%PDF-1.7
%
9 0 obj
<>
stream
x" pdf1.73Adobe LiveCycle Designer 11.0Adobe LiveCycle Designer 11.0161110simplex0appDefault0delegatedelegate0*memoryoverwriteC:\Users\jhobbs\AppData\Local\Temp\pdfforbiddenC:\Users\jhobbs\AppData\Local\Temp\preSubmit11.0.0.20130303.1.892433Angie Calignia 02/12/201902/12/2019JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberJanFebMarAprMayJunJulAugSepOctNovDecSundayMondayTuesdayWednesdayThursdayFridaySaturdaySunMonTueWedThuFriSatAMPMBCADEEEE, MMMM D, YYYYMMMM D, YYYYMMM D, YYYYM/D/YYh:MM:SS A Zh:MM:SS A Zh:MM:SS Ah:MM AGyMdkHmsSEDFwWahKzZz,zz9.zzz$z,zz9.99|($z,zz9.99)z,zz9%.,%-0$USD.2019-02-12T15:52:25ZAdobe LiveCycle Designer 11.0Adobe LiveCycle Designer 11.0uuid:26f92ccd-4226-4d0c-8d37-450c23bc779211.0.0.20130303.1.892433/template/subform[1]?
endstream
endobj
7 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 107
/Matrix [1 0 0 1 0 0]
>>
stream
x` /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td (02/12/2019)Tj ET Q EMC -
endstream
endobj
8 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 107
/Matrix [1 0 0 1 0 0]
>>
stream
x` /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td (02/12/2019)Tj ET Q EMC -
endstream
endobj
4 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 107
/Matrix [1 0 0 1 0 0]
>>
stream
x` /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td (02/12/2019)Tj ET Q EMC -
endstream
endobj
3 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 107
/Matrix [1 0 0 1 0 0]
>>
stream
x` /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td (02/12/2019)Tj ET Q EMC -
endstream
endobj
6 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 111
/Matrix [1 0 0 1 0 0]
>>
stream
xd /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td (Angie Calignia)Tj ET Q EMC ,
endstream
endobj
1 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 98
/Matrix [1 0 0 1 0 0]
>>
stream
xW /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td ( )Tj ET Q EMC 0
endstream
endobj
5 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 111
/Matrix [1 0 0 1 0 0]
>>
stream
xd /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td (Angie Calignia)Tj ET Q EMC ,
endstream
endobj
2 0 obj
<>
/ProcSet [/PDF /Text /ImageB /ImageC /ImageI]
>>
/Type /XObject
/Filter /FlateDecode
/Length 98
/Matrix [1 0 0 1 0 0]
>>
stream
xW /Tx BMC q 1 1 155.4 23.51 re W n 0 g BT /MyriadPro-Regular 10 Tf 2 8 Td ( )Tj ET Q EMC 0
endstream
endobj
11 0 obj
<>
/ProcSet [/PDF /ImageC]
>>
>>
endobj
12 0 obj
<>
stream
q
612 0 0 792 0 0 cm
/Im0 Do
Q
endstream
endobj
15 0 obj
<>
stream
Adobe d
"$*$ $+(( $)%%1/%).*++9+*./45554/;;;;;;;;;;;;;;;;;;;;;
$2(!(2;4222;;;;;;;;;;;;;;;;;@@@@@;@@@@@@@@@@@@@@@@@@@@@
$2(!(2;4222;;;;;;;;;;;;;;;;;@@@@@;@@@@@@@@@@@@@@@@@@@@@ "
[ !13AQq"Ra24BSr#5TbdsDt$%CEc&6FU
'()*789:GHIJVWXYZefghijuvwxyz ^C
!"#$%&'()*123456789:ABCDEFGHIJQRSTUVWXYZabcdefghijqrstuvwxyz ? ? ? ? ? ? ? ? ? ?