%PDF-1.7 % 1 0 obj <>/PageTransformationMatrixList<>/PageUIDList<>/PageWidthList<>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/Tabs/W/Thumb 248 0 R /TrimBox[ 0 0 612 792]/Type/Page>> endobj 2 0 obj [ 108 0 R 67 0 R 65 0 R 68 0 R 40 0 R 51 0 R 48 0 R 45 0 R 54 0 R 50 0 R 43 0 R 44 0 R 35 0 R 38 0 R 36 0 R 42 0 R 64 0 R 60 0 R 63 0 R 105 0 R 107 0 R 72 0 R ] endobj 3 0 obj <>stream HWmQ,,|Y28Ac8+ YH\vfv\rlE[Grmyv=FכmGMo<7J$cEY /b$ Kc67ܬagjK_7%Q~$W$jY9ӫ_̆NjǨZ$L>jǬw5k=reZP@ኰ6]\ +4 Ϣ r!:4pp:+`poPpV@@8l!a_B m!0}@Ǻ-<H"@h1{T4c_ݾ]@Ip$B1Gڒ=ljq>x8z530u!n? zȗ^OenYٕ:RZ ^y9 1ܻMTYx p^}тZS)++BIXF3rH$"2QG9Y {B z`=AߡD.|tG"o @2yr /iVvUȰrLPMsO~Jy64qks`XzNDhm, 0wH~~dL+MB?bXBΌ6<8Ԏ PKuڈ ?%OPT.pŪ3n=RВfئ߰I u?o;#6^ԿQO˜ZWRP/v槣'J[,'Ї9\=&KQr~ƙqio}/X&ylI%}#;bVyOXq`[ȋ"уƧHC^^|bSf$.D|!Xb>bq)0Hm~5[BRny ك){Tr`+)BeV ƕǖJ;:)r2xXh "0c:kIM}h' ISUpv/1D`lS@`0ftuC#70/*l(bA`X 0\éQ_iTz0p.+Q# C(%tSUUa3Ǫ kZ|.GC#Ҋ62_ڃJ ʈ cyƶVT̞l=!PG܍.o!P;mrcҝs 6%=o{:;:ʬ]AOaO'3FOKHMS?~=@~u\@3ovV "=[dAUOh=5͞W[@T崭ׁ)w L?;}ml9Υ0hR8mYgRθ/+,{΀L^;,33HYUײ*/QyjmI&l_5!\ƜSfi[T n{xopmƵ+X:kKTΏئ 5\*A[ټ\Ⱦ}C UnixC ϳsbtuh\ J; ktkK5}I>+r{C[y2ք&pMN"Ě[](7NTݘ𚍖%k/HY*Kdv"_9L;-S,yb-Y?5Hp2obmEX9쌰r-La"V(0N\LgC QjMW\$3Xv7/5! endstream endobj 4 0 obj <>stream application/pdf Icon_Urgent_2C_Cir_RGB 2020-04-14T11:14:47+05:30 2020-04-14T11:14:47+05:30 2020-04-14T11:14:45+05:30 Adobe Illustrator 24.0 (Macintosh) uuid:dd8cfbf9-8644-6a44-bba8-90d8748eab85 xmp.did:06f9d4b7-2baa-4f57-b0b0-309881150b82 uuid:5D20892493BFDB11914A8590D31508C8 proof:pdf uuid:137304d3-ab26-0846-8d37-baa2e8969d17 xmp.did:5dc09fcf-af9f-48ad-a90b-c43983df69ed uuid:5D20892493BFDB11914A8590D31508C8 proof:pdf saved xmp.iid:30209915-619f-48bf-adbf-a9148cd186fe 2020-02-28T14:57:54+01:00 Adobe Illustrator 24.0 (Macintosh) / saved xmp.iid:06f9d4b7-2baa-4f57-b0b0-309881150b82 2020-03-07T00:47:32+01:00 Adobe Illustrator 24.0 (Macintosh) / Document Print AIRobin False False 1 48.000000 48.000000 Pixels Cyan Magenta Yellow Black Default Swatch Group 0 White RGB PROCESS 255 255 255 Black RGB PROCESS 0 0 0 UHC Blue RGB PROCESS 100.000000 RGB 0 38 119 UHC Bright Blue RGB PROCESS 100.000000 RGB 0 190 213 Adobe PDF library 15.00 endstream endobj 5 0 obj <> endobj 6 0 obj <>stream H\j0 ~ Cq%FK!a ΰ8qyQ`D?-IS]'ayqn \(+ΤnB[cI5J).yBE+ldw G h8A/}xGvKˎ<% TǘzWuAL|y`e0}uu qQP >1K2s\e33+fEX^^ebz5tKFg~b~|fA!x%K3G'-Fj:{oca @_\t endstream endobj 7 0 obj <> endobj 8 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream HT= @ Lr&w֏і"ҀH_o&}M"h{xBkPw`.(Uj[ojQPѮ h U<>p!9#ta1$UaF/%.1ȯv(1v+'% endstream endobj 9 0 obj <>/PageTransformationMatrixList<>/PageUIDList<>/PageWidthList<>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/Properties<>/XObject<>>>/Rotate 0/Tabs/W/Thumb 249 0 R /TrimBox[ 0 0 612 792]/Type/Page>> endobj 10 0 obj [ 158 0 R 164 0 R 162 0 R 161 0 R 174 0 R 183 0 R 184 0 R 179 0 R 169 0 R 170 0 R 176 0 R 173 0 R 180 0 R 165 0 R 175 0 R 192 0 R 139 0 R 155 0 R 142 0 R 145 0 R 151 0 R 132 0 R ] endobj 11 0 obj <>stream HmoSK9oľ]|h¡=IV"ű,J󟝙_B] M;}vuOD(B%%^,,xYD$Lde$L?ogI!,."*[G*YV1Wa"8Rc{8QItμ(dG%g gs*eZ&c5TyȤⱹJ%Ps';a6:Bfny9:s슄X5\s^͵r?^)n)2r{.WF-; nQnDi)Q_hEmc}be?qNi#އ*4T$)L5L<Oovc#o\T^Hw I!2XYg=P 1T&=mfQ>{CĽ<<f M PE4?mErpRg?cnYHfp\g=+0wE Wᩚthc6#3ByjྗاM;9gf6#ه幮ZFEY>"9P$9?y6Qb~,1jqދuML<L٪PZ݉6x0_U5Wى'm OwRHtkuviv:oXm]ϙ y#VwOdU3UlkQea#nBevx7{z7wުA ڮAƻU-vzu1RnldV|CMM3*1$;a-'7FHi /Yi|kExρNlϺ,Pw<V_0u2RsS`n^7>'eX/s]/km+1Kpo#H0 8mrF?N@Q#.7a/JrOvM7b$t5jjۡO}e7@;/ֺ]wwlSծ8ɜhZ78hmzՉޞjf[-vWvN:;qa| {@?O' 3#0cx^ *0y6ĺ&jvwh3;f0qջ97F?M5?F2-2h'_l#>6¾?ZQ4&G-Dzzw א1$=L@؊pǼDÃ|#ǺoOO$FS.7 j qK0 Г.svjv/ՙ>[أC0̒mn7r0}jB*?/&)JiM}< sx7jsXM7<:ʜʜ,VY|xWXua Mߛ-q.uk]tݱLnE乣6(fӺN:rh.\ULK 2ЀO3ktݵg=z2o:45 T+kȘ9pxZ&(t]k<4g CG'L`Su~$WwM#WxokŪL"H g endstream endobj 12 0 obj <>stream application/pdf Icon_Urgent_2C_Cir_RGB 2020-04-14T11:14:47+05:30 2020-04-14T11:14:47+05:30 2020-04-14T11:14:45+05:30 Adobe Illustrator 24.0 (Macintosh) uuid:dd8cfbf9-8644-6a44-bba8-90d8748eab85 xmp.did:06f9d4b7-2baa-4f57-b0b0-309881150b82 uuid:5D20892493BFDB11914A8590D31508C8 proof:pdf uuid:137304d3-ab26-0846-8d37-baa2e8969d17 xmp.did:5dc09fcf-af9f-48ad-a90b-c43983df69ed uuid:5D20892493BFDB11914A8590D31508C8 proof:pdf saved xmp.iid:30209915-619f-48bf-adbf-a9148cd186fe 2020-02-28T14:57:54+01:00 Adobe Illustrator 24.0 (Macintosh) / saved xmp.iid:06f9d4b7-2baa-4f57-b0b0-309881150b82 2020-03-07T00:47:32+01:00 Adobe Illustrator 24.0 (Macintosh) / Document Print AIRobin False False 1 48.000000 48.000000 Pixels Cyan Magenta Yellow Black Default Swatch Group 0 White RGB PROCESS 255 255 255 Black RGB PROCESS 0 0 0 UHC Blue RGB PROCESS 100.000000 RGB 0 38 119 UHC Bright Blue RGB PROCESS 100.000000 RGB 0 190 213 Adobe PDF library 15.00 endstream endobj 13 0 obj <> endobj 14 0 obj <>/PageTransformationMatrixList<>/PageUIDList<>/PageWidthList<>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/Tabs/W/Thumb 250 0 R /TrimBox[ 0 0 612 792]/Type/Page>> endobj 15 0 obj [ 236 0 R 235 0 R 233 0 R 218 0 R 222 0 R 227 0 R 212 0 R 207 0 R 210 0 R 211 0 R 229 0 R ] endobj 16 0 obj <>stream HWn8}Ẉ^$QڗEhŢ],Y INDtgnp.~p.~[sx>E 8p&_\\]~8}$hP9h/uDQZ0+q,c!9񁏑hZ-g`i$433306TpozTB\[|!j@j a'43pB`h f]|zAz93Le$IiiIi傻2AB@c{0{=kv'ːv_v'zG8<4z]ſdl~ n s1 y/q"aD~1dt7Gn[ Mўn@/ 2_u<~+i38hm#3vӏzCIj% Q1rcrp{ZU8ᄫ]9lێl6Pv:} &.)lW.L1c4n6?DX|kr')0 xsǘ|0]Ӂ RjꮥRRvCܼ^kAՌ-kLT j͑; Θ#Bn6Z%`d;# ۸xDNTš85NP~5OX\R@h1[a= UPw \ܱh&WtD(iV7q|݉d6ԑ\ƒ7љ|f{X-` I9GiD]lyj:ۖJ)GNxcwLCN-妽w~N2Pm&+D#n3Y%o0jeSԥ>dfh'N[s(NGFRG3Jg%y(.<^E#=q҂E.nP78>{ibgH:t)vRE5JU# p.b*qEKV64>qpЎ X!/9ܿ.Lf xz<@&i*i;{4KZ! Otw B Zjnbjn}Ϥm$o\2Tc]iD*rHvāyѴ=wH~Z{GCΟ8]`@.xBHRJQJmeDkendyZ> endobj 18 0 obj <>stream H\J@{6ٝU*>@Lkn6ۻ'G,BfNjބn4k웭f߅6?FN]if~c=dyj^N7agUe4ƋZN%p0WɷaңbaZݧzxjfӦxI=AM1)Xf,}zLEܖl:fU,] Y+ &%{Ks\ pI.l[[[[[[[Gv[-|cCcCcCd~$VBO0G#s9 f(d Bܓ`s %`B7={x%Kj9ƴO;~0 [߬ endstream endobj 19 0 obj <> endobj 20 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream HWK, )#꯵xc7(ǀ12oӭ̔H Ͽ=/H#锺qx?!G̵38^?~=,}On1|N!t.u5)g|ӟ%<z#Ӯחnpiq 44,c3͍x Uk :A|i0`=v@rPԘRxir$ᕆS%q)2N'ÕOJ©x4H5c$ r[rm'Z]zE-JY`3eJ9P%܀U-}#wdC0dV =qaS4+/h>iˋ~؟x|S%N05tɯ^Gzz907Y6lts\Dn;SA;@L`GvuYcmJ$Iګ|T:k&#d8Qe;ŹMh hSM59ȧ03{3ibo5 Ң<=ɋX;gрQ~..m}"6GSd~A[Fbb@t_STQ NU14 PfxP.sU\@q0pDIC|"(B^BSš% R)m eUe $, tIk3ժd;hQ-p)32Ma%xX25DWKDum3j51KRgG_R-K%uaG/2PS,\R s&Z42M!kU-b[0!.nC%6,C.9 S- AO15}36b!.Mn lt,: jπ׈LL)w4wEo#ꡮyA~ "LOBya xF! XE N]Sj*ap b[0|y?ſ4n0ncb*iuvQFǜfz j"Ό!{EJkchW1ExFP^Jk9YMp}5hUdְ9%gv2+Lsp0"c'!  n˺3 ؜a};ZPA#uy-Zwk\vZg;57FZ`X qDm7 *:!02n"tcI&M^GM$HNvQ$%dum&2~n{t8ı4KmAT;WfÛ}*FDtyFaZX^U1-uVTU?O⢺^O[ƥz@8kիS Y_x& 6T182\M}g@~؟DcKmuu# rh^6ryzV1UuվO`[-C<1fϨYb.`k܍[>9OBPEe9 ˳;tbMiNRWC82eͺzcQGhݪQ*laӎVz0ka$Iljl3XdZѡy @(aaVѥ0Mt6Ml5fJ OS Vw6=Hk@Wkw|}VI;SG[2ٲ%jMƗvl8CA#gi5IWh;3`64$H9WF2 1n3t][nQpm Łj?CVu][%5r\sIT~4yЀ: G3:LR5wCjc?u1T)%;|||LvDza18Du}ɏ PDT%;y&Ie5)rjH;z> uRt1=Mdx&bNҮk3XhB? 'aNjH(z:,W#@WS8d#֯K*luNyGH$v|QzE\XPUuTXH ƙOg PU{ M9_aNs`~Q/JVp]SjPq j"h !hpCvd&SWC\GQȪŔ(|`yCFlQ]Z$6[)BRKZS$i]F mJydjŅ nA5KZ,HZ|,”_٪:Ƭ/Fp|Sq6(NAsĨ)f[ ijU 5Vְɚ[cKQ)^玲O"} Go_6GsRc fBaYhi7?U6 C< Pf>E뢇m( M%_Gʲ:l]bѴG= /͂K~JkrȨ H1/lԅRǥ@eqdq"bHb ~AP R~ .)&24r '@V-AD$3M+~s[cR|[ K6Aml+,CҿJ_geQJ;.N逻;)zK}.>>0#+k+ON/^)`))iJݓBCK+A:\!c:*Jc[;Wѧ>nG7v W,te2gZ!8Oյ`+Ŧsp 1PպW#AAmhg9+8!wY o\³@RF=tU-G|, endstream endobj 21 0 obj [/Indexed/DeviceRGB 255 22 0 R ] endobj 22 0 obj <>stream 8;X]O>EqN@%''O_@%e@?J;%+8(9e>X=MR6S?i^YgA3=].HDXF.R$lIL@"pJ+EP(%0 b]6ajmNZn*!='OQZeQ^Y*,=]?C.B+\Ulg9dhD*"iC[;*=3`oP1[!S^)?1)IZ4dup` E1r!