ࡱ> s bjbj2)2) |PCfPCf)TTTTThhhhDthR2''''',37PPPPPPP$3TVPTAo+',AAPTT''Q"P"P"PA T'T'P"PAP"P"P"P'`A "PPQ0R"PqWAzqW"PqWT"P8`W;"P =\e>O888PPBJ888RAAAAqW888888888X :  STATE OF WISCONSIN Please return this completed form to: HIGHER EDUCATIONAL AIDS BOARD Higher Educational Aids Board P.O. Box 7885 RESIDEN CY DETERMINATION FORM Madison, WI 53707-7885  Please attach the following documents to the Residency Determination Form: ( The most recent State and Federal Income Tax returns including W-2 forms. ( If you are not a U.S. citizen, please provide citizenship related documentation e.g. a copy of your Permanent Residency Card. Please indicate the names of the colleges / universities you would like the results of your Wisconsin residency determination to be sent to:  FORMTEXT        FORMTEXT       Student Data Social Security Number  FORMTEXT      Name: Last  FORMTEXT      First  FORMTEXT      M.I.  FORMTEXT       FORMCHECKBOX  Male  FORMCHECKBOX  Female  FORMCHECKBOX  Single  FORMCHECKBOX  MarriedCurrent Telephone Number (  FORMTEXT       )  FORMTEXT      Birth Date: (Month / Day / Year)  FORMTEXT      Permanent Home Address Street  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip Code  FORMTEXT      From: (Month / Year)  FORMTEXT      To: (Month / Year)  FORMTEXT      Permanent Home Address Street  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip Code  FORMTEXT      From: (Month / Year)  FORMTEXT      To: (Month / Year)  FORMTEXT      Permanent Home Address Street  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip Code  FORMTEXT      From: (Month / Year)  FORMTEXT      To: (Month / Year)  FORMTEXT      Permanent Home Address Street  FORMTEXT      City  FORMTEXT      State  FORMTEXT      Zip Code  FORMTEXT      From: (Month / Year)  FORMTEXT      To: (Month / Year)  FORMTEXT      How many years have you resided in Wisconsin?  FORMTEXT      Are you a U.S. citizen?  FORMCHECKBOX  yes  FORMCHECKBOX  no If no, give visa type and number Visa Type  FORMTEXT       Visa Number  FORMTEXT       Please list all states you have resided in, including Wisconsin, starting with the most current. City  FORMTEXT       State  FORMTEXT       From: (Month / Year)  FORMTEXT       To: (Month / Year)  FORMTEXT       City  FORMTEXT       State  FORMTEXT       From: (Month / Year)  FORMTEXT       To: (Month / Year)  FORMTEXT       City  FORMTEXT       State  FORMTEXT       From: (Month / Year)  FORMTEXT       To: (Month / Year)  FORMTEXT       City  FORMTEXT       State  FORMTEXT       From: (Month / Year)  FORMTEXT       To: (Month / Year)  FORMTEXT       Last year completed at a postsecondary institution Undergraduate  FORMCHECKBOX  Freshman  FORMCHECKBOX  Sophomore  FORMCHECKBOX  Junior  FORMCHECKBOX  Senior  FORMCHECKBOX  5th Year Graduate/Professional  FORMCHECKBOX  1st  FORMCHECKBOX  2nd  FORMCHECKBOX  3rd  FORMCHECKBOX  4th High School you graduated from:  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Name City State Date of GraduationList all post secondary schools (in chronological order, starting with the most current).Tuition Classification (if Applicable) Institution Campus/Location/State Dates of Attendance  FORMTEXT         FORMTEXT        Month / Year Month / Year From:  FORMTEXT       To:  FORMTEXT         FORMCHECKBOX  Full-Time  FORMCHECKBOX  Part-Time  FORMCHECKBOX  Resident  FORMCHECKBOX  Nonresident  FORMTEXT         FORMTEXT        Month / Year Month / Year From:  FORMTEXT       To:  FORMTEXT         FORMCHECKBOX  Full-Time  FORMCHECKBOX  Part-Time  FORMCHECKBOX  Resident  FORMCHECKBOX  Nonresident  FORMTEXT         FORMTEXT        Month / Year Month / Year From:  FORMTEXT       To:  FORMTEXT         FORMCHECKBOX  Full-Time  FORMCHECKBOX  Part-Time  FORMCHECKBOX  Resident  FORMCHECKBOX  Nonresident  FORMTEXT         FORMTEXT        Month / Year Month / Year From:  FORMTEXT       To:  FORMTEXT       Month / Year Month / Year  FORMCHECKBOX  Full-Time  FORMCHECKBOX  Part-Time  FORMCHECKBOX  Resident  FORMCHECKBOX  NonresidentSources of Support for Current Year Parents  FORMTEXT       % Spouse  FORMTEXT       % Employment  FORMTEXT       % Other *  FORMTEXT       % Savings  FORMTEXT       % Loans  FORMTEXT       % Financial Aid  FORMTEXT       % NOTE: Total percentages must equal 100% for each year. Sources of Support for Last Year Parents  FORMTEXT       % Spouse  FORMTEXT       % Employment  FORMTEXT       % Other *  FORMTEXT       % Savings  FORMTEXT       % Loans  FORMTEXT       % Financial Aid  FORMTEXT       % * includes any other sources of support not listed here. HEAB Residency Determination Form (Rev. 3/07) List periods of full-time employment and part-time employment, starting with the most current. Employer  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Hours per week:  FORMTEXT       From:  FORMTEXT       To:  FORMTEXT       Month / Year Month / Year Employer  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Hours per week:  FORMTEXT       From:  FORMTEXT       To:  FORMTEXT       Month / Year Month / Year Employer  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Hours per week:ABe & ' r s     ߿udW@-jh|hAw5>*OJQJU^Jh|5>*OJQJ^J!jh|5>*OJQJU^JhoIkhDF5CJ OJQJaJ  jhDF5CJOJQJ jhDFCJOJQJhDFCJOJQJ)jhDF5CJOJQJUmHnHuhDF5CJOJQJhDFCJOJQJhDF>*CJOJQJhDF5CJOJQJ)jhDF5CJOJQJUmHnHuB& r  , . X Z t $Ifgd`h $If^ L,gd`hL`L h^$a$`   " $ & ( * , . 0 D F H J L N P R T V X ǷvaaaaaSEhoIkhDF>*OJQJ^JhoIkh`h>*OJQJ^J)jh|>*OJQJU^JmHnHu*jvh|hAw>*OJQJU^Jh|>*OJQJ^Jjh|>*OJQJU^JhoIkhDF5CJ OJQJaJ hoIkhDF5>*OJQJ^JhoIkh`h5>*OJQJ^J,jh|5>*OJQJU^JmHnHu!jh|5>*OJQJU^JX Z r t    ǼǑǃpZpBBB/jh`hh`h5OJQJU^JmHnHu*j`h`hh`h5OJQJU^J$jh`hh`h5OJQJU^Jh`hh`h5OJQJ^J)jh`h5OJQJU^JmHnHu*jh`hh`h5OJQJU^Jh`h5OJQJ^Jjh`h5OJQJU^Jh`hCJOJQJhDFCJOJQJhDF5CJOJQJhDFCJOJQJ      2 4 6 8 : < > @ B D N P R f h j l n p r t v z ƼlllllƼVllllƼ*jHh`hh`h5OJQJU^J)jh`h5OJQJU^JmHnHu*jh`hh`h5OJQJU^Jh`h5OJQJ^Jjh`h5OJQJU^Jh`hCJOJQJhDFCJOJQJh`hh`h5OJQJ^J$jh`hh`h5OJQJU^J/jh`hh`h5OJQJU^JmHnHu    D N P v v $If $Ifgd`h z |    @ B ^ ` b v x z | ~ Ʌ{{dR#h`hh`h5CJOJQJ^JaJ,jh`hh`h5CJOJQJU^JaJhDFCJOJQJhDFOJQJ'jh`hh`hCJOJQJU'jh`hh`hCJOJQJU'j0h`hh`hCJOJQJUhDFCJOJQJ'jh`hh`hCJOJQJUh`hCJOJQJjh`hCJOJQJU v x z | ~ LcVMMMGGG$If $$Ifa$ $$If^a$kd$$Ifl4ֈP $,`t ` `p ` p L 4 laf4  ϳϩgOOOOO> h`hhDFCJOJQJ^JaJ.jh`hCJOJQJU^JaJmHnHu/jh`hh`hCJOJQJU^JaJh`hCJOJQJ^JaJ#jh`hCJOJQJU^JaJh`hCJOJQJhDFCJOJQJ7jh`hh`h5CJOJQJU^JaJmHnHu,jh`hh`h5CJOJQJU^JaJ2jh`hh`h5CJOJQJU^JaJ LNbdfhjlnprtv趶thRt<<<*jh_CJOJQJU^JmHnHu+jh_h CJOJQJU^Jh_CJOJQJ^Jjh_CJOJQJU^Jh_h_CJOJQJaJh_CJOJQJaJh_CJOJQJh`hh`hOJQJ^J&jh`hOJQJU^JmHnHu'jmh`hh`hOJQJU^Jh`hOJQJ^Jjh`hOJQJU^JhDFCJOJQJLtv_RRR b@$Ifgd_kd$$Ifl4ֈP $, t   p pL4 laf4$If    4}eeeeeT h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu/jZh_h CJOJQJU^JaJh_CJOJQJ^JaJ#jh_CJOJQJU^JaJh_CJOJQJaJh_CJOJQJh_h_CJOJQJ^Jjh_CJOJQJU^J*jh_CJOJQJU^JmHnHuFXZ&$If 468:<>@BDFVXZ\prtvxz|~սլՈpսլՈXս/j h_h CJOJQJU^JaJ/jF h_h CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu#jh_CJOJQJU^JaJ/jh_h CJOJQJU^JaJ" "$&(bdfh|~Ż֡Żzj^Hj+j h_h_CJOJQJU^Jh_CJOJQJ^Jjh_CJOJQJU^Jh_h_CJOJQJaJ/j2 h_h CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ#jh_CJOJQJU^JaJ.jh_CJOJQJU^JaJmHnHu&(dfh[[[RRRRR $Ifgd_ b@$Ifgd_kd $$IflֈP !