<html xmlns:v="urn:schemas-microsoft-com:vml"xmlns:o="urn:schemas-microsoft-com:office:office"xmlns:w="urn:schemas-microsoft-com:office:word"xmlns:st1="urn:schemas-microsoft-com:office:smarttags"xmlns="http://www.w3.org/TR/REC-html40"><head><meta http-equiv=Content-Type content="text/html; charset=us-ascii"><meta name=ProgId content=Word.Document><meta name=Generator content="Microsoft Word 11"><meta name=Originator content="Microsoft Word 11"><link rel=File-List href="e1s6sub3_files/filelist.xml"><!--[if !mso]><style>v\:* {behavior:url(#default#VML);}o\:* {behavior:url(#default#VML);}w\:* {behavior:url(#default#VML);}.shape {behavior:url(#default#VML);}</style><![endif]--><title>Housing and Land Rights Violation Case Documentation Form</title><o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="City"/><o:SmartTagType namespaceuri="urn:schemas-microsoft-com:office:smarttags" name="place" downloadurl="http://www.5iantlavalamp.com/"/><!--[if gte mso 9]><xml> <o:DocumentProperties> <o:Author>mohamed</o:Author> <o:LastAuthor>Yasser Abdel Qader</o:LastAuthor> <o:Revision>2</o:Revision> <o:TotalTime>1</o:TotalTime> <o:Created>2005-01-10T17:48:00Z</o:Created> <o:LastSaved>2005-01-14T20:03:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>3709</o:Words> <o:Characters>21146</o:Characters> <o:Company>arafa</o:Company> <o:Lines>176</o:Lines> <o:Paragraphs>49</o:Paragraphs> <o:CharactersWithSpaces>24806</o:CharactersWithSpaces> <o:Version>11.6360</o:Version> </o:DocumentProperties></xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:Zoom>TextFit</w:Zoom> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> </w:WordDocument></xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" LatentStyleCount="156"> </w:LatentStyles></xml><![endif]--><!--[if !mso]><object classid="clsid:38481807-CA0E-42D2-BF39-B33AF135CC4D" id=ieooui></object><style>st1\:*{behavior:url(#ieooui) }</style><![endif]--><style><!-- /* Font Definitions */ @font-face {font-family:Wingdings; 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margin-left:413.6pt;margin-top:2.25pt;width:103.2pt;height:93.75pt;z-index:-2'> <v:imagedata src="e1s6sub3_files/image001.png" o:title="Logo HIC-web" gain="45875f" blacklevel="9830f"/></v:shape><![endif]--><![if !vml]><span style='mso-ignore:vglayout;position:absolute;z-index:-2;margin-left:551px;margin-top:3px;width:138px;height:125px'><imgwidth=138 height=125 src="e1s6sub3_files/image002.jpg" v:shapes="_x0000_s1026"></span><![endif]><spanstyle='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal align=center style='text-align:center'><b><spanstyle='font-size:14.0pt;font-family:Arial;letter-spacing:5.0pt'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal align=center style='text-align:center'><b><spanstyle='font-size:14.0pt;font-family:Arial;letter-spacing:5.0pt'>Housing<spanstyle='mso-spacerun:yes'>&nbsp; </span>Right</span></b><b><spanstyle='font-size:14.0pt;font-family:Arial'>s<o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><b><span style='font-family:Arial'>I.<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Theviolation</span></b><span style='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Date(s) of violation:---/-------/---- (through ---/-------/----)<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Time(s) of violation:---/-------/---- (through ---/-------/----)<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Date you began this record:--/--/---- Date you completed this record: --/--/---- <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Type of area: urban </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>suburban </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>rural </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>camp</span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>plannedand serviced area</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>informalsettlement</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>farmhouse </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>nomadichousing </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>forestdwelling </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>What is the type ofviolation? forced eviction </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>housedemolition<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>denialof</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>inheritance<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> <o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><span style='font-family:Arial'>confiscation<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-family:Arial'>damage to home and/or property<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-family:Arial'>environmental degradation<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>other </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>If other, define theviolation: &shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify'><b><spanstyle='font-family:Arial'>II.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Identifyaffected community / persons <o:p></o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><b><span style='font-family:Arial'>II.A<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>If affectedpersons form a community:<o:p></o:p></span></b></p><p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none;tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'>What is the nameby which the community is commonly known? --------------------------<o:p></o:p></span></p><p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none;tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none;tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'>Does the communityhave another name for themselves? What is it?<spanstyle='mso-spacerun:yes'>&nbsp; </span>----------------------<o:p></o:p></span></p><p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none;tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none;tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'>Give the preciselocation of the affected group or community:<o:p></o:p></span></p><p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none;tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Address/location:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>--------------------- <o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Type of affected area:<spanstyle='mso-spacerun:yes'>&nbsp; </span>city </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>town<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>village<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>slum </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>camp</span><spanstyle='font-size:18.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>caravan<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>slum </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>informal settlement </span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>planned and serviced area </span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-tab-count:1'>&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=Indentnumbered style='margin-top:0cm;margin-right:0cm;margin-bottom:6.0pt;margin-left:0cm;text-align:justify;text-justify:kashida;text-kashida:0%;text-indent:0cm;mso-pagination:widow-orphan;mso-list:none;tab-stops:36.0pt'><spanlang=EN-GB style='font-family:Arial'>What is the community&#8217;s size andcomposition? (Approximate, if you must, but try to be as accurate as possible.)<o:p></o:p></span></p><p class=Indentnumbered style='margin-top:0cm;margin-right:0cm;margin-bottom:6.0pt;margin-left:0cm;text-align:justify;text-justify:kashida;text-kashida:0%;text-indent:0cm;mso-pagination:widow-orphan;mso-list:none;tab-stops:36.0pt'><spanlang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><table class=MsoNormalTable border=0 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;mso-yfti-tbllook:480;mso-padding-alt: 0cm 5.4pt 0cm 5.4pt'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'>What is the community&#8217;s total population?<o:p></o:p></span></p> </td> <td width="5%" style='width:5.52%;border:solid windowtext 2.25pt;border-left: none;mso-border-left-alt:solid windowtext 2.25pt;background:#1F1252; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border:solid windowtext 2.25pt;border-left: none;mso-border-left-alt:solid windowtext 2.25pt;background:#1F1252; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border:solid windowtext 2.25pt;border-left: none;mso-border-left-alt:solid windowtext 2.25pt;background:#1F1252; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border:solid windowtext 2.25pt;border-left: none;mso-border-left-alt:solid windowtext 2.25pt;background:#1F1252; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border:solid windowtext 2.25pt;border-left: none;mso-border-left-alt:solid windowtext 2.25pt;background:#1F1252; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" rowspan=2 style='width:5.5%;border:solid windowtext 2.25pt; border-left:none;mso-border-left-alt:solid windowtext 2.25pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:1'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;background:#1F1052; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span style='font-size:10.0pt;font-family:Arial;mso-ansi-language: EN-US'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1052;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1052;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1052;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1052;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1052;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:2'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'>What number and/or proportion of the individuals in the community affected?<o:p></o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" rowspan=2 style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:3'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;background:navy; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:4'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'>How many families in the community? <o:p></o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" rowspan=2 style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:5'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;background:blue; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:6'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'>What number and/or proportion of families affected?