/,*0[*9.aFIR2&b-C#soRZ7Dl%MLY\.?d>Mn 6%Q2oYfNRF$$+ON<+]RUJmC0InDZ4OTs0S!saG>GGKUlQ*Q?45:CI&4J'_2j$XKrcYp0n+Xl_nU*O( l[$6Nn+Z_Nq0]s7hs]`XX1nZ8&94a\~> endstream endobj 23 0 obj <> endobj 24 0 obj <> endobj 25 0 obj <> endobj 26 0 obj <> endobj 27 0 obj <> endobj 28 0 obj <> endobj 29 0 obj <> endobj 30 0 obj <> endobj 31 0 obj <> endobj 32 0 obj <> endobj 33 0 obj <> endobj 34 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm@})9n=RDF'*@K73q! NԐV.3cf(ҕՌ&t޳vyUȁ^ Ek;>* >$MGRe L<KȝS&ܘxbvxmO_V}/ endstream endobj 35 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 97 0 R /P 1 0 R /Q 0/Rect[ 461.145 242.265 569.895 261.735]/Subtype/Widget/T(Hours 13)/TU(Number of hours:)/Type/Annot>> endobj 36 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 99 0 R /P 1 0 R /Q 0/Rect[ 461.145 199.065 569.895 218.535]/Subtype/Widget/T(Hours 15)/TU(Number of hours:)/Type/Annot>> endobj 37 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm @y--MVW ֢Q({N70VѺ Ĥ9(oIGe>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 86 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 222.105 569.895 241.575]/Subtype/Widget/T(Combo Box 14)/Type/Annot>> endobj 39 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm0{aIs$iVS@'1hP5UOZYmHM HH kc M 88 gEpIld"l/(u#P <wPNtcmcDb?~JM1: endstream endobj 40 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 87 0 R /P 1 0 R /Q 0/Rect[ 461.145 469.785 569.895 489.255]/Subtype/Widget/T(Hours 4)/TU(Number of hours:)/Type/Annot>> endobj 41 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm0{aIs$iVS@'1hP5UOZYmHM HH kc M 88 gEpIld"l/(u#P <wPNtcmcDb?~JM1: endstream endobj 42 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 77 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 178.905 569.895 198.375]/Subtype/Widget/T(Combo Box 16)/Type/Annot>> endobj 43 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 88 0 R /P 1 0 R /Q 0/Rect[ 461.145 284.025 569.895 303.495]/Subtype/Widget/T(Hours 11)/TU(Number of hours:)/Type/Annot>> endobj 44 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 93 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 263.865 569.895 283.335]/Subtype/Widget/T(Combo Box 12)/Type/Annot>> endobj 45 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 98 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 350.265 569.895 369.735]/Subtype/Widget/T(Combo Box 8)/Type/Annot>> endobj 46 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm @y--MVW ֢Q({N70VѺ Ĥ9(oIGe>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm@})9n=RDF'*@K73q! NԐV.3cf(ҕՌ&t޳vyUȁ^ Ek;>* >$MGRe L<KȝS&ܘxbvxmO_V}/ endstream endobj 48 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 78 0 R /P 1 0 R /Q 0/Rect[ 461.145 370.425 569.895 389.895]/Subtype/Widget/T(Hours 6)/TU(Number of hours:)/Type/Annot>> endobj 49 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm 0{uI4hKqʠ,ڊRVAԹww# o4:(hSZgE͢xmxeȽG!_֩! OԂb;CSHʒr 彦3%u endstream endobj 50 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 102 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 307.065 569.895 326.535]/Subtype/Widget/T(Combo Box 10)/Type/Annot>> endobj 51 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 81 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 443.865 569.895 463.335]/Subtype/Widget/T(Combo Box 6)/Type/Annot>> endobj 52 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm@})9n=RDF'*@K73q! NԐV.3cf(ҕՌ&t޳vyUȁ^ Ek;>* >$MGRe L<KȝS&ܘxbvxmO_V}/ endstream endobj 53 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm @y--MVW ֢Q({N70VѺ Ĥ9(oIGe>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 80 0 R /P 1 0 R /Q 0/Rect[ 461.145 327.225 569.895 346.695]/Subtype/Widget/T(Hours 9)/TU(Number of hours:)/Type/Annot>> endobj 55 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm 0{uI4hKqʠ,ڊRVAԹww# o4:(hSZgE͢xmxeȽG!_֩! OԂb;CSHʒr 彦3%u endstream endobj 56 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm0{aIs$iVS@'1hP5UOZYmHM HH kc M 88 gEpIld"l/(u#P <wPNtcmcDb?~JM1: endstream endobj 57 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm 0{uI4hKqʠ,ڊRVAԹww# o4:(hSZgE͢xmxeȽG!_֩! OԂb;CSHʒr 彦3%u endstream endobj 58 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm 0{uI4hKqʠ,ڊRVAԹww# o4:(hSZgE͢xmxeȽG!_֩! OԂb;CSHʒr 彦3%u endstream endobj 59 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm0{aIs$iVS@'1hP5UOZYmHM HH kc M 88 gEpIld"l/(u#P <wPNtcmcDb?~JM1: endstream endobj 60 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 33 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 135.705 569.895 155.175]/Subtype/Widget/T(Combo Box 18)/Type/Annot>> endobj 61 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm@})9n=RDF'*@K73q! NԐV.3cf(ҕՌ&t޳vyUȁ^ Ek;>* >$MGRe L<KȝS&ܘxbvxmO_V}/ endstream endobj 62 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm @y--MVW ֢Q({N70VѺ Ĥ9(oIGe>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 25 0 R /P 1 0 R /Q 0/Rect[ 461.145 112.665 569.895 132.135]/Subtype/Widget/T(Hours 19)/TU(Number of hours:)/Type/Annot>> endobj 64 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 32 0 R /P 1 0 R /Q 0/Rect[ 461.145 155.865 569.895 175.335]/Subtype/Widget/T(Hours 17)/TU(Number of hours:)/Type/Annot>> endobj 65 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 76 0 R /P 1 0 R /Q 0/Rect[ 461.145 517.305 569.895 536.775]/Subtype/Widget/T(Hours 2)/TU(Number of hours:)/Type/Annot>> endobj 66 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm 0{uI4hKqʠ,ڊRVAԹww# o4:(hSZgE͢xmxeȽG!_֩! OԂb;CSHʒr 彦3%u endstream endobj 67 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 90 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 579.225 569.895 598.695]/Subtype/Widget/T(Combo Box 3)/Type/Annot>> endobj 68 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 82 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 497.145 569.895 516.615]/Subtype/Widget/T(Combo Box -97152)/Type/Annot>> endobj 69 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm0{aIs$iVS@'1hP5UOZYmHM HH kc M 88 gEpIld"l/(u#P <wPNtcmcDb?~JM1: endstream endobj 70 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm@})9n=RDF'*@K73q! NԐV.3cf(ҕՌ&t޳vyUȁ^ Ek;>* >$MGRe L<KȝS&ܘxbvxmO_V}/ endstream endobj 71 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm 0{uI4hKqʠ,ڊRVAԹww# o4:(hSZgE͢xmxeȽG!_֩! OԂb;CSHʒr 彦3%u endstream endobj 72 0 obj <>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/Ff 4325376/MK 24 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Parent 240 0 R /Rect[ 461.145 50.745 569.895 70.215]/Subtype/Widget/Type/Annot>> endobj 73 0 obj <> endobj 74 0 obj <> endobj 75 0 obj <> endobj 76 0 obj <> endobj 77 0 obj <> endobj 78 0 obj <> endobj 79 0 obj <> endobj 80 0 obj <> endobj 81 0 obj <> endobj 82 0 obj <> endobj 83 0 obj <> endobj 84 0 obj <> endobj 85 0 obj <> endobj 86 0 obj <> endobj 87 0 obj <> endobj 88 0 obj <> endobj 89 0 obj <> endobj 90 0 obj <> endobj 91 0 obj <> endobj 92 0 obj <> endobj 93 0 obj <> endobj 94 0 obj <> endobj 95 0 obj <> endobj 96 0 obj <> endobj 97 0 obj <> endobj 98 0 obj <> endobj 99 0 obj <> endobj 100 0 obj <> endobj 101 0 obj <> endobj 102 0 obj <> endobj 103 0 obj <> endobj 104 0 obj <> endobj 105 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 26 0 R /Opt[(Per week)(Per month)(Total)]/P 1 0 R /Rect[ 461.145 92.505 569.895 111.975]/Subtype/Widget/T(Combo Box 20)/Type/Annot>> endobj 106 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm @y--MVW ֢Q({N70VѺ Ĥ9(oIGe>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 23 0 R /P 1 0 R /Q 0/Rect[ 461.145 70.905 569.895 90.375]/Subtype/Widget/T(Hours 22)/TU(Number of hours:)/Type/Annot>> endobj 108 0 obj <>/AP<>/BS<>/DA(/ArialMT 10 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 104 0 R /P 1 0 R /Q 0/Rect[ 461.145 605.145 569.895 624.615]/Subtype/Widget/T(Hours)/TU(Number