<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="e1s6sub2_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>2</o:TotalTime> <o:Created>2005-01-10T17:46:00Z</o:Created> <o:LastSaved>2005-01-14T20:03:00Z</o:LastSaved> <o:Pages>1</o:Pages> <o:Words>3212</o:Words> <o:Characters>18312</o:Characters> <o:Company>arafa</o:Company> <o:Lines>152</o:Lines> <o:Paragraphs>42</o:Paragraphs> <o:CharactersWithSpaces>21482</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:469.05pt;margin-top:6.75pt;width:103.2pt;height:93.75pt;z-index:-1'> <v:imagedata src="e1s6sub2_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:-1;margin-left:625px;margin-top:9px;width:138px;height:125px'><imgwidth=138 height=125 src="e1s6sub2_files/image002.jpg" v:shapes="_x0000_s1027"></span><![endif]><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><b><span style='font-size:14.0pt;font-family:Arial'><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'>Land<spanstyle='mso-spacerun:yes'>&nbsp; </span>Rights<o:p></o:p></span></b></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'>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 style='margin-bottom:6.0pt'><span style='font-family:Arial'>Date(s)of violation: ---/-------/---- (through ---/-------/----)<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Time(s)of violation: ---/-------/---- (through ---/-------/----)<o:p></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 style='margin-bottom:6.0pt'><span style='font-family:Arial'>Identifytype of violation:<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Bulldozing </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>razing oftopsoil </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>destruction of crops </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'><spanstyle='mso-spacerun:yes'>&nbsp;</span>implantation of settlers </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'>erosion </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>dumpingof toxins or toxic waste </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>armed action</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>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>confiscation </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'>other</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>(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'>Exact location anddimensions of affected land plot:<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'>Plot number: --------<spanstyle='mso-tab-count:1'>&nbsp;&nbsp; </span>county/district: -------<spanstyle='mso-spacerun:yes'>&nbsp;&nbsp; </span>State/country: -------------<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'>Area of plot: ------- (landarea measured in units of ------); equivalent in sq. meters: ------<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>farm </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>grazingzone </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>forest </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'><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='text-align:justify;text-justify:kashida;text-kashida:0%'><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal><b><span style='font-family:Arial'>II.<spanstyle='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><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.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 thecommonly known name of the community? <span style='mso-tab-count:1'>&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'>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'>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=Indentnumbered style='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'><span lang=EN-GB 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><table class=a1 border=1 cellspacing=0 cellpadding=0 width="100%" style='width:100.0%;border-collapse:collapse;border:none;mso-border-alt:solid windowtext .5pt; mso-yfti-tbllook:480;mso-padding-alt:0cm 5.4pt 0cm 5.4pt;mso-border-insideh: .5pt solid windowtext;mso-border-insidev:.5pt solid windowtext'> <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%" valign=top style='width:5.52%;border:solid windowtext 2.25pt; border-left:none;mso-border-left-alt:solid windowtext 2.25pt;background:#003300; 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%" valign=top style='width:5.52%;border:solid windowtext 2.25pt; border-left:none;mso-border-left-alt:solid windowtext 2.25pt;background:#003300; 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%" valign=top style='width:5.52%;border:solid windowtext 2.25pt; border-left:none;mso-border-left-alt:solid windowtext 2.25pt;background:#003300; 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%" valign=top style='width:5.52%;border:solid windowtext 2.25pt; border-left:none;mso-border-left-alt:solid windowtext 2.25pt;background:#003300; 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%" valign=top style='width:5.52%;border:solid windowtext 2.25pt; border-left:none;mso-border-left-alt:solid windowtext 2.25pt;background:#003300; 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 valign=top style='width:5.48%;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:#003300; 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%" valign=top 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:#003300;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%" valign=top 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:#003300;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%" valign=top 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:#003300;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%" valign=top 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:#003300;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%" valign=top 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:#003300;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%" valign=top 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:green;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%" valign=top 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:green;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%" valign=top 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:green;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%" valign=top 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:green;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 valign=top 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%" valign=top style='width:5.48%;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:#003300;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:green; 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%" valign=top 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:green;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%" valign=top 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:green;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%" valign=top 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:green;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%" valign=top 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:green;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%" valign=top style='width:5.48%;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:#003300;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%" valign=top 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:#339966;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%" valign=top 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:#339966;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%" valign=top 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:#339966;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 valign=top 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%" valign=top 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:#339966;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%" valign=top