<table style="width:100%;">
<colgroup>
<col style="width: 2%" />
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<col style="width: 0%" />
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<col style="width: 5%" />
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<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 3%" />
<col style="width: 2%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="23"><h2
id="motor-vehicle-requisition-instructions-on-back">MOTOR VEHICLE
REQUISITION<br />
(INSTRUCTIONS ON BACK)</h2></td>
<td colspan="13">GSA USE ONLY</td>
<td></td>
</tr>
<tr class="even">
<td></td>
<td colspan="36">1. FEDSTRIP/MILSTRIP DATA (To be completed by
requisitioner)</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="36">Requisition Number</td>
</tr>
<tr class="even">
<td></td>
<td colspan="3">Doc ID.</td>
<td colspan="3">Routing ID</td>
<td colspan="2">M&amp;S</td>
<td colspan="4"><p>Fed</p>
<p>Stock Code</p></td>
<td colspan="4">NIIN</td>
<td colspan="2">Addi-tional</td>
<td colspan="2">Quantity</td>
<td colspan="4">Requisitioner</td>
<td>Date</td>
<td>Serial No.</td>
<td colspan="2">Supple-mentary Address</td>
<td><p>S</p>
<p>I</p>
<p>G</p></td>
<td>Fund</td>
<td colspan="2">Distri-bution</td>
<td colspan="2">Project-</td>
<td colspan="2">Priority</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="3"><em>1-3</em></td>
<td colspan="3"><em>4-6</em></td>
<td colspan="2"><em>7</em></td>
<td colspan="4"><em>8-11</em></td>
<td colspan="4"><em>12-20</em></td>
<td colspan="2"><em>21-22</em></td>
<td colspan="2"><em>25-29</em></td>
<td colspan="4"><em>30-35</em></td>
<td><em>36-39</em></td>
<td><em>40-43</em></td>
<td colspan="2"><em>45-50</em></td>
<td><em>51</em></td>
<td><em>52-53</em></td>
<td colspan="2"><em>54-56</em></td>
<td colspan="2"><em>57-59</em></td>
<td colspan="2"><em>60-61</em></td>
</tr>
<tr class="even">
<td></td>
<td colspan="3">AOD</td>
<td colspan="3">GWO</td>
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="4"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="4"></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="14">2. AGENCY ORDER NO.</td>
<td colspan="9">3. COLOR(S) DESIRED</td>
<td colspan="13">6. REQUISITIONER <em>(Name and address, including ZIP
Code)</em></td>
</tr>
<tr class="even">
<td></td>
<td colspan="23">4. FEDERAL STANDARD UNITS</td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23"><ol type="a">
<li><p>Indicate with “X” in column (1), the Federal Standard applicable
to the vehicle being requisitioned. In column (2), show the “alpha”
character for the standard used.</p></li>
</ol></td>
<td colspan="13"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="7">(1) STANDARD</td>
<td colspan="4">(2)</td>
<td colspan="12">VEHICLES</td>
<td colspan="13">7. VEHICLE DELIVERY ADDRESS <em>(if different than Item
8)</em></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="3"></td>
<td colspan="4">122</td>
<td colspan="4"></td>
<td colspan="12">Sedans and station wagons</td>
<td colspan="13"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="3"></td>
<td colspan="4">307</td>
<td colspan="4"></td>
<td colspan="12">Light trucks 4 x 2 and 4 X 4</td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="3"></td>
<td colspan="4">794</td>
<td colspan="4"></td>
<td colspan="12">Medium trucks 4 x 2 and 4 x 4</td>
<td colspan="13"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="3"></td>
<td colspan="4">807</td>
<td colspan="4"></td>
<td colspan="12">Heavy trucks 6 x 4 and 6 x 6</td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23"></td>
<td colspan="7"></td>
<td colspan="6"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="23"><ol start="2" type="a">
<li><p>Select the desired item and options (if required) from the
Federal Standard, marked above, and show the complete standard item
number and standard option code designation (as required).</p></li>
</ol></td>
<td colspan="7">CONTACT</td>
<td colspan="6">TELEPHONE NO.</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="5">STD.</td>
<td></td>
<td colspan="3"></td>
<td colspan="10">OPTION CODES</td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="13">8. CONSIGNEE MAILING ADDRESS <em>(Include ZIP
Code)</em></td>
</tr>
<tr class="even">
<td></td>
<td colspan="5">ITEM NO.</td>
<td></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="5"></td>
<td></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="13"></td>
</tr>
<tr class="even">
<td></td>
<td></td>
<td></td>
<td colspan="2"></td>
<td></td>
<td></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="5"></td>
<td></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="4">9. ESTIMATED COST</td>
<td colspan="4">a. UNIT COST</td>
<td colspan="5">b. TOTAL COST</td>
</tr>
<tr class="even">
<td></td>
<td colspan="5"></td>
<td></td>
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="2"></td>
<td colspan="4"></td>
<td colspan="4"></td>
<td colspan="5"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23"></td>
<td colspan="4">$</td>
<td colspan="4">$</td>
<td colspan="5">$</td>
</tr>
<tr class="even">
<td></td>
<td colspan="23">MARK HERE IF ADDITIONAL REQUIREMENTS FOR STANDARD</td>
<td colspan="13">10. REQUISITIONING OFFICER</td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23">VEHICLE(S) ARE ATTACHED.</td>
<td colspan="13">a. NAME AND TITLE</td>
</tr>
<tr class="even">
<td></td>
<td colspan="23"></td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23">MARK HERE IF NON-STANDARD VEHICLE.</td>
<td colspan="13"></td>
</tr>
<tr class="even">
<td></td>
<td colspan="23">(See instructions on the back for ordering nonstandard
items.)</td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23">CONTACT FOR SPECIFICATION MATTERS</td>
<td colspan="13">b. TELEPHONE NUMBER <em>(Include area code)</em></td>
</tr>
<tr class="even">
<td></td>
<td colspan="23"></td>
<td colspan="13"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23" rowspan="2">TELEPHONE NUMBER(S) <em>(Include area
code)</em></td>
<td colspan="10">c. SIGNATURE</td>
<td colspan="3">d. DATE</td>
</tr>
<tr class="even">
<td></td>
<td colspan="10"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td></td>
<td colspan="23"><p>5. REMARKS</p>
<p>Continued on back</p></td>
<td colspan="13"><blockquote>
<p>A fair opportunity to compete in accordance with</p>
<p>Federal Acquisition Regulation 48 C.F.R. 16.505(a)</p>
<p>and (b) and the ordering procedures in the contract</p>
<p>was provided to all contractors for this requirement.</p>
<p>Authorized Signature____________________</p>
</blockquote></td>
</tr>
<tr class="even">
<td></td>
<td colspan="36">GENERAL SERVICES ADMINISTRATION GSA FORM 1781 (REV.
06-98)</td>
</tr>
</tbody>
</table>

INSTRUCTIONS

ONLY use this form for ordering delivery to ONE consignee, any quantity
of ONE item number.

+---+-------------------+----------+---+-----+---------------------------+
| [ |                   |          |   | ##  | Col. (b) -- Select the    |
| G |                   |          |   | ### | desired item and standard |
| E |                   |          |   | # I | option(s) (if not already |
| N |                   |          |   | tem | included in the item)     |
| E |                   |          |   |     | from the applicable       |
| R |                   |          |   | 4   | Federal Standard and      |
| A |                   |          |   |     | insert the complete       |
| L |                   |          |   |     | standard option code in   |
