WPC  l-!9O3k pa{%q K EFw Fu׆>/&fh@F@M'\@ĕ=.S+ Ôt $mǒJ|zω;WZ̓,CC[PHIZټ:0}h| p+ksO *z.ָ4pn,m[@-O$9i8&{,\\UsƠ=W)I5ǰT ˔UXL\p'c3żӞGZ).S)^*&Lid:'5f#  UN % 0(U$:-g 0e-wv4+ m-D  A DCy B-E!  0Dz A$g!U :Q"Q" 0D" AK"## D30#c# B7W@U:@ B7@ AM@U:LA 0JA CA CA CB CB C8B CRB ClB CB CB CB CB CBNC^ C B&CC 0D3C D 3wC 0DCC BCCC Do^ D+w 0K%xpxU#:6ybpyU :ҔҔ D3 B*???U!:iU+:U:ݕU:U:QQQ 1U:UDRU: D3З D3 B6 D3S B D3 B֘ D/ D3" B*UU:U: AQD 0D AYN 0Fm AMU:U:::<%ttt 0P AU:U:UD7U: U :F 1U: U:FU: 1 1mA 0cU:KKKKKKKKKKU :U:U:@U:zU:U:U:((U:bU:U:U:U#:JU:HP DeskJet 660CHPFDJC070,,,,00nLxhH  Z6Times New Roman RegularX($cAZ"Arial Regular1, 2, 3,Level 1Level 2Level 3Level 4Level 54#(.2Quick 1.  .0 XVYD\]_`a[bcdeEfEgDhijEkl[m2&P3|xmULevel 1Level 2Level 3Level 4Level 5Level 1Level 2Level 3Level 4Level 5C8BA&OLE 2.0 Box <=8C HKKKK7Hairlinedxd)Hairline d _ XXXXXXX SectionI:ClaimantInformation   (.  (.1  .0   #XXM#XXName:򀀀   @  @  @  88 LastName00000 y  j  [ FirstName0. 0. . 000      _M.I._(.ی Ќ  (.  (.2  .0   #XX)#XXAddress:򀀀   @  @  @     Street000000 y  j  [  L City0. 0. . 00000State0000ZIP(.ی Ќ  (.  (.3  .0   #XX#XXSocialSecurityNo:򀀀0= 4.#XX1#XXԀHomePhone:򀀀0= = 5.#XX#XXWorkPhone:#I .##XrkX Ig #&XXXXrk&X&XԀ#I & ##XrkX I #(3$ !  A&Draw Object <<=8C HKKKK  )  _ XXXX^TM^XX   `     h      p OMBNO.12930002(EXP:12/31/01)      `     h      p VETS/_USERRA_/VPForm1010(REV2/99)Page  2  #^(^^^^TM.##XrkX^^(^M#ԀLevel 1Level 2Level 3Level 4Level 5cAZ"Arial Regular(3$ !  8 3A X C  h "$"$'dxd _  XpXXXXpXpXSectionIV:ClaimInformation#pXXpP#pXpX   #pXXp#pXpX #I p1# IIfClaimConcernsVeteransPreference#I O# IinFederalEmployment  88 16.PreferenceIssue(CheckOne): #I # I% #I R# IԀHiring #I # I% #I # IԀReductioninForce(_RIF_)#I 5#p I  pp #I p# IIfClaimConcernsEmploymentDiscriminationunder_USERRA_   17.EmploymentDiscriminationIssue(s): % Hiring % _Reemployment_Ԁ % Promotion % Termination % BenefitsofEmployment  #I  #p I IfClaimConcernsHiring,Promotion,_RIF_ԀorTermination:    #I p# I18.#I M#  ITitleofPositionHeldorAppliedFor:򀀀#I #p I PP  19.#I px# IԀPayRate:򀀀#I #p I   L Eh(#L20.#I pb# IDateofApplicationforEmployment/Promotion:򀀀#I < # I      20a.U1Ԁ#U1- #Vacancy_Anouncement_ԀNo.:______________________________________________________________________ \ \     20b.U1Ԁ#U1" #DateVacancyOpened:________________________20c.U1Ԁ#U1 #DateVacancyClosed:_______________________________   #I  #p I IfClaimConcerns_Reemployment_ԀFollowingService :    L 5h((L21. WasPriorNoticeofServiceProvidedtoEmployer?