<o:p></o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#333399;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#333399;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" rowspan=2 style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:7'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;background:#333399; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#333399;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#333399;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:8'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'>In the community, how many affected people are male?<o:p></o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#3366FF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" rowspan=2 style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#333399;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:9;height:2.75pt'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;background:#3366FF; padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span style='font-size:10.0pt;font-family:Arial;mso-ansi-language: EN-US'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#3366FF;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#333399;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:10;height:2.75pt'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;padding:0cm 5.4pt 0cm 5.4pt; height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-size:10.0pt;font-family:Arial'>In the community, how many affected people are female?<o:p></o:p></span></p> </td> <td width="5%" rowspan=2 style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#3366FF;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#333399;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:blue;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:navy;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#1F1252;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:11;mso-yfti-lastrow:yes;height:2.75pt'> <td width="66%" valign=top style='width:66.92%;border:solid windowtext 2.25pt; border-top:none;mso-border-top-alt:solid windowtext 2.25pt;background:#99CCFF; padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#99CCFF;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#99CCFF;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#99CCFF;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.52%;border-top:none;border-left:none; border-bottom:solid windowtext 2.25pt;border-right:solid windowtext 2.25pt; mso-border-top-alt:solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#99CCFF;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td width="5%" style='width:5.5%;border-top:none;border-left:none;border-bottom: solid windowtext 2.25pt;border-right:solid windowtext 2.25pt;mso-border-top-alt: solid windowtext 2.25pt;mso-border-left-alt:solid windowtext 2.25pt; background:#99CCFF;padding:0cm 5.4pt 0cm 5.4pt;height:2.75pt'> <p class=Indentnumbered style='margin-left:0cm;text-indent:0cm;mso-list:none; tab-stops:36.0pt'><span lang=EN-GB style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr></table><p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Also identify the numbersand/or proportions of children, minorities, persons with special needs (medicalconditions, disability, elderly) and those subject to historic discrimination:<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><b><span style='font-family:Arial'>II.B<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>If affectedpersons are individuals:<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Full name of owner/tenureholder: --------------------<span style='mso-spacerun:yes'>&nbsp;</span>------------ --------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Nationality:----------------<span style='mso-spacerun:yes'>&nbsp; </span>(and citizenship,if different: -------------------)<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>I.D. number:-------------------- Type of document: -----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Completeaddress of affected housing unit:<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Type of affected area:<spanstyle='mso-spacerun:yes'>&nbsp; </span>city </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>town<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>village<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>slum </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>camp</span><spanstyle='font-size:18.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>caravan<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>slum </span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>informal settlement </span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>planned and serviced area </span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-tab-count:1'>&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Completecurrent address (if different):<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E-mail:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Other:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Sex/gender:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp; </span></span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'> </span><span style='font-family:Arial'>Female<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'> Male<spanstyle='mso-spacerun:yes'>&nbsp;&nbsp; </span></span><span style='font-size:18.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;font-family:Arial'> </span><span style='font-family:Arial'>Other<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Civil status:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>single<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>partnered<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>married<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>separated<span style='mso-spacerun:yes'>&nbsp;</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>divorced<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>widowed <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Birthdate:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--/-----/----<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Full name of spouse (ifany):<span style='mso-spacerun:yes'>&nbsp; </span>&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;--------------------------- --------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>(Additionalnames, if more than one spouse: &shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------------- ------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;<spanstyle='mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------------- ------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;<spanstyle='mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------------- ------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Namesand ages of children:<span style='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------------- (age)--------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------------- (age)--------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------------- (age)--------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'><spanstyle='mso-tab-count:7'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------------- (age)--------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><i><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></i></p><p class=MsoNormal><span style='font-family:Arial'>Refugee status:<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>registeredrefugee<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>not registered refugee<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Occupation:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp; </span>-------------------<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Workplace:<span style='mso-tab-count:1'>&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Address:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:8'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>WorkTel:<span style='mso-spacerun:yes'>&nbsp; </span><span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>------ ------ ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Residents:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>nuclear family<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>extended family<span style='mso-tab-count:1'>&nbsp; </span><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp;</span>multiple families<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Listall residents:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------------- ---------- (age)----<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------------- ---------- (age)----<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------------- ---------- (age)----<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------------- ---------- (age)----<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------------- ---------- (age)----<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'><spanstyle='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------------- ---------- (age)----<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Also identify the numbersand/or proportions of children, minorities, persons with special needs (medicalconditions, disability, elderly) and those subject to historic discrimination:<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>------------------------------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Is victim/tenure holder alsothe household provider?<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>Yes<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>No<span style='mso-spacerun:yes'>&nbsp;&nbsp;</span>If Yes, s/he provides for<span style='mso-spacerun:yes'>&nbsp;</span>---<span style='mso-spacerun:yes'>&nbsp; </span>adults<spanstyle='mso-spacerun:yes'>&nbsp; </span>--- children.<spanstyle='mso-spacerun:yes'>&nbsp; </span>If no, name provider: --------- ------------- <span style='mso-spacerun:yes'>&nbsp;</span>Is provider also resident? </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>Yes<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>No<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Ifno, give contacts:<span style='mso-tab-count:1'>&nbsp;&nbsp; </span> <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Street address:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Communication numbers:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E-mail:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Other:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Ifvictim is not owner, identify owner/landlord:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Fullname: <span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>------------------ ----------<span style='mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E-mail:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Other:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'>III.