style='width:5.48%;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:#003300;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:#339966; 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%" valign=top 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:#339966;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%" valign=top 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:#339966;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%" valign=top 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:#339966;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%" valign=top 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:#339966;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%" valign=top style='width:5.48%;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:#003300;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%" valign=top 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:lime;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%" valign=top 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:lime;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 valign=top 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%" valign=top 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:lime;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%" valign=top 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:#339966;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%" valign=top style='width:5.48%;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:#003300;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:lime; 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%" valign=top 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:lime;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%" valign=top 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:lime;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%" valign=top 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:lime;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%" valign=top 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:#339966;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%" valign=top style='width:5.48%;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:#003300;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%" valign=top 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:#00FF99;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 valign=top 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%" valign=top 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:lime;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%" valign=top 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:lime;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%" valign=top 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:#339966;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%" valign=top style='width:5.48%;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:#003300;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:#00FF99; 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%" valign=top 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:#00FF99;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%" valign=top 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:lime;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%" valign=top 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:lime;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%" valign=top 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:#339966;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%" valign=top style='width:5.48%;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:#003300;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 valign=top 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%" valign=top 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:#00FF99;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%" valign=top 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:lime;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%" valign=top 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:lime;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%" valign=top 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:#339966;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%" valign=top style='width:5.48%;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:#003300;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:#CCFFCC; 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%" valign=top 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:#CCFFCC;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%" valign=top 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:#CCFFCC;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%" valign=top 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:#CCFFCC;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%" valign=top 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:#CCFFCC;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%" valign=top style='width:5.48%;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:#CCFFCC;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><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Also identify the numbers and/orproportions 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><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal><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'><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>nuclear family </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'>extendedfamily </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'>multiple families </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><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'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><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='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 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 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 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 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 numbers and/orproportions 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'>Type of land tenure:<spanstyle='mso-spacerun:yes'>&nbsp; </span>ownership </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'><span style='mso-spacerun:yes'>&nbsp;</span>rental contract </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>sublease </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>landgrant </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>joint/collective ownership </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>inheritedland </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>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'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Is victim also householdprovider?<span style='mso-spacerun:yes'>&nbsp; </span>Yes </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><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'>If Yes, s/he provides for (no.) --- adults, for (no.)--- children<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 no, name provider:--------- -------- -----<span style='mso-spacerun:yes'>&nbsp; </span>Isprovider also resident?