| ] |                   |          |   |     | the space provided.       |
| { |                   |          |   |     |                           |
| . |                   |          |   |     |                           |
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| r |                   |          |   |     |                           |
| d |                   |          |   |     |                           |
| N |                   |          |   |     |                           |
| u |                   |          |   |     |                           |
| m |                   |          |   |     |                           |
| b |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| r |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 1 |                   |          |   |     |                           |
| 2 |                   |          |   |     |                           |
| 2 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| S |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| d |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| n |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| n |                   |          |   |     |                           |
| d |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
| t |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
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| i |                   |          |   |     |                           |
| o |                   |          |   |     |                           |
| n |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| w |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| g |                   |          |   |     |                           |
| o |                   |          |   |     |                           |
| n |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 3 |                   |          |   |     |                           |
| 0 |                   |          |   |     |                           |
| 7 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| L |                   |          |   |     |                           |
| i |                   |          |   |     |                           |
| g |                   |          |   |     |                           |
| h |                   |          |   |     |                           |
| t |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| t |                   |          |   |     |                           |
| r |                   |          |   |     |                           |
| u |                   |          |   |     |                           |
| c |                   |          |   |     |                           |
| k |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 4 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| x |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 2 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| n |                   |          |   |     |                           |
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|   |                   |          |   |     |                           |
| 4 |                   |          |   |     |                           |
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|   |                   |          |   |     |                           |
| x |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 4 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 7 |                   |          |   |     |                           |
| 9 |                   |          |   |     |                           |
| 4 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| M |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| d |                   |          |   |     |                           |
| i |                   |          |   |     |                           |
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|   |                   |          |   |     |                           |
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| c |                   |          |   |     |                           |
| k |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
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|   |                   |          |   |     |                           |
| 4 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| x |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 2 |                   |          |   |     |                           |
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|   |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| n |                   |          |   |     |                           |
| d |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 4 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| x |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 4 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| 8 |                   |          |   |     |                           |
| 0 |                   |          |   |     |                           |
| 7 |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| > |                   |          |   |     |                           |
|   |                   |          |   |     |                           |
| H |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
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+---+-------------------+----------+---+-----+---------------------------+
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+---+-------------------+----------+---+-----+---------------------------+
| G |                   |          |   | 4 c | Nonstandard vehicles and  |
| e |                   |          |   |     | options (those not        |
| n |                   |          |   |     | reflected in Federal      |
| e |                   |          |   |     | Standards 122, 307, 794,  |
| r |                   |          |   |     | and 807 should be ordered |
| a |                   |          |   |     | on this form. Mark "X" in |
| l |                   |          |   |     | the box provided for this |
| S |                   |          |   |     | item; also; the           |
| e |                   |          |   |     | requisitioner SHALL       |
| r |                   |          |   |     | furnish a complete        |
| v |                   |          |   |     | description and specify   |
| i |                   |          |   |     | the appropriate vehicle   |
| c |                   |          |   |     | standards or options      |
| e |                   |          |   |     | required, not included in |
| s |                   |          |   |     | the Federal Standard on a |
| A |                   |          |   |     | separate sheet of paper   |
| d |                   |          |   |     | attached to this form.    |
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| o |                   |          |   |     |                           |
| t |                   |          |   |     |                           |
| l |                   |          |   |     |                           |
| i |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
| t |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| d |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| r |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| s |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| l |                   |          |   |     |                           |