#I pC #  I% #I  #p IԀYes #I p # I% #I 9#p INo(If No,ExplaininComments) LL 22. (a)0  #I p#p IWhoProvidedNoticeofServicetoEmployer?0. 3 3  % Self0. 3 . 3  % Other#I p #p IԀ(name):#I p#p IԀ#I p##p I3 3  ̀ (b)0  #I p#p IWastheNoticeofService:0y3 3 0j y3 y3  % Written0= j 3 j 3  % Oral0= 3 = 3  % Both#I p5#p I3 3  #I p#p I (c)0  #I pu# IDateNoticeofServicewasgiventoEmployer:򀀀3 3  23. (a)0  Name/TitleofPersontoWhomNoticeofServicewasProvided:򀀀,,3 3  #I #p I24. DateAppliedfor_Reemployment_:򀀀 OR DateReturnedtoWork:򀀀 dd! 25._Reemployment_ԀApplicationMadeTo:0 [ Name:򀀀0[ 3 [ 3 Title:򀀀#3 3  26._Reemployed_ԀorReinstated?0  % Yes(date):#I pg#p IԀ#I p #p I03 3  % No%3 3   (a)0  If YES ,what#I pz#p Iposition?򀀀󀀀atwhatpayrate?#I p+#p IԀ#I p#p I  '3 3   (b)0  If NO ,Datedenied:#I pa#p IԀ#I p#p IԀ#I pj#p IReasongiven:򀀀#I p#p IDD)3 3   (c)0  Whodenied(name):#I pi#p IԀ#I p# :  ||+3 3   I3+0 d d d} AZ"Arial Regular3+0 d d d 8'cA<< BcAZ"Arial Regular(P$ Table  1  d ddd(d2d #LXXXXrkA6) ! dE8!A#XrkXXLX #LXXXXrk  #XrkXXLXZ #LXXXXrkA6) ! dE8!A  A6) ! dE8$!A#XrkXXLXձ #LXXXXrk ! A6) ! dE8/!A#XrkXXLXՌ #LXXXXrk $$# #XrkXXLX%#LXXXXrk#XrkXXLX|#LXXXXrkA6) ! dE8:!A //% #XrkXXLXտ#LXXXXrk#XrkXXLXW#LXXXXrkA6) ! dE8E!A ::' #XrkXXLX՚#LXXXXrk#XrkXXLX2#LXXXXrkA6) ! dE8P!A EE) #XrkXXLXu#LXXXXrk#XrkXXLX #LXXXXrkA6) ! dE8[!A PP+ #XrkXXLXP#LXXXXrk#XrkXXLX#LXXXXrkA6) ! dE8f!A [[- #XrkXXLX+#LXXXXrkA6) ! dE8q!A#XrkXXLX#LXXXXrk ff/ #XrkXXLXG#PXXXXrk#XrkXXPX՞#PXXXXrkA6) ! dE8|!A qq1 #XrkXXPX#QXXXXrk#XrkXXQXy#QXXXXrkA6) ! dE8!A ||3 #XrkXXQXռ#QXXXXrk#XrkXXQXT#QXXXXrkA6) ! dE8!A 5 #XrkXXQX՗#QXXXXrkA6) ! dE8!A#XrkXXQX/#QXXXXrk 7 #XrkXXQXճ#QXXXXrk#XrkXXQX #QXXXXrkA6) ! dE8!A 9 #XrkXXQXM#QXXXXrk#XrkXXQX#QXXXXrkA6) ! dE8!A ; #XrkXXQX(#QXXXXrk#XrkXXQX#QXXXXrkA6) ! dE8 !A  = #XrkXXQX#QXXXXrk#XrkXXQX՛#QXXXXrkA6) ! dE8!!A !!? #XrkXXQX# e  XDXXXXDXDXSectionIV:ClaimInformation#DXXD@#DXDX   #DXXD#DXDX # yD!#Y yIfClaimConcernsVeteransPreference# yY?#Z$V yinFederalEmployment  :: 18.PreferenceIssue(CheckOne): # yZ$V#Y y% # yY=#Y yԀHiring # yY#Y y% # yY#Y yԀReductioninForce(RIF)# yY #D y   # yD{#Y yIfClaimConcernsEmploymentDiscriminationunderUSERRA   19.EmploymentDiscriminationIssue(s): % Hiring % Reemployment % Promotion % Termination % BenefitsofEmployment  # yY#D y IfClaimConcernsHiring:  @@  # yD!#[ y20.# y[# D yDateofApplicationforEmployment:򀀀 zz  21.TitleofPositionHeldorAppliedFor:򀀀   21a.DDԀ#DD9#VacancyAnouncementNo.:______________________________________________________________________    21b.DDԀ#DD#DateVacancyOpened:________________________21c.DDԀ#DDu#DateVacancyClosed:_______________________________ > >  22.PayRate:򀀀    IfClaimConcernsReemploymentFollowingService :   L 5h(3L23. WasPriorNoticeofServiceProvidedtoEmployer?