<span style='mso-spacerun:yes'>&nbsp; </span>Yes </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'>No</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'><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 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><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 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:placew:st="on"><st1:City w:st="on">Mobile</st1:City></st1:place>:<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='text-align:justify;text-justify:kashida;text-kashida:0%'><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>&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'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Number of persons whoselivelihood depends on the land plot:<span style='mso-spacerun:yes'>&nbsp;</span>&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><span style='font-family:Arial'>If those depending on theland are not owners, identify the actual landowner:<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 landowner:<span style='mso-spacerun:yes'>&nbsp; </span><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; </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 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='text-align:justify;text-justify:kashida;text-kashida:0%'><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>&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'>Type of land tenure:<spanstyle='mso-spacerun:yes'>&nbsp; </span>Ownership </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'><span style='mso-spacerun:yes'>&nbsp;</span>rental contract </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>sublease </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>landgrant </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>joint/collective ownership </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>inheritedland </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>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'><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'><b><spanstyle='font-family:Arial'>III.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Meansof carrying out the violation<o:p></o:p></span></b></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'>chemicals </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'>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'><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'>other </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'>(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'>Identify type and origin ofdestructive means:<span style='mso-spacerun:yes'>&nbsp; </span>Brand/company ofmanufacture:<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'>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>military base </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'>militaryposition or checkpoint </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'>aircraft<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'>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'><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'>militarypersonnel/infantry/militia </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'>settlers</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'>factory</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>wastedump </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'>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'>&shy;&shy;(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 style='margin-bottom:6.0pt'><b><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt'><b><span style='font-family:Arial'>IV.<span style='mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Dutyholder(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>private actor </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'>publicofficial/officer </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'>corporation</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'><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='margin-bottom:6.0pt;line-height:150%'><spanstyle='font-family:Arial'>Full name: --------- --------- ----------<spanstyle='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/securityforces unit:<span style='mso-spacerun:yes'>&nbsp; </span>---------<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'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><span style='font-family:Arial'>Address<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;&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 style='margin-bottom:6.0pt'><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>Tel:<spanstyle='mso-tab-count:2'>&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-top:0cm;margin-right:0cm;margin-bottom:6.0pt;margin-left:108.0pt;text-indent:36.0pt'><span style='font-family:Arial'>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><span style='font-family:Arial'>[<i>Copy &amp; paste this sectionto 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'>Commander/superiorofficer:<o:p></o:p></span></p><p class=MsoNormal style='margin-bottom:6.0pt'><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 style='margin-bottom:6.0pt'><span style='font-family:Arial'>Address<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;&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 style='margin-bottom:6.0pt'><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>Tel:<spanstyle='mso-tab-count:2'>&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-top:0cm;margin-right:0cm;margin-bottom:6.0pt;margin-left:108.0pt;text-indent:36.0pt'><span style='font-family:Arial'>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='text-align:justify;text-justify:kashida;text-kashida:0%'><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>&shy;&shy;&shy;&shy;--------------- ------<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify;text-justify:kashida;text-kashida:0%'><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%'><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 style='margin-bottom:6.0pt;text-align:justify'><spanstyle='font-family:Arial'>Corporate officer (s) </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'><spanstyle='mso-spacerun:yes'>&nbsp; </span></span><span style='font-family:Arial'>settler(s)</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'>other </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'><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>Title: &shy;&shy;&shy;&shy;----------<spanstyle='mso-spacerun:yes'>&nbsp;&nbsp; </span><o:p></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'>Identification no.-------------------<span style='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;</span>Type of document: -----&shy;&shy;&shy;----------<o:p></o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>Relationship to victim(s), ifany: &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'><o:p>&nbsp;</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'>Address<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;&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 style='margin-bottom:6.0pt'><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>Tel:<spanstyle='mso-tab-count:2'>&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-top:0cm;margin-right:0cm;margin-bottom:6.0pt;margin-left:108.0pt;text-indent:36.0pt'><span style='font-family:Arial'>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><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='margin-bottom:6.0pt'><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'>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'>Address<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;&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 style='margin-bottom:6.0pt'><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>Tel:<spanstyle='mso-tab-count:2'>&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-top:0cm;margin-right:0cm;margin-bottom:6.0pt;margin-left:108.0pt;text-indent:36.0pt'><span style='font-family:Arial'>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'>[<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 style='text-align:justify;text-justify:kashida;text-kashida:0%'><span style='font-family:Arial'>What reasons, if any, have thoseresponsible (duty holders, violators) given for the violation?<o:p></o:p></span></p><p class=MsoNormal style='text-align:justify;text-justify:kashida;text-kashida:0%'><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='text-align:justify;text-justify:kashida;text-kashida:0%;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'><spanstyle='font-family:Arial'><o:p>&nbsp;</o:p></span></p></div><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'>Who gave thosereasons?