of hours:)/Type/Annot>> endobj 109 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xm@})9n=RDF'*@K73q! NԐV.3cf(ҕՌ&t޳vyUȁ^ Ek;>* >$MGRe L<KȝS&ܘxbvxmO_V}/ endstream endobj 110 0 obj <> endobj 111 0 obj <> endobj 112 0 obj <> endobj 113 0 obj <> endobj 114 0 obj <> endobj 115 0 obj <> endobj 116 0 obj <> endobj 117 0 obj <> endobj 118 0 obj <> endobj 119 0 obj <> endobj 120 0 obj <> endobj 121 0 obj <> endobj 122 0 obj <> endobj 123 0 obj <> endobj 124 0 obj <> endobj 125 0 obj <> endobj 126 0 obj <> endobj 127 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+8[ca`gNF Չk=UD$W s 2R[y.i endstream endobj 128 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A D|Ŕڬ^vF vށp`΃+<ސEDp *ځkT'C,Yࡖ̓|pa:Wf,N46O uzhsjɰ$tI9p GDaެ% endstream endobj 129 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A E|-<2(66ʀ` a [. O EKkϝhRxyPkA ǝӌq\:_:@ MNes$c)H,iԂ"-_~' endstream endobj 130 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+8[ca`gNF Չk=UD$W s 2R[y.i endstream endobj 131 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A E|-<2(66ʀ` a [. O EKkϝhRxyPkA ǝӌq\:_:@ MNes$c)H,iԂ"-_~' endstream endobj 132 0 obj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 9 0 R /Rect[ 504.657 291.27 524.293 309.598]/Subtype/Widget/T(Check Box7)/Type/Annot>> endobj 133 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ D{ dd+=g0"x0S (6Jgo(N\E8Fc(oû$޲H2 endstream endobj 134 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A D|Ŕڬ^vF vށp`΃+<ސEDp *ځkT'C,Yࡖ̓|pa:Wf,N46O uzhsjɰ$tI9p GDaެ% endstream endobj 135 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+8[ca`gNF Չk=UD$W s 2R[y.i endstream endobj 136 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A D|Ŕڬ^vF vށp`΃+<ސEDp *ځkT'C,Yࡖ̓|pa:Wf,N46O uzhsjɰ$tI9p GDaެ% endstream endobj 137 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ D{ dd+=g0"x0S (6Jgo(N\E8Fc(oû$޲H2 endstream endobj 138 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A E|-<2(66ʀ` a [. O EKkϝhRxyPkA ǝӌq\:_:@ MNes$c)H,iԂ"-_~' endstream endobj 139 0 obj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 9 0 R /Rect[ 536.075 569.454 555.712 587.781]/Subtype/Widget/T(Check Box2)/Type/Annot>> endobj 140 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A D|ŔڬM.ۊbc,vށp`΃+<ސEDp &$eI=# >/Subtype/Form/Type/XObject>>stream x= @ D{ dd+=g0"x0S (6Jgo(N\E8Fc(oû$޲H2 endstream endobj 142 0 obj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 9 0 R /Rect[ 416.947 411.707 436.584 430.035]/Subtype/Widget/T(Check Box4)/Type/Annot>> endobj 143 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A D|Ŕڬ^vF vށp`΃+<ސEDp *ځkT'C,Yࡖ̓|pa:Wf,N46O uzhsjɰ$tI9p GDaެ% endstream endobj 144 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ D{ dd+=g0"x0S (6Jgo(N\E8Fc(oû$޲H2 endstream endobj 145 0 obj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 9 0 R /Rect[ 335.129 291.27 354.765 309.598]/Subtype/Widget/T(Check Box5)/Type/Annot>> endobj 146 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+8rw&ca`gNbqBQL:6#MTT+;j$CX|e,g endstream endobj 147 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+8[ca`gNF Չk=UD$W s 2R[y.i endstream endobj 148 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A E|-<2(66ʀ` a [. O EKkϝhRxyPkA ǝӌq\:_:@ MNes$c)H,iԂ"-_~' endstream endobj 149 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A E|-Iv(66ʀ`.Xf]"p''dU1P@TN RXcV|JPrAK Zp>80+K'I S9ô ihs '.c=ȑFMhެl}?' endstream endobj 150 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A D|Ŕڬ^vF vށp`΃+<ސEDp *ځkT'C,Yࡖ̓|pa:Wf,N46O uzhsjɰ$tI9p GDaެ% endstream endobj 151 0 obj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 9 0 R /Rect[ 416.947 291.27 436.584 309.598]/Subtype/Widget/T(Check Box6)/Type/Annot>> endobj 152 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A E|-<2(66ʀ` a [. O EKkϝhRxyPkA ǝӌq\:_:@ MNes$c)H,iԂ"-_~' endstream endobj 153 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ D{ dd+=g0"x0S (6Jgo(N\E8Fc(oû$޲H2 endstream endobj 154 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+8[ca`gNF Չk=UD$W s 2R[y.i endstream endobj 155 0 obj <>/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 9 0 R /Rect[ 335.129 411.707 354.765 430.035]/Subtype/Widget/T(Check Box3)/Type/Annot>> endobj 156 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ D{ dgd+=g0"x0S (6Jgo(N\E؈j#1uw»$޲Hu0 endstream endobj 157 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf ƆzFf nQ*W~H+0} endstream endobj 158 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 111 0 R /P 9 0 R /Q 0/Rect[ 297.496 665.28 568.08 685.44]/Subtype/Widget/T(Member number 13)/Type/Annot>> endobj 159 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf Fz& nQ*W~H+0lz endstream endobj 160 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf &z ^Q*W~H+0K endstream endobj 161 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 118 0 R /P 9 0 R /Q 0/Rect[ 249.811 536.68 568.08 556.84]/Subtype/Widget/T(Member number 17)/Type/Annot>> endobj 162 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 112 0 R /P 9 0 R /Q 0/Rect[ 220.5 601.48 568.08 621.64]/Subtype/Widget/T(Member number 15)/Type/Annot>> endobj 163 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf &z ^Q*W~H+0K endstream endobj 164 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 110 0 R /P 9 0 R /Q 0/Rect[ 220.5 632.88 568.08 653.04]/Subtype/Widget/T(Member number 14)/Type/Annot>> endobj 165 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 123 0 R /Opt[(N/A)(Preschool)(Private)(Public)(Home)]/P 9 0 R /Rect[ 299.25 385.92 568.08 406.08]/Subtype/Widget/T(Combo Box 23)/TU(Kind of school)/Type/Annot>> endobj 166 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf F&z nQ*W~H+0m endstream endobj 167 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x-̱ 0~%&QC2VqP|,m)(}ÚԆ!X[WTa{bS2NP]ǼeEUukri,[ϔ't= endstream endobj 168 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf &Ɩz ^Q*W~H+0K endstream endobj 169 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 115 0 R /P 9 0 R /Q 0/Rect[ 312.364 234.16 568.08 254.32]/Subtype/Widget/T(Member number 24)/Type/Annot>> endobj 170 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 121 0 R /P 9 0 R /Q 0/Rect[ 417.71 201.88 568.08 222.04]/Subtype/Widget/T(Member number 25)/Type/Annot>> endobj 171 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf z ^Q*W~H+0Ċ@ endstream endobj 172 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf fFz& nQ*W~H+0Vy endstream endobj 173 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 119 0 R /P 9 0 R /Q 0/Rect[ 299.25 137.32 568.08 157.48]/Subtype/Widget/T(Member number 27)/Type/Annot>> endobj 174 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 124 0 R /P 9 0 R /Q 0/Rect[ 128.25 505.28 568.08 525.44]/Subtype/Widget/T(Member number 18)/Type/Annot>> endobj 175 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 116 0 R /Opt[(Mild)(Moderate)(Severe)(Not applicable)]/P 9 0 R /Rect[ 299.25 105.04 568.08 125.2]/Subtype/Widget/T(Combo Box 24)/TU(Severity of communication deficit)/Type/Annot>> endobj 176 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 113 0 R /P 9 0 R /Q 0/Rect[ 299.25 169.6 568.08 189.76]/Subtype/Widget/T(Member number 26)/Type/Annot>> endobj 177 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf Ffz ^Q*W~H+0K endstream endobj 178 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf Fz@Z-JJPpuVrsz endstream endobj 179 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 122 0 R /P 9 0 R /Q 0/Rect[ 354.065 323 568.08 343.16]/Subtype/Widget/T(Member number 23)/Type/Annot>> endobj 180 