| f |                   |          |   |     |                           |
| - |                   |          |   |     |                           |
| e |                   |          |   |     |                           |
| x |                   |          |   |     |                           |
| p |                   |          |   |     |                           |
| l |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| n |                   |          |   |     |                           |
| a |                   |          |   |     |                           |
| t |                   |          |   |     |                           |
| o |                   |          |   |     |                           |
| r |                   |          |   |     |                           |
| y |                   |          |   |     |                           |
| . |                   |          |   |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| # | Enter             |          |   |     |                           |
| # | FEDSTRIP/MILSTRIP |          |   |     |                           |
| # | data in           |          |   |     |                           |
| # | accordance with   |          |   |     |                           |
| # | instructions      |          |   |     |                           |
| # | contained in FPMR |          |   |     |                           |
|   | 101-26, and as    |          |   |     |                           |
| I | shown in the      |          |   |     |                           |
| t | chart at the      |          |   |     |                           |
| e | bottom of these   |          |   |     |                           |
| m | instructions.     |          |   |     |                           |
|   |                   |          |   |     |                           |
| 1 | Indicate the      |          |   |     |                           |
|   | color(s) desired. |          |   |     |                           |
| 3 | If the            |          |   |     |                           |
|   | manufacturer's    |          |   |     |                           |
|   | standard color is |          |   |     |                           |
|   | acceptable,       |          |   |     |                           |
|   | insert "Mfg.      |          |   |     |                           |
|   | Std."             |          |   |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| * |                   | #####    | * |     |                           |
| * |                   |  COLUMNS | * |     |                           |
| F |                   |          | D |     |                           |
| E |                   |          | E |     |                           |
| D |                   |          | S |     |                           |
| S |                   |          | C |     |                           |
| T |                   |          | R |     |                           |
| R |                   |          | I |     |                           |
| I |                   |          | P |     |                           |
| P |                   |          | T |     |                           |
| D |                   |          | I |     |                           |
| A |                   |          | O |     |                           |
| T |                   |          | N |     |                           |
| A |                   |          | * |     |                           |
| * |                   |          | * |     |                           |
| * |                   |          |   |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| D |                   | 1 -- 3   | I |     |                           |
| O |                   |          | d |     |                           |
| C |                   |          | e |     |                           |
| U |                   |          | n |     |                           |
| M |                   |          | t |     |                           |
| E |                   |          | i |     |                           |
| N |                   |          | f |     |                           |
| T |                   |          | i |     |                           |
| I |                   |          | e |     |                           |
| D |                   |          | s |     |                           |
| E |                   |          | t |     |                           |
| N |                   |          | y |     |                           |
| T |                   |          | p |     |                           |
| I |                   |          | e |     |                           |
| F |                   |          | o |     |                           |
| I |                   |          | f |     |                           |
| E |                   |          | r |     |                           |
| R |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | , |     |                           |
|   |                   |          | P |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | A |     |                           |
|   |                   |          | O |     |                           |
|   |                   |          | D |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| R |                   | 4 -- 6   | I |     |                           |
| O |                   |          | d |     |                           |
| U |                   |          | e |     |                           |
| T |                   |          | n |     |                           |
| I |                   |          | t |     |                           |
| N |                   |          | i |     |                           |
| G |                   |          | f |     |                           |
| I |                   |          | i |     |                           |
| D |                   |          | e |     |                           |
| E |                   |          | s |     |                           |
| N |                   |          | s |     |                           |
| T |                   |          | o |     |                           |
| I |                   |          | u |     |                           |
| F |                   |          | r |     |                           |
| I |                   |          | c |     |                           |
| E |                   |          | e |     |                           |
| R |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | w |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | . |     |                           |
|   |                   |          | P |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | G |     |                           |
|   |                   |          | W |     |                           |
|   |                   |          | O |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| M |                   | 7        | R |     |                           |
| E |                   |          | e |     |                           |
| D |                   |          | f |     |                           |
| I |                   |          | l |     |                           |
| A |                   |          | e |     |                           |
