56 0 obj
<<
/AP <<
/D <<
/Off 148 0 R
/Yes 149 0 R
>>
/N <<
/Off 150 0 R
/Yes 151 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 25 0 R
/Rect [101.196854 337.322845 119.196854 355.322845]
/Subtype /Widget
/T (1)
/Type /Annot
>>
endobj
57 0 obj
<<
/AP <<
/D <<
/Off 148 0 R
/Yes 149 0 R
>>
/N <<
/Off 150 0 R
/Yes 151 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 25 0 R
/Rect [101.196854 313.370087 119.196854 331.370087]
/Subtype /Widget
/T (2)
/Type /Annot
>>
endobj
58 0 obj
<<
/AP <<
/D <<
/Off 148 0 R
/Yes 149 0 R
>>
/N <<
/Off 150 0 R
/Yes 151 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 25 0 R
/Rect [101.196854 289.417328 119.196854 307.417328]
/Subtype /Widget
/T (3)
/Type /Annot
>>
endobj
59 0 obj
<<
/AP <<
/D <<
/Off 148 0 R
/Yes 149 0 R
>>
/N <<
/Off 150 0 R
/Yes 151 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 25 0 R
/Rect [101.196854 265.464569 119.196854 283.464569]
/Subtype /Widget
/T (4)
/Type /Annot
>>
endobj
60 0 obj
<<
/AP <<
/D <<
/Off 148 0 R
/Yes 149 0 R
>>
/N <<
/Off 150 0 R
/Yes 151 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 25 0 R
/Rect [101.196854 241.51181 119.196854 259.51181]
/Subtype /Widget
/T (5)
/Type /Annot
>>
endobj
61 0 obj
<<
/BBox [0 0 353.56839 21.500031]
/Filter [/FlateDecode]
/Length 51
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3P0 wCr.=S 26535P02 rRC*|\ ,
endstream
endobj
62 0 obj
<<
/BBox [0 0 265.038696 40.998169]
/Filter [/FlateDecode]
/Length 54
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3P0 wCr.=S 22330T0ԳP(J
Ppurb .
endstream
endobj
63 0 obj
<<
/AP <<
/D <<
/Off 152 0 R
/Yes 153 0 R
>>
/N <<
/Off 154 0 R
/Yes 155 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 28 0 R
/Rect [54.518322 133.485413 71.51799 150.985474]
/Subtype /Widget
/T (0)
/Type /Annot
>>
endobj
64 0 obj
<<
/AP <<
/D <<
/Off 156 0 R
/Yes 157 0 R
>>
/N <<
/Off 158 0 R
/Yes 159 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 28 0 R
/Rect [54.518322 115.001099 71.51799 132.50116]
/Subtype /Widget
/T (1)
/Type /Annot
>>
endobj
65 0 obj
<<
/AP <<
/D <<
/Off 156 0 R
/Yes 157 0 R
>>
/N <<
/Off 158 0 R
/Yes 159 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 28 0 R
/Rect [54.518322 98.01664 71.51799 115.516701]
/Subtype /Widget
/T (2)
/Type /Annot
>>
endobj
66 0 obj
<<
/AP <<
/D <<
/Off 156 0 R
/Yes 157 0 R
>>
/N <<
/Off 158 0 R
/Yes 159 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 28 0 R
/Rect [55.01849 70.532417 72.018158 88.032478]
/Subtype /Widget
/T (3)
/Type /Annot
>>
endobj
67 0 obj
<<
/AP <<
/D <<
/Off 156 0 R
/Yes 157 0 R
>>
/N <<
/Off 158 0 R
/Yes 159 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 28 0 R
/Rect [54.518322 51.548164 71.51799 69.048225]
/Subtype /Widget
/T (4)
/Type /Annot
>>
endobj
68 0 obj
<<
/AP <<
/D <<
/Off 156 0 R
/Yes 157 0 R
>>
/N <<
/Off 158 0 R
/Yes 159 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 28 0 R
/Rect [54.518322 33.06385 71.51799 50.563911]
/Subtype /Widget
/T (5)
/Type /Annot
>>
endobj
69 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 52
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x37UЃt.C*JJs
ʹLA( i
endstream
endobj
70 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 118
/Resources <<
/Font <<
/F0 6 0 R
>>
>>
/Subtype /Form
/Type /XObject
>>
stream
x-=A{NJm!3x u7fO/<c!@{24rb%+$W*(КMc 3P~N>p71TcMN_3x
endstream
endobj
71 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 48