# yD# f y% # yf #D yԀYes # yD #f y% # yf #D yNo(If No,ExplaininComments)  24. (a)0  # yD^ #D yWhoProvidedNoticeofServicetoEmployer?0.  % Self0. .  % Other# yD #D yԀ(name):# yD #D yԀ# yD #D yBB ̀ (b)0  # yD #D yWastheNoticeofService:0y0j yy % Written0= j j  % Oral0= =  % Both# yD#D y|| # yD#D y (c)0  # yDP#g$V yDateNoticeofServicewasgiventoEmployer:򀀀 25. (a)0  Name/TitleofPersontoWhomNoticeofServicewasProvided:򀀀  # yg$V#D y26. DateAppliedforReemployment:򀀀 OR DateReturnedtoWork:򀀀 88" 27.ReemploymentApplicationMadeTo:0 [ Name:򀀀0[ [ Title:򀀀rr$ 28.ReemployedorReinstated?0 y % Yes(date):# yDB#D yԀ# yD#D y0yy % No&  (a)0  If YES ,what# yD#D yposition?򀀀󀀀atwhatpayrate?# yD#D yԀ# yDe#D y(  (b)0  If NO ,Datedenied:# yD#D yԀ# yDv#D yԀ# yD#D yReasongiven:򀀀# yD*#D y*  (c)0  Whodenied(name):# yD#D yԀ# yDw# :  TT, o y'dxd( $ Figure  1  Level 1Level 2Level 3Level 4Level 5cAZ"Arial Regular X  XMX%XXXMXMX%SectionIV:ClaimInformation   (.  (.15  .0   EmploymentDates(ifapplicable):0j 0[ j j From:򀀀󀀀To:򀀀(.ی88[ [  Ќ  (.  (. 16  .0   #MX%XM@#M XMX%**#MX%X M#MXMX%IfComplaintConcernsHiringDiscrimination:#MX%XM#(. (یhh Ќ   MXMX%DateofApplicationforEmployment:#MX%XM#Ԁ򀀀    MXMX%17#MX%XMX#MXMX%ԀM MԀ**#M M#TitleofPositionHeldorAppliedFor:򀀀  17a.M MԀ**#M M#DateofIncident:_____________________________________________________________________ ..  17b.M MԀ**#M Mn#VacancyAnouncementNo.:_____________________________________________________________   17c.M MԀ**#M M"#DateVacancyOpened:________________________________________________________________   17d.M MԀ**#M M#DateVancancyClosed:________________________________________________________________ 0 0  18.M&Y&M**#M&M&Y#PayRate:򀀀   19.Didyouunderstandthispositionwastolasteitherindefinitelyorforasignificantperiodoftime?0 z %Yes0\zz%No \\  If NO ,Explainincommentsbelow(pleasereferencebystartingwith DurationofPosition).  20.LeftPositiontoEnterService?0 y %Yes0[ yy%No#X M!#M XVV[ [  21.(a)0  #X M #M XWhoProvidedNoticeofServicetoEmployer?0. %Self0. . %Other#X MZ #M XԀ(name):#X M #M XԀ#X MQ #M X  (b)0  #X M #M XWastheNoticeofService:0y0j yy%Written0= j j %Oral0= = %Both#X Mb #M X #X M.#M X   If Oral or Both ,identifyanyoneelsewhomayhavebeenpresent,inCommentsbelow   (c)0  #X M#O XDateNoticeofServicewasgiventoEmployer:򀀀  22.