70


	<!--70--> <html><!--#if expr="1"--><!--#set var="ALTSTR" value="title"--><!--#else--><!--#set var="ALTSTR" value="alt"--><!--#endif--><!--#set var="NavPosition" value="<X-FC-FIELD PREFS.5513 DEFAULT=LANG.49.5513.11 NUMBER>"--><!--#if expr="$NavPosition==-1"--><!--#set var="NavPosition" value="<X-FC-FIELD SITEPREF.5513 DEFAULT=LANG.49.5513.11 NUMBER>"--><!--#endif--> <head> <meta http-equiv="Content-Type" content="text/html; charset=<X-FC-ITEM DATA[Charset]>"> <title><X-FC-ITEM DATA[Name]></title> <style type="text/css"> <!-- <!--#include virtual="/.templates/GlobalStyles.inc"--> --> </style> </head> <body dir="<X-FC-FIELD LANG.7500 DEFAULT="ltr" STRING>" bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT=LANG.49.5600.11 RGB>" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0"> <form name="MainForm" action="<X-FC-OBJURL SLASH>FormEdit"><!--#if expr="$NavPosition==2"--><!--#set var="TABLEWIDTH" value="100%"--><!--#else--><!--#set var="TABLEWIDTH" value="<X-FC-FIELD PREFS.5720 DEFAULT=LANG.49.5720.9 STRING>"--><!--#endif--><!--#if expr="$NavPosition!=2 && <X-FC-FIELD PREFS.5707 DEFAULT=LANG.49.5707.9 LENGTH>"--><!--#include virtual="/.templates/Toolbars/banner.inc"--><!--#endif--><!--#if expr="$NavPosition==0"--> <!--#include virtual="/.templates/toolbars/NavPermissions.inc"--><!--#elif expr="$NavPosition==2"--> <!--#include virtual="/.templates/toolbars/NavPermissionsSide.inc"--><!--#elif expr="$NavPosition==3"--> <!--#include virtual="/.templates/toolbars/NavPermissionsText.inc"--><!--#endif--> <table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT=LANG.49.5601.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0"> <tr> <td bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT=LANG.49.5600.11 RGB>"><img src="/Icons/0" width="1" height="1" border="0"></td> </tr> <tr> <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>"><img src="/Icons/0" width="1" height="3" border="0"></td> </tr> <tr> <td><table bgcolor="<X-FC-FIELD PREFS.5603 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border="0"></td> </tr> <tr> <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>"><img src="/Icons/0" width="1" height="3" border="0"></td> </tr> <tr> <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0"> <tr> <td nowrap class="secTitle"> <X-FC-FIELD FORM.5001.25 STRING></td> <td class="p" width="100%"> </td> </tr> </table></td> </tr> <tr> <td><img src="/Icons/0" width="1" height="5" border="0"></td> </tr> <tr> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="gt"> </td> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1038.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 1003 DEFAULT=PROP.9 STRING> </td> <td class="gt" rowspan="4"> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1002.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3001 DEFAULT=PROP.9 STRING> </td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1004.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3002 DEFAULT=PROP.9 STRING> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1061.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3010 DEFAULT=PROP.9 STRING> </td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1062.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3011 DEFAULT=PROP.11 NUMFIELD> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1000.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3000 DEFAULT=PROP.11 LIST FORM> </td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1063.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3012 DEFAULT=PROP.11 NUMFIELD> </td> <td class="gt" colspan="2"> </td> </tr> </table></td> </tr><!--#if expr="<X-FC-FIELD-COUNT 3123>"--> <tr> <td class="gt"> </td> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td colspan="4" class="gtb" nowrap><X-FC-FIELD FORM.1017.9 STRING></td> </tr> <tr> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1076.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1094.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1016.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1077.9 STRING></td> </tr><!--#set var="INDEX" value="-1"--><!--#while expr="++$INDEX < <X-FC-FIELD-COUNT 3123>"--><!--#if expr="$INDEX > 0"--> <tr> <td colspan="4"><hr></td> </tr><!--#endif--> <tr> <td class="p" nowrap><X-FC-FIELD 3120.`$INDEX` DEFAULT=PROP.11 LIST FORM> </td> <td class="p" nowrap><X-FC-FIELD 3121.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td class="p" nowrap><X-FC-FIELD 3122.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td class="p" nowrap><X-FC-FIELD 3123.`$INDEX` DEFAULT=PROP.9 STRING> </td> <tr><!--#if expr="<X-FC-FIELD 3120.`$INDEX` DEFAULT=PROP.11 NUMBER> == 1"--> </tr> <td class="gt" nowrap><X-FC-FIELD FORM.3023.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 1407.`$INDEX` DEFAULT=PROP.9 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</table></td> <td class="gt"> </td> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="gt" colspan="5" nowrap><X-FC-FIELD FORM.1030.9 STRING></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1095.