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 117 0 R /Opt[(Primarily school)(Primarily home)(Primarily center)(Mix home and center)(Mix center and school)(Mix home, school and center)(Mix home and school)(Unknown)]/P 9 0 R /Parent 240 0 R /Rect[ 205.607 472.88 568.08 493.04]/Subtype/Widget/TU(Location of services:)/Type/Annot>> endobj 181 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf Ffz ^Q*W~H+0K endstream endobj 182 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ Fzf Ffz ^Q*W~H+0K endstream endobj 183 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 125 0 R /P 9 0 R /Q 0/Rect[ 205.607 440.48 568.08 460.64]/Subtype/Widget/T(Member number 20)/Type/Annot>> endobj 184 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 114 0 R /P 9 0 R /Q 0/Rect[ 299.25 358.56 568.08 378.72]/Subtype/Widget/T(Member number 22)/Type/Annot>> endobj 185 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x-̽ 0>uIdcgѴ(Eh7,*S .X՞V&p-qA#; , ?cA'h>gvS^kc;RCߒk endstream endobj 186 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+8rw&ca`gNbqBQL:6#MTT+;j$CX|e,g endstream endobj 187 0 obj <> endobj 188 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A E|-Iv(66ʀ`.Xf]"p''dU1P@TN RXcV|JPrAK Zp>80+K'I S9ô ihs '.c=ȑFMhެl}?' endstream endobj 189 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x-̱ 0~%&QC2VqP|,m)(}ÚԆ!X[WTa{bS2NP]ǼeEUukri,[ϔ't= endstream endobj 190 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ D{ dgd+=g0"x0S (6Jgo(N\E؈j#1uw»$޲Hu0 endstream endobj 191 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x= A D|ŔڬM.ۊbc,vށp`΃+<ސEDp &$eI=# >/N<>>>/AS/Off/DA(/ZaDb 0 Tf 0 g)/F 4/FT/Btn/MK<>/P 9 0 R /Rect[ 460.802 569.454 480.438 587.781]/Subtype/Widget/T(Check Box1)/Type/Annot>> endobj 193 0 obj <> endobj 194 0 obj <> endobj 195 0 obj <> endobj 196 0 obj <> endobj 197 0 obj <> endobj 198 0 obj <> endobj 199 0 obj <> endobj 200 0 obj <> endobj 201 0 obj <> endobj 202 0 obj <> endobj 203 0 obj <> endobj 204 0 obj <> endobj 205 0 obj <> endobj 206 0 obj <> endobj 207 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 197 0 R /P 14 0 R /Q 0/Rect[ 36 307.52 358.56 331.92]/Subtype/Widget/T(Text Field 230)/TU(Signature)/Type/Annot>> endobj 208 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.SʕƥR " |w endstream endobj 209 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+s%zPj c``S fXRׂk]yq 6LHz/x񯷬LH endstream endobj 210 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 200 0 R /P 14 0 R /Q 0/Rect[ 377.28 307.52 576 331.92]/Subtype/Widget/T(Text Field 231)/TU(Date \(XX/XX/XXX\))/Type/Annot>> endobj 211 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 14 0 R /Rect[ 272.947 605.454 291.929 625.09]/Subtype/Widget/T(Check Box20)/Type/Annot>> endobj 212 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 195 0 R /P 14 0 R /Q 0/Rect[ 36 242 358.56 266.4]/Subtype/Widget/T(Text Field 229)/TU(Printed name and title)/Type/Annot>> endobj 213 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x=ͽ A ~bJmbr?(66ʂ` 98|dҊbV%}bGɝJ(UCsZs,N'͘mz'"ۀNRQcb{zsv*7$ endstream endobj 214 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.SʕƥR " cn endstream endobj 215 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.SʕƥR " cn endstream endobj 216 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x=ͱ 1 =OĦivE)n ??)/ ʭJ4.ZO|%ѤZt8\3uD# ʌ>v4fH $s~UZic% endstream endobj 217 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ U~ <=g0xx`fN @5zŵўZ5Q c.IRӛVz  endstream endobj 218 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 206 0 R /Opt[(Mild)(Moderate)(Severe)(Not applicable)]/P 14 0 R /Rect[ 321.12 636.48 568.08 656.64]/Subtype/Widget/T(Combo Box 27)/TU(Severity of destructive, maladaptive behaviors)/Type/Annot>> endobj 219 0 obj <> endobj 220 0 obj <> endobj 221 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x- 0)Q$Ƙt p.%( >nƺ0ARm3R(1&|?Cq]@+1/1w f5 c+^8/%C r endstream endobj 222 0 obj <>/AP<>/BS<>/DA(/ArialMTPro-Regular 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 193 0 R /Opt[(0-10 hours permonth)(11-20 hours per month)(21-30 hours per month)(31+ hours per month)]/P 14 0 R /Rect[ 480.24 487 568.08 507.16]/Subtype/Widget/T(Combo Box 28)/TU(How many hours per week involved in sessions)/Type/Annot>> endobj 223 0 obj <> endobj 224 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x-̱ 0~%& fAsi8 gwm9SRx" #*=AȏOnX)/Y:Y6n\Z8]RǙƠi endstream endobj 225 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x-̱ 0~uI^lmF[:f8R?»X7m>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x%̱ 0<Tt☡BFq5ͭrS|1R7#fE ^UNA:јmm/.Ϙg-z>tA< endstream endobj 227 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 194 0 R /Opt[(Low)(Moderate)(High)(Proficient)]/P 14 0 R /Rect[ 337.68 451.08 568.08 475.48]/Subtype/Widget/T(Combo Box 29)/TU(How would you rate caregivers proficiency)/Type/Annot>> endobj 228 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ b+s%zPj c``S fXRׂk]yq 6LHz/x񯷬LH endstream endobj 229 0 obj <>/N<>>>/AS/Off/F 4/FT/Btn/MK<>/P 14 0 R /Rect[ 341.674 605.454 360.656 625.09]/Subtype/Widget/T(Check Box21)/Type/Annot>> endobj 230 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x=ͽ A ~bJmbr?(66ʂ` 98|dҊbV%}bGɝJ(UCsZs,N'͘mz'"ۀNRQcb{zsv*7$ endstream endobj 231 0 obj <>/Subtype/Form/Type/XObject>>stream x= @ U~ <=g0xx`fN @5zŵўZ5Q c.IRӛVz  endstream endobj 232 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x=ͱ 1 =OĦivE)n ??)/ ʭJ4.ZO|%ѤZt8\3uD# ʌ>v4fH $s~UZic% endstream endobj 233 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 204 0 R /Opt[(Mild)(Moderate)(Severe)(Not applicable)]/P 14 0 R /Rect[ 236.16 668.16 568.08 688.32]/Subtype/Widget/T(Combo Box 26)/TU(Severity of behavior deficit)/Type/Annot>> endobj 234 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x-̽ 0\󣒌U3t.Eš s@P7>T\*Kix&,Pʏmyvy~[KY2V!21-MWA, endstream endobj 235 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 201 0 R /Opt[(Mild)(Moderate)(Severe)(Not applicable)]/P 14 0 R /Rect[ 226.08 700.56 568.08 720.72]/Subtype/Widget/T(Combo Box 25)/TU(Severity of social deficit)/Type/Annot>> endobj 236 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 4098/MK 203 0 R /P 14 0 R /Q 0/Rect[ 45.36 518.68 568.08 574.84]/Subtype/Widget/T(Member number 33)/Type/Annot>> endobj 237 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0г45G!݁\ fzf FFzF ^Q*W~H+0T endstream endobj 238 0 obj <> endobj 239 0 obj [ 259 0 R 266 0 R 268 0 R 277 0 R 279 0 R 281 0 R 287 0 R 293 0 R 295 0 R 289 0 R 291 0 R 297 0 R 285 0 R 283 0 R 270 0 R 275 0 R 264 0 R 108 0 R 65 0 R 48 0 R 54 0 R 43 0 R 35 0 R 36 0 R 64 0 R 63 0 R 107 0 R 40 0 R 67 0 R 68 0 R 45 0 R 50 0 R 44 0 R 38 0 R 42 0 R 60 0 R 105 0 R 51 0 R 158 0 R 164 0 R 161 0 R 162 0 R 174 0 R 240 0 R 183 0 R 165 0 R 184 0 R 179 0 R 169 0 R 170 0 R 176 0 R 173 0 R 175 0 R 222 0 R 227 0 R 207 0 R 212 0 R 210 0 R 236 0 R 235 0 R 233 0 R 218 0 R 139 0 R 192 0 R 155 0 R 142 0 R 145 0 R 151 0 R 132 0 R 211 0 R 229 0 R ] endobj 240 0 obj <>/F 4/FT/Ch/Ff 4325376/Kids[ 72 0 R 180 0 R ]/T(Combo Box 22)/TU(Location of services:)>> endobj 241 0 obj <> endobj 242 0 obj <> endobj 243 0 obj <> endobj 244 0 obj <> endobj 245 0 obj <> endobj 246 0 obj <> endobj 247 0 obj <>stream 8;Z]"r=4H&%)`hZOr)oSpNr3@rm?6 "R,L= !S>L<\XI,7nhaoRIr]\Zc:2jHEm8a=o%e%U??FAK4dk.KP0;6g9RYI[2ct=qWqW\l 068b`*hu6CqE;H'l1dVd)>T`3Ml+1Oc 9673qD:`h/,`4-F~> endstream endobj 248 0 obj <>stream 8;Z\76&ri*%$Yc>+5#=sCLFV]#VI,^m-5XoD0"`[C3p(G\ +fP_*3`nq`+L[Z/g,5J62mu0b='6cJY3&fD^4uFjC+cYBG`?jKE4JQMAo^K9LlY#4 jBjbsS#[c5h'[X<&(W=^0R1k-r^9hEOGjRM6?