<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Identifyingthe means of violation<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Cause ofloss/damage/destruction:<span style='mso-spacerun:yes'>&nbsp; </span>demolition</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp;</span>explosives </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>occupation </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>vandalism<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>pollution </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>toxicwaste </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>naturaldisaster </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp;</span>other<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'> (describe:--------------------)<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Means ofdamage/destruction:<span style='mso-spacerun:yes'>&nbsp; </span>bulldozer </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>gunfire/artillery</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>airbornemissile </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>rocket </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>gas </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>tank</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>other<spanstyle='mso-spacerun:yes'>&nbsp;&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>(describe: -------------------&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;--------------------------)<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Identifytype and origin of destructive means:<span style='mso-spacerun:yes'>&nbsp;</span>Brand/company of manufacture:<span style='mso-spacerun:yes'>&nbsp;</span>--------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Model: -------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Country of origin: -------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Serial number: -----------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Direction of violation(from):<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>militarybase<span style='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>military position or checkpoint<span style='mso-spacerun:yes'>&nbsp;</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>aircraft<span style='mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'> tank<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>military personnel/infantry/militia<spanstyle='mso-spacerun:yes'>&nbsp;&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>settlers<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>other &shy;&shy;---------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><b><span style='font-family:Arial'>IV.<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Identifyingduty holder(s):<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Status of principalperpetrator:<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>privateactor<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>public official/officer<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>corporation<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Identity of principalperpetrator, or immediately responsible public official/officer:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Fullname: --------- --------- ----------<span style='mso-spacerun:yes'>&nbsp;</span>Title: &shy;&shy;&shy;&shy;----------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Rank: ----------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Serial/identification no.-------------------<span style='mso-spacerun:yes'>&nbsp; </span>Police unit:<spanstyle='mso-spacerun:yes'>&nbsp; </span>&shy;&shy;&shy;----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Armed service branch: &shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;-------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Unit: &shy;&shy;&shy;&shy;&shy;----------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='text-align:justify;text-justify:kashida;text-kashida:0%;line-height:150%'><span style='font-family:Arial'>Commander/superiorofficer:<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Fullname: --------- --------- ----------<span style='mso-spacerun:yes'>&nbsp;</span>Title: &shy;&shy;&shy;&shy;----------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Rank: ----------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Serial/identification no.-------------------<span style='mso-spacerun:yes'>&nbsp; </span>Police unit:<spanstyle='mso-spacerun:yes'>&nbsp; </span>&shy;&shy;&shy;----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Armed service branch: &shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;-------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Unit: &shy;&shy;&shy;&shy;&shy;----------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp;</span><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><span style='font-family:Arial'>Identity of principalperpetrator, or immediately responsible private party:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>corporate official(s)<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>settler(s)<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>other:------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Name:----------- ---------- ----------<span style='mso-spacerun:yes'>&nbsp;</span>Title: &shy;&shy;&shy;&shy;----------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Rank: ----------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Identification no.-------------------<span style='mso-spacerun:yes'>&nbsp; </span><spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;</span>Party represented: -----&shy;&shy;&shy;----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Relationship to victim(s),if any: &shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;-------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines for more identifiable parties as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Whoordered the violation (if different from principal perpetrator)?<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Full name:--------------------<span style='mso-spacerun:yes'>&nbsp; </span>--------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Nationality (andcitizenship, if different): -------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>I.D. number:-------------------- Type of document: -----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Completeaddress:<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E-mail:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Other:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>&shy;&shy;&shy;&shy;--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>What reasons, if any, havethose responsible (duty holders, violators) given for the violation?<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><div style='mso-element:para-border-div;border-top:solid windowtext 1.5pt;border-left:none;border-bottom:solid windowtext 1.5pt;border-right:none;padding:1.0pt 0cm 1.0pt 0cm'><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext 1.5pt;mso-border-bottom-alt:solid windowtext 1.5pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%;line-height:150%'><span style='font-family:Arial'>Whogave those reasons?<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify;line-height:150%'><spanstyle='font-family:Arial'>Full name: --------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>------------ --------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>Title: &shy;&shy;&shy;-----------<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify;line-height:150%'><spanstyle='font-family:Arial'>Position: ------------------------<spanstyle='mso-spacerun:yes'>&nbsp;&nbsp; </span>Official position: </span><spanstyle='font-size:18.0pt;line-height:150%;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp; </span>Civilian position: </span><spanstyle='font-size:18.0pt;line-height:150%;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal style='text-align:justify;line-height:150%'><spanstyle='font-family:Arial'>Employer: <o:p></o:p></span></p><p class=MsoNormal style='text-align:justify;line-height:150%'><spanstyle='font-family:Arial'>Nationality ------------------- (and citizenship, ifdifferent): -------------------<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify'><span style='font-family:Arial'>I.D.number: -------------------- Type of document: -----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Contactinformation:<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Organization:<spanstyle='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E-mail:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'>IV.A<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Identify duty-holdingmanufacturer of the destructive means </span></b><span style='font-family:Arial'>(ifappropriate)<b>:<o:p></o:p></b></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Company:<spanstyle='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>CEO:<spanstyle='mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------- ----------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'>IV.B<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Identify duty-holdingsupplier/importer of the destructive means </span></b><span style='font-family:Arial'>(if appropriate)<b>:<o:p></o:p></b></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Company:<spanstyle='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>CEO:<spanstyle='mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------- ----------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'>IV.C<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Identify duty-holding localdistributor of the destructive means </span></b><span style='font-family:Arial'>(ifappropriate)<b>:<o:p></o:p></b></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Company:<spanstyle='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>CEO:<spanstyle='mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------- ----------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><b><span lang=EN-GB style='font-family:Arial;mso-ansi-language:EN-GB'>V.