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3043 DEFAULT=PROP.9 STRING> </td> <td class="gt" rowspan="3"> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1096.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3044 DEFAULT=PROP.9 STRING> </td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1069.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3047 DEFAULT=PROP.9 STRING> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1033.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3045 DEFAULT=PROP.9 STRING> </td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1034.9 STRING></td> <td class="p" nowrap><img src="/Icons/<!--#if expr="<X-FC-FIELD 3046 DEFAULT=PROP.85 NUMBER>"-->15001<!--#else-->0<!--#endif-->" 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3031 DEFAULT=PROP.85 NUMBER>"-->15001<!--#else-->0<!--#endif-->" width="10" height="10" border="1"></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1007.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3016 DEFAULT=PROP.11 LIST FORM></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.3028.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3032 DEFAULT=PROP.11 LIST FORM></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.3027.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3033 DEFAULT=PROP.11 LIST FORM></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1079.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3038 DEFAULT=PROP.11 STRING> </td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1010.9 STRING></td> <td class="p" nowrap><img src="/Icons/<!--#if expr="<X-FC-FIELD 3034 DEFAULT=PROP.85 NUMBER>"-->15001<!--#else-->0<!--#endif-->" width="10" height="10" border="1"></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.3019.9 STRING>:</td> <td class="p" nowrap><img src="/Icons/<!--#if expr="<X-FC-FIELD 3019 DEFAULT=FORM.3020.81 NUMBER> == <X-FC-FIELD FORM.3020.81 DEFAULT=0 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"> <X-FC-FIELD FORM.3020.9 STRING></td> </tr> <tr> <td class="gt"> </td> <td class="p" nowrap><img src="/Icons/<!--#if expr="<X-FC-FIELD 3019 DEFAULT=FORM.3020.81 NUMBER> == <X-FC-FIELD FORM.3026.81 DEFAULT=1 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"> <X-FC-FIELD FORM.3026.9 STRING></td> </tr> <tr> <td class="gt"> </td> <td class="p" nowrap><img src="/Icons/<!--#if expr="<X-FC-FIELD 3019 DEFAULT=FORM.3020.81 NUMBER> == <X-FC-FIELD FORM.3025.81 DEFAULT=2 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"> <X-FC-FIELD FORM.3025.9 STRING></td> </tr> </table></td> </tr> </table></td> </tr> <tr> <td><img src="/Icons/0" width="1" height="5" border="0"></td> </tr> <tr> <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>"><img src="/Icons/0" width="1" height="1" border="0"></td> </tr> <tr> <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0"> <tr> <td nowrap class="secTitle"> <X-FC-FIELD FORM.5003.25 STRING></td> <td class="p" width="100%"> </td> </tr> </table></td> </tr> <tr> <td><img src="/Icons/0" width="1" height="3" border="0"></td> </tr> <tr> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="p"> </td> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.3029.9 STRING>:</td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 3029 DEFAULT=PROP.85 NUMBER>"-->15001<!--#else-->0<!--#endif-->" width="10" height="10" border="1"></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.3030.9 STRING>:</td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 3030 DEFAULT=PROP.85 NUMBER>"-->15001<!--#else-->0<!--#endif-->" width="10" height="10" border="1"></td> </tr> </table></td> </tr><!--#if expr="<X-FC-FIELD-COUNT 3100>"--> <tr> <td class="p"> </td> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1035.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1048.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1041.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1043.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1044.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1045.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1047.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1042.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1073.9 STRING></td> </tr><!--#set var="INDEX" value="-1"--><!--#while expr="++$INDEX < <X-FC-FIELD-COUNT 3100>"--> <tr> <td class="p" nowrap><X-FC-FIELD 3100.`$INDEX` DEFAULT=PROP.9 STRING> </td> <td class="p" nowrap><X-FC-FIELD 3101.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td class="p" nowrap><X-FC-FIELD 3102.`$INDEX` DEFAULT=PROP.11 NUMFIELD></td> <td class="p" nowrap><X-FC-FIELD 3103.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td class="p" nowrap><X-FC-FIELD 3104.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td class="p" nowrap><X-FC-FIELD 3105.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td class="p" nowrap><X-FC-FIELD 3106.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 3107.