<TABLE class=MsoNormalTable style="MARGIN: auto auto auto 3.9pt; BORDER-COLLAPSE: collapse; mso-table-layout-alt: fixed; mso-padding-alt: 0mm 5.4pt 0mm 5.4pt" cellSpacing=0 cellPadding=0 border=0><TBODY><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 0"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt" vAlign=top width=15>
a<?xml:namespace prefix = o ns = "urn:schemas-microsoft-comfficeffice" /><o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
b<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
c<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
d<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=75>
e<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
f<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
g<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
h<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=29>
i<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
j<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
k<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=178>
l<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=19>
m<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
n<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
o<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=15>
p<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=43>
E2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=38>
I2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=178>
L2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: black 1pt solid; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt" vAlign=top width=57>
Unique?<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 1"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
a<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
Decision_1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
120<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C61<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
120<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
1<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 2"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
a<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
C61<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C61<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
120<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
0<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 3"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
a<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
Referral_1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C61<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
120<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
0<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 4"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
b<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
Decision_1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
63<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C50.9<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
63<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
1<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 5"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
b<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
C50.9<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C50.9<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
63<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
0<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 6"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
b<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
Referral_1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C50.9<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
63<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
0<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 7"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
<o> </o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 8"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
<o> </o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
<o> </o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 9"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
a<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
b<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
c<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
d<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
e<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
f<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
g<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
h<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
i<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
j<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
k<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
l<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
m<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
n<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
o<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
p<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
E2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
I2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
L2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
Unique?<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 10"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
a<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
Decision_1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
120<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C61<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
120<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
0<o></o>
</TD></TR><TR style="HEIGHT: 12.35pt; mso-yfti-irow: 11; mso-yfti-lastrow: yes"><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: black 1pt solid; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
b<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
2<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
X<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 56.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=75>
Decision_1<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 22.1pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=29>
63<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 14.15pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=19>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 11.05pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=15>
x<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 32.25pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=43>
C50.9<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 28.45pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=38>
63<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 133.3pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=178>
No - Subsequent Treatment<o></o>
</TD><TD style="BORDER-RIGHT: black 1pt solid; PADDING-RIGHT: 5.4pt; BORDER-TOP: #e0dfe3; PADDING-LEFT: 5.4pt; PADDING-BOTTOM: 0mm; BORDER-LEFT: #e0dfe3; WIDTH: 42.6pt; PADDING-TOP: 0mm; BORDER-BOTTOM: black 1pt solid; HEIGHT: 12.35pt; BACKGROUND-COLOR: transparent; mso-border-alt: solid black .25pt; mso-border-left-alt: solid black .25pt; mso-border-top-alt: solid black .25pt" vAlign=top width=57>
0<o></o>
</TD></TR></TBODY></TABLE>
Here is an example of my data. There are 3 rows for each customer, and only on one row is the data im interested in for the end columns, so I want to sort by columns A, B ascending and then individually by E, I and L so that the value is on the top and I can use the following formulas to populate the last 3 columns, paste values, res rost by A and B and add a unique flag to give e one lie per costomer rather than three. Here are the formules for the 3 end columns:
=INDEX((E$2:E$20000),MATCH(1,INDEX((A$2:A$20000=A2)*(B$2:B$20000=B2),),FALSE))<o></o>
<o> </o>
<o> </o>
=INDEX((I$2:I$20000),MATCH(1,INDEX((A$2:A$20000=A2)*(B$2:B$20000=B2),),FALSE))<o></o>
<o> </o>
<o> </o>
=INDEX((L$2:L$20000),MATCH(1,INDEX((A$2:A$20000=A2)*(B$2:B$20000=B2),),FALSE))<o></o>
and this for the unique flag once all rows are populated - =IF(SUMPRODUCT(($A$2:$A2=A2)*($B$2:$B2=B2))>1,0,1)
Now, this probably is not the easiest or best way to do it, bt its the only way I can think of, can you tell me whats wrong with ,y macro, and also how I could make the process slick and automated????
Thanks