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Documentingconsequences:<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Which type of tenurevictim(s) hold:<span style='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>own<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>rent<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>lease </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>squat<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Groundarea of structure:<span style='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----square meters<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Floor space of residentialunit:<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----square meters<span style='mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Type of property affected:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>villa<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'> single family home </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>duplex </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>multistory structure </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>apartment</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>commercial property<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>kiosk </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>wall/fence </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>plot of land </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>infrastructure </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>other<spanstyle='mso-spacerun:yes'>&nbsp; </span>If other, describe:------------------------------------------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>If multiplex or multistorystructure, how many storeys? -----<span style='mso-spacerun:yes'>&nbsp;</span>How many units? -----<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>How many rooms in structure?&shy;&shy;&shy;----<span style='mso-spacerun:yes'>&nbsp; </span>How many roomsaffected? &shy;&shy;&shy;&shy;----<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Does the affected housingunit have:<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>kitchen?<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>bathroom?<span style='mso-spacerun:yes'>&nbsp;</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>living room?<span style='mso-spacerun:yes'>&nbsp;</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>garage?<o:p></o:p></span></p><p class=MsoNormal><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>bedroom? How many? ----<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Degree of affect: </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>complete unit(s) no. of units ----<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>partial no.of units ----<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><span style='font-size:12.0pt;font-family:Arial;mso-fareast-font-family:"Times New Roman";mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:AR-SY'><brclear=all style='mso-special-character:line-break;page-break-before:always'></span><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><div align=center><table class=a0 border=1 cellspacing=0 cellpadding=0 style='border-collapse: collapse;border:none;mso-border-alt:solid windowtext .5pt;mso-padding-alt: 0cm 5.4pt 0cm 5.4pt;mso-border-insideh:.5pt solid windowtext;mso-border-insidev: .5pt solid windowtext'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes'> <td colspan=5 style='border:double windowtext 1.5pt;background:#99CCFF; padding:0cm 5.4pt 0cm 5.4pt'> <h1 align=center style='margin-top:6.0pt;margin-right:0cm;margin-bottom:6.0pt; margin-left:0cm;text-align:center;text-indent:0cm;line-height:normal'><span style='font-size:16.0pt;font-family:Arial;color:navy'>Housing Rights Violation &#8220;Loss Matrix&#8221;<o:p></o:p></span></h1> </td> </tr> <tr style='mso-yfti-irow:1'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: double windowtext 1.5pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: double windowtext 1.5pt;mso-border-alt:double windowtext 1.5pt;mso-border-right-alt: solid windowtext .5pt;background:#84B1DD;mso-shading:#99CCFF;mso-pattern: gray-25 auto;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Type and description of cost/loss<o:p></o:p></span></b></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-top-alt:double 1.5pt; mso-border-left-alt:solid .5pt;mso-border-bottom-alt:double 1.5pt;mso-border-right-alt: solid .5pt;mso-border-color-alt:windowtext;background:#84B1DD;mso-shading: #99CCFF;mso-pattern:gray-25 auto;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Quantification method<o:p></o:p></span></b></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-top-alt:double 1.5pt; mso-border-left-alt:solid .5pt;mso-border-bottom-alt:double 1.5pt;mso-border-right-alt: solid .5pt;mso-border-color-alt:windowtext;background:#84B1DD;mso-shading: #99CCFF;mso-pattern:gray-25 auto;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Values/<o:p></o:p></span></b></p> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>losses<o:p></o:p></span></b></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-top-alt:double 1.5pt; mso-border-left-alt:solid .5pt;mso-border-bottom-alt:double 1.5pt;mso-border-right-alt: solid .5pt;mso-border-color-alt:windowtext;background:#84B1DD;mso-shading: #99CCFF;mso-pattern:gray-25 auto;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Long-term values/ losses<o:p></o:p></span></b></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:double windowtext 1.5pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;background:#84B1DD;mso-shading: #99CCFF;mso-pattern:gray-25 auto;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal align=center style='text-align:center'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Totals<o:p></o:p></span></b></p> </td> </tr> <tr style='mso-yfti-irow:2'> <td colspan=5 style='border:double windowtext 1.5pt;border-top:none; mso-border-top-alt:double windowtext 1.5pt;background:#C6F7F7;mso-shading: #CCFFFF;mso-pattern:gray-15 auto;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Victims&#8217; Material Losses<o:p></o:p></span></b></p> </td> </tr> <tr style='mso-yfti-irow:3'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: double windowtext 1.5pt;mso-border-top-alt:double 1.5pt;mso-border-left-alt: double 1.5pt;mso-border-bottom-alt:solid .5pt;mso-border-right-alt:solid .5pt; mso-border-color-alt:windowtext;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><b><span style='font-family:Arial'>Structure<o:p></o:p></span></b></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-top-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-top-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-top-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-top-alt:double 1.5pt; mso-border-left-alt:solid .5pt;mso-border-bottom-alt:solid .5pt;mso-border-right-alt: double 1.5pt;mso-border-color-alt:windowtext;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:4'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Walls<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number and mass (in square meters) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:5'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Doorways (frames and doors)<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (wooden) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:6'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (wooden &amp; glass) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:7'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (metal) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:8'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (metal &amp; glass) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:9'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (other) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:10'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Window frames<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (wooden frame) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:11'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (metal frame) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:12'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number (other) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:13'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Windowpanes<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Size and grade @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:14'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Roofing<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Surface area &amp; material (wooden, shingled) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:15'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Surface area &amp; material (concrete) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:16'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Surface area &amp; material (metal) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:17'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Surface area &amp; material (thatch) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:18'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Surface area &amp; material (other) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:19'> <td colspan=5 style='border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid .5pt; mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:solid .5pt;mso-border-right-alt: double 1.5pt;mso-border-color-alt:windowtext;background:#CCFFFF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b><span style='font-family:Arial'>Infrastructure installations</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:20'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Heating &amp; cooling systems<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Gas heaters @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:21'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Gas furnace @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:22'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Oil heaters @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:23'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Oil furnace @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:24'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Electric heaters @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:25'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Electric furnace @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:26'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Solar heating units @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:27'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>AC units @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:28'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Central AC @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:29'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Gas water heaters @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:30'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Oil water heaters @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:31'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Electric