[2`>J;HY ENOGfSrM<20:+1r*1-"f;R21bJr<_reTI)51LHF@9FASMG,Ae5olGuhKe*bQeb=;2 f7`%j9X=Y5WZm.GbZjhp]mB\.%)fngY&mnl4+=sc^3sVRlL6+F*]tO.>8ZO5]_#R2 p='i7eUM^^ag_PTOG;KHP>6YN/,J7c?h9Q635Ck?A%_r@Xjg.6IW(fB-8) endstream endobj 249 0 obj <>stream 8;Z]!=Ur=l$q)DU_?KefC\ =C5A)927%#?[Hd`O;D,EYL7^?`:m?L?;P"bGW"Yc'TK;ZY>Oj`EWXGW9?nnck\K)N 2R!)?@UAHGEk]QSKt/9_]\\^m9-EU;knp#)Vs3q@?f!r!P9Mk5SXfC4r;8nXW_&:Z :g^?3^>s'E+3p56`)V30c6uDG:!NLN$-TAP?Cf0!>,M\i+tFUYI_W.?onD-ndRRrU mGr]&&\icpU'a)Ma,=*8%_T9?GRA``UPftIXu``6*YhEqQCS' @R9QAC49G_b&e?bhm]0`&?DYnU9OAYphKN2G-\8HZd0^_B#3:SoS)XWImpOA!!fB9>6~> endstream endobj 250 0 obj <>stream 8;Z]"@1Io4%###&i""VZqfp9>Vq7=HS;^<;D-`I[O/OY.<%*SVSo[#"H@Ci'+43MC pm!`"Mhj<;M(VfCI.1"?'n47bFE'&N&RW\lGhKcs^N=VsVdE?2i%eSNB`#2L"83P0 X/d+F-Zao]DS=fYMCkU20pSnJ&1"AG3;Bc'bm*g*^bftt!\gt`qYgje. jAa0;<5f0j$jOUVAC_J[nRWPl@GD9p endstream endobj 251 0 obj <> endobj 252 0 obj <>stream 2022-10-04T11:18:13-05:00 2022-10-04T11:44:51-05:00 2022-10-04T11:44:51-05:00 Adobe InDesign 17.2 (Macintosh) uuid:eb96e96b-1d9d-4f46-9658-c71c15e5ccd9 xmp.did:fee3f49b-99b5-4a12-a90b-c0f05040ebc1 xmp.id:06490267-5a33-4372-9a41-183cad3f8165 proof:pdf xmp.iid:9e051ffc-091f-4651-8bfa-4b2592612004 xmp.did:c694a065-10f2-48c7-bb90-f7ef9454f71f xmp.did:fee3f49b-99b5-4a12-a90b-c0f05040ebc1 default converted from application/x-indesign to application/pdf Adobe InDesign 17.2 (Macintosh) / 2022-10-04T11:18:13-05:00 application/pdf Adobe PDF Library 16.0.7 False 1 1.1 endstream endobj 253 0 obj <> endobj 254 0 obj <> endobj 255 0 obj </Filter/Adobe.PPKLite/M(D:20221004114451-05'00')/Name(ARE Acrobat Product v8.0 P23 0002337)/Prop_Build<>/Filter<>/PubSec<>>>/Reference[<>/Type/SigRef>>]/SubFilter/adbe.pkcs7.detached/Type/Sig>>>>/Type/Catalog/ViewerPreferences<>>> endobj 256 0 obj <>/Font<>>>/Fields 239 0 R /SigFlags 2>> endobj 257 0 obj <>/PageTransformationMatrixList<>/PageUIDList<>/PageWidthList<>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/Tabs/W/Thumb 247 0 R /TrimBox[ 0 0 612 792]/Type/Page>> endobj 258 0 obj [ 259 0 R 264 0 R 266 0 R 268 0 R 270 0 R 275 0 R 277 0 R 279 0 R 281 0 R 283 0 R 285 0 R 287 0 R 289 0 R 291 0 R 293 0 R 295 0 R 297 0 R ] endobj 259 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 318 0 R /P 257 0 R /Q 0/Rect[ 41.04 482.4 395.594 501.12]/Subtype/Widget/T(Provider facility)/TU(Provider facility/group name:)/Type/Annot>> endobj 260 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.[ʕƥR " q endstream endobj 261 0 obj <> endobj 262 0 obj [/ICCBased 263 0 R ] endobj 263 0 obj <>stream HyTSwoɞc [5laQIBHADED2mtFOE.c}08׎8GNg9w߽'0 ֠Jb  2y.-;!KZ ^i"L0- @8(r;q7Ly&Qq4j|9 V)gB0iW8#8wթ8_٥ʨQQj@&A)/g>'Kt;\ ӥ$պFZUn(4T%)뫔0C&Zi8bxEB;Pӓ̹A om?W= x-[0}y)7ta>jT7@tܛ`q2ʀ&6ZLĄ?_yxg)˔zçLU*uSkSeO4?׸c. R ߁-25 S>ӣVd`rn~Y&+`;A4 A9=-tl`;~p Gp| [`L`< "A YA+Cb(R,*T2B- ꇆnQt}MA0alSx k&^>0|>_',G!"F$H:R!zFQd?r 9\A&G rQ hE]a4zBgE#H *B=0HIpp0MxJ$D1D, VĭKĻYdE"EI2EBGt4MzNr!YK ?%_&#(0J:EAiQ(()ӔWT6U@P+!~mD eԴ!hӦh/']B/ҏӿ?a0nhF!X8܌kc&5S6lIa2cKMA!E#ƒdV(kel }}Cq9 N')].uJr  wG xR^[oƜchg`>b$*~ :Eb~,m,-ݖ,Y¬*6X[ݱF=3뭷Y~dó ti zf6~`{v.Ng#{}}jc1X6fm;'_9 r:8q:˜O:ϸ8uJqnv=MmR 4 n3ܣkGݯz=[==<=GTB(/S,]6*-W:#7*e^YDY}UjAyT`#D="b{ų+ʯ:!kJ4Gmt}uC%K7YVfFY .=b?SƕƩȺy چ k5%4m7lqlioZlG+Zz͹mzy]?uuw|"űNwW&e֥ﺱ*|j5kyݭǯg^ykEklD_p߶7Dmo꿻1ml{Mś nLl<9O[$h՛BdҞ@iءG&vVǥ8nRĩ7u\ЭD-u`ֲK³8%yhYѹJº;.! zpg_XQKFAǿ=ȼ:ɹ8ʷ6˶5̵5͵6ζ7ϸ9к<Ѿ?DINU\dlvۀ܊ݖޢ)߯6DScs 2F[p(@Xr4Pm8Ww)Km endstream endobj 264 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 319 0 R /P 257 0 R /Q 0/Rect[ 403.874 482.4 569.52 501.12]/Subtype/Widget/T(Provider tax)/TU(Provider Tax ID number \(TIN\):)/Type/Annot>> endobj 265 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.[ʕƥR "  endstream endobj 266 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 320 0 R /P 257 0 R /Q 0/Rect[ 41.04 450 569.52 468.72]/Subtype/Widget/T(Provider servicing)/TU(Provider servicing address:)/Type/Annot>> endobj 267 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " H endstream endobj 268 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 321 0 R /P 257 0 R /Q 0/Rect[ 41.04 419.04 369 437.76]/Subtype/Widget/T(Provider city, state)/TU(Provider servicing address:)/Type/Annot>> endobj 269 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " @ endstream endobj 270 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 322 0 R /P 257 0 R /Q 0/Rect[ 383.76 419.04 569.52 437.76]/Subtype/Widget/T(Provider phone)/TU(Provider phone number:)/Type/Annot>> endobj 271 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x- 0{`LƸVqP ] "N}|D[>V8NtM0V}0JlSGiԧ2`A+5'Q&xi9+C/Ч;if endstream endobj 272 0 obj <> endobj 273 0 obj <> endobj 274 0 obj <> endobj 275 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Ch/Ff 4325376/MK 324 0 R /Opt[(In network)(Out of network)]/P 257 0 R /Rect[ 235.44 386.64 421.2 405.36]/Subtype/Widget/T(Provider status)/TU(Provider status)/Type/Annot>> endobj 276 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x-̱ @~bJmNP/mN,Ry,jwԬ)օ#cƈJ'vx}'InxפO-n bk~|JZtH=~ endstream endobj 277 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 326 0 R /P 257 0 R /Q 0/Rect[ 41.04 386.64 226.8 405.36]/Subtype/Widget/T(Provider fax)/TU(Provider fax number:)/Type/Annot>> endobj 278 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x- 0{`LƸVqP ] "N}|D[>V8NtM0V}0JlSGiԧ2`A+5'Q&xi9+C/Ч;if endstream endobj 279 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 328 0 R /P 257 0 R /Q 0/Rect[ 41.04 321.12 570.96 339.84]/Subtype/Widget/T(Designated case supervisor)/TU(Designated case supervisor name and credentials:)/Type/Annot>> endobj 280 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " P endstream endobj 281 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 329 0 R /P 257 0 R /Q 0/Rect[ 41.04 289.44 242.64 308.16]/Subtype/Widget/T(Desginated case supervisor contact)/TU(Designated case superviser contact number:)/Type/Annot>> endobj 282 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.SʕƥR "  endstream endobj 283 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 330 0 R /P 257 0 R /Q 0/Rect[ 251.28 289.44 570.96 308.16]/Subtype/Widget/T(Supervisor email)/TU(Designated case supervisor email:)/Type/Annot>> endobj 284 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " ? endstream endobj 285 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 331 0 R /P 257 0 R /Q 0/Rect[ 42.48 257.76 570.96 276.48]/Subtype/Widget/T(Designated case supervisor days)/TU(Designated case supervisor availability for call back \(days and times\):)/Type/Annot>> endobj 286 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " H endstream endobj 287 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 332 0 R /P 257 0 R /Q 0/Rect[ 41.04 192.96 242.64 211.68]/Subtype/Widget/T(Member name)/TU(Member first name:)/Type/Annot>> endobj 288 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.SʕƥR "  endstream endobj 289 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 333 0 R /P 257 0 R /Q 0/Rect[ 251.28 192.96 452.88 211.68]/Subtype/Widget/T(Member last name)/TU(Member last name:)/Type/Annot>> endobj 290 0 obj <>/ExtGState<>/Font 355 0 R >>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.SʕƥR "  endstream endobj 291 0 obj <>/AP<>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 334 0 R /P 257 0 R /Q 0/Rect[ 462.96 192.96 570.96 211.68]/Subtype/Widget/T(Member dob)/TU(Member date of birth \(DOB\): )/Type/Annot>> endobj 292 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream x- 0D)1U[#) V"hDtg8+,-6 CG铰z;´6RuI%uBycNTC$ endstream endobj 293 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 336 0 R /P 257 0 R /Q 0/Rect[ 41.04 159.84 572.4 178.56]/Subtype/Widget/T(Member address)/TU(Member address:)/Type/Annot>> endobj 294 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " : endstream endobj 295 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 337 0 R /P 257 0 R /Q 0/Rect[ 41.04 129.6 373.68 148.32]/Subtype/Widget/T(Member city, state)/TU(Member city, state, zip code:)/Type/Annot>> endobj 296 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " 6 endstream endobj 297 0 obj <>/BS<>/DA(/ArialMT 12 Tf 0 g)/F 4/FT/Tx/Ff 2/MK 338 0 R /P 257 0 R /Q 0/Rect[ 381.6 129.6 571.68 148.32]/Subtype/Widget/T(Member ID)/TU(Member ID number:)/Type/Annot>> endobj 298 0 obj <>/ExtGState<>>>/Subtype/Form>>stream Hw6PH.V0C<.