| A |                   |          | c |     |                           |
| N |                   |          | t |     |                           |
| D |                   |          | s |     |                           |
| S |                   |          | t |     |                           |
| T |                   |          | h |     |                           |
| A |                   |          | e |     |                           |
| T |                   |          | a |     |                           |
| U |                   |          | p |     |                           |
| S |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| S |                   | 8 -- 22  | I |     |                           |
| T |                   |          | n |     |                           |
| O |                   |          | d |     |                           |
| C |                   |          | i |     |                           |
| K |                   |          | c |     |                           |
| N |                   |          | a |     |                           |
| U |                   |          | t |     |                           |
| M |                   |          | e |     |                           |
| B |                   |          | s |     |                           |
| E |                   |          | t |     |                           |
| R |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | k |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | . |     |                           |
|   |                   |          | R |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | F |     |                           |
|   |                   |          | E |     |                           |
|   |                   |          | D |     |                           |
|   |                   |          | S |     |                           |
|   |                   |          | T |     |                           |
|   |                   |          | R |     |                           |
|   |                   |          | I |     |                           |
|   |                   |          | P |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| Q |                   | 25 -- 29 | R |     |                           |
| U |                   |          | e |     |                           |
| A |                   |          | f |     |                           |
| N |                   |          | l |     |                           |
| T |                   |          | e |     |                           |
| I |                   |          | c |     |                           |
| T |                   |          | t |     |                           |
| Y |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | . |     |                           |
|   |                   |          | T |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | w |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | z |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| R |                   | 30 -- 35 | I |     |                           |
| E |                   |          | d |     |                           |
| Q |                   |          | e |     |                           |
| U |                   |          | n |     |                           |
| I |                   |          | t |     |                           |
| S |                   |          | i |     |                           |
| I |                   |          | f |     |                           |
| T |                   |          | i |     |                           |
| I |                   |          | e |     |                           |
| O |                   |          | s |     |                           |
| N |                   |          | t |     |                           |
| E |                   |          | h |     |                           |
| R |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | . |     |                           |
|   |                   |          | I |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | F |     |                           |
|   |                   |          | E |     |                           |
|   |                   |          | D |     |                           |
|   |                   |          | S |     |                           |
|   |                   |          | T |     |                           |
|   |                   |          | R |     |                           |
|   |                   |          | I |     |                           |
|   |                   |          | P |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| D |                   | 36 -- 39 | I |     |                           |
| A |                   |          | d |     |                           |
| T |                   |          | e |     |                           |
| E |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | x |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | J |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| S |                   | 40 -- 43 | R |     |                           |
| E |                   |          | e |     |                           |
| R |                   |          | f |     |                           |
| I |                   |          | l |     |                           |
| A |                   |          | e |     |                           |
| L |                   |          | c |     |                           |
| N |                   |          | t |     |                           |
| U |                   |          | s |     |                           |
| M |                   |          | t |     |                           |
| B |                   |          | h |     |                           |
| E |                   |          | e |     |                           |
| R |                   |          | s |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | . |     |                           |
|   |                   |          | T |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| S |                   | 45 -- 50 | W |     |                           |
| U |                   |          | h |     |                           |
| P |                   |          | e |     |                           |
| P |                   |          | n |     |                           |
| L |                   |          | d |     |                           |
| E |                   |          | e |     |                           |
| M |                   |          | l |     |                           |
| E |                   |          | i |     |                           |
| N |                   |          | v |     |                           |
| T |                   |          | e |     |                           |
| A |                   |          | r |     |                           |
| R |                   |          | y |     |                           |
| Y |                   |          | o |     |                           |
| A |                   |          | f |     |                           |
| D |                   |          | b |     |                           |
| D |                   |          | i |     |                           |
| R |                   |          | l |     |                           |