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3T0¢t.C*JJs
܁\z
@dhB@`. #
endstream
endobj
72 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 116
/Resources <<
/Font <<
/F0 6 0 R
>>
>>
/Subtype /Form
/Type /XObject
>>
stream
x0Dwōt vH"Aw _t6kPXKT\g
b-{+99+_zhGzՊu+;=
endstream
endobj
73 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 52
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x37UЃt.C*JJs
ʹLA( i
endstream
endobj
74 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 118
/Resources <<
/Font <<
/F0 6 0 R
>>
>>
/Subtype /Form
/Type /XObject
>>
stream
x-=A{NJm!3x u7fO/<c!@{24rb%+$W*(КMc 3P~N>p71TcMN_3x
endstream
endobj
75 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 48
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3T0¢t.C*JJs
܁\z
@dhB@`. #
endstream
endobj
76 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 116
/Resources <<
/Font <<
/F0 6 0 R
>>
>>
/Subtype /Form
/Type /XObject
>>
stream
x0Dwōt vH"Aw _t6kPXKT\g
b-{+99+_zhGzՊu+;=
endstream
endobj
77 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 52
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x37UЃt.C*JJs
ʹLA( i
endstream
endobj
78 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 118
/Resources <<
/Font <<
/F0 6 0 R
>>
>>
/Subtype /Form
/Type /XObject
>>
stream
x-=A{NJm!3x u7fO/<c!@{24rb%+$W*(КMc 3P~N>p71TcMN_3x
endstream
endobj
79 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 48
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3T0¢t.C*JJs
܁\z
@dhB@`. #
endstream
endobj
80 0 obj
<<
/BBox [0 0 18 18]
/Filter [/FlateDecode]
/Length 116
/Resources <<
/Font <<
/F0 6 0 R
>>
>>
/Subtype /Form
/Type /XObject
>>
stream
x0Dwōt vH"Aw _t6kPXKT\g
b-{+99+_zhGzՊu+;=
endstream
endobj
81 0 obj
<<
/AP <<
/D <<
/Off 160 0 R
/Yes 161 0 R
>>
/N <<
/Off 162 0 R
/Yes 163 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 32 0 R
/Rect [284.095459 132.485519 300.094757 146.985855]
/Subtype /Widget
/T (0)
/Type /Annot
>>
endobj
82 0 obj
<<
/AP <<
/D <<
/Off 164 0 R
/Yes 165 0 R
>>
/N <<
/Off 166 0 R
/Yes 167 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 32 0 R
/Rect [284.095459 115.985184 300.094757 130.485519]
/Subtype /Widget
/T (1)
/Type /Annot
>>
endobj
83 0 obj
<<
/AP <<
/D <<
/Off 164 0 R
/Yes 165 0 R
>>
/N <<
/Off 166 0 R
/Yes 167 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 32 0 R
/Rect [284.095459 99.484848 300.094757 113.985184]
/Subtype /Widget
/T (2)
/Type /Annot
>>
endobj
84 0 obj
<<
/AP <<
/D <<
/Off 164 0 R
/Yes 165 0 R
>>
/N <<
/Off 166 0 R
/Yes 167 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 32 0 R
/Rect [284.095459 82.984512 300.094757 97.484848]
/Subtype /Widget
/T (3)
/Type /Annot
>>
endobj
85 0 obj
<<
/AP <<
/D <<
/Off 164 0 R
/Yes 165 0 R
>>
/N <<
/Off 166 0 R
/Yes 167 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 32 0 R
/Rect [284.095459 66.484177 300.094757 80.984512]
/Subtype /Widget
/T (4)
/Type /Annot
>>
endobj
86 0 obj
<<
/AP <<
/D <<
/Off 164 0 R
/Yes 165 0 R
>>
/N <<
/Off 166 0 R
/Yes 167 0 R
>>
>>
/AS /Off
/DA (0 g /F0 0 Tf)
/F 4
/FT /Btn
/MK <<
/BC [0 0 0]
/BG [1 1 1]
/CA ()
>>
/P 37 0 R
/Parent 32 0 R
/Rect [284.095459 49.983841 300.094757 64.484177]
/Subtype /Widget
/T (5)
/Type /Annot
>>
endobj
87 0 obj
<<
/BBox [0 0 144.998322 15.500626]
/Filter [/FlateDecode]
/Length 53
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3P0 wCr.=S 241ֳ z
E\\!
