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}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trrh305\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3231\clshdrawnil \cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3331\clshdrawnil \cellx10351\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh305\trleft840\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4734\clshdrawnil \cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4777\clshdrawnil \cellx10351\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trrh305\trleft840\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4734\clshdrawnil \cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4777\clshdrawnil \cellx10351\row \ltrrow}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh321\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3231\clshdrawnil \cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3331\clshdrawnil \cellx10351\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 City:}{\rtlch\fcs1 \af37 
\ltrch\fcs0 \f37\insrsid10034880 \cell \cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 City:}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trrh321\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3231\clshdrawnil 
\cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3331\clshdrawnil \cellx10351\row \ltrrow}\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trrh305\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth723\clshdrawnil \cellx3066\clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth809\clshdrawnil \cellx3875\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1699\clshdrawnil \cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth903\clshdrawnil \cellx7923\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth809\clshdrawnil \cellx8732\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx10351\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 State:}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell }{\rtlch\fcs1 \ab\af37\afs20 
\ltrch\fcs0 \b\f37\fs20\insrsid10034880 Zip:}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 State:}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell }{
\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 Zip:}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 
\ltrch\fcs0 \f37\insrsid10034880 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trrh305\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth723\clshdrawnil \cellx3066\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth809\clshdrawnil \cellx3875\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1699\clshdrawnil \cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth903\clshdrawnil \cellx7923\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth809\clshdrawnil \cellx8732\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx10351\row \ltrrow
}\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trrh305\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3231\clshdrawnil \cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth3331\clshdrawnil \cellx10351\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 Phone #:}{\rtlch\fcs1 \af37 
\ltrch\fcs0 \f37\insrsid10034880 \cell \cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 Phone #:}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trrh305\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3231\clshdrawnil 
\cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3331\clshdrawnil \cellx10351\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 
\b\f37\fs20\insrsid10034880 Fax #:\cell }{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell }{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 Fax #:\cell }{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trrh305\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3231\clshdrawnil 
\cellx5574\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3331\clshdrawnil \cellx10351\row \ltrrow}\trowd \irow8\irowband8\lastrow \ltrrow\ts11\trgaph108\trrh321\trleft840\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind948\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1503\clshdrawnil \cellx2343\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3231\clshdrawnil \cellx5574\clvertalc
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1446\clshdrawnil \cellx7020\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
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181010101008181810181010181810182939214a7318426b18313918316b314ade1818291818213131de29298c2929b52929b518181818182121216b3139ef21
21733131de2929841818181010104a4a4afffffffffffffffffffffffffffffffffffffff7f7d6d6d6b5b5b58c8c846b63634242422929211810101008080808
0818100810101018181010101018181810101018181810101018181810101018101010080818100810100818212918182918181010101021298c21218c2931ce
2931e72931ce21298429298c2931e721215a2931ce2931b5101010100808736b6bffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffefe7e7cec6c69c9c9c847b7b524a4a3131311818181810100808081010081010101818181810101818181810101818181818181818181010101818
1818181818181818101018182118183921215a29298429298c21298c3139e73131ef3139f729296b6b6b633931319c9494ffffffffffffffffffffffffffffff
fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7efefd6d6d6adadad8c8c8c63636342393921211818101808080810
0808080808101010101010181818101010181818101010181818101010181810101008181010101010181818181829212152181831313129a59c9c635a5ab5b5
b5ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffefe7e7c6bdbda59c9c7b7373635a5a31313129212118101010100808080818101010101018181018101018181818181818181818181821212121
2118212121211818292929292929e7e7e7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffdededebdbdbd94948c736b6b4a4242292929181810181008
080808100808101010181818181818212121212121212121101010423939fff7f7ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffefefefd6ceceada5a58484845a5a524239392921212121181810101818181818101010088c8c8cffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
fffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff7f7f7e7dedebdb5b59c9c946b6b6b5a5a5a949494ffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffffff
ffffffffffffffffffffffffffffffffffffffffffffffffffff0c00000040092900aa000000000000001e00300000000000040000002701ffff030000000000}}}}}\sectd \linex0\endnhere\sectlinegrid360\sectdefaultcl\sectrsid2633370\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 
\insrsid1708158 
\par }}\dpx6990\dpy67\dpxsize3780\dpysize629\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid10034880\charrsid11891585 \line __}{\rtlch\fcs1 
\af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid4611747\charrsid11891585 Pay By }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid10034880\charrsid11891585 Credit Card (Vi}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid5641891 sa, MasterCard,}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid3047270  Amex,}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid5641891  }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid1708158 Discover}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 
\f37\fs20\insrsid10034880\charrsid11891585 )}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\cf1\insrsid11213168\charrsid11213168  }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid11213168\charrsid11891585 
\par }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid10034880\charrsid11891585 
\par }\pard \ltrpar\ql \fi1080\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid16211216 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid10034880\charrsid11891585 Name as it appears on card}{\rtlch\fcs1 
\af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid11939358  }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid10034880\charrsid11891585 ___________________________}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid5710959\charrsid11891585 _______}{
\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid10034880\charrsid11891585 
\par }\pard \ltrpar\ql \fi1080\li720\ri0\sb120\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid16211216 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid10034880\charrsid11891585 
Credit Card Number_________________Exp. Date______(Month/Year)
\par }\pard \ltrpar\ql \li1800\ri0\sb120\sa120\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1800\itap0\pararsid5969599 {\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid14375015\charrsid11891585 Security Code:_____}{\rtlch\fcs1 
\af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid2633370\charrsid11891585  }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid5969599\charrsid11891585 (The last 3 digits at the back of Visa/MC}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 
\f37\fs20\insrsid14375015\charrsid11891585 , or the 4-}{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\insrsid5969599\charrsid11891585 digit number on the front of AmEx)
\par }\pard \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trqc\trgaph108\trrh526\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil 
\cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802
\pard\plain \ltrpar\s4\ql \li0\ri0\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\pararsid16211216 \rtlch\fcs1 \ab\af37\afs24\alang1025 \ltrch\fcs0 
\b\f37\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid10034880 Items\cell }\pard\plain \ltrpar
\s2\qc \li0\ri0\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\pararsid11891585 \rtlch\fcs1 \ab\af37\afs20\alang1025 \ltrch\fcs0 \b\f37\fs20\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 
\af37 \ltrch\fcs0 \insrsid10034880 Quantity\cell }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11891585 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 Price (each)\cell Sub-total\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid10034880 \trowd \irow0\irowband0\ltrrow\ts11\trqc\trgaph108\trrh526\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil 
\cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell 
\cell $\cell $\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow1\irowband1\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 
{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 
\trowd \irow2\irowband2\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil 
\cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow3\irowband3\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil 
\cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 
\f37\insrsid10034880 \cell \cell \cell \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow4\irowband4\ltrrow
\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil 
\cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell \cell \cell \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow5\irowband5\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil 
\cellx5742\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1521\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow}\trowd \irow6\irowband6\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2781\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 
\af37 \ltrch\fcs0 \f37\insrsid10034880 \cell }\pard \ltrpar\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 Shipping Charges}{
\rtlch\fcs1 \ab\af37\afs18 \ltrch\fcs0 \b\f37\fs18\insrsid10034880 *}{\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 :\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow6\irowband6\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2781\clshdrawnil 
\cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell }\pard \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \ab\af37\afs20 \ltrch\fcs0 \b\f37\fs20\insrsid10034880 CA}{\rtlch\fcs1 \ab\af37\afs16 \ltrch\fcs0 \b\f37\fs16\insrsid10034880 