water heaters @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:32'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Solar water heaters @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:33'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Other(s) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:34'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Plumbing<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Replacement value pipes, drainage, water-delivery system, sanitation &amp; cost of labor to replace<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:35'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Electrical installations<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Replacement value of wiring, fixtures &amp; cost of labor to replace<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:36'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Other utilities<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Replacement values of gas and oil pipelines, fixtures and related installations &amp; cost of labor to replace<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:37'> <td colspan=5 style='border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid .5pt; mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:solid .5pt;mso-border-right-alt: double 1.5pt;mso-border-color-alt:windowtext;background:#CCFFFF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b><span style='font-family:Arial'>Contents</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:38'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Furniture<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number of beds with mattresses by type @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:39'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number of cabinets by type @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:40'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Vanity &amp; dresser (x number) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:41'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Shelving<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:42'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Sofas (x number &amp; type) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:43'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Chairs (x number &amp; type) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:44'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Tables (x number &amp; type) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:45'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Carpets (by number, type &amp; size) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:46'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Decor<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Inventory by number and type @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:47'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Appliances<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Television(s) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:48'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Computer(s) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:49'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Refrigerator(s) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:50'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Oven(s) &amp; stove(s) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:51'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Clothes washer @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:52'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Clothes dryer @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:53'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Sound equipment (recorders, music systems) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:54'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Other @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:55'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Kitchen items<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Kitchen appliances @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:56'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Inventory of dishes, cutlery, cooking utensils, pots &amp; pans @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:57'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Clothing<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Inventory by item and value @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:58'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Personal items<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Replacement values of books, recordings, memorabilia, collections and all personal items lost<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:59'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b><span style='font-family:Arial'>Plot<o:p></o:p></span></b></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Current market values (before violation)<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:60'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Plants &amp; vegetation<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Houseplants @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:61'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Shrubbery @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:62'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Trees<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Fruit bearing<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:63'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Ornamental @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:64'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Demarcating land @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:65'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Crops<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Number of plants @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:66'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Harvest value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:67'> <td colspan=5 style='border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid .5pt; mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:solid .5pt;mso-border-right-alt: double 1.5pt;mso-border-color-alt:windowtext;background:#CCFFFF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b><span style='font-family:Arial'>Animals &amp; livestock</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:68'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Household pets @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:69'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Cattle (market value at maturity)<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:70'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Sheep (market value at maturity)<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:71'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Goats (market value at maturity)<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:72'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Poultry (market value at maturity)<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:73'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Other (market value at maturity)<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:74'> <td colspan=5 style='border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid .5pt; mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:solid .5pt;mso-border-right-alt: double 1.5pt;mso-border-color-alt:windowtext;background:#CCFFFF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b><span style='font-family:Arial'>Vehicles and equipment</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:75'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Vehicles<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Automobile(s) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:76'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Utility vehicle(s) @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:77'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Equipment<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Business &amp; office machines<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:78'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Manufacturing equipment &amp; machines<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:79'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Cultivation and harvest equipment @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:80'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Farm equipment @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:81'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Tools<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Farming implements @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:82'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Other @ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:83'> <td colspan=5 style='border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid .5pt; mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:solid .5pt;mso-border-right-alt: double 1.5pt;mso-border-color-alt:windowtext;background:#CCFFFF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b><span style='font-family:Arial'>Other</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:84'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Collateral damage<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>@ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:85'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Utilities infrastructure<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>@ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:86'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Business losses<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>@ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:87'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Inventory<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>@ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:88'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Prospective income<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>@ replacement value<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:89'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Mortgage, other debt penalties<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual costs<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:90'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Lost/decreased wages/income<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual losses<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:91'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Health care<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual costs<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:92'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Interim housing<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual costs, or equivalent market value for rent for comparable accommodation donated by others<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:93'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Bureaucratic and legal fees<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual costs<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:94'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Alternative housing<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual costs<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:95'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: solid windowtext 1.0pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Resettlement<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual costs, including moving, storage, losses in the moving process, transportation and other fees<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:96'> <td style='border-top:none;border-left:double windowtext 1.5pt;border-bottom: double windowtext 1.5pt;border-right:solid windowtext 1.0pt;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid .5pt;mso-border-left-alt:double 1.5pt; mso-border-bottom-alt:double 1.5pt;mso-border-right-alt:solid .5pt; mso-border-color-alt:windowtext;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Transportation costs<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-bottom-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>Actual costs as a result of resettlement and additional transport costs to access livelihood and meet social needs<o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-right-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:97;mso-yfti-lastrow:yes'> <td colspan=2 style='border:double windowtext 1.5pt;border-top:none; mso-border-top-alt:double windowtext 1.5pt;background:#99CCFF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm;tab-stops:124.9pt'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial;color:navy'>Subtotals</span></b><span style='font-family:Arial;color:navy'><o:p></o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:double windowtext 1.5pt;mso-border-top-alt:solid .5pt; mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:double 1.5pt; mso-border-right-alt:solid .5pt;mso-border-color-alt:windowtext;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; mso-border-bottom-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:double windowtext 1.5pt; border-right:double windowtext 1.5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr></table></div><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><div align=center><table class=a0 border=1 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;border:none;mso-border-alt:double windowtext 1.5pt; mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-insideh:.5pt solid windowtext'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid; height:17.55pt'> <td width="100%" colspan=3 style='width:100.0%;border:double windowtext 1.5pt; background:#C6F7F7;mso-shading:#CCFFFF;mso-pattern:gray-15 auto;padding:0cm 5.4pt 0cm 5.4pt; height:17.55pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Victims&#8217; Nonmaterial Losses<o:p></o:p></span></b></p> </td> </tr> <tr style='mso-yfti-irow:1;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: double windowtext 1.5pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Health<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:double windowtext 1.5pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:2;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Living space<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:3;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Reconstruction licensing<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:4;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Psychological harm<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:5;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Disintegration of family<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:6;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Loss of community<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:7;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Heritage<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:8;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Environment/ecology<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:9;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Standing/seniority<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:10;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Political marginalization<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:11;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Social marginalization<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:12;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Further vulnerabilities<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:13;page-break-inside:avoid;height:17.55pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:double windowtext 1.5pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Other<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:double windowtext 1.5pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt; height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:14;page-break-inside:avoid;height:17.55pt'> <td width="100%" colspan=3 style='width:100.0%;border:double windowtext 1.5pt; border-top:none;mso-border-top-alt:double windowtext 1.5pt;background:#C6F7F7; mso-shading:#CCFFFF;mso-pattern:gray-15 auto;padding:0cm 5.4pt 0cm 5.4pt; height:17.55pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Other-than-Victims&#8217; Material Costs<o:p></o:p></span></b></p> </td> </tr> <tr style='mso-yfti-irow:15;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:solid windowtext 1.0pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt;mso-border-top-alt: double 1.5pt;mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:solid .5pt; mso-border-right-alt:solid .5pt;mso-border-color-alt:windowtext;padding:0cm 5.4pt 0cm 5.4pt; height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Police<o:p></o:p></span></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:double windowtext 1.5pt;mso-border-left-alt:solid windowtext .5pt; mso-border-top-alt:double 1.5pt;mso-border-left-alt:solid .5pt;mso-border-bottom-alt: solid .5pt;mso-border-right-alt:double 1.5pt;mso-border-color-alt:windowtext; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:16;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:solid windowtext 1.0pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt;mso-border-alt: solid windowtext .5pt;mso-border-left-alt:double windowtext 1.5pt;padding: 0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Bulldozers<o:p></o:p></span></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt; mso-border-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:17;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:solid windowtext 1.0pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt;mso-border-alt: solid windowtext .5pt;mso-border-left-alt:double windowtext 1.5pt;padding: 0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Lawyers<o:p></o:p></span></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt; mso-border-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:18;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:solid windowtext 1.0pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt;mso-border-alt: solid windowtext .5pt;mso-border-left-alt:double windowtext 1.5pt;padding: 0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Army<o:p></o:p></span></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt; mso-border-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:19;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:solid windowtext 1.0pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt;mso-border-alt: solid windowtext .5pt;mso-border-left-alt:double windowtext 1.5pt;padding: 0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Other forces<o:p></o:p></span></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt; mso-border-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:20;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:solid windowtext 1.0pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt;mso-border-alt: solid windowtext .5pt;mso-border-left-alt:double windowtext 1.5pt;padding: 0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Bureaucratic and personnel costs<o:p></o:p></span></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt; mso-border-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:21;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:double windowtext 1.5pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt: solid .5pt;mso-border-left-alt:double 1.5pt;mso-border-bottom-alt:double 1.5pt; mso-border-right-alt:solid .5pt;mso-border-color-alt:windowtext;padding:0cm 5.4pt 0cm 5.4pt; height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'>Other<o:p></o:p></span></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:double windowtext 1.5pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:22;page-break-inside:avoid;height:17.55pt'> <td width="90%" colspan=2 style='width:90.54%;border-top:none;border-left: double windowtext 1.5pt;border-bottom:double windowtext 1.5pt;border-right: solid windowtext 1.0pt;mso-border-top-alt:double windowtext 1.5pt;mso-border-alt: double windowtext 1.5pt;mso-border-right-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><b><span style='font-family:Arial'>Subtotal<o:p></o:p></span></b></p> </td> <td width="9%" style='width:9.46%;border-top:none;border-left:none; border-bottom:double windowtext 1.5pt;border-right:double windowtext 1.5pt; mso-border-top-alt:double windowtext 1.5pt;mso-border-left-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.55pt'> <p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p> </td> </tr> <tr style='mso-yfti-irow:23;page-break-inside:avoid;height:17.55pt'> <td width="100%" colspan=3 style='width:100.0%;border:double windowtext 1.5pt; border-top:none;mso-border-top-alt:double windowtext 1.5pt;background:#C6F7F7; mso-shading:#CCFFFF;mso-pattern:gray-15 auto;padding:0cm 5.4pt 0cm 5.4pt; height:17.55pt'> <p class=MsoNormal style='margin-top:6.0pt;margin-right:0cm;margin-bottom: 6.0pt;margin-left:0cm'><b style='mso-bidi-font-weight:normal'><span