`',Lp|4 la }eeeeeT h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu/j h_h_CJOJQJU^JaJh_CJOJQJ^JaJ#jh_CJOJQJU^JaJh_CJOJQJaJh_CJOJQJh_h_CJOJQJ^Jjh_CJOJQJU^J*jh_CJOJQJU^JmHnHu  "$&(*,.024\^`bvxz|~սլՈpսլՈXս/j[ h_h_CJOJQJU^JaJ/j h_h_CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu#jh_CJOJQJU^JaJ/jo h_h_CJOJQJU^JaJ"  4^` $Ifgd_ .02Ż֡Żzj^Hj+j"h_h_CJOJQJU^Jh_CJOJQJ^Jjh_CJOJQJU^Jh_h_CJOJQJaJ/j h_h_CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ#jh_CJOJQJU^JaJ.jh_CJOJQJU^JaJmHnHu@JLth[[[RRRRR $Ifgd_ b@$Ifgd_kdG$$IflֈP !`',Lp|4 la 2468:<>@HJLNbdfhjlnprt~}eeeeeT h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu/jh_h_CJOJQJU^JaJh_CJOJQJ^JaJ#jh_CJOJQJU^JaJh_CJOJQJaJh_CJOJQJh_h_CJOJQJ^Jjh_CJOJQJU^J*jh_CJOJQJU^JmHnHu(*,.024սլՈpսլՈXս/jh_h_CJOJQJU^JaJ/jh_h_CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu#jh_CJOJQJU^JaJ/jh_h_CJOJQJU^JaJ":`b $Ifgd_ 468:^`bdxz|~Ż֡Żzj^Hj+jh_h_CJOJQJU^Jh_CJOJQJ^Jjh_CJOJQJU^Jh_h_CJOJQJaJ/jph_h_CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ#jh_CJOJQJU^JaJ.jh_CJOJQJU^JaJmHnHu&24h[[[RRRRR $Ifgd_ b@$Ifgd_kd$$IflֈP !`',Lp|4 la  "$&0246J}eeeeeT h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu/j7h_h_CJOJQJU^JaJh_CJOJQJ^JaJ#jh_CJOJQJU^JaJh_CJOJQJaJh_CJOJQJh_h_CJOJQJ^Jjh_CJOJQJU^J*jh_CJOJQJU^JmHnHuJLNPRTVXZ\lnprսլՈpսլՈXս/jh_h_CJOJQJU^JaJ/j#h_h_CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu#jh_CJOJQJU^JaJ/jh_h_CJOJQJU^JaJ"4\np< $Ifgd_ *,.02468:<>Ż֡ŻsdZLBh_OJQJ^Jjh_OJQJU^Jh_CJOJQJh_h_CJOJQJaJhDFCJOJQJaJhDFCJOJQJ/jh_h_CJOJQJU^JaJh_CJOJQJ^JaJh_CJOJQJaJh_CJOJQJ h_h_CJOJQJ^JaJ#jh_CJOJQJU^JaJ.jh_CJOJQJU^JaJmHnHu<>h^^M;; A^ $Ifgd_ @ $If^gd_ $If^kd$$IflֈP !`',L p|4 la "$@BDFݼrfWIh3CJOJQJ^JaJh_h_CJOJQJaJhDFCJOJQJaJ'jJh_h CJOJQJU'jh_h CJOJQJUh_CJOJQJjh_CJOJQJUhDFCJOJQJh_hDFOJQJ^J&jh_OJQJU^JmHnHujh_OJQJU^J'j`h_h OJQJU^J  Ң䑃kҢZPPhDFCJOJQJ h_h_CJOJQJ^JaJ/j4h_h CJOJQJU^JaJh3CJOJQJ^JaJ h3h3CJOJQJ^JaJ.jh_CJOJQJU^JaJmHnHu/jh_h CJOJQJU^JaJ#jh_CJOJQJU^JaJh_CJOJQJ^JaJhhECJOJQJ^JaJ}n\n\n  !L,$Ifgd   !L,$If  !L,$Ifgd_$If $If^Mkd$$Ifl40,L    4 laf4  @@$Ifgd3 *,.0246ŭҖ҉mUm>>>>-jh >*CJOJQJU^JmHnHu.jh h >*CJOJQJU^J"jh >*CJOJQJU^JhDFCJOJQJh >*CJOJQJ^J-jh_>*CJOJQJU^JmHnHu.j)h_h >*CJOJQJU^Jh_>*CJOJQJ^J"jh_>*CJOJQJU^Jh CJOJQJh_CJOJQJhDFOJQJ68:<dfh|~ɿɝɿɅukhDFCJOJQJh hDF>*CJOJQJ^J.jh h >*CJOJQJU^J.jh h >*CJOJQJU^Jh CJOJQJhDFCJOJQJh >*CJOJQJ^J"jh >*CJOJQJU^J-jh >*CJOJQJU^JmHnHu"   468:<>@BDFprֲֲֲֲֿֿxֲֲֿ`.jch h >*CJOJQJU^J.jh h >*CJOJQJU^J.jwh h >*CJOJQJU^Jh CJOJQJh >*CJOJQJ^J-jh >*CJOJQJU^JmHnHu"jh >*CJOJQJU^J.jh_h >*CJOJQJU^J%  (*>@BDFHJLNPz|ʺʎʦvʦ.jOh h >*CJOJQJU^J.jh_h >*CJOJQJU^Jh CJOJQJhDFCJOJQJh h >*CJOJQJ^Jh >*CJOJQJ^J-jh >*CJOJQJU^JmHnHu"jh >*CJOJQJU^J& "$&2ֲֲֲֿֿvֲ^ֲֿ.jh_h >*CJOJQJU^JhDFCJOJQJh h >*CJOJQJ^J.j;h h >*CJOJQJU^Jh CJOJQJh >*CJOJQJ^J-jh >*CJOJQJU^JmHnHu"jh >*CJOJQJU^J.jh h >*CJOJQJU^J$24HJLNPRTVXZxhh h >*CJOJQJ^J.j h h >*CJOJQJU^J.jh h >*CJOJQJU^Jh CJOJQJ-jh >*CJOJQJU^JmHnHu.j'h h >*CJOJQJU^Jh >*CJOJQJ^J"jh >*CJOJQJU^J$3456ROkd $$Ifl408,  4 laf4 $If^:kd $$Ifl4,H- 4 laf4$If  !L,$Ifgd 3456CDESTU_`nop~ضآ؎zf'j #h6.h6.CJOJQJU'j"h6.h6.CJOJQJU'j"h6.h6.CJOJQJU'j!h6.h6.CJOJQJU'j7!h6.h6.CJOJQJUjh6.CJOJQJUh6.CJOJQJhDFCJOJQJhDFCJOJQJhDFCJOJQJ#6~<=>ZOkdW%$$Ifl4o08,4 laf4 L $Ifgd6. L $Ifgd6.$If 2 @ @@@$If^gd6. 2 @ @@$Ifgd6.   !"&'567;<=>]_ƲƞƊvlbh- \CJOJQJhDFCJOJQJ'j$h6.h6.CJOJQJU'jk$h6.h6.CJOJQJU'j#h6.h6.CJOJQJU'j#h6.h6.CJOJQJUh6.CJOJQJjh6.CJOJQJUhDFCJOJQJhDFCJOJQJhDFOJQJmHnHu _`jkl  $&(*,.02468LNPRTVXZ\^`tvxz|~j.j 'h- \h- \>*CJOJQJU^J.j&h- \h- \>*CJOJQJU^J.j4&h- \h- \>*CJOJQJU^J-jh- \>*CJOJQJU^JmHnHu.j%h- \h- \>*CJOJQJU^Jh- \>*CJOJQJ^J"jh- \>*CJOJQJU^J)  6 8 ` b d f h j ~ ɿ~ggggg-jh">*CJOJQJU^JmHnHu.j(h"h">*CJOJQJU^Jh">*CJOJQJ^J"jh">*CJOJQJU^JhDFCJOJQJhDFCJOJQJh- \>*CJOJQJ^J"jh- \>*CJOJQJU^J-jh- \>*CJOJQJU^JmHnHu'> $$Ifa$ $If^:kd'$$Ifl4,H-  4 laf4$If !(L,@@@@$If^gd- \  6 8 ` b d $Ifskd'$$Ifl4\$(,&`&4 laf4 d f h xrerXII d$Ifgd"  $Ifgd" l $Ifgd"$IfkdS($$Ifl4r $(,D  & &4 laf4 !!!!!! !"!$!&!(!*!,!.!4!6!8!L!ֲֿwֲ_ֲֿSwֲh"CJOJQJ^J.j)h"h">*CJOJQJU^JhDFCJOJQJh"h"CJOJQJhDFCJOJQJh"CJOJQJh"hDF>*CJOJQJ^Jh">*CJOJQJ^J-jh">*CJOJQJU^JmHnHu"jh">*CJOJQJU^J.j?)h"h">*CJOJQJU^JL!N!P!R!T!V!X!Z!\!^!`!b!d!!!!!!!!!!!!!!ֲֿlbNb'j+h"h"CJOJQJUhDFCJOJQJ'j*h"h"CJOJQJUh"CJOJQJjh"CJOJQJUhDFCJOJQJh"hDF>*CJOJQJ^Jh">*CJOJQJ^J-jh">*CJOJQJU^JmHnHu"jh">*CJOJQJU^J.j+*h"h">*CJOJQJU^J `!b!!!! "F" $If]^gd" $If] $If 8 $If]gd"!!!" " "("*","F"H"J"L"`"b"d"f"h"j"l"n"p"r"v"x"z""ɵӫt]]]]]ɫ-jh">*CJOJQJU^JmHnHu.j-h"h">*CJOJQJU^Jh">*CJOJQJ^J"jh">*CJOJQJU^Jh"CJOJQJ'j,h"h"CJOJQJUh"CJOJQJhDFCJOJQJjh"CJOJQJU'j+h"h"CJOJQJUF"H"J"v"x""""xoboUFF d$Ifgd"  $Ifgd" l $Ifgd" $Ifgd"kdy,$$Ifl4r $(,D  &&4 laf4""""""""""""""""""##### # #####.#ֲֲֿiֲֿ]ֲh"CJOJQJ^J.j.h"h">*䴳ϴ""䴳ϴ"䴳ϴ"䴳ϴ"">*䴳ϴ">*䴳ϴ-">*䴳ϴԱ"">*䴳ϴ.-"">*䴳ϴ.#0#2#4#6#8#:#<#>#@#B#D#F#b#d#f#z#|#~#########ֲֿlXD'j/h"h"CJOJQJU'jb/h"h"CJOJQJU'j.h"h"CJOJQJUh"CJOJQJjh"CJOJQJUh"CJOJQJh"h">*CJOJQJ^Jh">*CJOJQJ^J-jh">*CJOJQJU^JmHnHu"jh">*CJOJQJU^J.jv.h"h">*CJOJQJU^J"B#D#|####($ $If]^gd" $If]gd" $Ifgd" 8 $If]gd"####$ $ $$($*$,$.$B$D$F$H$J$L$N$P$R$T$X$Z$\$p$r$t$v$x$z$|$~$$$ɷ{{{{{ɷc{{{{{.j1h"h">*CJOJQJU^J-jh">*CJOJQJU^JmHnHu.jm1h"h">*CJOJQJU^Jh">*CJOJQJ^J"jh">*CJOJQJU^Jh"CJOJQJ'jN0h"h"CJOJQJUh"CJOJQJjh"CJOJQJU"($*$,$X$Z$$$$xoboUFF d$Ifgd"  $Ifgd" l $Ifgd" $Ifgd"kd0$$Ifl4r $(,D  &&4 laf4$$$$$$$$$$$$$$$$$$$$%%%%%%%% %"%$%&%弯t弯\.j2h"h">*CJOJQJU^Jh"CJOJQJ^J-jh">*CJOJQJU^JmHnHu.jY2h"h">*CJOJQJU^Jh">*CJOJQJ^J"jh">*CJOJQJU^Jh"h"CJOJQJh"CJOJQJh"CJOJQJh"h">*CJOJQJ^J$$%&%^%%%% & $If]^gd" $If]gd" $Ifgd" 8 $If]gd"&%(%D%F%H%\%^%`%|%~%%%%%%%%%%%%%& & &&&$&&&(&qdLq.j5h"h">*CJOJQJU^Jh">*CJOJQJ^J"jh">*CJOJQJU^Jh"CJOJQJ'j4h"h"CJOJQJU'j14h"h"CJOJQJU'j3h"h"CJOJQJUh"CJOJQJ'jE3h"h"CJOJQJUh"CJOJQJjh"CJOJQJU & &&:&<&f&&&xoboUFF d$Ifgd"  $Ifgd" l $Ifgd" $Ifgd"kd5$$Ifl4r $(,D  &&4 laf4(&*&,&.&0&2&4&6&:&<&>&&&&&&&&&&&&&&&&&&&&&&&&&&&ɿɝɍv^.6"">*䴳ϴ""䴳ϴ"䴳ϴ"">*䴳ϴ.<6h"h">*䴳ϴ"䴳ϴ"䴳ϴ">*䴳ϴ"">*䴳ϴ-">*䴳ϴԱ$&&&&&&&&&&&'''':'<'>'''''''''''''˳؜ꌂt`ꂳL'8""䴳ϴ'7""䴳ϴ"䴳ϴ"䴳ϴ"">*䴳ϴ-">*䴳ϴԱ.