<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>Is this position official: </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: </span><span style='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><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'>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 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'>[<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 lang=EN-GB style='font-family:Arial;mso-ansi-language:EN-GB'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><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:<o:p></o:p></span></b></p><p class=MsoNormal style='margin-bottom:6.0pt'><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='margin-bottom:6.0pt'><span style='font-family:Arial'>CEO:<spanstyle='mso-tab-count:1'>&nbsp; </span><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;&nbsp;&nbsp;&nbsp;&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 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='text-align:justify;text-justify:kashida;text-kashida:0%'><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>&shy;&shy;&shy;&shy;--------------- ------<o:p></o:p></span></p><p class=MsoNormal><b><o:p>&nbsp;</o:p></b></p><p class=MsoNormal><b><o:p>&nbsp;</o:p></b></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 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='text-align:justify;text-justify:kashida;text-kashida:0%'><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>&shy;&shy;&shy;&shy;--------------- ------<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><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: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='text-align:justify;text-justify:kashida;text-kashida:0%'><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>&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'><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'>Land area affected: ----(measured in units of ------); equivalent in sq. meters: ------<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'>At the time of the violation,was the land cultivated </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'><spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;</span>vacant/unused </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>fallow </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'><spanstyle='mso-spacerun:yes'>&nbsp;</span>combination </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'>other</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'> </span><spanstyle='font-family:Arial'><o:p></o:p></span></p><p class=MsoNormal><o:p>&nbsp;</o:p></p><div align=center><table class=a0 border=1 cellspacing=0 cellpadding=0 style='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;mso-border-insidev: .5pt solid windowtext'> <tr style='mso-yfti-irow:0;mso-yfti-firstrow:yes;page-break-inside:avoid'> <td colspan=5 style='border:double windowtext 1.5pt;background:lime; padding:0cm 5.4pt 0cm 5.4pt'><span style='font-size:9.0pt;font-family:Arial; mso-fareast-font-family:"Times New Roman";color:black;mso-ansi-language:EN-US; mso-fareast-language:EN-US;mso-bidi-language:AR-SA'><br clear=all style='page-break-before:always'> </span> <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:windowtext'>Land Rights Violation &#8220;Loss Matrix&#8221;<o:p></o:p></span></h1> </td> </tr> <tr style='mso-yfti-irow:1;page-break-inside:avoid'> <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:#B1DDB1;mso-shading:#CCFFCC;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:#B1DDB1;mso-shading: #CCFFCC;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:#B1DDB1;mso-shading: #CCFFCC;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:#B1DDB1;mso-shading: #CCFFCC;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:#B1DDB1;mso-shading: #CCFFCC;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;page-break-inside:avoid'> <td colspan=5 style='border:double windowtext 1.5pt;border-top:none; mso-border-top-alt:double windowtext 1.5pt;background:green;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;color:white'>Victims&#8217; Material Losses<o:p></o:p></span></b></p> </td> </tr> <tr style='mso-yfti-irow:3;page-break-inside:avoid'> <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:double windowtext 1.5pt;mso-border-alt:double windowtext 1.5pt; mso-border-bottom-alt:solid windowtext .5pt;background:#CCFFCC;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</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:4;page-break-inside:avoid'> <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'><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'>current market value (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:5;page-break-inside:avoid'> <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:#CCFFCC;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'>Trees</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:6;page-break-inside:avoid'> <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'>Fruit bearing 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'>type &amp; number @ production 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:7;page-break-inside:avoid'> <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'>Ornamental<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'>type and 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:8;page-break-inside:avoid'> <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'>Functional (e.g., demarcating land)<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'>type and 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:9;page-break-inside:avoid'> <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:#CCFFCC;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'>Crops</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:10;page-break-inside:avoid'> <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'>Vegetables<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'>planted area @ harvest 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:11;page-break-inside:avoid'> <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'>Grains<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'>planted area @ harvest 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:12;page-break-inside:avoid'> <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'>Flowering plants<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'>planted area @ harvest 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:13;page-break-inside:avoid'> <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<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'>planted area @ harvest value, if any, + 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;page-break-inside:avoid'> <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:#CCFFCC;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</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:15;page-break-inside:avoid'> <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'>Irrigation<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'>current replacement value of 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'><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;page-break-inside:avoid'> <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'>Climatic controls<a style='mso-footnote-id:ftn1' href="#_ftn1" name="_ftnref1" title=""><span class=MsoFootnoteReference><span style='mso-special-character:footnote'><![if !supportFootnotes]><span class=MsoFootnoteReference><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'>[1]</span></span><![endif]></span></span></a><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'>current replacement value of 