(a)0  NameofPersontoWhomNoticeofServicewasProvided:򀀀^^"  (b)0  TitleofPersontoWhomNoticeofServicewasProvided:򀀀$ #X Oy#M X23.Name,Address,&PhoneofUnion(s)&Localswhichrepresentyou:򀀀 &   ( 24.DateAppliedforReemployment:򀀀 OR DateReportedtoWork:򀀀 00* 25.ReemploymentApplicationMadeTo:0 [ Name:򀀀0[ [ Title:򀀀hh, 26.ReemployedorReinstated?0 y %Yes(date):#X M#M XԀ#X M#M X0yy%No.  (a)0  If YES ,what#X M-#M Xposition?򀀀󀀀atwhatpayrate?#X M#M XԀ#X M#M X0  (b)0  If NO ,Datedenied:#X M#M XԀ#X M#M XԀ#X M#M XReasongiven:򀀀#X M\#M X 2  (c)0  Whodenied(name):#X M#M XԀ#X M# :  ݄cAZ"Arial RegularIIII'dxd&0 d dcAZ"Arial RegularcAZ"Arial Regular} AZ"Arial RegularcAZ"Arial RegularcAZ"Arial Regular( CEMU]emu}AutoList3(a)(a)(a)(a)(a)(a)(a)(a)cAZ"Arial Regular-} AZ,Arial (W1) Regular-r2AZ"Arial Regular<<<<'dxd^^^^'dxdP Pd````'dxd dbbbb'dxd d^^' dxdeeee'dxd&P d dcAZ"Arial Regular} AZ"Arial Regulari:8jcC<< CLevel 1Level 2Level 3Level 4Level 5($$   1  l8mAM << deUULevel 1Level 2Level 3Level 4Level 5(n$ (  1  ) C8B9A<< CcAZ"Arial RegularcAZ"Arial Regular 2%_ X ~XXXX~X~XSectionII:UniformedServiceInformation                   y  j  [  L  =  .  88 (.  (.6  .0   #~XX~P#~X~XServe(d)In: #I ~1# I#XXR#U1XXԀ% #U1##XrkX#I XXrk~ IArmy #I ~t# I#XXU#U1XX% #U1##XrkX#~XXXXrk~X~XԀNavy #I ~n##XrkX I#XXrkU1Ԁ% #U1##XrkX#~XXXXrk~X~XԀMarineCorps#I ~# IԀ #I # I#XX#U1XXԀ% #U1;##XrkX}#I XXrk~ IԀAirForce #I ~ # I#XX#U1XXԀ% #U1Y##XrkX#~XXXXrk~X~XԀCoastGuard #I ~# I#XX'#U1XX% #U1z##XrkX#I XXrk~ IԀNationalGuard #I ~G # I#XX( #U1XXԀ% #U1 ##XrkX #~XXXXrk~X~XԀReserve #I ~K ##XrkX Ij #I XXrk ~ IԀ(.ی Ќ  #I ~ # IU1 % #U1 ##I  #~ IԀPublicHealthService #I ~T # IU1Ԁ% #U1 ##I  #~ IԀOther #I ~< # ~ IԀ(Explainin Comments) #I ~ # IU1% #U1 ##I #~ IԀNone(RetaliationClaimExplainin Comments) 44 Ѐ /   #I ~|#~ I  M(.  (.7  .0   IfReserve/NationalGuard:(.ی~~ Ќ  L T (#L  (a)0  NameofUnit:򀀀   (b)0  UnitAddress:򀀀           #I ~# I (c)0  UnitPhone:򀀀&& #I #~ I(.  (.8  .0   DatesofService(ifapplicable): y #I ~#~ I j (a)0[ From:򀀀󀀀To:򀀀(.ی^^[ [  Ќ   #I ~# I                y OR #I #~ I0 j (b)0[ j j DateofExamination/RejectionforService:򀀀 [ [   #I ~# I               y #I #~ I#I ~*#~ I(.  (.9  .0   TypeofDischargeorSeparation: #I ~s# IU1Ԁ% #U18##I W# IHonorableC#I # Ionditions #I # IU1Ԁ#U1#U1#U1c#U1Ԁ% #U1 ##I # IԀEntryLevel #I w# IU1Ԁ #U1##I # IԀ #I U# IU1% #U1##I # IԀ_Uncharacterized_ #I )# IU1Ԁ #U1##I # IԀ #I &# IU1% #U1v##I # IԀMedical #I  # IU1Ԁ#U1W ##I v # IU1Ԁ   Ѐ% #U1 ##I  # IOtherthanHonorable#I !# IԀConditions #I !# IU1% #U13"##I R"# IOther(Expl#I "# Iainin Comments #I  ##  I)#I k## IԀ#I ##  IU1% #U1###I $# IԀNotApplicable(. ی  Ќ  #I $#((3/Q$ !   