(7"">*䴳ϴ">*䴳ϴ"">*䴳ϴ"䴳ϴ"䴳ϴ&'<'>'v''''"( $If]^gd" $If]gd" $Ifgd" d8 $If]gd" d8 $Ifgd"'''''''(((("($(l(n(|(~(((((((((((((絫x`IIIIIx-jhkW~>*䴳ϴԱ.:´ <>*CJOJQJU^JhkW~>*CJOJQJ^J"jhkW~>*CJOJQJU^Jhh <CJOJQJhkW~CJOJQJhDFCJOJQJhDFCJOJQJ'j9h"h"CJOJQJU'j8h"h"CJOJQJUh"CJOJQJjh"CJOJQJU"($(l(n(b)d)xnhMh   %$Ifgdh <$If $If^kdv9$$Ifl4r $(,D  &&4 laf4(((((((((((((((((()))))))) )")4)6)8)L)N)P)R)T)V)X)Z)\)׿䨨מ|䨨מd䨨.j;hkW~hh <>*CJOJQJU^J.j ;hkW~hh <>*䴳ϴ´䴳ϴٹ䴳ϴ-´>*䴳ϴԱ.:´ <>*CJOJQJU^JhkW~>*CJOJQJ^J"jhkW~>*CJOJQJU^Jhh <CJOJQJ'\)^)b)d)r)t)v)))))))))))))))))))))))))))))* * **“{“c.j<hkW~hh <>*䴳ϴ.᳾<hkW~hh <>*䴳ϴ-´>*䴳ϴԱ.;´ <>*CJOJQJU^J"jhkW~>*CJOJQJU^Jhh <CJOJQJhkW~CJOJQJhDFCJOJQJhkW~>*CJOJQJ^J&******** ************+++++ + +++ +4+6+8+:+<+>++++++ɿɡɲɡ.=´´>*䴳ϴ.=´´>*䴳ϴ <CJOJQJhkW~CJOJQJhDFCJOJQJh`hCJOJQJhDFCJOJQJhkW~>*CJOJQJ^J"jhkW~>*CJOJQJU^J-jhkW~>*CJOJQJU^JmHnHu(d)****++,,,Z-.gee:kd@$$Ifl4,H-  4 laf4    @@@$Ifgdh <   %$Ifgdh < $If^$If    @$Ifgdh < ^+`+b+v+x+z+|+~+++++++++++++++++++++++++++++++,,׿䨨מ׆䨨מ||d䨨.j1?hkW~hkW~>*䴳ϴٹ䴳ϴ.>´´>*䴳ϴ´䴳ϴ-´>*䴳ϴԱ.ᷡ>´´>*䴳ϴ´>*䴳ϴ"´>*䴳ϴ <CJOJQJ',,,,,*,,,.,0,2,4,6,8,:,<,Z,\,^,r,t,v,x,z,|,~,,,,,,,,,,ʛyʛoeo[ohDFCJOJQJh`hCJOJQJhDFCJOJQJ.j@hkW~hkW~>*CJOJQJU^Jhh <CJOJQJ-jhkW~>*䴳ϴԱ.?´´>*䴳ϴ"´>*䴳ϴ <CJOJQJ^JhkW~CJOJQJhkW~>*CJOJQJ^J!,N-P-T-V-Z-...,...0.D.F.H.J.L.N.P.R.T.V.X.`.b.d.x.z.|.~............ƹƊƹ~ƹfƊƹ~ƹ.j^AhEhE>*CJOJQJU^JhECJOJQJ^J-jhE>*CJOJQJU^JmHnHu.j@hEhE>*CJOJQJU^JhE>*CJOJQJ^J"jhE>*CJOJQJU^JhECJOJQJhDFCJOJQJh! CJOJQJhDFCJOJQJ(..t///1:1<1$Zvxh $gdhE p HgdhE BPlzgdhE t"(gdE <%L, t"( @ X &L,gdE..................///// / ////./0/2/4/6/8/://@/B/ֲֲֿzֲֲֿbֲֿ.jBhEhE>*CJOJQJU^J.jJBhEhE>*CJOJQJU^JhECJOJQJhDFCJOJQJhECJOJQJ^JhE>*CJOJQJ^J-jhE>*CJOJQJU^JmHnHu"jhE>*CJOJQJU^J.jAhEhE>*CJOJQJU^J&B/H/J/L/`/b/d/f/h/j/l/n/p/r/t///////////////////0͵ڞ͎zbڞVhECJOJQJ^J.jChEhE>*CJOJQJU^JhDFCJOJQJhDFCJOJQJhEhDF>*CJOJQJ^J-jhE>*CJOJQJU^JmHnHu.j6ChEhE>*CJOJQJU^JhE>*CJOJQJ^J"jhE>*CJOJQJU^JhECJOJQJhDFCJOJQJ!00 0 000000000(0*0>000000000000000000000000000ȱڱkȱ.EE>*䴳ϴ.DEE>*䴳ϴE䴳ϴE䴳ϴ-E>*䴳ϴԱ"E>*䴳ϴ."EE>*䴳ϴE>*䴳ϴ(00000000000000000000011181:1<1N1P1d1ֲֲֲֿֿtj`ֲhDFCJOJQJhECJOJQJhEhE>*CJOJQJ^J.jEhEhE>*CJOJQJU^JhECJOJQJhECJOJQJ^JhE>*CJOJQJ^J-jhE>*CJOJQJU^JmHnHu"jhE>*CJOJQJU^J.jEhEhE>*CJOJQJU^Jd1f1h1j1l1n1p1r1t1v1x1111111111111111111111111112ֲֲֲֲֿֿlֲֿjֲU.j\GhEhE>*CJOJQJU^J.jFhEhE>*CJOJQJU^JhECJOJQJhECJOJQJ^JhE>*CJOJQJ^J-jhE>*CJOJQJU^JmHnHu"jhE>*CJOJQJU^J.jpFhEhE>*CJOJQJU^J)  FORMTEXT       From:  FORMTEXT       To:  FORMTEXT       Month / Year Month / Year Employer  FORMTEXT       City  FORMTEXT       State  FORMTEXT       Hours per week:  FORMTEXT       From:  FORMTEXT       To:  FORMTEXT       Month / Year Month / Year ATTACH ADDITIONAL SHEET IF SPACE PROVIDED IS INADEQUATE  Have you filed an income tax return with the Wisconsin Department of Revenue?  FORMCHECKBOX  yes  FORMCHECKBOX  no If yes, specify the years:  FORMTEXT        FORMTEXT        FORMTEXT       If you filed a tax form in another state, give state and last year filed  FORMTEXT       Year  FORMTEXT        Are you registered to vote in Wisconsin?  FORMCHECKBOX  yes  FORMCHECKBOX  no Date you were first registered to vote in Wisconsin  FORMTEXT       Month / Year If yes, where and when have you voted in Wisconsin?  FORMTEXT       Month / Year  FORMTEXT       If you have voted in another state, give state and date you last voted  FORMTEXT       Month / Year  FORMTEXT       From what state do you hold a valid driver's license?  FORMTEXT       Date first acquired  FORMTEXT       Number  FORMTEXT       Month / Year  If you own a motor vehicle, in what state is it registered?  FORMTEXT       Date first registered  FORMTEXT       Plate Number  FORMTEXT       Month / Year Parents DataFather's Full Name  FORMTEXT      Mother's Full Name  FORMTEXT      Permanent Home Address: Street  FORMTEXT      From (Month / Year)  FORMTEXT      To (Month/Year)  FORMTEXT      Permanent Home Address: Street  FORMTEXT      From (Month / Year)  FORMTEXT      To (Month/Year)  FORMTEXT      City State Zip Code  FORMTEXT        FORMTEXT        FORMTEXT      City State Zip Code  FORMTEXT        FORMTEXT        FORMTEXT      Previous Home Address: Street  FORMTEXT      From (Month / Year)  FORMTEXT      To (Month/Year)  FORMTEXT      Previous Home Address: Street  FORMTEXT      From (Month / Year)  FORMTEXT      To (Month/Year)  FORMTEXT      City State Zip Code  FORMTEXT        FORMTEXT        FORMTEXT      City State Zip Code  FORMTEXT        FORMTEXT        FORMTEXT      Is father a U.S. citizen?  FORMCHECKBOX  yes  FORMCHECKBOX  no If no, visa type:  FORMTEXT      Where and when did father last register to vote?  FORMTEXT      Is mother a U.S. citizen?  FORMCHECKBOX  yes  FORMCHECKBOX  no If no, visa type:  FORMTEXT      Where and when did mother last register to vote?  FORMTEXT      Has father filed Wisconsin state income taxes as a resident?  FORMCHECKBOX  yes  FORMCHECKBOX  no If yes, specify the years:  FORMTEXT        FORMTEXT        FORMTEXT       Has mother filed Wisconsin state income taxes as a resident?  FORMCHECKBOX  yes  FORMCHECKBOX  no If yes, specify the years:  FORMTEXT        FORMTEXT        FORMTEXT       Have you been claimed as a dependant on your father's  FORMCHECKBOX  yes  FORMCHECKBOX  no federal income tax return during any of the past 12 months? If no, when were you last claimed by your father?  FORMTEXT       Have you been claimed as a dependant on your mother's  FORMCHECKBOX  yes  FORMCHECKBOX  no federal income tax return during any of the past 12 months? If no, when were you last claimed by your mother?  FORMTEXT        If you relocated to Wisconsin from another state, what was the primary reason for relocating in Wisconsin?  FORMTEXT        FORMTEXT        FORMTEXT        FORMTEXT       Do you plan to maintain a permanent residence in Wisconsin during and after your period of education at a Wisconsin educational institution?  FORMCHECKBOX  yes  FORMCHECKBOX  no  PLEASE NOTE: IF THE QUESTIONS ON THIS FORM DO NOT ACCURATELY DEMONSTRATE YOUR RESIDENCY STATUS YOU MAY ATTACH A STATEMENT EXPLAINING ANY UNUSUAL CIRCUMSTANCES.  I declare that the information I have provided on this form is, to the best of my knowledge and belief, true, correct and complete. In order to verify the information reported, I agree that the State of Wisconsin Higher Educational Aids Board may request and obtain an official copy of my latest Wisconsin and/or federal income tax return and to provide, if requested, any other documentation necessary to verify the information reported. I further agree to authorize the Board to contact and obtain any necessary information from any educational institution, governmental agency or employer I have included on this form and to authorize the Board to share any information with any Wisconsin educational institution.  