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'><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;page-break-inside:avoid'> <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'>Fencing<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'>type (chain link, stone, etc.) by height and length and replacement value + reinstallation 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:18;page-break-inside:avoid'> <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'>Gates<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'>type (chain link, iron, stone, wooden, etc.) by height and length and replacement value + reinstallation 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:19;page-break-inside:avoid'> <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'>Water &amp; irrigation<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'>type and current replacement values of delivery system, or alternative + cost of interim substitute sources<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:20;page-break-inside:avoid'> <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'>Water pumps<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'>type and current replacement values<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;page-break-inside:avoid'> <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'>Storage tanks<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'>type (material structure and intended contents) and current replacement values<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;page-break-inside:avoid'> <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 structures (sheds, toilets, rest huts, etc)<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'>type, materials, size, contents and current replacement values<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;page-break-inside:avoid'> <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'>Hives<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'>current replacement values<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;page-break-inside:avoid'> <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'>Sprinkler system<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'>type and current replacement values<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;page-break-inside:avoid'> <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:#CCFFCC;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'>Investment</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:26;page-break-inside:avoid'> <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'><span style='font-family:Arial'>Fertilizer, pest control, etc.<b><o:p></o:p></b></span></p> </td> <td style='border-top:none;border-left:none;border-bottom:solid windowtext 1.0pt; border-right:solid windowtext 1.0pt;mso-border-top-alt:solid windowtext .5pt; mso-border-left-alt:solid windowtext .5pt;mso-border-alt:solid windowtext .5pt; padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><span style='font-family:Arial'>short and long-term returns expected from values <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;page-break-inside:avoid'> <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'>Land improvements<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'>market cost of actual labor invested over determined period<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;page-break-inside:avoid'> <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'>Security protection 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'>values invested<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;page-break-inside:avoid'> <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'>Education, vocational training, etc.<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'>short and long-term returns expected from values invested<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;page-break-inside:avoid'> <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:#CCFFCC;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'>Animal/livestock</span></b><span style='font-family:Arial'><o:p></o:p></span></p> </td> </tr> <tr style='mso-yfti-irow:31;page-break-inside:avoid'> <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'>Household pets<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 + sentimental 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;page-break-inside:avoid'> <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'>Cattle<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'>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:33;page-break-inside:avoid'> <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'>Sheep<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'>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:34;page-break-inside:avoid'> <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'>Goats<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'>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:35;page-break-inside:avoid'> <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'>Poultry<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'>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:36;page-break-inside:avoid'> <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'>Horses<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'>market value at maturity and/or utility 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:37;page-break-inside:avoid'> <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'>Donkeys &amp; mules<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'>market value at maturity and/or utility 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:38;page-break-inside:avoid'> <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'>Insects (e.g., bees)<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'>productive 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:39;page-break-inside:avoid'> <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:#CCFFCC;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:40;page-break-inside:avoid'> <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'>market value at maturity and/or utility 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:41;mso-yfti-lastrow:yes;page-break-inside:avoid'> <td colspan=2 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;background: #CCFFCC;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'>Subtotals</span></b><span style='font-family:Arial'><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'><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><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><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 colspan=3 style='border:double windowtext 1.5pt;background:green; 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;color:white'>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:green; 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;color:white'>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:green; 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;color:white'>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><o:p>&nbsp;</o:p></p><table class=a1 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:green;padding:0cm 5.4pt 0cm 5.4pt'> <p class=MsoNormal><b><span style='font-family:Arial;color:white'>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 this materialloss 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=a1 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'>What is the water source forthe cultivated land plot?