 Sales Tax: 7.75%\line (if applicable)\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow7\irowband7\ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2781\clshdrawnil 
\cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row \ltrrow}\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \cell }\pard \ltrpar
\qr \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \ab\af37 \ltrch\fcs0 \b\f37\insrsid10034880 Total:\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16211216 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 $\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 \trowd \irow8\irowband8\lastrow \ltrrow\ts11\trqc\trgaph108\trrh360\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind0\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4482\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2781\clshdrawnil \cellx7263\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1539\clshdrawnil \cellx8802\row }\pard\plain \ltrpar
\s15\ql \fi720\li2880\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin2880\itap0\pararsid5641891 \rtlch\fcs1 \af37\afs14\alang1025 \ltrch\fcs0 \f37\fs14\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af37 \ltrch\fcs0 
\insrsid7424092 *}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2961384 Please see the }{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid5641891  shipping policy for the shipping charges}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid16211216 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\lang1024\langfe1024\noproof\insrsid9777532 {\shp{\*\shpinst\shpleft0\shptop260\shpright10620\shpbottom2420\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz1\shplid1028
{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}{\sp{\sn lTxid}{\sv 196608}}{\sp{\sn fRecolorFillAsPicture}{\sv 0}}{\sp{\sn fUseShapeAnchor}{\sv 0}}{\sp{\sn fFilled}{\sv 0}}{\sp{\sn fLine}{\sv 0}}
{\sp{\sn fLayoutInCell}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \ltrpar \pard\plain \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1708158 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs34 \ltrch\fcs0 \b\f37\fs34\insrsid1708158 Please send your order to:
\par }{\rtlch\fcs1 \ab\af37\afs34 \ltrch\fcs0 \b\f37\fs34\insrsid5641891 Candle4Less}{\rtlch\fcs1 \ab\af37\afs34 \ltrch\fcs0 \b\f37\fs34\insrsid1708158\charrsid1708158 
\par }{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid13123481 3501  Hancock}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid5641891  }{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid13123481 Street}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 
\f37\fs34\insrsid7894873        }{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid5641891 San Diego CA 921}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid9452415 10}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid1708158 
\par }\pard\plain \ltrpar\s5\qc \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0\pararsid1708158 \rtlch\fcs1 \af37\afs34\alang1025 \ltrch\fcs0 \f37\fs34\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158 Toll Free: 1-}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid940442 877-76}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2961384 6-5328}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158      Fax: 1-}{\rtlch\fcs1 \af37 
\ltrch\fcs0 \insrsid2961384 516}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158 -}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2961384 977}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158 -}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2961384 4150}{\rtlch\fcs1 \af37 
\ltrch\fcs0 \insrsid1708158 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1708158 

\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8193\dptxbx\dptxlrtb{\dptxbxtext\ltrpar \pard\plain \ltrpar\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1708158 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \ab\af37\afs34 \ltrch\fcs0 \b\f37\fs34\insrsid1708158 Please send your order to:
\par }{\rtlch\fcs1 \ab\af37\afs34 \ltrch\fcs0 \b\f37\fs34\insrsid5641891 Candle4Less}{\rtlch\fcs1 \ab\af37\afs34 \ltrch\fcs0 \b\f37\fs34\insrsid1708158\charrsid1708158 
\par }{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid13123481 3501  Hancock}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid5641891  }{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid13123481 Street}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 
\f37\fs34\insrsid7894873        }{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid5641891 San Diego CA 921}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid9452415 10}{\rtlch\fcs1 \af37\afs34 \ltrch\fcs0 \f37\fs34\insrsid1708158 
\par }\pard\plain \ltrpar\s5\qc \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0\pararsid1708158 \rtlch\fcs1 \af37\afs34\alang1025 \ltrch\fcs0 \f37\fs34\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158 Toll Free: 1-}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid940442 877-76}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2961384 6-5328}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158      Fax: 1-}{\rtlch\fcs1 \af37 
\ltrch\fcs0 \insrsid2961384 516}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158 -}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2961384 977}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid1708158 -}{\rtlch\fcs1 \af37 \ltrch\fcs0 \insrsid2961384 4150}{\rtlch\fcs1 \af37 
\ltrch\fcs0 \insrsid1708158 
\par }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs24\alang1025 \ltrch\fcs0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1708158 

\par }}\dpx0\dpy260\dpxsize10620\dpysize2160\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid10034880 
\par }{\rtlch\fcs1 \af37\afs20 \ltrch\fcs0 \f37\fs20\cf1\insrsid11213168 \~}{\rtlch\fcs1 \af37 \ltrch\fcs0 \f37\insrsid3368251 
\par }}