FORMTEXT       Signature of Student Date  "$&(*,8:NPRTVXZ\^`bjlֲֲֲֲֿֿlֲֿ\hEhE>*䴳ϴ.HEE>*䴳ϴ.EE>*䴳ϴE䴳ϴE䴳ϴE>*䴳ϴ-E>*䴳ϴԱ"E>*䴳ϴ.GEE>*䴳ϴ$(*,.02468:<HJ^`bëДÈpДÈX.j JhEhE>*CJOJQJU^J.jIhEhE>*CJOJQJU^JhECJOJQJ^J-jhE>*CJOJQJU^JmHnHu.j4IhEhE>*CJOJQJU^JhE>*CJOJQJ^J"jhE>*CJOJQJU^JhDFCJOJQJhECJOJQJhECJOJQJ"bdfhjlnprɽɛɽɃɽk.jKhEhE>*CJOJQJU^J.j KhEhE>*CJOJQJU^J.jJhEhE>*CJOJQJU^JhECJOJQJhECJOJQJ^JhE>*CJOJQJ^J"jhE>*CJOJQJU^J-jhE>*CJOJQJU^JmHnHu* "$XZ,jlɹ}o}[o}o}Go}'jnLhhEh3CJOJQJU'jKhhEh3CJOJQJUjhhECJOJQJUhhECJOJQJ&jhDFCJOJQJUmHnHuhDFCJOJQJhECJOJQJhECJOJQJhEhE>*CJOJQJ^JhE>*CJOJQJ^J"jhE>*CJOJQJU^J-jhE>*CJOJQJU^JmHnHu "$8:<>@BDFHJLNbdfhjlnprtvx͵ڞ͆ڞnڞ.jMhhEh3>*CJOJQJU^J.jZMhhEh3>*CJOJQJU^J-jhhE>*CJOJQJU^JmHnHu.jLhhEh3>*CJOJQJU^JhhE>*CJOJQJ^J"jhhE>*CJOJQJU^JhDFCJOJQJhDFCJOJQJ) "$&(*,.02<>@TVXZ\^`bdfhjl׿䨨מ׆䨨vbTjhWCJOJQJU&jhDFCJOJQJUmHnHuhhEhDF>*CJOJQJ^J.jNhhEh3>*CJOJQJU^JhDFCJOJQJ-jhhE>*CJOJQJU^JmHnHu.jFNhhEh3>*CJOJQJU^JhhE>*CJOJQJ^J"jhhE>*CJOJQJU^JhhECJOJQJhl24 4$If^ l N$If^gd% = $If^ N$If^gd% = $If^ P `' 0*gdW #  0*@@@gdW z|~*,.hhhhhXNhDFCJOJQJhWhDF>*CJOJQJ^J-jhW>*CJOJQJU^JmHnHu.jPhWhW>*CJOJQJU^JhW>*CJOJQJ^J"jhW>*CJOJQJU^J'jOhWhWCJOJQJUhDFCJOJQJjhWCJOJQJU'j2OhWhWCJOJQJUhWCJOJQJ.BDFHJLNPRTVpr*,@ȱȱsi_hDFCJOJQJhDFCJOJQJhWhDF>*CJOJQJ^J.j QhWhW>*CJOJQJU^JhWCJOJQJhWCJOJQJ^J-jhW>*CJOJQJU^JmHnHu"jhW>*CJOJQJU^J.jPhWhW>*CJOJQJU^JhW>*CJOJQJ^J@BDFHJLNPRTnpֲֲֲֿֿtjj`Vh% =CJOJQJhDFCJOJQJhDFCJOJQJhWhDF>*CJOJQJ^J.jQhWhW>*CJOJQJU^JhWCJOJQJhWCJOJQJ^JhW>*CJOJQJ^J-jhW>*CJOJQJU^JmHnHu"jhW>*CJOJQJU^J.jQhWhW>*CJOJQJU^J  "$&(*,.024Z\^rtvxz|~ᢘlT.jXSh% =h% =>*CJOJQJU^J.jRh% =h% =>*CJOJQJU^Jh% =CJOJQJhDFCJOJQJhDFCJOJQJh% =hDF>*CJOJQJ^J-jh% =>*CJOJQJU^JmHnHu.jlRh% =h% =>*CJOJQJU^Jh% =>*CJOJQJ^J"jh% =>*CJOJQJU^J VXlnprtvxz|~ɹɃɹkɛ.jDTh% =h% =>*CJOJQJU^J.jSh% =h% =>*CJOJQJU^Jh% =CJOJQJhDFCJOJQJhDFCJOJQJh% =hDF>*CJOJQJ^Jh% =>*CJOJQJ^J"jh% =>*CJOJQJU^J-jh% =>*䴳ϴԱ*<>@>qkd0U$$Ifl  0&,&0  4 lal $If^  $If^gd% = $If^ $If^gd% = P `'$If^ <>@Z\ȱ򡗗xxl`R@R#jha*CJOJQJU^JaJha*CJOJQJ^JaJha*CJOJQJaJhDFCJOJQJaJhDFCJOJQJhDF5CJOJQJhDFCJOJQJhDFCJOJQJh% =hDF>*CJOJQJ^J-jh% =>*CJOJQJU^JmHnHu"jh% =>*CJOJQJU^J.jTh% =h% =>*CJOJQJU^Jh% =>*CJOJQJ^J@Z\ppp P `'$If^ $If^akdU$$Ifl4  ,, 0  4 lalf4$$If^a$gd% =BDFJL`սլ||dսլ||/jVha*hAwCJOJQJU^JaJha*CJOJQJ^JaJha*CJOJQJaJhDFCJOJQJaJhDFCJOJQJ ha*ha*CJOJQJ^JaJ.jha*CJOJQJU^JaJmHnHu#jha*CJOJQJU^JaJ/j`Vha*hAwCJOJQJU^JaJDFr|rrrrarr$$If]^a$$$If]^a$ $If^qkdLW$$Ifl  0&,&  0  4 lal `bdfhjlnpr|սլ|fPPPPPAha*ha*CJOJQJ^J*jha*CJOJQJU^JmHnHu+jeXha*hAwCJOJQJU^Jha*CJOJQJ^Jjha*CJOJQJU^Jha*CJOJQJhDFCJOJQJ ha*ha*CJOJQJ^JaJ.jha*CJOJQJU^JaJmHnHu#jha*CJOJQJU^JaJ/jWha*hAwCJOJQJU^JaJ JLNRThjl殮柕}o]oE]/jQYh|hAwCJOJQJU^JaJ#jh|CJOJQJU^JaJh|CJOJQJ^JaJh|CJOJQJaJhDFCJOJQJaJhDFCJOJQJha*ha*CJOJQJ^J*jha*CJOJQJU^JmHnHu+jXha*hAwCJOJQJU^Jha*CJOJQJ^Jjha*CJOJQJU^Jha*CJOJQJLNz$$If]^a$ $If^$$If]^a$ lnprtvxzŻiiiiiZh|h|CJOJQJ^J*jh|CJOJQJU^JmHnHu+jYh|hAwCJOJQJU^Jh|CJOJQJ^Jjh|CJOJQJU^Jh|CJOJQJhDFCJOJQJ h|h|CJOJQJ^JaJ#jh|CJOJQJU^JaJ.jh|CJOJQJU^JaJmHnHu BDFH\^`bdfhjlnpٴrZBBBBBr.jha*CJOJQJU^JaJmHnHu/j[ha*hAwCJOJQJU^JaJha*CJOJQJ^JaJ#jha*CJOJQJU^JaJha*CJOJQJaJhDFCJOJQJaJhDFCJOJQJh|h|CJOJQJ^J*jh|CJOJQJU^JmHnHujh|CJOJQJU^J+j=Zh|hAwCJOJQJU^JDF<66' ^. @$Ifgda*$IfkdZ$$Ifl4  ֈx&%|),x``*``*0  4 lalf4pȰȰȇ}}}qeS#jh|CJOJQJU^JaJh|CJOJQJaJhDFCJOJQJaJhDFCJOJQJ ha*ha*CJOJQJ^JaJ/j\ha*hAwCJOJQJU^JaJ.jha*CJOJQJU^JaJmHnHu#jha*CJOJQJU^JaJ/j0\ha*hAwCJOJQJU^JaJha*CJOJQJ^JaJhjl P `'$If^ ^= $Ifgd|$If$$If]^a$$$If]^a$ .02468:<>@BVXZ\^`bdfhjlnȰȰȰoeeehDFCJOJQJ h|h|CJOJQJ^JaJ/j^h|hAwCJOJQJU^JaJ/j]h|hAwCJOJQJU^JaJ.jh|CJOJQJU^JaJmHnHu#jh|CJOJQJU^JaJ/j]h|hAwCJOJQJU^JaJh|CJOJQJ^JaJ#ln</// $If^gdAwkd~^$$Ifl4  ֈx&%|),x  *  *0  4 lalf4n "ܲʚʉymWyAAA*jh|CJOJQJU^JmHnHu+j%`ha*h|CJOJQJU^Jh|CJOJQJ^Jjh|CJOJQJU^J ha*h|CJOJQJ^JaJ.jh|CJOJQJU^JaJmHnHu/j_ha*h|CJOJQJU^JaJ#jh|CJOJQJU^JaJh|CJOJQJ^JaJh|CJOJQJaJh|CJOJQJ*0JLt06PRz $If^gdAw$$If]^a$gdAw$$If]^a$gdAw"$&(*0JLNbdfhjlnprtڵs[s/jah|h|CJOJQJU^JaJ#jh|CJOJQJU^JaJh|CJOJQJ^JaJh|CJOJQJaJ+j`ha*h|CJOJQJU^Jh|CJOJQJ^Jh|CJOJQJha*h|CJOJQJ^Jjh|CJOJQJU^J*jh|CJOJQJU^JmHnHu  "$&(*,.06PRThjlnpŻsssssdNss+jah|h|CJOJQJU^Jh|h|CJOJQJ^J*jh|CJOJQJU^JmHnHu+jah|h|CJOJQJU^Jh|CJOJQJ^Jjh|CJOJQJU^Jh|CJOJQJ h|h|CJOJQJ^JaJ#jh|CJOJQJU^JaJ.jh|CJOJQJU^JaJmHnHuprtvxz|}eeeeeMeeeee/jcha*h|CJOJQJU^JaJ.jh|CJOJQJU^JaJmHnHu/jzcha*h|CJOJQJU^JaJh|CJOJQJ^JaJ#jh|CJOJQJU^JaJh|CJOJQJaJh|CJOJQJh|h|CJOJQJ^Jjh|CJOJQJU^J*jh|CJOJQJU^JmHnHuz|"<33$ ^. @$IfgdAw $IfgdAwkdsb$$Ifl4  ֈx&%|),x``*``*0  4 lalf4 "$&PRTVjlnprtvxz|~రqరY/jReh|h|CJOJQJU^JaJ/jdh|h|CJOJQJU^JaJh|CJOJQJaJh|CJOJQJ ha*h|CJOJQJ^JaJ.jh|CJOJQJU^JaJmHnHu/jfdha*h|CJOJQJU^JaJ#jh|CJOJQJU^JaJh|CJOJQJ^JaJ""$&RT P `'$If^ ^= $IfgdAw $IfgdAw$$If]^a$$$If]^a$$&(*24Ȱ֟rcIrcr2jogha*hAwCJOJQJUmHnHuha*CJOJQJmHnHu&jha*CJOJQJUmHnHuhDFCJOJQJmHnHuh|CJOJQJ h|h|CJOJQJ^JaJ/jeh|h|CJOJQJU^JaJh|CJOJQJ^JaJ#jh|CJOJQJU^JaJ.jh|CJOJQJU^JaJmHnHu\<" 4B $If]^gda*kd>f$$Ifl4  ֈx&%|),x  *  *0  4 lalf44PRTVZ\^ 𳤤}aM<!hDFCJOJQJaJmHnHu'ha*hDFCJOJQJ^JmHnHu6j[hha*hAwCJOJQJU^JmHnHu!ha*CJOJQJ^JmHnHu*jha*CJOJQJU^JmHnHuhDFCJOJQJmHnHuhDFCJOJQJmHnHu&jha*CJOJQJUmHnHu2jgha*hAwCJOJQJUmHnHuha*CJOJQJmHnHu\^ :tvwww ($If]^ l $If] l $If]^ ^l $If]^gd|$If]^ B $If]^ B $If]^ (*,.02468:lnpۥÏq]qC]q]q2jGih|hAwCJOJQJUmHnHu&jh|CJOJQJUmHnHuh|CJOJQJmHnHuhDFCJOJQJmHnHu+ha*ha*CJOJQJ^JaJmHnHu:jhha*hAwCJOJQJU^JaJmHnHu.jha*CJOJQJU^JaJmHnHu%ha*CJOJQJ^JaJmHnHu!ha*CJOJQJaJmHnHu rtôÏ~bN=!hDFCJOJQJaJmHnHu'h|hDFCJOJQJ^JmHnHu6j3jh hAwCJOJQJU^JmHnHu!h CJOJQJ^JmHnHu*jh CJOJQJU^JmHnHuhDFCJOJQJmHnHuhDFCJOJQJmHnHuh|CJOJQJmHnHu&jh|CJOJQJUmHnHu2jih|hAwCJOJQJUmHnHutvz| <>@BJLhjۥÏ{m{Ym{m{E'j4lha*hAwCJOJQJU'jkha*hAwCJOJQJUjha*CJOJQJUha*CJOJQJhDFCJOJQJ+h h CJOJQJ^JaJmHnHu:jjh hAwCJOJQJU^JaJmHnHu.jh CJOJQJU^JaJmHnHu%h CJOJQJ^JaJmHnHu!h CJOJQJaJmHnHutvbH:$If]^ $If]^gd|kdk$$Ifl4  \ &f!,  @ @ 0  4 lalf4jlnrtvzbz.j mh|hAw>*CJOJQJU^Jha*>*CJOJQJ-jh|>*CJOJQJU^JmHnHu.jlh|hAw>*CJOJQJU^Jh|>*CJOJQJ^J"jh|>*CJOJQJU^JhDFCJOJQJhDFCJOJQJha*CJOJQJjha*CJOJQJU  "$&(*,f246ִֿzfzzRz'jnhAwhAwCJOJQJU'j nhAwhAwCJOJQJUjhAwCJOJQJUhAwCJOJQJhDFCJOJQJhDFCJOJQJha*hDF>*CJOJQJha*>*CJOJQJ-jh|>*CJOJQJU^JmHnHu"jh|>*CJOJQJU^J.jmh|hAw>*CJOJQJU^Jv*,  (`$If]^gdAw$If]^ ($If]^gdAw  @ x$If]^  @ x$If]^gda*68LNPRTVXZ\^`bvxz|~ xhhAwhDF>*CJOJQJ^J.johAwhAw>*CJOJQJU^J.jnohAwhAw>*CJOJQJU^JhDFCJOJQJ-jhAw>*CJOJQJU^JmHnHu.jnhAwhAw>*CJOJQJU^JhAw>*CJOJQJ^J"jhAw>*CJOJQJU^J&zn``OA $If] $If]gd|$If]^ @@@@$If]^gd|vkdZp$$Ifl4  0&,&0  4 lalf4 "$@BDFPRnprtzVXZnprtvxz|~ʬʢkTTTTT-jh|>*CJOJQJU^JmHnHu.jqh|hAw>*CJOJQJU^Jh|>*CJOJQJ^J"jh|>*CJOJQJU^Jh|CJOJQJhDFCJOJQJ'joqha*hAwCJOJQJUhDFCJOJQJ'jpha*hAwCJOJQJUjha*CJOJQJUha*CJOJQJ <>$&(<>@̪̾־̖֌zmUz.jGshAwhAw>*CJOJQJU^JhAw>*CJOJQJ^J"jhAw>*CJOJQJU^JhDFCJOJQJ'jrhAwhAwCJOJQJU'j[rhAwhAwCJOJQJUjhAwCJOJQJUhAwCJOJQJhDFCJOJQJhDFCJOJQJmHnHuh|hDF>*CJOJQJ^JHPRT*IGA L,vkds$$Ifl4  0&,&  0  4 lalf4 i$If]gdAw ($If]^ ($If]^gdAw@BDFHJLNPRT*,.BDFHJLNPRTɳynXyCCCCCyn)jhAw>*OJQJU^JmHnHu*jjthAwhAw>*OJQJU^JhAw>*OJQJ^JjhAw>*OJQJU^JhDFCJ OJQJaJ hDFCJOJQJhDFCJOJQJhDFCJOJQJ*hAwhDF>*CJOJQJ^JmHnHuhAw>*CJOJQJ^J"jhAw>*CJOJQJU^J-jhAw>*CJOJQJU^JmHnHu*,VXLP246h P PL,gdAw ^` `'n(0*+gdAw L,gdAw L,gdAw L,TVXZnprtvxz|~ʴ՟ʑ{՟ʑe՟*juhAwhAw>*OJQJU^J*jVuhAwhAw>*OJQJU^JhAwhAw>*OJQJ^J)jhAw>*OJQJU^JmHnHu*jthAwhAw>*OJQJU^JhAw>*OJQJ^JjhAw>*OJQJU^JhAwCJ OJQJaJ hAwhDF>*OJQJ^J'"$@BDFLNPh2468:>@Tݻݧ|n|jhAw>*OJQJUhAw>*OJQJhAwhDF5CJOJQJ&jhDFCJOJQJUmHnHu'jvhAwhAwCJOJQJU'jBvhAwhAwCJOJQJUjhAwCJOJQJUhAwCJOJQJhDFCJOJQJhAwhAw>*OJQJ^J#TVXZ\^`bdfh´hDFCJOJQJhAwhDF>*OJQJ^JhAw>*OJQJ%jhAw>*OJQJUmHnHujhAw>*OJQJU&j.whAwhAw>*OJQJU ,&P/ =!"