<span style='mso-spacerun:yes'>&nbsp; </span>Pipedwater </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>artesianwell </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>rainfallcollection </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>municipalwater </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;&nbsp;</span>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'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal><span style='font-family:Arial'>What type of tenurearrangement do you have over these sources? Private ownership </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'><spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;</span>joint/collective ownership </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'><spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;</span>rental </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'><spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;</span>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'><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'>Were water sources damagedor destroyed in course or aftermath of the violation? If so, was thisdamage/destruction total </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 partial </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'>? How will thesesources be replaced in the short term and the long run.<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 type irrigation networkexisted on the land: canals </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>pipes </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>dripirrigation </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'>rain</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'>other </span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'><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'> (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'>What are the specificationof the irrigation canals?<span style='mso-spacerun:yes'>&nbsp; </span>Length---- meters</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>width ----, depth ----</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>averagevolume of water carried ---- cubic meters/day. Land area irrigated ---(measured in units of ------); equivalent in sq. meters: ------.<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 are the specificationsof the irrigation pipes (including drip irrigation)?<spanstyle='mso-spacerun:yes'>&nbsp; </span>Material: metal </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'> synthetic </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'> concrete </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'> terra cotta/clay </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'>?</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 total</span><spanstyle='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><spanstyle='font-family:Arial'>length ---- meters?<spanstyle='mso-spacerun:yes'>&nbsp; </span>What is the gauge ----?<spanstyle='mso-spacerun:yes'>&nbsp; </span>What is the average volume of watercarried ---- cubic meters/day.<span style='mso-spacerun:yes'>&nbsp; </span>Whatis the land area irrigated --- (measured in units of ------); equivalent in sq.meters: ------.<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'>Were irrigation poolsdamaged or destroyed in the violation? 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'><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>No </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>None present </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'>From what type a materialare the pools constructed: metal </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'>, synthetic/plastic </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'>, concrete </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'>, 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-family:Arial'> (specify: -------). If affected, were pools damagedor destroyed completely </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'>,</span><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>or partially </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>Pleaseestimate the damage in cubic meters of volume lost: ----cm.<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'>Can you access this landnow? If not, what is preventing you?<span style='mso-spacerun:yes'>&nbsp;</span>Armed forces </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'>settlers </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'>court orderwith threat of arrest </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'><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 topsoil remain onthe land? If not, has it been bulldozed into a heap on the land site </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><span style='font-size:18.0pt;mso-bidi-font-size:12.0pt;font-family:Arial'> </span><span style='font-family:Arial'>or has itbeen removed to another location off the land </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'>Who has undertaken theinvestment in land improvements over the past five years? The landowner(s) </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'>the renter </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'>both together</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'>.<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='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'><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'>Did the victims receive aidfrom any party? If Yes, is the assistance coming from a government body</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'> </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-family:Arial'>. Are they still receiving this aid? Yes </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'>No</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-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'>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><span style='font-family:Arial'>Organization name:<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; </span>----------------------------<o:p></o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'><o:p>&nbsp;</o:p></span></p><p class=MsoNormal style='line-height:150%'><span style='font-family:Arial'>Contactperson:<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; </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 of aidor service provided: -----------------------&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 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 being resolvedoutside 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 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'>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-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'>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 this form:-----------------------<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><b><span style='font-size:14.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></b></p><p class=MsoNormal style='line-height:150%'><!--[if gte vml 1]><v:shape id="_x0000_s1026" type="#_x0000_t75" style='position:absolute;margin-left:247.4pt;margin-top:754.7pt; width:41.1pt;height:37.3pt;z-index:-2;mso-position-vertical-relative:page'> <v:imagedata src="e1s6sub2_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:-2;margin-left:330px;margin-top:1006px;width:55px;height:50px'><imgwidth=55 height=50 src="e1s6sub2_files/image003.jpg" v:shapes="_x0000_s1026"></span><![endif]></p><p class=MsoNormal><o:p>&nbsp;</o:p></p></div><div style='mso-element:footnote-list'><![if !supportFootnotes]><br clear=all><hr align=left size=1 width="33%"><![endif]><div style='mso-element:footnote' id=ftn1><p class=MsoFootnoteText><a style='mso-footnote-id:ftn1' href="#_ftnref1"name="_ftn1" title=""><span class=MsoFootnoteReference><span style='font-size:9.0pt;font-family:Arial'><span style='mso-special-character:footnote'><![if !supportFootnotes]><spanclass=MsoFootnoteReference><span style='font-size:9.0pt;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'>[1]</span></span><![endif]></span></span></span></a><spanstyle='font-size:9.0pt;font-family:Arial'> For instance, humidifiers or winterwarming pots (as in citrus groves).<spanstyle='mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p></div></div></body></html>