| E |                   |          | l |     |                           |
| S |                   |          | i |     |                           |
| S |                   |          | n |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | , |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | F |     |                           |
|   |                   |          | E |     |                           |
|   |                   |          | D |     |                           |
|   |                   |          | S |     |                           |
|   |                   |          | T |     |                           |
|   |                   |          | R |     |                           |
|   |                   |          | I |     |                           |
|   |                   |          | P |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| S |                   | 51       | R |     |                           |
| I |                   |          | e |     |                           |
| G |                   |          | f |     |                           |
| N |                   |          | l |     |                           |
| A |                   |          | e |     |                           |
| L |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | f |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | m |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | q |     |                           |
|   |                   |          | u |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | l |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| F |                   | 52 -- 53 | R |     |                           |
| U |                   |          | e |     |                           |
| N |                   |          | f |     |                           |
| D |                   |          | l |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| D |                   | 54 -- 56 | R |     |                           |
| I |                   |          | e |     |                           |
| S |                   |          | f |     |                           |
| T |                   |          | l |     |                           |
| R |                   |          | e |     |                           |
| I |                   |          | c |     |                           |
| B |                   |          | t |     |                           |
| U |                   |          | s |     |                           |
| T |                   |          | t |     |                           |
| I |                   |          | h |     |                           |
| O |                   |          | e |     |                           |
| N |                   |          | a |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| P |                   | 57 -- 59 | R |     |                           |
| R |                   |          | e |     |                           |
| O |                   |          | f |     |                           |
| J |                   |          | l |     |                           |
| E |                   |          | e |     |                           |
| C |                   |          | c |     |                           |
| T |                   |          | t |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | d |     |                           |
|   |                   |          | b |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | c |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | v |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| P |                   | 60 -- 61 | R |     |                           |
| R |                   |          | e |     |                           |
| I |                   |          | f |     |                           |
| O |                   |          | l |     |                           |
| R |                   |          | e |     |                           |
| I |                   |          | c |     |                           |
| T |                   |          | t |     |                           |
| Y |                   |          | s |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | h |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | p |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | P |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | y |     |                           |
|   |                   |          | D |     |                           |
|   |                   |          | e |     |                           |
|   |                   |          | s |     |                           |
|   |                   |          | i |     |                           |
|   |                   |          | g |     |                           |
|   |                   |          | n |     |                           |
|   |                   |          | a |     |                           |
|   |                   |          | t |     |                           |
|   |                   |          | o |     |                           |
|   |                   |          | r |     |                           |
|   |                   |          | . |     |                           |
+---+-------------------+----------+---+-----+---------------------------+
| C |                   |          |   |     |                           |
| O |                   |          |   |     |                           |
| N |                   |          |   |     |                           |
| T |                   |          |   |     |                           |
| I |                   |          |   |     |                           |
| N |                   |          |   |     |                           |
| U |                   |          |   |     |                           |
| E |                   |          |   |     |                           |
| D |                   |          |   |     |                           |
| R |                   |          |   |     |                           |
| E |                   |          |   |     |                           |
| M |                   |          |   |     |                           |
| A |                   |          |   |     |                           |
| R |                   |          |   |     |                           |
| K |                   |          |   |     |                           |
| S |                   |          |   |     |                           |
| * |                   |          |   |     |                           |
| ( |                   |          |   |     |                           |
| B |                   |          |   |     |                           |
| l |                   |          |   |     |                           |
| o |                   |          |   |     |                           |
| c |                   |          |   |     |                           |
| k |                   |          |   |     |                           |
| 5 |                   |          |   |     |                           |
| ) |                   |          |   |     |                           |
| * |                   |          |   |     |                           |
+---+-------------------+----------+---+-----+---------------------------+

GSA FORM 1781 BACK (REV. 06-86)