#@$@% nuLjmBPNG  IHDRJgAMAPLTEٟ IDATxԽ}%YVwi*|hʢTYHrYSؒYß];,"PlEjwfm-4kaz2X!Y^a1`;BVkfX0f-N;ӝ{>G̗Nr>aJx']ɡ~~o~a}wk$jdZ~g}o 9&lmGp?+_I{}rʎwQas?5 k#:xg#F\suEٮSAz m6Y-r6r!sl!d]wk__y)Ky&I1kl HZ4W便Fuui9kQGvj+%t T˼5.D;S(ݶhmᙬkN>ipd?.[ B r&׹yje:W|UIdؿLV#| ,?y2m!`k3^|ڎ2 <bOBM r1oc[BYs+rPу螉rFGÏO]oj_W&l5II z^hrE!W3%ꭢd/2D"9Jz uJI"".A[\ﵓt&{=Gs#s5 H'OV<ЏTж->NiwON6$T+%Oz=CU}\ZY]4b\V#yziLYUUDr2'>"\IGnOH. 9#]CK CWZsTsL^6kP+c'm!/EFF>Ɗ䥩v-հk3M*"bى> ܲP-ȩZ4$ՁаN"Iٴʳ4$*E[iTx?*AQ9߱61k lea3+E--m2}Bo9zE Utmj-zrFy;/[bmԙo&߱_ dr9w˗WŽw sТ܆x#= -0U[*?Hzf>ː? μqj^ KiK 3k}RYG^8o*_n.߽y9|&݊9;עOpmqf9WG/X)]odslZY>+zEqO,G[*sO-Ljݬ7ihVZk̑Y mZYxU:3.ٚ{nm;~Z,y/Diw}Qr51@3li{*b\>o =Ja*/䷎J(y3[7fRr)4^6E^e|hsfy˔6i\FJKy/%O_ ړ\22CoڀOݝꬖQUQ)1}bR\דZvY2pTo6CZt E_0sLɲa6𾱱ձc+UfA79.<%O]처iܬg? Iua%"ZT[~`r[iGs0eaV]EkB;BrD.O#ķ7Se-ڜoʹVBR&xd9X\4'է) 4D=8l 9;+rR(0H(K*v, S>#ugEUuw˿OJ{΃;;lTd1%{ry_ytzU|с2}_N ky<#ꅃ.'-B6ąw\칒N(k-NnP_cl .j+.N-n[Ae#']TM:\ne<V6{X9_`?龅XJgu| rWiŒinܹE,[J^>N ҁg߳TK-ltCOP9Yf)B^ (Qts2)Nyaѓl>ĈSNOr:_E|h75yAUˤQwn?[ʵ2nϭ^q)K>Kc%S\|e.q^1,Fw/`t*hڽW r'DܢkrK7OXu /h.AgѼsRwxoWEo\0@.lX9}(yjĕ@t}#tI ?L|ٿS`ן{A~vaY9Ҭ ̟Ɩ"/ x2vROo+}y^[,.Dȕ// %'sь/Isڨ.EE[>ȋ?fў] 2l?Z:VlOkqsz/׸4.eP׶6y2I/ͩ v-J)JfJyD(ľ3IMK&OZbNpYzn3!_VSJQc}2'9G0h`(PmG|ڰ[jgMsC(J %s Kd\=W'' _oWVr7n!oY:ɡ~~jsWW=oVcd'(SȝW%]jqA4oߕך?73{XmYJ^d˜-M{WaT.};s/HѲFrj*\v]p7Guٞ;vk&SQ@3CZ9o¬v.Nir>r .r L ާe_};ۖB|\",-}CTܔGo"z:i6YbG(w~䋐'O:lm/VvieZAC/-ȗ[rNՖlbY 5zĭ<%M2bp} 7hapI&\Ѵ#Ken)E.t,p_3Pmr\۽E')ҿ4x;ƾS[EK\+y70+&?뤚r撻#Ǵd)OkBn1SSE1\N MHVPZm`Jk1SF/b)6cZL o!?S;̐'hRlroP}lesq_lɉXadIǧ33S.]s؜ys=_b7=\#БvR zSe^ZPx:!:*h(e^G` Զl #tɂ+$2㼛gf%*7)|ESǯ/p 5j\;F>ܫ9/+8.-Ǫ5(05ʳ&cM)>ZϏ&P⬫>%Rd6M72ǤlҒZ Rǿ4D(cImXEtcK $üt`hH.I9c`ܘռh5Ed%ĸ),TcR#jJQ2[!DaA(Qx 氞-2K\w s4>[I,ղhʲԾމ9jX 6[̩x f1h༿{j[F8M$K1brKYG3\u I((Ƽ۸C^=l47gxvoRE0_Xb\ 0Uȇ2,Yמ8 Z:"ψ\ &JFȇ0"یrlΘ|%5\eHϙVQ+Im(F]VY48]XsVc| CnoY+|/ǵ#0+h˅vPpqrJڐ'd}WŞh'FȓE#^Ia+EhퟔBuZ)坾𞑻 Z)#򞷋#F]t.PV۲LCW< :9K-eOeCf:[)&b ($גt'$C{BU4+G$ʸgѧ;4$2ۺIm_P%WܽBcX"~umg\ wR0,VqÅ8Q4\VF~ט8sr\܂6IҬV†դV2CÙ-ɀ" `YPe![F_*򩉫#5c5\c'5$yEd:!i;rֽ& J_W?3HUɧG5-Gb=zm Z3P+[tz~)kL>˲8<'/o5L>mqΕCVFN |kN&~9_iJcAJ.ќ05 "D2Ia; "br4QM8]CFq_e 6K'$ ^S7l47=p(vi yeVMGs[vmw̪E'<<9!7eE:<(,%rry#m[t~)$ v `or\%|V!em|zQ|?|$Ȅg-< 9]4r-|Ag4y~n+F?t}eHxؒ|:>;S$G:VWy@*͋U|侃R(etWb#ϏtEUdȓA`V @^ Ub Gez e#]Ge9H@~h՘r ^FO8֠idl%(/v'mM 2b"B%6v.U025#]5lfCOg:9nmiL m‡~@`֎G.{?=l 蛌0rHs5J+ ov&AZ% $3|A+oucz+r{Wgh8Wgq.İnQ8C]a$rȳed>ߨ-#ȳf0tdy&uОϖb2x1b,,{¥ eS˒h 7: QfN=SRf) bˤ3 k)/̺2ˑ ۥсE2Ϫh)r!noXQbе͒Jq}]mŚ0BPk^xjMKy9>Ud-sM.i䪙'2+z$7{&6ɧ7OH\ -M5xt54g!(R3ČS_;"+h~QR%+s!reȷTr+bCX[z|?*u]sqlo-BiMFsr 01$YHlRgK>zF_t+ݻE>"5 rƵp7Ie-VIX6+ ͢z>J޷*#/ǝ5h)(y|[:Չ qAzK!j+K^cYȗ`V*%;G(N]oQՔ)i.dHէ_{~2%B=` t`\//{ԅo-` SA t2s.@ 䡜`uZ?Wl4ygٜ=ɭ`Zٱ:mpsU9oD?l¦ꣿٔ@i`ʖ/c%~Ӕ2*n0֬??mĒʹ:<6# wR.Ab2~tr1͟eG^d>rLנ#%?oˬ֎P%ˤJƖB-ofޣ.2sKi92E9H%c|SǘЃ ˧oܻ1?AuA zlgN VmԼNu:Cҝ7O 972~C)Y-DغJ yk̐ev`Dޥs`_"H i.PbƁ2kqr s$[ 4FIݼ!(jX+2\Eg}\GLQ*2k7U)ww+qüȄ-z'Y(t{#b/r]DdOryKo kȓsZ"rC,3#U(E#q3m Y)`㥸&V#fM+-PHr*9.z;Y 9&D+i4?t'+LY +1wECû1(ɐR%/FJ`$%){ A;ntrllCc{%i\M>0CI  hc`0eLs,%mvj̿`^,BOh[//O; 0Xٮ38Rr<}.[_͌C=q2 9ZQl#?喷efp7Ep3iKt#Zu~t%<|$Yke?_9a$f:x-B#Rcz0M7A}U`^9>Q<^qL(ͷuw0μVZ[fUPfw΂^{xBP.~AZ?}G o [ts$..Z#aޟlnƼ.wPD[B P:x~R ߗsj2}`J]vׄz0!%=^O4q [@W=ꊩhXGeF^);I'?GuT9&,HVy'&sWˑi[ط&ꟴሀC*(cIw Lvgn&ZEwC啞WX)ۭQrxDHD+ CX&G#/þnk!k̚O% ܢp#rf_Β8a_;'~{mO[-MNv{teXt.]rV̥9[tŴOLkmNӜԜCxiȕ#o]yf[5UwfɥP J{ o֗n4Jgi>8C=c摗C~Z?&؜ :Cu*[<;/gȿſgibKusÓ!:-6s AS4U3_v˺Fΐ[-h_{VɋH5fcc_! !6Efɕ9cHVry h٨VLZİwLrs=4rFVNhqeU-md(aCaRTq8Sg"+rJ0B뷠 zkYd Sv̒>5!h'ܴܳV\$#bBRz,9CV;(E n_@UZY%V. jup oJVh|.?SCk [&cr{Кi3STEhK_>rs]SYm ,h?(׵0y7x0󝹮8ΚfV[ qYh+70wȞiU@Tj:;73ʳʜVIӒV]|Y.|MnYoy=/E!fZYo),#C@:ˏ^&VX r+I@ftFӅ<%ڢW!nֵ+C1n"e.0qx|aFrϴ$k7*ZbVvabܫ?dI,4=G&)IXRESGmrK==ޛ@iS:r:!9=ii1v UT8TU04;Io-]|{|'`UML r& l/;JUj@nj/C!Me{#67 )`3tx<_r[u =:Xԙ; 13灙Ŧw3cZ N%f|YnAQ6QP7_[򓿉mr?"-q@} v<C(hk{뵑%}ȥ%?~:BCt2))j3/O^E ;J[ݿ!2Pt >r_[ y{! 7e\b8z"=Ong5aPҟD>-G/ؿA9sqq)pr+Rǧmذq GHLР)Z3%y*] 4Zx0yoC)5jH\Kז^SD/Ԡܱ|?z&>-;!%˲+Mۺh,.ahPK !Io[/76.*0M .8̚ e\nC?$ ,%ڮ"=W=26. YA=N*H!ڲr2@KH,ylܛP齦 ݨeG-L1yZWq%GW{!ͦDLnu3 CO~32`%YGp1BFy2DWJDg%4j!Di7ZG%[qg0OG\oc䡶{1\DDa&Ļ3C{/H 1TsW 0u{Hov؎Skvl'0;ۑ\roO( aO[(?co;gLpe?yo=!/`i@]yb=<90K].@ְ#u6gQCKhO%'4K DPan;).؇vx7s-pHa&Y06 M"/uS$fkH"ᵤ fȵ$wB.W-l"pSb",U^X۞'V'-yp4I؊6roL+f.Qr YMpJsmrxb C(zUf/KrݘkE_cQ:`, U0CxkGCȐvf@v dAǙ{K")X3-@6^%2L.p~)caO C"q#O=72ДZSj3Hoy_9fMWLy;fk0y \#!1v!8XIt%@t 8 W}=QZ5A4қ-w.!ZJ9ȅ&&q&byHؘ(f929XPl,#pn>(RKjka%BМUBg7*O{ 4[.gcӭ 9K75@[Z2w#h 8/Bj6H=i5ș<%|<2 zV<;u|%݊Y $lbyIfRL]|z&(@:fd.cc!b?&q sJ%FڭU+"iY"=-M|Q9L'U@I$h\B>W:k-cU"9bPp%s %+uxnu >i!Z)''5쓹/_3Ԭ aR6 ¶R^HFJfeA(Al5(%CuT~ p]vc̋dg*Q[i5 Jr ̜u .OkhQG+;,"yCWH̝%/S6XWdh3`qJw#ȋnUq^M{82&d^:[K: -Қ2Y: w]$- FquW;"+Z\ UĸQE"&QZB%4ɑDӣ+\{Ai.ndr}@J"q6Ʀ:>5,5Ωn<{:;83pֺ}$ \9/fk(usnt0)j3t2pϊ?8M[ bt&anHޑѨ7]sVFr7)%y0KG[(AƩ /wH2M.gϿӓ9agVĸ0o2RVA綀ȗY#;ܮ R8B:˳"x[ϡu853+חH [L!q4e~q[ke 9vyk\̱-"ovܶovռv]̍,^䴤[D?*^$Ig1+43=2}Y:7xڦ:Z]69P&.z"0ZRP:ŬE"@Bk,y=rECZ:.#\䡪w0!f̵9\V_m )^*9Ǫe~M#8zqd{IC 29%')?!_[4\NC+)K\%(s\s[CXE2ף}rjBu}BGw+{~Ð]( n ]>1zD1^lc\2cj 9O&W|g3:H/ " *n[V[0YwDd{/!6%:'4wbܞdf۶<(v/i _'I6 ;<4U { yѶ".9+鹂:fs%{@ s$cp S-K~{"yƺ66}1.7Ng>ܲq"͐&ԋ̌)!t\^BfaPkD!x%[U>Bs@)4ӷ0W`$rܘ:/G}6C~ߑ?kLLAh ZObZz2ПoyN,p&Ey!>5ZC^A>r;-2B%D~Ő'$NZiMn"姪 zAD"yK^wv-:\rª N2 Y5N\Gh~t$"O\W8u9mk\r\G g>?8㮽-,CW#o l1Kgs&KjO[8;0 |߿[tZߌaq5O\Wܤ#Kߞ%in%-_%M[oz䯔 ~1#+t6!$ 6Y)uM"+QOwEi6=r=6WhLEy~䙽|r$6~iMΑ*E 4ÐzyTlF0%\29+j ܧ 74&<m$(]qx8`}"2gɭ+r1< iKwƚ_"*@B[C>UX"ya+MX_fV-'mk+n+OC_a݀}rj^>0KU=P8:WRi r-8dBJ.mzE0}Z,et7#ՠCn-rx($WEv[ wY^;Qr oFy|GE 9y2ȳ^1%?f˂F?=:]B.O{ny+- /,^r{$-yprZ$˃۵-׽C2ȳF[w%QHlP`7@0KK"y{z|xty\S5< KK sݝC;o"w2?>mr.:dў.սtGy;<#^mQC)G"!eD!㓨K$MVUE h;Wvlo9r(\DOh\%7 虏|;<ϓj׵-d!+~=rvf."%4,Ό泧̹JÇi-쯷{(8)2A⻵ɱe(`w* O]J"{Tv4v~U;[vk/y92Rŷr&C @?H.a 6 .M݀c )I%'L 1RN[&V90UQJh 鵦'D W^Pկ cH d5w\#Z387Ex^s*%:MsyR2y*k> A_6M=䩭i^7?d˞~gy) 01O ֠H2(h_I̒,bq:m~kuszQ&/P[vsWӆ7$kǾ5H񘞞cA½rk(!“yⓇp-98̤t?x!N+m/wsqEV uU薞kuA!%Odӊ-}_u3H QFVh} mO~))k2%v>ybc=4kMƧ] ȐKa휡,Sd[S _8ʤ[KLk;h3¢&&W#==V#h7I9r7YP!{ô=H7a7ܐ8=%թ48lhYF!9YrmPȬk), 2) }y9 yZ_L9hhZ:o@| i3"oZL*SOXqR\ +k\js Ȋ sн[p-KC^^( kQbN=;CARBk0O=7ȫ+|P8Kz 4UêYrnS\|b{ IDATr҂*?,9ಈoG-{(3Ƨkk<8/ v 0y9Mw8O yaع֒_@X}NCIȍN05?_ W 0Hv{:R 8'ʬqÒ{9Et9CB3bB;C PybsLn~2 Oq",$u}8E=R@8fD9%Xdncy C縶B N iE3@.m}uMT`$@Z5 CDY†3_4>oQ!\ke ys,:c2ymYl"8JO49.ρ RFInC5CW:Ҡ3cr0w]~Gk@GLX0R%Z;axq:s@F*b`m_ugs>()ʰ¾\'3ɋ<lȝs)ąa٤=I{*!