}wPz1.WʕƥR " 8 endstream endobj 299 0 obj <>stream HWr6}W#щh͗Mg5;}3Z,R{ 2{Y2C=xtS~]\ɤ&N~~ՓrHפ~G^ igXJZ|.( $hW)&K*>l$}s$)]>:0SkLbz>aMy|U ]sÄD[4e&[ޗ"UsL_#VtYf 6ɧa(ɹR]2cuXųl>/rM3vx^5kzT+6ƻe[fKM %AモhxuN3EINt.1vF@'8aҿ7-DKӓv@YQy|TDu{dm4QJ/h1M+l%EU՛tEP 7o^$.iw HYҗP؂Y3n׷q~?.~qk1O( Ӵ[s'ր Ppi ii\+rM$Zxn7j) aB7#X:^L0G0^W0$$49sFp ? BdI@@3g2 e`Nʵƀ Wc2;YL!qF NGa`Àn7l@3IAR&bd {ЀXL!I_t!ah6ֽqvKzB9Qir:xx: ;݀t6mͻm|x[0 XL`b13 l1}>Z]3ZƱܾ9$gzL̠MȰ p pMf/W'  `@0 .MYhgbN}={$N&oF**JV;Cs/?ro= /6v{>[-Rg` Mb{= ~{p0!f`̀ OlK5BH7L&fX\b!nc!nb!왭 ^l|texuǞ8c8 fVh0v[T;;sM̰B>B>B_YO߫ C]3.eF78#M%.8^.G+&ɩ|ec|.rpt2cc݄ZYT%XJFI6%n'^JM9c$rI(`OL` i@G*eQzO*))Nn,acԚ2{^6y_+*VIQ2}l:]HZo@ %9dѥ?1lf+uekݴ\a_? &XT&I8ʼ >stream HtTyTwfn\Uv͌I"xjF( r9b#* r`8&#R꺞Y ѨzzRA<7_߯_(3$)K-Sy#ýâ"#7D@ Q>JTX6;2IK= VG?2fgzƪY C ™ A,2WF$XJ,#jI+2)|X@WV9(X衽spp![R|DkjBNIJ>Ψrr=sjgph0z# --̬˜>9TjT6B$Bh5񱞼/%7 |Π+`؁ ,V dfnfm\US JV)K6: ڈ1~.B⣅1X*ФܦDs|f[9|H^_Qڿ["P3G5%}O-' `+Pl~%ϻ[U%@Vj,aM?Su-ee-+DIƹ{J. ;FV$j'Κ*Mme Dؕt?RUүnl:&pԮz]2@VK3 "?iĩJd 'Q 14ЧcV%1MᏐH`[]'4O kB!&>> DW!V8GmzJc 4G \u֐+k iJ:$38.@P)b8%w:yGiE塊2A"lit 5V -*/MQ| żo+]pnj@>rR$-z:c:fݞF9~Mv:'ԔQDŽaE{IcR pR R;^3jkUP,g5aCpU8BTaS45dH=S( ٜQcJ-P >q~DvA󎫧LYmru>imjcM` :y`?:h%hx)J,'$_$X@D*`}iI[H {7dJȻ(tgxU3Xra"=wxi0& ًZvy뱣J6G/UokkS7@dm8uGE5O4#`G|d΄ZYQI&$f)% pu8dh yNj\ivq>_c6P̡ 5 K y endstream endobj 301 0 obj <> endobj 302 0 obj <>stream H\j0 ~ CI6v !0rR[cdfp3'Tv,0f[0 /pdf  ea]7nNsXӳ/[zwO_UIspLeYJ zik;Ll][eŃzfhaк+"Q⌣l˲Kg (v{srsX3kd(v;b**Ŭu\EbǦ?^,2dɏf?hɏ0Хo,1-)~P'zG/QES 0v endstream endobj 303 0 obj <> endobj 304 0 obj <> endobj 305 0 obj <>stream Hl{PSW%ID " -*>PUA I~V1APHqEѢYE\SXՠնN2.{^ݹ;}~=$u HlЈBNL Sh2+d>2s˃IΰaI \z ooI;R5*uG~vx_ViTٟLeBRV._fd\e,AG'J BJ9ć$E\b1 "H@t&Nvm|bA#oI!EF(#Gq yxB6BN_-hCSx#ո%$pv DQ5O΋sm.\!>&\xt\peԶmq)IڦfY *3)u=Ry)‡B_˱dKdA5I(Ӊ(ܢ`xJ@Y,,dx{prI{ KjWSrQ8z'\,ߊ}cOoLM0Yڨd1uN1Y YȂB5U 񀄉) )M471\8#QMB<0 SaQv ]AWF1za،r֟jTw[N++Xg,=FJo?\ TStvF\jH2KuX(`%,}$VYb'h%~w=ԥc]R_W(Vdmg_!c@p7@xK<>bU<]qXV~Ƌ+eݱ38sױbY1ka5h~{g^XVyLAqy]IeʸܖYB-jU/܆lo#rÿV~sltuln/K1g쑘576ɎĩIqh]-}.zdsr|.=հIg`.Fwh+;*u,?=A"3d  Bki(Il,w+tҟ,L wd nE7ɥZX!ȟ!ZF[J+id/8{Z.owZ^ dӥ؛msgVh&z*&_!STz0f_>"3- *' -PAEtи̃_VϬ#a ˥8OSG,կz{h(6n"NOoŁy,LQlϽM2GBL8nph)>j/>3TscXx3T]EfW\膦`f2 M]Ͷ't41`Oq{oމ3oY9ȈmsJVR&\[g\D>#o%]TVaްtN瀉b A n5Wh<&pڰHW0-GQYﴡ-՟.P w&.,< /.AhS0[(|av+̰G`- -^cnܥUԉyڽѽMyFEqea{+@WB #(Al2 $ }4A H bUBٙ 313̼̙3ԩ~uw NL?EdKxOsizq _a}|/xMZ^M#8 ܏8*'+Dj b."~pڷRYƩ91㈜^[ߧGd l'dD_ J<{asof. 3> tl|> }#482mY>5`a ḰGeĝ Mb;`l`^!]4wDdhWrL}DAAgGJn:&$o"m<ag"458dnkK|H0p`"7S9'&dlMo4Z#ۏw~g[G[T[5gуFR R(߰tj$Mfe'| *ȗ\8,W}nczȷ6A >L/(\)VdL>x;EkG*.юl6P?li]e=;vU9S H0|` /j5n)ZZ,Լ?KWc宔oO(]-}"+Wİus@l5 Y9|։gCo-Z&zl,`3[VvNNrq cI؃K \vl ؎L[hbL06)]6U4He_]AY~)J)=oNDu+P=7#+钴` ܦd#6 /+&MGSn<U a H'6W*E.Ւ9QLPF/+S޸cisd34W58A3+@۬SxL{ D C?Oi2OqA" jy-r&G:oQgؑyT=}zXZ}FS&0QgOӲK`&N%ڂQLMsWTCMAQ'IKNe_> endobj 307 0 obj <>stream H\ˎ0E|݋U"n)yh2 CzA`W|a10u0_[90fee[O]9~,8߈ٛ*=_>kxMuN9x~!kʏ8(DY*sE~%kr%o;N~3neͪLo+rvdސ7-[o1ޮ+%[dq1C^Ǽyj`MD{f|A|E+흼WP^AzcQ^EJgYtV8+JgYtV8+Jgr^#WUx_6Џ?v@7-2MSKv<&™`C] endstream endobj 308 0 obj <> endobj 309 0 obj <>stream HlT{TM߻s[s٪sRRʛɔQ S$fJ9)$ QI/Bj\Ίk,`]Cb|weͬڿ}|>$I,l\/Du_'hIA--Yad+E{6kŒ$|lqn_L'd&zN}ƮǧƈikRbS3<-Y&V7]:6 H!h 1$ܥdNsb%$* b1!%h"O\'#8|aevUIvJ.IgJ˥Y-ZJUP~`a҇ /2cbES9YXY}md_b+%ܬ5||)7ged-! ՑBuXzX̀Ul4f\x:b9fݣm5PA}g;zA P%4s1hFo7&ZYΔOA8tG׋#GK*6jn&4OsT~A^>7!9%f#A0XF(@!tXPH89JtFk55^^bhIa~XQl !@@ 'xS0)ܞ 2&vi梄WNĉs̎ 0/7 b_y  jGPƥ@]ZHJ ΀9)'*h,"UѺ=*}8spk?]\ѝ6>mg y$Eg3#l5U@s` 6(h;W,Y6G;mXƫ,IK̍jy nO'Mp|k>9@˷4@zC[MNNARM5;#T:8Nƣ5ߏ΢'j;J ?Ә R)jN!o۽my!հ>[Mf/_0RКU{ j{se 'K[-+}V.G 3Q .Q`;1!|qU^yנ|C'ЋL;X6̼VZDZQS+Bc޼=%̍򚓗U,/Ǣ+{%oUh``徻.u!rG%|G7tX^ⰨWo ں%D^5wvַa5x%2qO0aԕ8Ջڶ;Ah6nޣkW@ )Đ-PͫshaX߼s=((=8I`6f -L5f07E GxPv7w4]Tٖ:zKoŦ֜,Ţdmՠ`_h4m I>Nh$CQ6xl |Cڻl1" IXJ</MΪ_8np2aѦB>奃3\OQyw/Tهp] tPG v5E =`%޷1b6+dC,Fj?UŕQ礣]V+SeT]DtqTDEEEQhvid (, 4-"UI0 ꄙ1&.vsɜQޭ|߽A~`",n>ppc9i $\u"`OF jqCp?}[4XrFI|S+R{G2*t9r8w‡x ڪR%F^ PLlLhQ}D` uC|]JdﵡޔF`g "{CpfFM8UT.>kC(ubyZ!2"e o`n__~TFmSoP\&j3gb-ANo`>4 FVm f:؁/vuqpj?XA1-j0J'NEȘ0bTn |~jqMQ1ZdLXbk1'T*r̶}+ Nq5Č~[-JXdם7 ?(t}sWΐnuQFu:% E?fRY] |"0P9j37J$rE›Ѡ M (ӵ`s ea^ u*Î[m=}{PL$s3mU{=<>"`^È{Z_)PbSH]z ,JtIEk#Krߺ5d(EP#NV,h֫Y> 0Ȥ2zOǃ/XT`cZ/Cs)2e &`WU z Ks9Oje:4;GL]F9Mb{WLx \ +KW_8-!p ?υ´8!!TIqE>߭Ûc&'\ѴCq.VHހ`dZ؅!/ !TąlMNC~PPk5JY>8(AtiN1S/X/Ao|9.tzVI]'7 i-"W͐CEԭZyh{V'AuؠeRCT=V逝y |pk#(0>BV YL9zD 1jJp43ڻygīr4[xԿ< %9n,X VO!=C|?j}͞=_ww]WC]Y#oM`PgNˢXQyw1"H }EQOTV\rFmݏ%c|mF}gUx~VjXrs)-N.0NvDj [|w}F#WC>HV^Df/Yi_d2u4'hFkXI]uqgUtJio X?[6'r]]ȾɕJ=1 Q|tV8x D\gs$=5,!"TcA̱>U4j$O9[MՈQp!u20d29+&Į+GS*boO5jcjD8QR v + C\߂#3aWĽvMj4F0}#$q u Aq +)K/<!bN/LEKnMbeQvPgLAO\DInFV9U*Z;ilSCaoJ"Y>0<{ˁفB ,,z9,/A -6ӅVۆo> endobj 311 0 obj <>stream H\n@E|E/EMWW9؉<4 m)?}QF$-|vrϱqrkxoc1.[ij/ՐpNN}V.n^6MYclvgg{xt6 -zxJU]>=tOCt|L7:Tur+ұbw?Xv<՘^,)?[#W9-Zz% `O`! 8X 67 >>BA t89 `9 \WnVZk+ STx*kZErVY)g=EEEE_/`RRRRRRR222:glp6:gi4S;'a~Nt_c:v vKů=KUe endstream endobj 312 0 obj <> endobj 313 0 obj <>stream H,TiPTW}tu^@1 `4 "4DY[v)4;H@ThYElWPGtdfLibbr/M<Ի?^sS$I]AQqu"b IIdG,`k\#xd)a@xyYK.Xw ǒ,D,dq(O,B)-d" %!A,7 LJSXK#;b;A$'@ w› Z q.>w"oI7238hPk=>O +t PT 4ofƘ5.6~p%Uĭt\ lBX$?Tl www=wP-;x:F[<^ܾ4=S f6 qO;^5=2?F|%}#\ΓuO\yHt55OQ:4:>&2QY\RXxH KDzS=BXc([EBI\B|!59 Wu|}!B(4U4N!^`37?$G$3bJp ;|B&ŝ< DөZ/-9z$xEVl"klNo\kYHK{n[b 7@/pS +JiatpHկuH7 s-ja|CV'VeVgYW-18`SycRRC3.Da/mh;ւr05A2O6e-:s^c^.S"sPTUwN [\ xtʅ*zX~̈E94 )> iI`{U\Z}8&9:"{'9!7՝r->[J̀m93q~ELwBk\UYjK^i .wdP0ԕ)e>/7&92$K)vj xHh0Jz',n8êQfvFZ {1`S_{|-u ?:ϟժMw=T3aVMuTL]n٭!5cUΈk- Q/#B0k W/*rFVpK֯[2HϸmRGoI#+JC@fW9$?Lo_e՚769!gM_%Qf//ͫΫɩn/ͩRn{Dǔ"s̳2P^ HҖQ󳑥-PFv~ Vݐk$l'I^V,du ˅]?L"-25 BGR]Y#ɔo\̍WOy4;*aWc>l~c˪uL[dnEMIE %H [ yelvIOҵ.ɮ֘(0삸Q⎙kD[ C) b@A%(ly奔׊qȪ-E6VԘ|c.MzYL3d~||'U`2<9K GKu?b-foa)hVZ4/\DXƁؙX>M~DgwZtQ$M ޏH8ڈK=dR56hfgL@:[Vi%o [hNپ2 9svi{=iZlo M -,1@Tw`f9 ɵM)NtLnR|d탧8mNk+j+X̖V61Ņ9YHi;/]Gt % Ro',%6&ԏZP6!^q0l Qe}͗a9338FU-'d(|_O0AݟHpw#jm$ՋRmA5VXa{kjTD s0$lRԳx2N~(IX+,#%VLp7h^B$Ց8$;'\323332ļ210 ,d>oh lN 4).m PN\PXhוET)*T(("mAzlN.Cod!Ӣ昐@58[F7F*u(-Ià_x<5Tp+Ζ㕨Tq`P4Y <Գg Z?rl=kk-x ߌx6u?L#~뮧G&>w$N "tL5_خnc;+L %KȭwGs&FTuz2L@5)U&k?( s iQxY7dz\?Y+.6[4>u=򫋬;*Nj[l uԗy"Sp&#PU>5;1-'ٟE0F$ۗȻ>z|#)4=i5dI2{!^H&Q' 0hUei,ņx A74bAanu5󦱢A(5,}}!I|:,/e/)d_;"QAv{%k@6k iMC;`zjtvݖ3X@2\7.!7b8 ?$Nr>( ubDf-9XnH\KFe~2_T_blYzWW2^q?  endstream endobj 314 0 obj <> endobj 315 0 obj <>stream H\j0 ~ Cq%FK!a ΰ8qyQ`D?-IS]'ayqn \(+ΤnB[cI5J).yBE+ldw G h8A/}xGvKˎ<% TǘzWuAL|y`e0}uu qQP >1K2s\e33+fEX^^ebz5tKFg~b~|fA!x%K3G'-Fj:{oca @_\t endstream endobj 316 0 obj <> endobj 317 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]>>/Subtype/Form>>stream HW=-WLd3-! Ɓ`e_`9U=sw鏪S~T߾n߼ʏa-쯏?]7+ M/_rw/2/rx$17?`吶 V}=__})y7f&+{#=3Jg.m3=]8n asR'T&t68?33΁Yp~ijәz&1s32cr}o[<[ mR)3`[Hck0i }X'0RAhzP)a8\8m}!tXP%똓)!2{],8umjaeyyL?6\M( q1/{<6g~4҂vkw;/6~"b2Yxw6 A<'\ei\Z6ݹ1s1mpgw~ciӽF;s moȄR꽪p8,"KI7{'l8sQA8n9ļʽ .x hcV3:6iū`\o=+yc)Ҋ.R3bVӜ B7LnhD#(00RV^3mtf/#ԩ?kNɮ|3vH #OK*{Iڇ]<-ч)=HNoS3v`a0" iV/_,oO?w:T&"GKOi鰩J|!&QP E W)Fùm62euϓ^^j4ˈT+RBKMQ\Los.4i >Բ#*qq)W7>GJ1 6+J Ut㶋xOEF?Ab:\)5OsxWP%UoԱ*Ú?@E*'!M{ V6:`f80@pAsxa_.