`$INDEX` DEFAULT=PROP.85 NUMBER>"-->15001<!--#else-->0<!--#endif-->" width="10" height="10" border="1"></td> <td class="p" nowrap><X-FC-FIELD 3108.`$INDEX` DEFAULT=PROP.11 NUMFIELD></td> </tr> <tr> <td class="gt" colspan="2" align="right" nowrap><X-FC-FIELD FORM.1074.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3109.`$INDEX` DEFAULT=PROP.9 STRING> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.4015.9 STRING></td> <td class="p" nowrap><X-FC-FIELD 3110.`$INDEX` DEFAULT=PROP.9 STRING> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.1001.9 STRING></td> <td class="p" colspan="3" nowrap><X-FC-FIELD 3111.`$INDEX` DEFAULT=PROP.9 STRING> </td> </tr><!--#endwhile--> </table></td> </tr><!--#endif--> </table></td> </tr> <tr> <td><img src="/Icons/0" width="1" height="5" border="0"></td> </tr> <tr> <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>"><img src="/Icons/0" width="1" height="1" border="0"></td> </tr> <tr> <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0"> <tr> <td nowrap class="secTitle"> <X-FC-FIELD FORM.5005.25 STRING></td> <td class="p" width="100%"> </td> </tr> </table></td> </tr> <tr> <td><img src="/Icons/0" width="1" height="3" border="0"></td> </tr> <tr> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="p"> </td> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1051.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1354.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1049.9 STRING></td> <td class="gt" align="center" nowrap><X-FC-FIELD FORM.1046.9 STRING></td> </tr><!--#set var="INDEX" value="-1"--><!--#while expr="++$INDEX < 8"--> <tr> <td class="gt" align="right" nowrap><!--#echo expr="$INDEX + 1"-->.</td> <td align="center"><img src="/Icons/<!--#if expr="<X-FC-FIELD 3221.`$INDEX` DEFAULT=PROP.85 NUMBER>"-->15001<!--#else-->0<!--#endif-->" width="10" height="10" border="1"></td> <td class="p" nowrap><X-FC-FIELD 3222.`$INDEX` DEFAULT=PROP.11 LIST FORM></td> <td class="p" nowrap><X-FC-FIELD 3223.`$INDEX` DEFAULT=PROP.9 STRING> </td> </tr><!--#endwhile--> </table></td> </tr> </table></td> </tr> <tr> <td><img src="/Icons/0" width="1" height="5" border="0"></td> </tr> <tr> <td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT=LANG.49.5603.11 RGB>"><img src="/Icons/0" width="1" height="1" border="0"></td> </tr> <tr> <td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT=LANG.49.5604.11 RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0"> <tr> <td nowrap class="secTitle"> <X-FC-FIELD FORM.5006.25 STRING></td> <td class="p" width="100%"> </td> </tr> </table></td> </tr> <tr> <td><img src="/Icons/0" width="1" height="3" border="0"></td> </tr> <tr> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="p"> </td> <td><table cellpadding="2" cellspacing="0" border="0"> <tr> <td class="gtb" colspan="5" nowrap><X-FC-FIELD FORM.2011.9 STRING></td> <tr> <tr> <td class="gt" rowspan="8"> </td> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.2004.9 STRING>:</td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 2004 DEFAULT=FORM.2005.81 NUMBER> == <X-FC-FIELD FORM.2005.81 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"></td> <td class="gt" colspan="2" nowrap><X-FC-FIELD FORM.2005.9 STRING></td> </tr> <tr> <td class="gt" rowspan="2"> </td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 2004 DEFAULT=FORM.2005.81 NUMBER> == <X-FC-FIELD FORM.2008.81 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"></td> <td class="gt" colspan="2" nowrap><X-FC-FIELD FORM.2008.9 STRING></td> </tr> <tr> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 2004 DEFAULT=FORM.2005.81 NUMBER> == <X-FC-FIELD FORM.2007.81 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"></td> <td class="gt" nowrap><X-FC-FIELD FORM.2007.9 STRING></td> <td class="gt" nowrap><X-FC-FIELD 2009 DEFAULT=PROP.9 STRING> </td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.3006.9 STRING>:</td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 3006 DEFAULT=FORM.1013.81 NUMBER> == <X-FC-FIELD FORM.1011.81 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"></td> <td class="gt" colspan="2" nowrap><X-FC-FIELD FORM.1011.9 STRING></td> </tr> <tr> <td class="gt" rowspan="2"> </td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 3006 DEFAULT=FORM.1013.81 NUMBER> == <X-FC-FIELD FORM.1012.81 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"></td> <td class="gt" colspan="2" nowrap><X-FC-FIELD FORM.1012.9 STRING></td> </tr> <tr> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 3006 DEFAULT=FORM.1013.81 NUMBER> == <X-FC-FIELD FORM.1013.81 NUMBER>"-->15067<!--#else-->15065<!--#endif-->" width="12" height="12" border="0"></td> <td class="gt" colspan="2" nowrap><X-FC-FIELD FORM.1013.9 STRING></td> </tr> <tr> <td class="gt" align="right" nowrap><X-FC-FIELD FORM.2010.9 STRING>:</td> <td><img src="/Icons/<!--#if expr="<X-FC-FIELD 2010 DEFAULT=FORM.1080.81 NUMBER> == <X-FC-FIELD FORM.1080.81 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