^JЕ[kA1fAG^n=L ؇TeZw iHߙ)͆tL1/:jSEiϼOSn`9!i?KCibw<0P9XVP=Ƈ~#K-x`叉gFr47E$kq,dKXWrһZ,L|[T/{D@B3%\7ئiїr%T֕u->c$ f!Drz, ܏ҥ7-Ֆ2MGcX3LuќW\c-KH/ 9x;B_%,y`./Ւ`@(Oͷ3?f2Y "Kr=9.y\8tO_ܑ^$ƐpnW/;TwEb氆4`_C'Oq/59cM^ II٨4D.e .٭*+Ghmxž: %}‘Ro f֛.ESJ$5aT3,F$m37o57߂>Tc q i)V_8%/49CϿyrn$ڒ)$ʘ۳z<䁌@S+~l2zQ!GE~^@wӌ%Oݳ/_MqbJk"{MGy]l6V}` 䁶+y-?p#׿J#YC.8S@a|ƂD׎EGi..{gk0W}XNQN|:h.⎁H31\ 15j}sS)Jef.Dz*2Z߃eu5W q`Ϧm1]yCI3 i١jK0g=Eb/39H$wkOan9 K b~6Γk7['R;h8Wxşs&e͒83۹Pf) Z :& $61$e澟qa3nv0ZkO9QBПń7 d-Ӷn%{P!rɢl'sX2Ϛ|{pVy&3{^1 ;)@D;1Һ(k zrnBEm=ɼZmnf8}^7KBa0 :IX^Z+ٵD ɞGp?P~'Etw+be32W0:!?1gtiBG_Ud:]ڇzx\UyQ ›JsNEe4[,d L銟>Cta%ijQ[@"Ht9Wi]JyN:lu4VdM2lBq TQA23M|2+Tsޔ?lho9-a ,C].3qwlFIa 1=i\['䪱FZܖe ycN Po*FDt|~mǔgC:= Aa^}I;Cݸ]1ۦ|2.I&mGdޖx=ZЛxίaj df@|<ᄕgdžMy=uKwlAqAgWؘWeNz џG43Ծ:AzO˼ q=1Pvuw*!y".K8y[$sXO~#5#Γ>wNh?bf"Y7ʅ4~:֋bV-[(_- ȺiUx0e ;>ʘFLڋk'@Խ1̳/᤾u<9PWIK/{2| ϝ|:"'pe^VI}Tå>^s{A 3szT :5vCW?0a6ZqB]?M;7<>/} lr!1L_ =Tϙ}s0KNvA'W|GyQ~H~ ieI8{=TCj_@E$-iKk}&.+W#9eN{ڳ/ n 8%X7zHN##"y5$oJ@yc9(sV[̑1Q ID "9cyŕSxgOnܐ<ڶB(4']Dn:ۖF$+81 N ~En8ρ1}f䅱ϫMg!]<֐ \ۨT"דC*Mr˳ #s/x^4X9?h_e(Bnrp[::Y=?JXϟ $r\-|x}<(KFjGP܌Չ|x u\{qVxYFO9yDyh*q.˰)'YɛϑW#]&`:)+`H{"H.0[EK$F'޳q2.C1w@\Mmϡ^~6bbnڻ`@` \L.*!dPsz:je& LW 5''dTZn@^sc Օm,庉߇b 'Ty.9gpd%)=z!7?x' S5ZfzRXj (O4߹4a5$GɎ?FO;9D~!Lpe!Vb vq\o}[^X|Kjil2Zcsmg؅w>8ӊ t u !w'"[ls>(0ْyR:8ȣɳӈ?[tj2`|՟_qo) "'ms̀fxˠ:kWiAT$4e/Yy鏚tM:~"oR 3_*8#/K9X$s+nPNenhĂ|7u ^d.~ȟD+"wO,] $4R9Gؒo*$rޢady1H~ZX K{,yCr07!^-cD҆/ {&sExn60AiE x  Z3]xtPfF䂧UcÒ$I2NTBϰ}z$Q?8DD~گ#E]^HiWe]_}&燬0t8ﶀai5p9Gn2բI"IwS <~b V{`x 9rrDC$/pg0d2O ҺIgmS~؊͆Nx%Ie_T|az65! FBM$d~,Eu b ]cEULYcN {lh j5pq-52s2yQ9򊷛fP3#_M !"uFe#P'u\K CByM0vYDG~!eQ9v3.Lʢ9v*H"3NР<VEٕiNvJN& B0+>}rFe96:fS~RNsG4ya䛥Gf-hS샑* 4䞃2P+e"sUV=590n!2;ՙz'̛A }xk Ԓdj6ǭªQ(!k>95j݀5%ہ̿s޶\3"_{5&A <_Fd2ߪ]c(lsr Z/[Ѭ<&ÔNښï_[-m_UH:VA#Χ&Ȗ5 Wen S)Jتd~#!W!t%fd(97 [9i5*Az{*s"#ץo͌EW6$yDmvz ͏7.dbN RjdFǝ!/O;!ȫtn=a4B&I=Y-%f΍ȕ0+ eK1`:G~_ y>6UL[%#r&sL A  _Dފ Bx2?Zh-Ͼ|x9޴4HGF~+&%B()(&O⍖@9,w?a϶ɵ~9/jYLȳ:|P.KY8fRu_y{9Ҍ 6#rj͒f䤻ۇ"rV~V79eǝ=Wn=^sG1D> %iK..( Ǡlt#5cr4'Y4\?4F>9ie]gڙyK fׄ_e =,ݰ+@e"#"@[%^AcG[9=oĒ\ay֋v7MnEz`9 i2;!o|?w͝-#ZnhΤty\]/'g)"eДp:i&]*wоz2%Ҵ!8J3@%3mq2 '7'́Lm7R@vә}pyk=%&9h'P uS yOn}OHrqAB\W%Ngɯ\A2 itU:KI4C6#?FlKGΉs!5Zq a9FӔݜ|g:5PO]¢jBnؾ{\I-Ts%kh@q_Uk X|CY9xtW@>y(ƁE$-ڳ[lwէ:Z2 Oz.e{ԓ"L{1RȬE;eOj\_Ԅ@ŐՌ$Dgqn) Ѕ"v@_*[wHeqKnup`0Є&w IDATC)=lvBRI6 #uY:'3 "DQbjO\@"yY ՗j}gEDe0@llDNRaF7tM!Hk87i_i7yH67l Wpޘ\!yȨOW,dɼWdB2cp"o*D\G̳|P moįx@Θ/ L{ӓI'oplTXIȟ3ͱmx@)J|މ_uO^k>~3{ɡD[HȾg=U?m_P.;g`;"#.qcOsr2_f|6I|l[ &9{N:֐< zO bs,(1)Kix"_w#y}p?G:2&V2COu9Tx~yi+x[PV2er0zΔ*ZE=yBm崦-[8Hf*a{RJj=So{X|xLJ2|<2TmS6"s5}&Su `UV冇Lyz=^H@2˛~Şh]*`=V\;~4H>Sfz k[;ЖM*=ѿy<^Sm fJZ$Cҁ w5𯭟ն?-m /4T$4>VfREY*{^RDr赝mBI[jǨĽR-}cF}6)]j$w㜑Bhkp12_yz)b`vPўP+\^|݂gwAQ+eyR("ZQbe\)?FU;u_V !Ȝs4P|ϓky˓Q&s\-mIdaitp͍.C2hĩ*r`Jt?3qS%A TW-nyY$6P q#-FC:F4e_,r⃇.жT OIhgc=V./%/$-& F;T ߠo PsHM[y@L~])7-ΌcxWn\y27z|Dk+Z&Mϩ"QX|;[p\-.q0T*_y2hgF" 9Ln>,@J:SzIP(D"sHq'L?ON~6NYA1fRLe-L|O9& +ڪo~ n3upY_l)o2/= OntW$ȡy{М*(xtcǔwdS'Nܷ(lbK[J9n}9Www9;@Nw[g$RaG a> myeJɹo8C? rFM`C!Wl(­},̒ʻSyK>U+9< J^ߙܝʖrw'3Dn0E=ffZp'ֻ3Jڢ->3]$-)5f5R7 .U/{#h.?ʇYy yԖ/z-og dXUhQ[P2/0fi+jU m2`nfKmi äK;~B/-Ή&4\K{*yh9b&3hǂ`DЙ;x:<>/L[SA m2G:0zon I[&pP+r+x/sr%˵5B7hCՏbdb ܷd<{Xv~}2hxKHKE^abV$w PIC[dn1Aˇ:L~[&[@J7^W)yhPٯ2Os+#yDW;p獙Lȿ7@ w@np_"6Z\9ֵ^B~Q)rFP'ʶJ#Y 乶[oa˟9_-;/ど0s?P Te`BrO{;B+ʓ#yܣW7CiɣNȩNrȸq+1-t)D0o 7=2JCɬYTN崡oA4jOF32'>p ˭P"oW虽λZ*yե/k]Or?ǔ?|4wnDX&rOiȯZ$"!4ͪ#o)hV^aM ܯvBǛgiw'gQ[>/y8$ yrA 9/A@ aZFL](yj&By3Iڮ|ee0c4-,>HE *#RlVYx2X#RB/%"M[宓wk}$6= z }5Lȥ yjljmK咮3b3yk܉Cgt39:a4Ox {B׉;4޺?7H[LCvS1ӯ39붭dނGrշ2czdy=w;a KJ!- TY:ZT[٨:2BZ $[GmG%+ك'E7l*Gr 0̳A u4wٌ\[G"B`ʢ?w7>Zդ!Z;-TiKa M7/ˆt~EZ҉.^Pvsb;} -C3.u-qfA} lXbl-Yg6Ϡo~_9zh|] ee`؜/MEG]C2߆T$'icL=`'_} 4 jX1JZZ,QAld(@7;y(eZR[|Hd$wH& stΥ)>ūfAqFsхɅdwsE'2W?z!|ifZ-gn:UzFȝ08cE37.IN|M- yhp;3mq[2Xd@r)C2pGoHu]怨g_Q[iDc(seg2oQKkpϽl=rt97LK}'z{˱s$5K\Cr}PQȃ䃹S߱ ʌ  t7JGxXrr}Yca.y1]6_{ThƌaǾ/K!= &Z" ^b.9ts Z[ ,;d`̗9a߂6L9Cd~3Qb(fz-2<)fShKbpCf%Nɽ'n[ p;l=SJXB|1r_ctf.1|)?˹ u& |CYok/&俥e>4<—^V|S9Pdzžh7ff(Gr#'<0!gyB[0I-Z:^1ZGd*2/r!?, "y*o^`9RMF-\[Z<_lQҷŠ5=^ s!5 .jK]! 1F Í- cey\y1ڢ!%.Yky%slj B衞)G g>!.<^ry]ʁߜ]P6O_Od4y?HK7I qFgJ`a^SI&&Ur3BJ)_=hKJn:rdn똼OzNkew۹Ef'w%ɓxيIT7n{!WwECjv [>Q5FQ$v~B.x]ۭP-Z-p͞G`̭s{e4A+ʑMlXgmӚæ7l;# [ /px'&%/!ϝt"ur_(0I #9D~k B:3'7fN^sYխLaE 67 rqG **W Qec BW=: 9-a!.gG 3aH2J. 9${MۚRErxRN6@_~T Rk y'ŖD\\yvj JBG tLʗ;zNWDެ5u"j%$+j M?<z"4D~5wN"1(d"9.c9O $L =1l;Hs\ bTSbea: Ap0`z #/e*bvhG;hĊM#QfyGq`*SbɆp, |לa 1-YGH* ,27cC#x(zmJ! ڒ&:~fAyk]uP<֤M`!ŇyzX!~mocYoD4Q]F(A1Uq_FA耆P:q^RȵU_\3X7nx(Y !R%=B| y[".Yt7,d+[qXii S,z[i_2Yt)y>tұnܫ:̒P #($(NC&ݴ.-!fnf.)8C"7@nlN߇"0JQy=XG`^2̃^U*ZMfБfS#LA\%)rai=awĝc-$-%YO?_X<6l_soyǶrj';'4` BE'S;P(rhw4ʆhk,un;3\xBɄq_sw wdե̍IȋP%T\baG v@-t;9-z̏^B&OK*sgTϑXPh*ć `2?V20MK2$renG*3j*6$zlQL)_ IDAT㢧VMyopYNDos+#?-2![P'y ʴӏ By}!6%5B~F`!Yd iyDJPynF?A[*}r> FcY\ϓzKc@׼=% vf=sjל^s2s[ ܐMx1G fO|Gd3%su{+L?;ĺtZJ@2D:Vr7%w%^f9<\Zh*URPBޛa8fi*8'GȵK8SPi'RmiH[lb [6-ger8Fm3ny+Yi~EF!>ENpYWmeWsᢅed?iWl d6? M(rg7or qKZ{eܼ5g(3uɰ')1fX2-=9Ν*ծx=в-<&^y풳X Kv 9'Z\ v5?MK/2?A7o y{Vo;Rr-֜$6l +y!Cb` CB79H~t?s|-5*y~b(t_>3\BVy3Ms%h˖B!\dv3jmAJ|oV{Dϻ5ߥX B )$v,(>((+rwʲK[0 2 P5y6 @/&a6피=m*[ȥBΖoqJd[RI4O Ƚ}c:qGL~ 2wUx<5%2x\ƹ/d]Ѡ" I!zw[BnocmC#gRKYsZ&}_Os?UC6g 71LW:9 ZnDO*s/ !̽[q(uM} d^mu$?T6'W sG+WCXkt t/ j<̉jٓy-W-2QA1^ɋ|zfJIo!4gݵ&RR+[Hy;M~O5u, o&? TH03n&&Z;|9WkZM*h19%9<"q:}h7;t:S>5ԺzEUq D>ۗ77בW!Ӳp I5ߪf6J3m[54yПx-p Ym1jk7XgI& jrMy@LiDZN㺫|溩%=U-yNO4(F"@ Cb>wS|B¡jr\#:S Z萐!̡:B_^|.\濴Bg&aݲre53hyAny/.u&3/1m^YПkp3npmȧWurW"OGU}w~T 9o%?,XUTLQwU7(rX>6%9y{DnD5^s&7S*WVd_Q@} ijzer,:a3mD[r?0]f[lϗVd~RQBƫ=޸_"E*Qh.\Z$ow3OfF*,e@)-=+1 Z[f;У2?'jslynuGD~q[c1%9 L# Wȕؘ r\(w+w W"YXn?r=u1 |\n3Κ"T&(;;).l2-3bE,Ub~ h6!Qfn"hOŜęL濜,\CL\L>0G*&пKܲԴ>*2#:'"-2ЩDz!԰/ޛܰ*-Tj0mKb D -THfIO 9A*>?7Hf1$,!۬Sx%;+&H<MT(HpC<̻Rܓ1&;,'Ic,jy-{w??9U!+=+!4~aDd2\{,(^+\æb|y-M2S|ؿRTU)/kIE!p\&{J7~0'-gړ;!/ХPGz"vmm"s nS{Ѵsؤ&s&srrBuEk2MshQ~hhO$υ1UL[lӉP!ybE[[76;\4e?fQ[:6HKvMd^Y*1i ז紶_ajpW|k%sZW}Wt|1PlXi" P[<\[~m罟@f _>KTɜkKVa--}e[&aËե,zZ[DWx-9ub XOy;;tj ]іT[D+wy.--s??y(SMH!/Ƭb4wE[9?t硅mfYtULϗi}yRkKLRn?9Z8m#v؝5n|[~37mVȊwL-ߐŃPaHW`X'˂Jc>ʪ?Ұ/ڻÕȼ9.>X0#~#⇥!p9#ڟe< IE*?.o{3;T2袴A#Zl6K=99ؔLn8{G>4KfxMt)w/A#|?# J@x&ShD3L#m/fIAy Lϵhy!5'/5T8288X a$s\hшQi/q=bj+~=%"Ko-pw k)9"9 E>.VӰ\]翥n7ooTI7sr*&GSeOo (h`N廵n"C3Uޏ8%2fy 7 &ѩҐtඊnNq}m"_emQaXdCdΗp;nֈ?Fru Ǭ^i'H>q e/_% --t"\ ^vr,n#26x& Vq[3rIѤ'0Md^< g?ɷE[d}(r*ChS=9|0GOȡw&ڊh Gr.Fʧ&r Er_ǚv<ڟ NQMhڡ[8!>)Wk2f7c0@rU6!,SӸm0[ݰ9JpO"މܦ_2tf1bL1R!=^ig?Pıp]$w 8>4XZ^#YjɝPyf ,oPg@J[ U.2'[ՐG$pE!r; x}vjO} E 9.B= x -8{a7 y-0ZO%2JS>. kuEmF M|E~?ڔ\mS;:L.'ޔqqGwL+wMZ$IE s\cpԟ-N#yPerMKhWO(LnF =[w䝉9c G?m0&53rɽr rЈ|%ݫܶqWfEN?TO㺳8ۻwE@<*;H"y?!BWV |ƒ}ۤ}RZ CC)? %\۔L&w{T O< m *F 홇Bߤ㴆V-`0)ڧ`\K~".#yHAG'[%Ay9$dɇLw3=y!w|rlo.'qBJT5z2 y]QE Cr شĦ-jI"[Akዳސ'0M#` GfUX`fByN>w.嵔C9Ke ? brU"p*Um:+ 䕕W'n&i[&rǓW!rC_|aUe^"қ E㍈ɇT©q9 1#2HLDb,#3 أ!*ps¾$ٜ|a-@"V$c:wX t&g1 ;+zV[[ Q% לִEUp3+I^:2G Q1@/GljHpVǨEY|G" z?3V]GWL\o7 5AsP tMyܠ-\[H;B7-FJv<-""Qެ .ؚ A\2;ԗ3J/)sC2oDk}?IhӤ+\^Gq uZ<ִEDC@)Oc`)9ɜV 0t{i(f(6#Qd!3d~rL3ὕ:r|ȕ>i̽BdBΌy1'7LCv&s-@r؎ɱUz$'I2S'tFb&A1R?K2y rA u98x!