$k8RPQ^E\f1K9mVrI"K f9,®̞5kߘV,rfe8fz$cKQKpSvIE˒Zd'唾k-CuL]1Qye{>>vR'REÈ4QF@˭>ቡt¨mCUБ|[b@^Q2z(_FAF>f:z"ic~g T1 p+(F{n]pwQLtf~&ܰ"{aIJzrQO.uʧ ݅Q{hcvix>fG4T*ߵL9a6<*2Z^I ^䶾.gG&,U|rE5 y KQգ:cy z~%aCWWg6_PO5BBMw-Hy64RYdbXgIt ܄v⡏gt̷CDqQ!S2!B|q&'d'4JFW2>Q dnqc#MvXHЊ+2@r0@6b1Yb(7 (5\8nERJHAbc} Akm sڛ*Uk[lQKEDT7$ieu8&X0h E?W9 6p Q@, uxF7PGV*%_ċ6;(aҦ1e5 p6Tt Z|q7JnaݱK \PsF;ŷpU}_WS3Mv#q|mgClWcOT7Š|8 tΛL婦@1o}=Q1狹k)Gm>w:]v? =C0 .yEk/׽8-gv:7Xb84_,$@_Gxeƞ&f$ccɈXwa]Cl'0& SlVɴ3dC!9,`"/V{U-;gݻZI72*gw|n!AIUI~Rd4J v9{nCб6sUjO4ɍ9QQeg"( *V芃9NZgϺ6 EU+  )Ɇغv5 IJOJbmYkW}f?| = {~!lR4gE7ZocS+=fj<(sK^O&YKZ" j)sirLʅt BލY,դ`W7G,ZTޣ2{Uk4 f_ٷY-"9tlZ|:VA ]`e#j=P#Rarere ΋*<34Q՗/|q?8>ccwV5b'Z%!%oIꔙh $kmZ:z;wVVzԣ;9aW@k^0 L4Y$ Ŏi"ic+ec^&&FPTl𕍎鮾#c1v򢩩!سkQFje7 ӁcLŬMgJEDtlzA^5]A-Vq ~}w`Rb. <6giqRS놦n+2)珗~BWvo_|w#9J"Y_5$𻺿_Xh0!3 jS}ۗ &F )'qI!_=([P*m [ li5ɾF$=Ufs)g8=[廋WI'OE4f.2ڈwTff{ j9K!R}} ]}IZ"> HJnکc lP^;xykS'|WLJ]w#^HٳAg?}m;hSm|(x3'KH88K=Hake)ao#- *m| btpGzlLY3X\9'MDz4طϪPd7]i>N_)7ݘz;mLN^6!qsqMHɬw=9d"_)C2ғHVT Hog.,%S H:}$BEGhl๬)2juMi r-rZLw;tƕ MY)Kli aG `wF `kV{șZh]xÿxN> endobj 319 0 obj <> endobj 320 0 obj <> endobj 321 0 obj <> endobj 322 0 obj <> endobj 323 0 obj <> endobj 324 0 obj <> endobj 325 0 obj <> endobj 326 0 obj <> endobj 327 0 obj <> endobj 328 0 obj <> endobj 329 0 obj <> endobj 330 0 obj <> endobj 331 0 obj <> endobj 332 0 obj <> endobj 333 0 obj <> endobj 334 0 obj <> endobj 335 0 obj <> endobj 336 0 obj <> endobj 337 0 obj <> endobj 338 0 obj <> endobj 339 0 obj <>stream h޴TmLSW>~Rh)RY-P/&d+3rU m'4pBp"b4DU7[BLuL\ ivqffq$ϛ=ON'/ v% 5d ( G*`B??IFNC .+\ΔYN̦. g⎮ܵXl{m4Vj lB_R u ]?18і]S5\ku[z֕[Cze[%}մyê>|<Ԣ]_bsƄY{7v!oɞFޤVU 𸵉7hʹz>oJK [[swnb(S\L3o%;:WPtL05yק0gª49I!n:igZk;LJ:0ͅf'f)(L=`0X3-t7CB Gd]~ى :VXJz4MnB۹XߥcoCCl/'h[ rKmihLZ)iϻa`RgNm_AMV# h@lċA@$ 3@!0xgELlP;hX0Ihx;,&ߓXa _:]%8''Xx IɓA |1.Ds1蠢*($IݩH.s.}Z%.Z%ctlzPm@GǴV]nBP|)d8M)VӻD-OsmiEDMo 8]',y%cr3NYCWP*j;]x!Ÿ%J9cڋΑ&WvkgCF+dBG?n)wz?Ph$۞<}8)BJz4ٻ.=~U m~gJYoE KB2"^T^,V_j;wV A{]ꔛ1Gc%Ѳ^5Ǯlr{ĤuKOr~ItI2:р[ݦovt,{†W\$kX2v3TF} 4Vp PO4RBmKs 0c endstream endobj 340 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP10 ! i#"@P( x>vJT(s|;E_T 5?-j:jxxa& |_iA&66՛t_8N3Ȃ/݄``p/@Kï{Co@+^@6cXtxIEe,E_f)ؿ^ endstream endobj 341 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP0)nTJQ #/` ߻"Dr_w=(7AD%šNo,#P"1c0<.$bxBH]%67(lS苴vAIk1\n-iRMz~ԗ̽vTaRyL`NҌ\A endstream endobj 342 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP;0 } xȀ C+hEU=}l9)讠QQTk{XwhaX$B*KDΰ\uc%bc6{[ZEoCp r{5nn.$_G2>”Y̜ԑ1P>Nz$0^ ^LV"eYa\pi#Ӛϝ\yf` endstream endobj 343 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP0)nTJ(0 FS]s}s_{P3<@D% a *'2C-!,Pz"11iqx^CIݥ Gʓ2)\vXg8ulO("`R%vn@Rr]27_Y5MR{WèrBC x\C/[& endstream endobj 344 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP90[* JIrD<]DDAnf9<@`%.ATAopm|cuCU$ ( W9"0`ujRsy1>dM o+ .ÍT]k;:ڂ/vDE ts:ܺd%Ka(un'Z;5E SR_10&0 sftN>_ endstream endobj 345 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP0)nTJ(0 FS]s}s_{P3<@D% a *'2C-!,Pz"11iqx^CIݥ Gʓ2)\vXg8ulO("`R%vn@Rr]27_Y5MR{WèrBC x\C/[& endstream endobj 346 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP90[* JIrD<]DDAnf9<@`%.ATAopm|cuCU$ ( W9"0`ujRsy1>dM o+ .ÍT]k;:ڂ/vDE ts:ܺd%Ka(un'Z;5E SR_10&0 sftN>_ endstream endobj 347 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP0)nTJ(0 FS]s}s_{P3<@D% a *'2C-!,Pz"11iqx^CIݥ Gʓ2)\vXg8ulO("`R%vn@Rr]27_Y5MR{WèrBC x\C/[& endstream endobj 348 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP0 !8i12  hEUN-օXtW $=v ^`n-DTUiLgX1[1]`vhrsz1aؽ-NR_[nVJ7i.e?4)39ԑ1PѺ>Lz$nreׂ4, +2-7.MFxJ_}.? Q`z endstream endobj 349 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP;0 } 4 (8>vU?}NwBBxcW/& I) "x庻>f:vQԻ$S֯NINC%'2,Gao01 ~,&q&unrzUon'9; >_ZH1Y[|dW )On.\ endstream endobj 350 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP90[* JIrD<]DDAnf9<@`%.ATAopm|cuCU$ ( W9"0`ujRsy1>dM o+ .ÍT]k;:ڂ/vDE ts:ܺd%Ka(un'Z;5E SR_10&0 sftN>_ endstream endobj 351 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP0)nTJ(0 FS]s}s_{P3<@D% a *'2C-!,Pz"11iqx^CIݥ Gʓ2)\vXg8ulO("`R%vn@Rr]27_Y5MR{WèrBC x\C/[& endstream endobj 352 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xun0 w>ōM46E EE-F<~)1l$ }b|a[b0l0u{9|,!K4JɱAVNZ^ҿ}lNV1yl [ZCWAp#M:Sc!x{w(`k*:kSg;sYs^<-[FszRujcw ]y(yl(~Jf endstream endobj 353 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP= 8: ^8:0Zm~*s|pIojp# Vahq_e?v j.S<pűo}>njH:Gy/]Ia estݼ(/Bt8%BmTLQF]o%1bz$_]G=a endstream endobj 354 0 obj <>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream xmP= 8: ^8:0Zm~*s|pIojp# Vahq_e?v j.S<pűo}>njH:Gy/]Ia estݼ(/Bt8%BmTLQF]o%1bz$_]G=a endstream endobj 355 0 obj <> endobj xref 0 356 0000000000 65535 f 0000000017 00000 n 0000000973 00000 n 0000001173 00000 n 0000004419 00000 n 0000010962 00000 n 0000011001 00000 n 0000011376 00000 n 0000011701 00000 n 0000012086 00000 n 0000013047 00000 n 0000013267 00000 n 0000015781 00000 n 0000022325 00000 n 0000022366 00000 n 0000023368 00000 n 0000023489 00000 n 0000025213 00000 n 0000025323 00000 n 0000025821 00000 n 0000026375 00000 n 0000029946 00000 n 0000029998 00000 n 0000030515 00000 n 0000030582 00000 n 0000030649 00000 n 0000030737 00000 n 0000030825 00000 n 0000030917 00000 n 0000031018 00000 n 0000031119 00000 n 0000031211 00000 n 0000031312 00000 n 0000031379 00000 n 0000031446 00000 n 0000031813 00000 n 0000032046 00000 n 0000032279 00000 n 0000032627 00000 n 0000032880 00000 n 0000033252 00000 n 0000033484 00000 n 0000033856 00000 n 0000034109 00000 n 0000034342 00000 n 0000034595 00000 n 0000034848 00000 n 0000035196 00000 n 0000035563 00000 n 0000035795 00000 n 0000036139 00000 n 0000036394 00000 n 0000036646 00000 n 0000037013 00000 n 0000037361 00000 n 0000037593 00000 n 0000037937 00000 n 0000038309 00000 n 0000038653 00000 n 0000038997 00000 n 0000039369 00000 n 0000039622 00000 n 0000039989 00000 n 0000040337 00000 n 0000040570 00000 n 0000040803 00000 n 0000041035 00000 n 0000041379 00000 n 0000041632 00000 n 0000041889 00000 n 0000042261 00000 n 0000042628 00000 n 0000042972 00000 n 0000043200 00000 n 0000043301 00000 n 0000043402 00000 n 0000043503 00000 n 0000043591 00000 n 0000043679 00000 n 0000043767 00000 n 0000043859 00000 n 0000043926 00000 n 0000043993 00000 n 0000044081 00000 n 0000044182 00000 n 0000044283 00000 n 0000044375 00000 n 0000044442 00000 n 0000044509 00000 n 0000044597 00000 n 0000044689 00000 n 0000044756 00000 n 0000044857 00000 n 0000044949 00000 n 0000045037 00000 n 0000045138 00000 n 0000045239 00000 n 0000045331 00000 n 0000045398 00000 n 0000045486 00000 n 0000045574 00000 n 0000045667 00000 n 0000045760 00000 n 0000045828 00000 n 0000045921 00000 n 0000045989 00000 n 0000046242 00000 n 0000046591 00000 n 0000046823 00000 n 0000047056 00000 n 0000047424 00000 n 0000047486 00000 n 0000047548 00000 n 0000047610 00000 n 0000047672 00000 n 0000047734 00000 n 0000047796 00000 n 0000047858 00000 n 0000047920 00000 n 0000047982 00000 n 0000048044 00000 n 0000048137 00000 n 0000048199 00000 n 0000048261 00000 n 0000048323 00000 n 0000048385 00000 n 0000048447 00000 n 0000048540 00000 n 0000048810 00000 n 0000049167 00000 n 0000049527 00000 n 0000049797 00000 n 0000050157 00000 n 0000050429 00000 n 0000050696 00000 n 0000051053 00000 n 0000051323 00000 n 0000051680 00000 n 0000051947 00000 n 0000052307 00000 n 0000052580 00000 n 0000052937 00000 n 0000053204 00000 n 0000053477 00000 n 0000053834 00000 n 0000054101 00000 n 0000054373 00000 n 0000054643 00000 n 0000054913 00000 n 0000055273 00000 n 0000055633 00000 n 0000055990 00000 n 0000056262 00000 n 0000056622 00000 n 0000056889 00000 n 0000057159 00000 n 0000057432 00000 n 