N\@
o
endstream
endobj
88 0 obj
<<
/BBox [0 0 179.009766 16.500534]
/Filter [/FlateDecode]
/Length 52
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3P0 wCr.=S 2430T043RE\\!
N\@
/
endstream
endobj
89 0 obj
<<
/BBox [0 0 187.512573 14.000771]
/Filter [/FlateDecode]
/Length 54
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3P0 wCr.=S 20354V04300T(J
Ppurb
_
endstream
endobj
90 0 obj
<<
/BBox [0 0 151.500488 44.997787]
/Filter [/FlateDecode]
/Length 51
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3P0 wCr.=S 245 &z
E\\!
N\@ a
endstream
endobj
91 0 obj
<<
/Filter [/FlateDecode]
/Length 3385
>>
stream
x\Ys7~篘Ӱ*>lr6lm1"m3(b@p@BdAvŚ4_n`ی6W3Ҽ}z1;\gF:km S6W/XC \ha~Fe{=g;1Bj.}~1m&< 4ktGat'u?'g׳alWL=9-GU
j;m-9$y s%wJiGE7AĨVfZB jZ9d_mmѼ1qNȇFXĴݳhӍ'ٻ\__/V;:ӂ*dz|]h]KsYQ?7.{մ7j xFKv҂TzEz-=ծs- 眲\\P'!}4sfMvoӖ&(VGc92OQT/֗6Ƌ٬/?oVjlvvhlXNF*11v,Ѳ[ ݛD~,vf-Ycd$ɶY]7.n`?mzxcٯny]f
ml jrnYl~~ܮv(gvozGviK2{zg3`r\*~H.WݛfhlLOrhkYG~vtz6獟+٭``t:7SJ씎?䥶-xcƿ=\i(&c`}Q~x{ױCEXpJ8z5ezW_w2d X4sF~F
qXI\%z$ϴ>Egv\z>?k+!'Q4+NA8{|h`eJ Gn3>,p>¥~>nnvחޛW ie
wf;>ӐB#
=7[].¤65p,ݞ,5^2a._b}Vc
h퉕:Z*1΄0)[ݱJR
ecRd1id2?SYBdkP[kZ0PENGU)cX U2EZL丒XZJ$Z9j!"RqKj9`=%ch杪 Dk[u0# ((d]bB! _Tf
1W+; aW%rt'ZZl64R>
2tԆ|0|7{vs]H`1%3QʮPDc9s*tKԉE1uALW8X0b8@tV뢬MLjzՐPa70j=4|&UBXnL_ƫRQ-ŨںQUEQQXaUҙ+6ۗQE),pJޓ8h"ܢe@)q{+iZoqY7^}<Mr/Q{uk;of^xKe'Q(ɈÌ8^^Ka)g.z/n5"Qqɵ,nKU>;+A{,$Ԁ9:^Uj 6+ځ&\wZjf3Pj`'p)@ +^ R_@QWրaJ*6*"X "1_d#rQfA#E
!ggG5385an!Nw9ڀoX}h
h]~nCl
{]n>rLJά&Pq .DczOV^'4@Ubb
$nRgUy
GwåWgPt[pt
Yǻ|gFM@'>/78HeAB֣s{\iD.j
U3Z"YԞa59{T}P!|>n&$"jd\,Lwco],T!0Mt:YUQ[O1W>ӭG*9zwʙ;i}e=MvA5۳^D{"=D
j
{yB,LLYZ62S9HEZeܾu0t|n'#9GV2()+Z