*)o#9XďKtM\=R-!oO)6Ud7_3&E񾙒y {aH:Lh8y[ W \ϕ#{:рiWe~fhXu_vT(n.@%\MRɩ+27/ŽC.a4-hVq?*c4\y.222.wd՟y9'$kec+$<,(Å+;Lr2dH.ɕiX,|/s:˼bxR[q2t ^' $::z-x>?h 9CQ12(T5A0eNFnANRu؊? / 2sr+rp2o9oB_94[uIf(s{ڕ/t"nf"& z:A*k3`8D#,$s$䭈C*KRmkbM.WC8ʼD3'̷3uj@A>=O21Nd~? ~ǔ1XRw)z?{=%rȻߵPC5ɧ|LNt%MAW@vFD*̱7.[}-3{6SG ?p\&R Y39ȯ̑+KoDA|zA*EC8;3Nȯ"]0ƓPOja5[8SД|;cq㡊YԜv-a@{ );6JMÌvJo&/lӇg+rVNzqVyo+QrpiOݒܡ~BfduEnA5c[&烰ԯaj1\=DJׂ\R5qNrwduI:lO֨p7Rr쥚 4扪'ᤞFrmHϞk Q$n\@:3ĉ*y &<yv;͈͂_@ic[wzC-wgnc#P29Dq7!'%ͷȥe=HPI;t(}Y[+e}s$.T3Oq IDAT wc0vP.{wg6hiF:bQefBN2D,$֋6* kYCy~x [rTF'kQN-CSo Hm {1Irv12A+~\/_DzY@u8h˘)ur\,`u$Wjv?Y^XႵ">QKWBI[ȃ[$6H{=Lc)9JC>Ǡ c61m+\||<~d!P5DIf}y %~%2#SGrX3&ÞUG^O"7?cHUyN@Zv*c9;Ǝjn! _7bq.d \[?@^GPqdH'a䰃X6Fx\:N ' yrYLDmC8.1Z FV(+y6>[I͑B[I^X/3 !g; &MMFk#5hdž4zP"W[^ū9<+aCen*B5V.fNSr~1l0e_# W? 92SGiA0bLk-Yk{<`b7H~FQopRWFmbLvvf$\iÐ/@N =ӿhpL N^fDd5*b<[i0 g2*M`TvO-@+ufV3 B"󟚑/lц=AX=r&oM? xC05:Zl8Чgrg2LDh{%q2^JFq0MfvyreNɼq1#$ihY5%9|y:hIwQŤ 2U+Ct^#l\O#B. Wx2tuYT2Ot7m~R) sazեCTt 5W) P e`v/G"KSP ?D,71q(lvy;8u-}jմtm5Z#=A/;m9|bAe%ݠ?W E8!G2/<Oۇ,>/u2D!;;xUߒrTjvT \ȻF-e/c]J84_Ըé_RByBȳй6|>&|^0W̋iZ& \Ԕ4UB&,nFs|C5:6|XSkdۖkKAzZ$ǬJhVod]}9[e˗ Rm֌=RO :LAD>rh*mH2ϱ*3a2}1px \Tٳ.vGe H#-?72o2` txnἙ־%*KdOT ִT|, ̙|ДOmfrwE@`!,Aw"Y/'2?oa/syi\ͳE&gsC5گ3fE߯o,6߀ i,ѿZg]:Fⅼ nQRMKW<=~Bs0-yQf3?M,_5ŋ#R܌m9O>Ndig9tW|1lIl(Bj5Q[8҂W73W[2` yة6o"ȳ1W^ kMMpu[V8Hs m󭧧s6YKL>5X`y>ڄ*rYL祝hkRU^qUc͒8 R)1,uErݩ1)^_.|6yѓr)WՏHc¶g?o!we 11t;PڒYZCHGOS'+Z&-M^% Qv%]@`rFY'爵?ܖE^)[߬iK^/6gnk gYX$2g:Ve6"H^vmc>X2xa, YpE~!"[_c(Dݹ;tQȿ(D^Lc$'ؚQ`z;yk#. $Ϗ=Ds }|P%*&2?7]mgiZ&R |z_U+A;wERO@Ppr.<1{ VE>Wkѳ!OX%$4zfD?|M`FD:Q# /N> 9!?/E&Q%}|Y%RU~p{cBj.K.C<䟣?z=gBTB\ʄ鐉@?}^j<^jP8O&\y4@5, K? Y$~~d\y=E ɓk̚Lj |*-ʛWj1C3q_pzyV -Tmx 9ݲB+]&.|_Ќvr+ƴ=_Q-v=3j?J..WLO8Ura qO`% 哆:s=y>^O~_mT މO =G0DrX.{nVeN'V"FPHk+m?i :Dϭ˓Fr=]D{&w5>5G?몰䗱$/:Σ.7"\쳢-?؇k첵!< 3tV& |.״M]. Ϥ $:6+E>rVy$gˉE[=3:tN%[EOX;1Hmy1&F(EӮ} Hu$sׄa7]@~ȟ1e~0]'0\y֌g^"^UJ"/e+_hB婖O,.6+v0^K:sBVr/dJ?K*Y8N̢"9;b9Z:v^/Xc?bbd-n QSro 2h&Vb#rMC"/-?t=5΄m ͓OIpNWb4[ 5e"s8j][ "y~:ޮ(R'^}H5epC ISrxE,9/'U3[@1hY`:0a@"@=c8.veos5}RB7J,%`4R`cbyw ơkӫ9z-sz9rY!51]1“ӴrVC%5 9E.9od*919ue0]r s@=[%[Mnm"2wtL )ނRHt+ɼ]?qQ%FE `xL"Hn/㚅Čɥ)Bun$ /1[rYP+0hx/ \[gpgSs.+(sZR{C K15+ZǼrh@TNxK8z7z^$G5$j}1eߑ_= 2vغdzAiH~V[Bp(R6!eݦx# LWOonl;7[]X_\-42ɆE7ojƉБ6>&\5ZʠH#/$o%pUcR%(W{ޚ)m[/3` Eo_tDH#I(f_P˶J" CRRWw8yhs}Ik~~8b8ro*sIV/3 -lRΥRͧ @=lU oWB&j-={cG2ϬʼR?gyZ;3Ghr$f`do2U{ÏNn2ZB.XUrAXPdFyg`h`u_f ۵DK~0iEUS ȼ .ȼyZT$n1 !'7;"̛"~V\n乽d}CIOb>RB$6u2̓Хua;`LQ[[|yaoW VTKrpjAD/a}!rg[9 @,>1tRE4v$h2cë9"/UԖK 2>OtO~Dް3οnqI?s^ӱ_|t+oh WZ~RyCUI#P#!Ki[0.qZ=vE߭BƖR_#>FV[B eE~쪮[adO.CqU4̿?۽CY?=?~# մu7L{S$w;2+1pqu\D|L]/2xFaG;; ^MvrA?\4f7hpc)h٤Ld4c|<;ggms~DWaЪ!#I/ݯy͡` 㙆~fy#lU|ݚMjm- ^ʝ|Rxx/WyȫV ʌ 9&K}/) "UF^Ѱki g.굒C e3 u"O|Y3/G^>Upʒvz&"zrXWekvT5l5 iWȟF>IWKlK iA(*ܪG6J ;rpNЕUE%IwOIZh =LCjQ,c9nqr`k$oHGpݧ>nmg_E7#}7&&w9.rEsIxR 7//D{fpt{1yOM3.=B[>ΌIֿ!VfW]b?h\,~9JFo@&{[,BtT¬5\I}[d{)ʼ I鳖ɕkY[xY vImJZV.&`&^*jFnM>>>oNHF[Wv`&tlzR0* X{t/wfev3D|-@c;֣KNHF"t*NQV1hLw O^01Pv 2n }\@W ~lIj*`-Խqn|pmMMB"2lJ$5/`ad u!xB9Er[Dc|vpsҴg%2gdXLhσ3$[&\hCj^ž+-Dre gfdLb@9yrPg$4 ''dLuqk\gZ"Pq;wE^åꗄ9v^EYwh fxWr*bZޜ@nS*g'蝬,^ow;jAo\.u}ȯxϠIy\*?p2OOsa%CǾО+ͦ}(%m#ME [vm)82JI x׸z|>1Ӗ%Ep ѰhʳD'J|vx ^PI$|JQ`繙jK;-Ǯ\VqΧKֵzV)j"M$U K5bXD&,1foCTya~~ cU$x}Y~u˲YHuٯnIn@[.|. `[ xbJ7w`Ə5<^I~D|W{ 7C-s>n,!ٰھk?yY[ױMd >B񍮇CE`k-ɇ@aF$!o OdI͜|!S52cf띛"g=;'YGwl/Qޚ|Xt>:W-mi=P[\"soBE# V-`{7$sC|y "|s d̿Z\0/nbZѶLls{`%' p&Wˡe~Z&"dH hBi 's;5۸@ÂK [{xIڟr\5w 2h(}z&g,~j0'n/3$y*D581*^1-ԗ<ky`cDf\kK2chQUA F~ ccf8ծ'RKz^)%ճlIGK^bBtwX{eouyBdΘ_DŽ 3r^.1oַ|9~Daƨ;n-K"!_H ~zfňQޚ D>1O#1OaewM ߶dmbGF}۸B.TYk@U4. D'x=o.9ί~Fhww>s{=s TIqCr8#ň5iC佺9m4ZCi.{@QvW1i 636J<թh[YNDLvl-1ɎȍfpX8XZp}۳, 1lf:-1!j D~f1=yK㬠۱qxr6|kmC(~gr#Ya,j*mgoڧ1T~/1OWH̄}*<y0wS zU!̐=?cH|~R1[oTxqN@>*<ۘJ.|Щf}E+T$S܊ӛqfm Vc.!]e˧{d{Np-Uw%~X^`Uf?CYoΧo|K .KI^zI҈$Cyg>o[_;|: Vyޛ`VM[Zɽj{5.30N%8~N=|?~bvԹ-6̼ޘ)󪹍n{p3,w/G0zl<'*Tc6b a݆tܿ[ZP!Zᐿ<roOB|ZwWv~6Jil n`֎~%#T#|W1 ~k=䕼 U (y}+iN igݨڗv-͚7쟑uml=dO~#\TS}eqZsU]Û7J於;DvB4J傢1F[s*yIRCM V(*zo=Ucը<JBݜ떃'D૪-G 0Q[)$Rq7Л[gRk,P{OCxUE [>Dd-i5:Fj BL:6徒֓a F>jƶ"@׳ڷɊ;+000+"~ԓc5!88䱷ذu*ܳ*ݖ<j}G/i:hh nf;Yl6sz[l ]_-{mcwi:c!䑞h@jj8znɓ`Me{ $SQʎ_mN ~#`W[&YxŇTy=0%e+uDR*o; ͇}8uS&{2'+rewEy=t9vޠ͘y⸕ciS~q:ߧJ%Ů*l,bC+Vf4y竨9?!gR +eRS;PۣD*O½|+.HPDdPK^6' #5$H=ֺ!rv;]TohIÜ)LhOe{t~=&LG *:ǥ$X+!S}O|ڼkq7|K 8{3YOoAQ9-*9To*ݘۖ5'ZC H!/:2Ζ2KCܳĹR",Ɇ:fԽzѺʟAڼCEZ~Ìb,ԖRipŧbAV^΅t OD{ycи{Sԫer3]P)7eQ\ Uyb=Gal+Z觷q`zsFGALeip; "gA-dDWσ\\bC~UgU'ͨ}Ea(tJh̩QnK!:^aj λ<ǖaJ~E.,(_|9/uo3@ʘ2̺̇1ᇾ<YfηZ|//=7Uv:9|4?褐Wǩչ G 됔 ZE_?% ޚChO & '' ǎ\ɮhW_@~҈/ rmֳJ\[kùp}MC& g)A|GKv3&p‹Hcro*-~Z,4{67AqtNb ȱgf2c/ >%HCz5 58}%%{e(g5[4A9dyFk)@.z>Lw R-vu$A20Hy:Bs19qu W]uuRS|%˖-=-=}ۊx-VL#9|JUet5 Q|SO < ?"%fFӐObSA^ D^u7 ?!\ . e(;E< G_W9.d < S~!_54y'=@nCf_{`ӉPqGD+v#5ȃ[g@Qdr rZC gK"C[eELyN ,|`~3;{Nn_Wt{ rU@^8w? +xDM|TEi" GbgO#@M"Әk\_T5C">D\N 1OR< ŌP6rp ,S#*7jKYQ9ݲy\w 2?SJ(M׎""^"dž*w48"e/34g KټAa*nvĜBm)e3-&}w1=IyOw& w_DZXqΪ荻 շSn7sFݣIv\7OBsVJjn-RT?ɰ\fiA~S!Ѱ rVF՘W' WFb3"TBc&_̞!/;n#d  -si;tԘ{~5/t|+L!1`Ը՚h{rcnד$Tӑ)c*E$ GV:Vyi|"b/ϟ%̠側2B !wa_'N#ۖj2 qE{ W +.AnF.};SGˆ'5Α޼%]`r-9%H>`Lo wGNrZ ԿZdkOyvKW镂ܠ[:W͔A Z Y &fO:'P)xi3(ëyQ j)DpV.m[ >B xܩ{)9 d-yX˙Yq)qm5i-\#r`gOPe8:+5Lf0 Sv 5"UNDC]" 5@w)B"]'W.:G3Nia圇䈙_y$HWgԻn#jB*i堒鍘"jx/87-hN@灼Ys ` PE~)>Z&>L9[fsG՚GOl?\~Iሁ/!w lr!(25C B ȗG{<͈U\4 佚=y)u;[uL̸["gWmb *VG>O~0 y]jցt\@nx^,rOvKLuc VygUk<򇘉u9WC>ZԶ oZIco`M:g-Q4}[l~LdZH XsP3gqnVv"?=y)3t6ʍP+~QF1lE?9|D|eܓeB&!^ِ O I,%bR"|jIDAT1@-!/O+}CD4Ts#$-`UD=27{G0Wf[|خ3>)k%c n |%$)R AaI L{wb"ERo:2H7j$ r#l!DiCd< ek$rq}:^=9 SƧ?@_8hj$_vE\?hr%P,b7=LDhc"Jd9yvBP}t?\LX7k*B"/BV 8"C G7E>/ϋZl!"$ 9r:<'/cdB>EsțʽLFky6XW OW;c? f-A]m7e9K2'ҲEw]\"'v+ 0& .{x K.7so%b *ĽQR’Z C _{K'#aΒi_iyzjYGӶL}]H#% =ײ'uQk &]sƿdHu!TR/IrK0:/@*K1 +~gϪ|GXZؖ\] "RR.fC 3kV6H!Sj0ÛBKCQ{uLa$eɢkN2t7FN&ORW]2ssZl [ͧW6}UAze_fFXeG=K71KX%[ ]i0yDێaEP,m dQ&ʓˑڛQГ; -K2R8D.4 Y*Pg9I1Uz YLhT+y--Mac` :-IC˦,#@>Ce`wQ^V7i#R+!Xb 􃦛`:vtw;GhP~ J|Q^S_h37Eg2+s"QOpe6p^}wO"V 3f :`F>̼&|{iP|ɃMVV\m&\mj؇IV~Pj ^ x Ğ<Ԍ?ԧ]/@mέ]-_|knrh?]k%*Nj[j9+A~>Mh]nvt ?lїΗ"J\뼭 d[X:[5?+XY"_|Vğ8TIcwH>296i{ٟ׺X|$ZK +"۱О*[盀W7vqB,B#Tn1ASH?