style='font-family:Arial'>Other-than-Victims&#8217; Nonmaterial Costs<o:p></o:p></span></b></p> </td> </tr> <tr style='mso-yfti-irow:24;page-break-inside:avoid;height:17.85pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: double windowtext 1.5pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-left-alt:double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.85pt'> <p class=MsoNormal><span style='font-family:Arial'>Social costs<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:double windowtext 1.5pt;mso-border-top-alt:double windowtext 1.5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.85pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:25;page-break-inside:avoid;height:17.8pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt: double windowtext 1.5pt;mso-border-bottom-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.8pt'> <p class=MsoNormal><span style='font-family:Arial'>Civic order<o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:solid windowtext 1.0pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;mso-border-top-alt:solid windowtext .5pt; mso-border-bottom-alt:solid windowtext .5pt;mso-border-right-alt:double windowtext 1.5pt; padding:0cm 5.4pt 0cm 5.4pt;height:17.8pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:26;mso-yfti-lastrow:yes;page-break-inside:avoid; height:17.8pt'> <td width="66%" style='width:66.9%;border-top:none;border-left:double windowtext 1.5pt; border-bottom:double windowtext 1.5pt;border-right:none;mso-border-top-alt: solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt;height:17.8pt'> <p class=MsoNormal><span style='font-family:Arial'>Political legitimacy <o:p></o:p></span></p> </td> <td width="33%" colspan=2 style='width:33.1%;border-top:none;border-left: none;border-bottom:double windowtext 1.5pt;border-right:double windowtext 1.5pt; mso-border-top-alt:solid windowtext .5pt;padding:0cm 5.4pt 0cm 5.4pt; height:17.8pt'> <p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p> </td> </tr> <![if !supportMisalignedColumns]> <tr height=0> <td width=498 style='border:none'></td> <td width=176 style='border:none'></td> <td width=70 style='border:none'></td> </tr> <![endif]></table></div><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 style='border-collapse:collapse;border:none;mso-border-alt:double windowtext 1.5pt; mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-insideh: 1.5pt double windowtext;mso-border-insidev:1.5pt double windowtext'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width=643 valign=top style='width:482.4pt;border:double windowtext 1.5pt; background:#99CCFF;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><b><span style='font-family:Arial;color:navy'>Total material costs/losses<o:p></o:p></span></b></p> </td> <td width=67 valign=top style='width:50.4pt;border:double windowtext 1.5pt; border-left:none;mso-border-left-alt:double windowtext 1.5pt;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p> </td> </tr></table><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>How does the total of thismaterial loss compare with the victim&#8217;s annual household income?<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><table class=MsoNormalTable border=1 cellspacing=0 cellpadding=0 style='background:#CCCCCC;mso-shading:windowtext;mso-pattern:gray-20 auto; border-collapse:collapse;border:none;mso-border-top-alt:solid 2.25pt; mso-border-left-alt:solid 2.25pt;mso-border-bottom-alt:thin-thick-small-gap 3.75pt; mso-border-right-alt:thin-thick-small-gap 3.75pt;mso-border-color-alt:windowtext; mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-insideh: 3.75pt thin-thick-small-gap windowtext;mso-border-insidev:3.75pt thin-thick-small-gap windowtext'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;mso-yfti-lastrow:yes'> <td width=710 valign=top style='width:532.65pt;border:solid windowtext 2.25pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal align=center style='margin-top:6.0pt;margin-right:0cm; margin-bottom:6.0pt;margin-left:0cm;text-align:center'><b><span style='font-family:Arial'>Total losses </span></b><b><span style='font-size: 14.0pt;font-family:Symbol;mso-ascii-font-family:Arial;mso-hansi-font-family: Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family: Symbol'><span style='mso-char-type:symbol;mso-symbol-font-family:Symbol'>&cedil;</span></span></b><b><span style='font-family:Arial'> annual household income = years of labor &amp; investment<o:p></o:p></span></b></p> </td> </tr></table><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Was the residence occupiedat the time of the violation? </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>Yes<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>No.<span style='mso-spacerun:yes'>&nbsp; </span>Ifyes, explain who was inside and the circumstances of the person(s).<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Did the perpetrators give warningbefore carrying out the violation? Please describe the circumstances, includingthe period of the warning and the actions of the inhabitants.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><div style='mso-element:para-border-div;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:1.0pt 0cm 1.0pt 0cm'><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Was anyone injured in thecourse or aftermath of the violation? </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>Yes<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>no<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>IfYes, identify those injured:<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Name: ---------- ------------------<span style='mso-spacerun:yes'>&nbsp; </span>Age: ----<spanstyle='mso-spacerun:yes'>&nbsp; </span>Relationship to residents: ----------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Name:---------- --------- ---------<span style='mso-spacerun:yes'>&nbsp; </span>Age:----<span style='mso-spacerun:yes'>&nbsp; </span>Relationship to residents:----------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Name:---------- --------- ---------<span style='mso-spacerun:yes'>&nbsp; </span>Age:----<span style='mso-spacerun:yes'>&nbsp; </span>Relationship to residents:----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Name: ---------- ------------------<span style='mso-spacerun:yes'>&nbsp; </span>Age: ----<spanstyle='mso-spacerun:yes'>&nbsp; </span>Relationship to residents: ----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Was anyone killed in thecourse or aftermath of the violation?<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Name:---------- --------- ---------<span style='mso-spacerun:yes'>&nbsp; </span>Age:----<span style='mso-spacerun:yes'>&nbsp; </span>Relationship to residents:----------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Name:---------- --------- ---------<span style='mso-spacerun:yes'>&nbsp; </span>Age:----<span style='mso-spacerun:yes'>&nbsp; </span>Relationship to residents:----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Name: ---------- ------------------<span style='mso-spacerun:yes'>&nbsp; </span>Age: ----<spanstyle='mso-spacerun:yes'>&nbsp; </span>Relationship to residents: ----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Wasthis home or property previously subject to violation? </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>Yes<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>No<span style='mso-spacerun:yes'>&nbsp; </span>IfYes, please briefly describe those circumstances:<o:p></o:p></span></p><div style='mso-element:para-border-div;border-top:solid windowtext 1.0pt;border-left:none;border-bottom:solid windowtext 1.0pt;border-right:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:1.0pt 0cm 1.0pt 0cm'><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt;padding-bottom:1.0pt;mso-padding-bottom-alt:1.0pt;border-bottom:.75pt solid windowtext;mso-border-bottom-alt:.75pt solid windowtext'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext .75pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt;padding-top:1.0pt;mso-padding-top-alt:1.0pt'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Is the present state of thehousing unit(s) suitable for habitation? </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>Yes<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>no<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Isthe housing unit(s) presently occupied? </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>Yes<spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>No<spanstyle='mso-spacerun:yes'>&nbsp; </span>If Yes, who presently occupied thehousing unit?<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Name:------- ------ ---------<span style='mso-spacerun:yes'>&nbsp; </span>Age:----<span style='mso-spacerun:yes'>&nbsp; </span>Relationship to originalresidents: ----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Name: ------- --------------- <span style='mso-spacerun:yes'>&nbsp;</span>Age: ----<spanstyle='mso-spacerun:yes'>&nbsp; </span>Relationship to original residents:----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Otherwise,where are the original inhabitants residing? Briefly describe their circumstancesand tenure in the current residence. Please also indicate if their currenttenure is as renters, guests of friends and/or relatives, living in a camp,owners of another residents, etc.:<o:p></o:p></span></p><div style='mso-element:para-border-div;border-top:solid windowtext 1.5pt;border-left:none;border-bottom:solid windowtext 1.5pt;border-right:none;padding:1.0pt 0cm 1.0pt 0cm'><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext 1.5pt;mso-border-bottom-alt:solid windowtext 1.5pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><spanstyle='mso-spacerun:yes'>&nbsp;</span>[<i>Copy &amp; paste this section to addlines as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><b><span style='font-family:Arial'>VI.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Responses<o:p></o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><b><span style='font-family:Arial'>VI.A<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Relief services<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Are the victims currentlyreceiving aid from any party? If Yes, is the assistance coming from agovernment body</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>a local NGO </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>aninternational agency </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'>, or</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>other</span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>. Please identify the aid organization and the typeof aid provided.