0000057699 00000 n 0000057972 00000 n 0000058175 00000 n 0000058448 00000 n 0000058719 00000 n 0000058922 00000 n 0000059123 00000 n 0000059394 00000 n 0000059595 00000 n 0000059877 00000 n 0000060150 00000 n 0000060481 00000 n 0000060752 00000 n 0000060955 00000 n 0000061157 00000 n 0000061428 00000 n 0000061701 00000 n 0000061903 00000 n 0000062105 00000 n 0000062406 00000 n 0000062607 00000 n 0000062878 00000 n 0000063150 00000 n 0000063350 00000 n 0000063738 00000 n 0000064009 00000 n 0000064280 00000 n 0000064483 00000 n 0000064685 00000 n 0000065019 00000 n 0000065289 00000 n 0000065370 00000 n 0000065730 00000 n 0000066061 00000 n 0000066328 00000 n 0000066685 00000 n 0000066952 00000 n 0000067014 00000 n 0000067076 00000 n 0000067117 00000 n 0000067210 00000 n 0000067251 00000 n 0000067344 00000 n 0000067437 00000 n 0000067478 00000 n 0000067540 00000 n 0000067633 00000 n 0000067695 00000 n 0000067757 00000 n 0000067850 00000 n 0000067912 00000 n 0000068123 00000 n 0000068388 00000 n 0000068654 00000 n 0000068875 00000 n 0000069124 00000 n 0000069344 00000 n 0000069697 00000 n 0000069962 00000 n 0000070227 00000 n 0000070583 00000 n 0000070853 00000 n 0000071169 00000 n 0000072377 00000 n 0000072621 00000 n 0000072972 00000 n 0000073342 00000 n 0000073434 00000 n 0000073765 00000 n 0000074097 00000 n 0000074426 00000 n 0000074730 00000 n 0000074996 00000 n 0000075251 00000 n 0000075604 00000 n 0000075874 00000 n 0000076230 00000 n 0000076528 00000 n 0000076854 00000 n 0000077150 00000 n 0000077355 00000 n 0000077626 00000 n 0000077673 00000 n 0000078317 00000 n 0000078447 00000 n 0000078540 00000 n 0000079720 00000 n 0000079816 00000 n 0000081013 00000 n 0000081110 00000 n 0000081344 00000 n 0000081904 00000 n 0000082742 00000 n 0000083354 00000 n 0000083883 00000 n 0000083965 00000 n 0000088744 00000 n 0000088932 00000 n 0000089020 00000 n 0000101645 00000 n 0000101865 00000 n 0000102817 00000 n 0000102993 00000 n 0000103231 00000 n 0000103500 00000 n 0000103613 00000 n 0000103654 00000 n 0000106307 00000 n 0000106543 00000 n 0000106812 00000 n 0000107046 00000 n 0000107313 00000 n 0000107549 00000 n 0000107816 00000 n 0000108063 00000 n 0000108397 00000 n 0000109573 00000 n 0000109670 00000 n 0000109898 00000 n 0000110174 00000 n 0000110501 00000 n 0000110742 00000 n 0000111076 00000 n 0000111342 00000 n 0000111609 00000 n 0000111877 00000 n 0000112142 00000 n 0000112384 00000 n 0000112651 00000 n 0000112947 00000 n 0000113214 00000 n 0000113435 00000 n 0000113700 00000 n 0000113926 00000 n 0000114205 00000 n 0000114456 00000 n 0000114776 00000 n 0000114996 00000 n 0000115263 00000 n 0000115501 00000 n 0000115768 00000 n 0000115985 00000 n 0000116252 00000 n 0000118223 00000 n 0000120541 00000 n 0000120896 00000 n 0000121307 00000 n 0000121727 00000 n 0000121815 00000 n 0000125911 00000 n 0000126376 00000 n 0000126945 00000 n 0000127477 00000 n 0000131899 00000 n 0000132377 00000 n 0000132941 00000 n 0000133524 00000 n 0000137097 00000 n 0000137522 00000 n 0000137899 00000 n 0000138228 00000 n 0000143220 00000 n 0000143261 00000 n 0000143302 00000 n 0000143343 00000 n 0000143384 00000 n 0000143425 00000 n 0000143527 00000 n 0000143568 00000 n 0000143661 00000 n 0000143702 00000 n 0000143804 00000 n 0000143845 00000 n 0000143886 00000 n 0000143927 00000 n 0000143968 00000 n 0000144009 00000 n 0000144050 00000 n 0000144091 00000 n 0000144188 00000 n 0000144229 00000 n 0000144270 00000 n 0000144311 00000 n 0000145705 00000 n 0000146136 00000 n 0000146563 00000 n 0000146994 00000 n 0000147416 00000 n 0000147842 00000 n 0000148264 00000 n 0000148690 00000 n 0000149112 00000 n 0000149542 00000 n 0000149967 00000 n 0000150393 00000 n 0000150815 00000 n 0000151258 00000 n 0000151691 00000 n 0000152124 00000 n trailer <<3EE4C9DF1AE25035B1FE2727809BB335>]>> startxref 152166 %%EOF 253 0 obj <> endobj 255 0 obj <kOtm،\(37\rhƮ\\=;9R|A5ho}!_J d00>\(0\r *H\r0i1 0 UUS1#0!U\nAdobe Systems Incorporated10U Adobe Trust Services1\ 0U\rAdobe Root CA0\r030108233723Z\r230109000723Z0i1 0 UUS1#0!U\nAdobe Systems Incorporated10U Adobe Trust Services10U\rAdobe Root CA0"0\r *H\r0\nOT3S?k,Gg~՟i\n/Y5lL \ T fE?98~Ď"$5Uiۅ7NBjifꀑY*yZ D-ɽs8a6<#YlMT Իw}$kp/\\:vI#*qj"'\)5LÍa$DCM5/νQ7?Y53kqKqa B:7}4rͪb!{-hV ~~,oMr Vt-\ +_'upyd@Q-GB|¦H׾iM\)Wx܇QbO+21R00Ԡ>0\r *H\r0i1 0 UUS1#0!U\nAdobe Systems Incorporated10U Adobe Trust Services10U\rAdobe Root CA0\r040402183845Z\r230108080000Z0_1 \ 0 UUS10U\n\rGeoTrust Inc.10U Adobe Trust Services10UProduct Services0"0\r *H\r0\n^Z:Vj,*s ɵ\nWGJx ,R$FynEWڇ~8*̤\rfA-@|X\na<XRݰY\)Y\ j-nϸP%L|+J_Y6%L]|ʗG:^ ́^AMVqMHdvOCdDںc<ksX:`@q⾊^ي$dBګѱ#Y00U00WU P0N0L *H/0?0=+1https://www.adobe.com/misc/pki/prod_svce_cps.h\ tml0U%\r0  *H/0U00" http://crl.adobe.com/cds.crl0~|z0x1 0 UUS1#0!U\nAdobe Systems Incorporated10U Adobe Trust Services10U\rAdobe Root CA1\r0 UCRL10 U0U#08JT\ 0UЩӇm\(ǯcݮJO0 *H}A 0\nV6.00\r *H\r֞ hv [J7לy4An݃SjD'phЕt,q!炦tϚ\rP1gQa-$I9'9bwdV% Ȍ-7qW>:4$馅B|{xL|ƁlXU\)?ς;\ 6&z6RlNBx& -!r^1DG-3wryYgVI:$+ńCSMvG100e0_1 0 UUS10U\n\rGeoTrust Inc.10U Adobe Trust Services10UProduct Services0\r `He0 *H\r 1  *H\r0/ *\ H\r 1" z=\n'as@VW ~U40A *H/120.*0&000\r *H\r0_1 0 UUS10U\n\rGeoTrust Inc.10U Adobe Trust Services10UProduct Services\r180817052300Z\r230109052300Z0\r *H\r\\\ \n'f,qR+snT+c*Moe/eO 4${\ncT\)±ÿ8U\)ƻ{O;wvlz#\(,%[P5,۲VgRlM5U\n+^{LSp¿dW0ܶsd@{[1V } ?smjMţ;e&a."NN};ߘmōuUbI;X!@$db\ 2ݬe0y0a0\r *H\r0i1 0 UUS1#0!U\nAdobe Systems Incorporated10U Adobe Trust Services10U\rAdobe Root CA\r180711000000Z\r230109235959Z00!-1\r100917203246Z0#>\r040117013929Z0 0\nU\n0\ #>\r040117010905Z0 0\nU\n0#> \r100107183437Z0 0\nU\n/0-0U#08JT0\nU0\r *H\rc_F?"NGqi7yZ]d*xD lr`HOkN3|'9C̭FҤ{6,CV-ن}L4[f\ cĬ/Dye>YF\r6\r6snOrҕaؾؖsJ0 uSnP?`ȂFʠ%"x9Jx^ʛ9\rcT}9МZ\){Okd0\r *H\r H Y#R3@>| BMM ,&h\(x;% 58{3'qY/El׼z-"O\ ^%"vsG:Ӧ=廛 Re~\)ɤZᖇ]Z!T\ \ \ )/Filter/Adobe.PPKLite/M(D:20221004114451-05'00')/Name(ARE Acrobat Product v8.0 P23 0002337)/Prop_Build<>/Filter<>/PubSec<>>>/Reference[<>/Type/SigRef>>]/SubFilter/adbe.pkcs7.detached/Type/Sig>>>>/Type/Catalog/ViewerPreferences<>>> endobj 356 0 obj <>stream False 11.0 8.5 4 2022-10-05T16:50:22.746Z Adobe PDF Library 16.0.7 f58d7a09ec0b0dcf737092749de977fb3d85cb37 159450 PCA-1-22-03110-C&S-WEB_10042022 Adobe InDesign 17.2 (Macintosh) false 538704 elizabeth.rubin@optum.com darlene.fitzpatrick@optum.com 2022-10-04T11:44:51.000-05:00 2022-10-04T16:44:51.000Z 2022-10-04T16:18:13.000Z provider:product-category/medicaid provider:resource-type/forms provider:policy-type/none provider:service-area/none provider:state/washington provider:medical-specialty/behavioral-health application/pdf 2022-10-05T16:56:42.980Z Applied Behavior Analysis (ABA) Treatment Request Form for UnitedHealthcare Community Plan of Washington. Applied Behavior Analysis (ABA) Treatment Request Form - UnitedHealthcare Community Plan of Washington xmp.id:06490267-5a33-4372-9a41-183cad3f8165 xmp.did:fee3f49b-99b5-4a12-a90b-c0f05040ebc1 proof:pdf uuid:eb96e96b-1d9d-4f46-9658-c71c15e5ccd9 xmp.iid:9e051ffc-091f-4651-8bfa-4b2592612004 xmp.did:fee3f49b-99b5-4a12-a90b-c0f05040ebc1 default xmp.did:c694a065-10f2-48c7-bb90-f7ef9454f71f converted Adobe InDesign 17.2 (Macintosh) 2022-10-04T11:18:13.000-05:00 from application/x-indesign to application/pdf / 1 1.1 2024-10-05T11:56:00.000-05:00 Adobe PDF Library 16.0.7 false endstream endobj xref 0 1 0000000000 65535 f 253 1 0000159450 00000 n 255 1 0000159888 00000 n 356 1 0000166783 00000 n trailer <<821A501F40B5B2110A00400CD04AFC7F>]/Prev 152166>> startxref 174319 %%EOF