&u}UsE6@C3&hr+]q]Z1;W$Ψ-N:sKKū/f'yy%:N( *lsQ7Oވ|ce3T?"7_yy3c#jŃ%Β,8?iȗVC ɹy"Q)Ow,v Q++T@9j9I翖4f+~,jVb3&&"5pR!j|kt{ꇘ μtw6#S:όIwόS=W[pqJ}}UVʣ%X. QZI($A"7tNwOcWfcBi(Xhe<+$MR2q !RS!l $ChR:I;.r=Ձ(J*cAaTP ƶ~Zk#jR\MѭC iTx&_qQA[qEHA^A  ލdu=VpG-/(2*όmRYቾ׼,f^dKz {J$Yk఍ ih8EG lRKyCrIAOe];VzDž^c$2)m!.X v ñaqCp}_ PѼ9'x#ɱ|6u fRG9(=n]Yw7gt^ܷ^Dz9Q`s:nekn;oD݊ ւ>?fCعDx:x%`g5o ~-gO-nTfZqJYBE2PT&x슾s{4xe^H_,A6K+ɺ; 0ʜ̖ *4:JV& <'DeG cCr_}4I׿!e ȹN:dž8fR,/7rv=Gs&VuLhו Ds~;*ve^ˑDݛ@㒞G*"i世P}8mzsWVt$vDY*gDnN6>wcA^NjyWxBQ_:*LՔ0Y֍V+4DÕ1YDgVcY%.W7u>?Vķ-{߶ȏ#Rm߶gg;H#R?e;V&IENDB`vDText78vDText77tDText3tDText4tDText5tDText6tDeCheck1tDeCheck2tDeCheck3tDeCheck4$$If!vh#vt#v #vp#v#vp#vL:V l4++++5t5 5p55p5L/ / / /  / / 4f4tDText7tDText8tDText9$$If!vh#vt#v #vp#v#vp#vL:V l4++++5t5 5p55p5L/ / / /  / / / 4f4vDText10vDText11vDText12vDText13vDText14vDText15$$If!vh#vL#vp#v#v#v|:V l5L5p555|/ / / / /  / / 4vDText10vDText11vDText12vDText13vDText14vDText15$$If!vh#vL#vp#v#v#v|:V l5L5p555|/ / / / /  / / 4vDText10vDText11vDText12vDText13vDText14vDText15$$If!vh#vL#vp#v#v#v|:V l5L5p555|/ / / / /  / / 4vDText10vDText11vDText12vDText13vDText14vDText15$$If!vh#vL#vp#v#v#v|:V l5L5p555|/  / / / /  / / 4vDText16tDeCheck5tDeCheck6vDText17vDText18}$$If!vh#vL#v:V l45L5/  /  / 4f4vDText19vDText20vDText21vDText22vDText19vDText20vDText21vDText22vDText19vDText20vDText21vDText22vDText19vDText20vDText21vDText22S$$If!vh#vH-:V l45H-/  4f4W$$If!vh#v:V l45/  4f4tDeCheck7tDeCheck8tDeCheck9vDeCheck10vDeCheck11vDeCheck12vDeCheck13vDeCheck14vDeCheck15e$$If!vh#v:V l4o5/ / 4f4vDText23vDText24vDText25vDText26S$$If!vh#vH-:V l45H-/  4f4f$$If!vh#v#v#v&:V l4+555&4f4t$$If!vh#vD #v #v#v&:V l4+5D 5 55&4f4vDText27vDText28vDText29vDText30vDeCheck16vDeCheck17vDeCheck18vDeCheck19$$If!vh#vD #v #v#v&:V l45D 5 55&/  / / 4f4vDText27vDText28vDText29vDText30vDeCheck16vDeCheck17vDeCheck18vDeCheck19$$If!vh#vD #v #v#v&:V l45D 5 55&/ / / / 4f4vDText27vDText28vDText29vDText30vDeCheck16vDeCheck17vDeCheck18vDeCheck19$$If!vh#vD #v #v#v&:V l45D 5 55&/ / / / 4f4vDText27vDText28vDText29vDText30vDeCheck16vDeCheck17vDeCheck18vDeCheck19$$If!vh#vD #v #v#v&:V l45D 5 55&/ / / / 4f4vDText31vDText32vDText33vDText34vDText35vDText36vDText37vDText31vDText32vDText33vDText34vDText35vDText36vDText37S$$If!vh#vH-:V l45H-/  4f4vDText38vDText39vDText40vDText41vDText42vDText43vDText38vDText39vDText40vDText41vDText42vDText43vDText38vDText39vDText40vDText41vDText42vDText43vDText38vDText39vDText40vDText41vDText42vDText43vDeCheck20vDeCheck21vDText44vDText45vDText46vDText47vDText48vDeCheck22vDeCheck23vDText49vDText50vDText51vDText52vDText53vDText54vDText55vDText56vDText57vDText58vDText59$$Ifl!vh#v&#v:V l0  5&5/ 4al$$Ifl!vh#v,:V l40  5,/  / 4alf4vDText60vDText61$$Ifl!vh#v&#v:V l0  5&5/  / 4alvDText62vDText66vDText67vDText79vDText83vDText84$$Ifl!vh#vx#v#v*#v#v#v*:V l40  ++++5x55*555*/ / / 4alf4vDText63vDText64vDText65vDText80vDText81vDText82/$$Ifl!vh#vx#v#v*#v#v#v*:V l40  ++++5x55*555*/ / / / / / 4alf4vDText62vDText66vDText67vDText79vDText83vDText84$$Ifl!vh#vx#v#v*#v#v#v*:V l40  ++++5x55*555*/ / / 4alf4vDText63vDText64vDText65vDText80vDText81vDText82/$$Ifl!vh#vx#v#v*#v#v#v*:V l40  ++++5x55*555*/ / / / / / 4alf4vDeCheck24vDeCheck25vDText68vDText69vDeCheck30vDeCheck31vDText85vDText86$$Ifl!vh#v #v@ :V l40  5 5@ / 4alf4vDeCheck26vDeCheck27vDText74vDText75vDText76vDeCheck32vDeCheck33vDText87vDText88vDText89$$Ifl!vh#v&#v:V l40  5&5/ 4alf4vDeCheck28vDeCheck29vDText73vDeCheck34vDeCheck35vDText90$$Ifl!vh#v&#v:V l40  5&5/ /  4alf4vDText91vDText91vDText91vDText91vDeCheck36vDeCheck37vDText92x666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@66666_HmH nH sH tH 8`8 Normal_HmH sH tH DA D Default Paragraph FontVi@V  Table Normal :V 44 la (k (No List \C@\ Body Text Indent hh^h`5CJ6B@6 Body Text5CJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vj\{cp/IDg6wZ0s=Dĵw %;r,qlEآyDQ"Q,=c8B,!gxMD&铁M./SAe^QשF½|SˌDإbj|E7C<bʼNpr8fnߧFrI.{1fVԅ$21(t}kJV1/ ÚQL×07#]fVIhcMZ6/Hߏ bW`Gv Ts'BCt!LQ#JxݴyJ] C:= ċ(tRQ;^e1/-/A_Y)^6(p[_&N}njzb\->;nVb*.7p]M|MMM# ud9c47=iV7̪~㦓ødfÕ 5j z'^9J{rJЃ3Ax| FU9…i3Q/B)LʾRPx)04N O'> agYeHj*kblC=hPW!alfpX OAXl:XVZbr Zy4Sw3?WӊhPxzSq]y )l X  z 424J62_ L!!".##$&%(&&'(\)*^+,,.B/00d1b.@`lpn"p4 tj6 @TT!"$&')*,./134689;<=>?@BDEFJKMOPRTVXY[]^_abcefghi~ v L&4<6>d F""($$ &&"(d).h@lz"\v* #%(+-0257:ACGHILNQSUWZ\`d (49=M`p~&28Zflt 3?EMY_htz &28AMS_kq &,8DJbnt !S_es   3 ? E Z f l u   & = I O d p v  D T _ o   & 6 _ k q s  -9IVfq *:GWbr+8HScs '7DT_o&28BNTfrx (.:FLZflv #KW]eqw%-9?HTZmy"5AGP\biu{!17Ghtz} K[aq$06&,6BH0<BZfl!'>JPcou  DPVmy!'AMSUagiu{  - 9 ? u )!5!;!{!!!!!!!!!!!!!?"O"U"e""""""""""" ##$####### $$$$%%%%$%*%.%:%@%D%P%V%%%% &))))FFFFFFG$G$G$G$FFFFFFFFFFFFFFFFFFFFFFFFFFFFG G FFFFFFFFFFFFFFFFFFG G G G G G G G G FFFFFFFFG$G$G$G$FFFFG$G$G$G$FFFFG$G$G$G$FFFFG$G$G$G$FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFG G FFFFFG G FFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFFG G FFG G FFG G FFFG G FFFG G FG G FFFFFG G Fl,b$uLjmB.l@(  \  3 A3"?bB - S D>#" ?bB 0 S D>#" ?bB I S D>#" ?bB J S D>#" ?bB  S D1#" ?B S  ? &&)/tulHa,H4-@p,@40Zp,Z4IOp,O4JSp,S4|Text78Text77Text3Text4Text5Text6Check1Check2Check3Check4Text7Text8Text9Text10Text11Text12Text13Text14Text15Text16Check5Check6Text17Text18Text19Text20Text21Text22Check7Check8Check9Check10Check11Check12Check13Check14Check15Text23Text24Text25Text26Text27Text28Text29Text30Check16Check17Check18Check19Text31Text32Text33Text34Text35Text36Text37Text38Text39Text40Text41Text42Text43Check20Check21Text44Text45Text46Text47Text48Check22Check23Text49Text50Text51Text52Text53Text54Text55Text56Text57Text58Text59Text60Text61Text62Text66Text67Text79Text83Text84Text63Text64Text65Text80Text81Text82Check24Check25Text68Text69Check30Check31Text85Text86Check26Check27Text74Text75Text76Check32Check33Text87Text88Text89Check28Check29Text73Check34Check35Text90Text91Check36Check37Text92)>a'[uTt 4 [ E `  ' ` t :Wr'Cg"8i~ Lb%71[?d  . v *!|!!!!!@"V"""""####$%%%))  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{!:Nq9m "f  F m U p ! 7 r .Jg9Uy $2H{\r7-ICm(Qv   @ S>T> U>V>W>X>Y>Z>[>\>]>^>_>`>a>b>c>d>e>f>g>h>i>j>k>l>m>n>o>p>q>r>s>t>u>v>w>x>y>z>{>|> Oq q w @@ O!"$$$$%%%''''b))      !"#$%&'()*Xw II X!"$$$$%%%''''k))  !"#$%&'()* B"*urn:schemas-microsoft-com:office:smarttagscountry-region>$*urn:schemas-microsoft-com:office:smarttags PostalCode:(*urn:schemas-microsoft-com:office:smarttagsStreet=*urn:schemas-microsoft-com:office:smarttags PlaceName=*urn:schemas-microsoft-com:office:smarttags PlaceType9**urn:schemas-microsoft-com:office:smarttagsState8&*urn:schemas-microsoft-com:office:smarttagsCity;)*urn:schemas-microsoft-com:office:smarttagsaddress9+*urn:schemas-microsoft-com:office:smarttagsplace .+*)(+&*$+"++*+"+*++*+*+"+"+++*+*+*++*+*+)) "&;&9;XZmnrt3GMah|  &:AU_s.8Lbv "ISfgs  3 F Z m 6 D U V _ p q   ! " & 7 8 = _ r s ; r  ~&9BUfy $!237HIMh{} K\ar$7-6IL  ,.0CVXZm(<>QRacvx  #DXm*A    - @ A s u '!)!!{!!!!!!!!!!?"P"Q"U"f"g""""""""##%###### $$$%%%%%%&&&)))))&9Zmt "Sfs  3 F Z m D U _ p   ! & 7 _ r s .9JVgq&9BUfy $!27Hh{} K\ar$7-6I0CZm(>Qcv     - @ u )!?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz|}~Root Entry FData ?w1Table{qWWordDocument |SummaryInformation(DocumentSummaryInformation8MsoDataStore`OV0H04==2 >2Item  |0Properties}43EQSNKLNQ==2 e`Item  PropertiesOCompObjr This value indicates the number of saves or revisions. The application is responsible for updating this value after each revision.   DocumentLibraryFormDocumentLibraryFormDocumentLibraryForm   F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q