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Please identify the aidorganization(s) and the type(s) of aid provided.<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><span style='font-family:Arial'>Organization name:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Contactperson:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------- ----------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E-mail:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Other:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>&shy;&shy;&shy;&shy;--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><span style='font-family:Arial'>Describe the type ofaid or service provided: -----------------------&shy;&shy;&shy;-------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste this sectionto add lines for more identifiable parties as needed.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'>VI.B<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Media efforts<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Has any media agencyinvestigated and/or reported on this case?<span style='mso-spacerun:yes'>&nbsp;</span>Yes </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp; </span>no </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp; </span>If yes,name the contact agency and contact person:<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Name:<spanstyle='mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Title/position:<spanstyle='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Mediaagency:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------- ----------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>[<i>Copy &amp; paste thissection to add lines for additional contact persons, if necessary.</i>]<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><b><span style='font-family:Arial'>VI.C<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Legal remedy<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Has a legal case been raisedby, on behalf of the victims?<span style='mso-spacerun:yes'>&nbsp;</span>Yes<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>No<span style='mso-spacerun:yes'>&nbsp; </span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>If the answer is no, or the progress of previouscourt cases has not delivered the desired results, would you like to raise acourt case to remedy the violation?<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Are victim(s) involved inthe case as plaintiffs </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>or defendants </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-family:Arial'>. <o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Is the dispute beingresolved outside of court? If so, by what method? ----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>If you have not raised asuit, are you considering to do so?<span style='mso-spacerun:yes'>&nbsp;</span>Yes </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><span style='mso-spacerun:yes'>&nbsp;</span>No </span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>If a current case is beforethe courts, please provide some basic details:<o:p></o:p></span></p><div style='mso-element:para-border-div;border:none;border-bottom:solid windowtext 1.0pt;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm 0cm 1.0pt 0cm'><p class=MsoNormal style='border:none;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:0cm 0cm 1.0pt 0cm'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%;border:none;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:0cm 0cm 1.0pt 0cm'><spanstyle='font-family:Arial'>Case title (with names of prosecuting and defendantparties):<o:p></o:p></span></p><p class=MsoNormal style='border:none;mso-border-bottom-alt:solid windowtext .75pt;padding:0cm;mso-padding-alt:0cm 0cm 1.0pt 0cm'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Casenumber: --------------<span style='mso-spacerun:yes'>&nbsp; </span>Court:-------------<span style='mso-spacerun:yes'>&nbsp; </span>Judicial district:-------------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Datefiled: --/--/----<span style='mso-spacerun:yes'>&nbsp; </span>Date decided:--/--/----<span style='mso-spacerun:yes'>&nbsp; </span>(Settlement date, if outof court,:<span style='mso-spacerun:yes'>&nbsp; </span>--/--/----)<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Presidingjudge(s):<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>(1) ------- ------- --------(2) ------- ------- -------- (3) ------- ------- --------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Fullname of prosecuting attorney:<span style='mso-spacerun:yes'>&nbsp; </span><spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------- ----------<span style='mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Fullname of defense attorney:<span style='mso-spacerun:yes'>&nbsp; </span><spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>---------------- ----------<span style='mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Communication numbers:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Resultsof case (if any):<o:p></o:p></span></p><div style='mso-element:para-border-div;border-top:solid windowtext 1.5pt;border-left:none;border-bottom:solid windowtext 1.5pt;border-right:none;padding:1.0pt 0cm 1.0pt 0cm'><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext 1.5pt;mso-border-bottom-alt:solid windowtext 1.5pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Othercomment:<o:p></o:p></span></p><div style='mso-element:para-border-div;border-top:solid windowtext 1.5pt;border-left:none;border-bottom:solid windowtext 1.5pt;border-right:none;padding:1.0pt 0cm 1.0pt 0cm'><p class=MsoNormal style='border:none;mso-border-top-alt:solid windowtext 1.5pt;mso-border-bottom-alt:solid windowtext 1.5pt;padding:0cm;mso-padding-alt:1.0pt 0cm 1.0pt 0cm;mso-border-between:.75pt solid windowtext;mso-padding-between:1.0pt'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Has there been an appeal inthe case? Yes</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>No</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman";mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt'> </span><spanstyle='mso-spacerun:yes'>&nbsp;</span><span style='font-family:Arial'>Not yet</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman";mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt'> </span><b><span style='font-family:Arial'><o:p></o:p></span></b></p><p class=MsoNormal><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Would you consider mountingan appeal in this case? Yes</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:Arial;mso-hansi-font-family:Arial;mso-bidi-font-family:Arial;mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>No</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman";mso-char-type:symbol;mso-symbol-font-family:Wingdings'><span style='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt'> </span><spanstyle='mso-spacerun:yes'>&nbsp;</span><span style='font-family:Arial'>Willthink about it</span> <span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Wingdings;mso-ascii-font-family:"Times New Roman";mso-hansi-font-family:"Times New Roman";mso-char-type:symbol;mso-symbol-font-family:Wingdings'><spanstyle='mso-char-type:symbol;mso-symbol-font-family:Wingdings'>q</span></span><spanstyle='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><b><span style='font-size:14.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt;text-align:justify;text-justify:kashida;text-kashida:0%'><b><span style='font-family:Arial'>VII.<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Yourcertification of the facts<o:p></o:p></span></b></p><p class=MsoNormal><span style='font-family:Arial'>Victim/affected person:---------------------------<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Date:--/----/----<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><i>signature<o:p></o:p></i></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Other person filing thisform: -----------------------<span style='mso-spacerun:yes'>&nbsp; </span><spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Date: --/----/----<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><i>signature<o:p></o:p></i></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Relationshipto victim/affected person:<span style='mso-spacerun:yes'>&nbsp; </span><spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Organization:<spanstyle='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Position:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;&shy;----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Streetaddress:<span style='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<spanstyle='mso-spacerun:yes'>&nbsp; </span>----<span style='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>P.O.Box:<span style='mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>City/town/village:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>District/region:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>State/country:<spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>-----------------------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Communicationnumbers:<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>Telephone: <spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>-------- ------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Fax:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><st1:Cityw:st="on"><st1:place w:st="on">Mobile</st1:place></st1:City>:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E-mail:<spanstyle='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>----------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><spanstyle='mso-tab-count:4'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Other:<spanstyle='mso-tab-count:2'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>&shy;&shy;&shy;&shy;--------------- ------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><b><span style='font-size:14.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal><!--[if gte vml 1]><v:shape id="_x0000_s1027" type="#_x0000_t75" style='position:absolute;margin-left:248.5pt;margin-top:754.7pt;width:41.1pt; height:37.3pt;z-index:-1;mso-position-vertical-relative:page'> <v:imagedata src="e1s6sub3_files/image001.png" o:title="Logo HIC-web" gain="45875f" blacklevel="9830f"/> <w:wrap anchory="page"/> <w:anchorlock/></v:shape><![endif]--><![if !vml]><span style='mso-ignore:vglayout;position:absolute;z-index:-1;margin-left:331px;margin-top:1006px;width:55px;height:50px'><imgwidth=55 height=50 src="e1s6sub3_files/image003.jpg" v:shapes="_x0000_s1027"></span><![endif]></p><p class=MsoNormal><o:p>&nbsp;</o:p></p><p class=MsoNormal><o:p>&nbsp;</o:p></p></div></body></html>