Выполненные работы за январь 2013 по адресу: Пискаревский пр., д. 58, корп. 2.

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  <p class="MsoNormal" align="right" style="text-align:right"><span style="font-size:
12.0pt;font-family:"Times New Roman","serif"">УТВЕРЖДАЮ:</span></p>

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12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>

  <p class="MsoNormal" align="right" style="text-align:right"><span style="font-size:
12.0pt;font-family:"Times New Roman","serif"">Председатель Правления</span></p>

  <p class="MsoNormal" align="right" style="text-align:right"><span style="font-size:
12.0pt;font-family:"Times New Roman","serif"">ТСЖ «Пискаревский пр. д. 58 корп.2»</span></p>

  <p class="MsoNormal" align="right" style="text-align:right"><span style="font-size:
12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>

  <p class="MsoNormal" align="right" style="text-align:right"><span style="font-size:
12.0pt;font-family:"Times New Roman","serif"">__________________/Кошелев А.П.</span></p>

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12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>

  <p class="MsoNormal" align="right" style="text-align:right"><span style="font-size:
12.0pt;font-family:"Times New Roman","serif"">«___»________________2013 г.</span></p>
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font-family:"Times New Roman","serif";mso-fareast-font-family:"Times New Roman";
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normal"><span style="font-family:"Times New Roman","serif""><o:p> </o:p></span></b></p>

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normal"><span style="font-family:"Times New Roman","serif""><o:p> </o:p></span></b></p>

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normal"><span style="font-family:"Times New Roman","serif""><o:p> </o:p></span></b></p>

<p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:
normal"><span style="font-size:14.0pt;font-family:"Times New Roman","serif"">Калькуляция </span></b></p>

<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>

<p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:
normal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Наименование работ: текущий ремонт по адресу: Пискаревский пр., д. 58, корп. 2.</span></b></p>

<p class="MsoNormal" style="tab-stops:111.0pt center 9.0cm"><b style="mso-bidi-font-weight:
normal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><span style="mso-spacerun:yes">         </span></span></b></p>

<p class="MsoNormal" style="tab-stops:111.0pt center 9.0cm"><b style="mso-bidi-font-weight:
normal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><span style="mso-spacerun:yes">     </span><span style="mso-spacerun:yes">    </span><span style="mso-spacerun:yes"> </span>За период:<span style="mso-tab-count:1">        </span>январь 2013 г.</span></b></p>

<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>

<p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>

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<table class="MsoNormalTable" border="1" cellspacing="0" cellpadding="0" style="margin-left:-29.6pt;border-collapse:collapse;mso-table-layout-alt:fixed;
border:none;mso-border-alt:solid windowtext .5pt;mso-yfti-tbllook:480;
mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-insideh:.5pt solid windowtext;
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    <tr style="mso-yfti-irow:0;mso-yfti-firstrow:yes;height:29.95pt"> <td width="59" style="width:44.2pt;border:solid windowtext 1.0pt;mso-border-alt:
  solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:29.95pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">№ п/п</span></b></p>
       </td> <td width="315" style="width:236.4pt;border:solid windowtext 1.0pt;border-left:
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        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">Наименование работ /материалов</span></b></p>
       </td> <td width="98" style="width:73.35pt;border:solid windowtext 1.0pt;border-left:
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        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">Кол-во</span></b></p>
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        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">
              <br />
            </span></b></p>
       </td> <td width="158" style="width:118.8pt;border:solid windowtext 1.0pt;border-left:
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        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">
              <br />
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    <tr style="mso-yfti-irow:1"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">1</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
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        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Снятие показаний с водомера</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
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  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">1 шт.</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
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    <tr style="mso-yfti-irow:2"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">2</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
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        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Осмотр системы ЦО и водоснабжения</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">361 мп</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
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       </td> </tr>
  
    <tr style="mso-yfti-irow:3"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">3</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
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        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Осмотр кровли</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">270 м²</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
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    <tr style="mso-yfti-irow:4"> <td width="59" style="width:44.2pt;border:solid windowtext 1.0pt;border-top:
  none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">4</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
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        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Замена ламп освещения</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">12 шт</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
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    <tr style="mso-yfti-irow:5"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">5</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
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        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Осмотр и укрепление электропроводки</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
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  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">120 мп</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
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       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
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    <tr style="mso-yfti-irow:6"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">6</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
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        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Ремонт силового предохран-го шкафа</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
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        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">2 шт</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
            <br />
          </span></p>
       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
            <br />
          </span></p>
       </td> </tr>
  
    <tr style="mso-yfti-irow:7"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">7</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Смена автомата (3-х-фазного)</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">3 шт</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
            <br />
          </span></p>
       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
            <br />
          </span></p>
       </td> </tr>
  
    <tr style="mso-yfti-irow:8"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif"">8</span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">Ликвидация возд.пробки в сист. отопления</span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">стояк</span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif"">
            <br />
          </span></p>
       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif"">
            <br />
          </span></p>
       </td> </tr>
  
    <tr style="mso-yfti-irow:9"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif";background:fuchsia;mso-highlight:fuchsia"><o:p> </o:p></span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";
  background:yellow;mso-highlight:yellow"><o:p>
              <br />
             </o:p></span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";background:
  yellow;mso-highlight:yellow"><o:p>
              <br />
             </o:p></span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif";background:
  yellow;mso-highlight:yellow"><o:p>
              <br />
             </o:p></span></p>
       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:11.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>
       </td> </tr>
  
    <tr style="mso-yfti-irow:10"> <td width="59" valign="top" style="width:44.2pt;border:solid windowtext 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;
  padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><b style="mso-bidi-font-weight:normal"><span style="font-size:12.0pt;font-family:
  "Times New Roman","serif";background:fuchsia;mso-highlight:fuchsia"><o:p> </o:p></span></b></p>
       </td> <td width="315" style="width:236.4pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>
       </td> <td width="98" style="width:73.35pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>
       </td> <td width="104" style="width:77.95pt;border-top:none;border-left:none;
  border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt">
        <p class="MsoNormal" align="center" style="text-align:center"><span style="font-size:12.0pt;font-family:"Times New Roman","serif""><o:p> </o:p></span></p>
       </td> <td width="158" style="width:118.8pt;border-top:none;border-left:none;
  border-bo