d 8y  <<= 8CcAZ"Arial RegularcAZ"Arial Regular-} AZ,Arial (W1) Regular &  _ChoicesinItems#6,#8,#11,#20,#21,and#26belowshouldbe radiobuttonswhenthisformisgeneratedin_PDF_Ԁformat.-r2AZ"Arial RegularcAZ"Arial Regular(EhCEKQW]cioAutoList21.1.1.1.1.1.1.1.cAZ"Arial Regular} AZ"Arial RegularcAZ"Arial Regular(5hCEKQW]cioAutoList11.1.1.1.1.1.1.1.#e37=CIQYag1.a.i.(1)(a)(i)1)a)(; $2e  0  .3  0  cAZ"Arial Regular w_  XXXXXXXSectionIII:EmployerInformation    10.#XXP#XXԀEmployerorProspectiveEmployersName:򀀀  11.#XX#XXԀAddress:򀀀         Street0  03 3 03 3 0y3 3 0j y3 y3 0[ j 3 j 3 City0= [ 3 [ 3 0. = 3 = 3 0. 3 . 3 03 3 03 3 County03 3 03 3 03 3 03 3 03 3 State03 3 0z3 3 0kz3 z3 0\k3 k3 0M\3 \3 ZIPppM3 M3  (.  (. 12  .0   #XX#U1XXԀP#XXU1#XXrincipal#XX#XXԀEmployerContact(_PEC_):(. & ی3 3  Ќ   (a)0  _PEC_ԀName/Title:򀀀03 3 (b)03 3 _PEC_ԀPhone:򀀀hh3 3  #I 1# I13.EmploymentDates(ifapplicable):0 j 0[ j 3 j 3 From:򀀀󀀀To:򀀀 [ 3 [ 3  #I N# I#XX#XX14.Sincebeginningworkwiththisemployer,hasyourcumulativeuniformedserviceexceeded5years? #I i # I#XX #U1XXԀ%#U1X ##XrkX #XXXXrkXXԀ Yes #I  # I#XX% #U1XX%#U1w ##XrkX #I XXrk IԀ No#I A # I#XX" #XXԀ #XX ##XrkXXXՉ # I XXrk I    If YES ,explaininCommentsboxatendofthisclaimform.   15.NameofUnion(s)ThatRepresentYou:򀀀  #I W ##XrkX I8 #I XXrk I #I ##XrkX I#ԄcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial RegularcAZ"Arial Regular !  _h XXXXX XX X  OVv$@ p  %E H04  H0VOOVv$@ p  %E .h. .VO @!  @  @  @  @  @  @  @  @  @  @  @|  @m  @^  @O  @@  @1!  @""  @#  @$  @! #XX#^TM^XXOMBNO.12930002(EXP:12/31/01) @  @  @|    @!  @  @  @  @  @  @  @  @  @  @  @|  @m  @^  @O  @@  @1!  @""  @#  @$  @! VETS/_USERRA_/VPForm1010(REV2/99)#XX^^TM#XX#XX#=fXX  ]\USERRA\]__b`qh=f`bcb~{T~=fbcaacc__c=fc_USERRA_b`#=fqhO#`baacb#=f~~{T#bcc#=f#ceddefeefjiijhffhg  gllm1010mllkjjk  ELIGIBILITYDATAFORM:=fForclaimsundertheUniformedServicesEmploymentand_Reemployment_ԀRightsAct(_USERRA_)  and/orclaimsundertheVeteransPreference(VP)provisionsoftheVeteransEmploymentOpportunitiesActof1998#=f#Ԁ Rr U.S.DepartmentofLabor,VeteransEmploymentandTrainingService 8    =f=fPLEASETYPEORPRINT#=f #    h9QA=h| F `Xdddd0000E| dtt|Qa 0! T$T$           T$T$_hr9N>:ht  + `Xdddd0000E +t ^0!_Ԁ=f#=f #_ _! !=f ^  T$T$                    T$T$9_]FXhh  FFXhh  F]h9N>:ht V" `Xdddd0000EP6$! tt3 ${!< gXhh  gfXhh  feXhh  edXhh  dcFXhh  Fc_  "Y#. Xhh  bWXhh  Wb]WX hh   W]h!9N>:ht  * `Xdddd0000E:!4tt3 L {!o 9:9:9T$9T$ 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9:9:9:9: 9T$9T$9:9:#=fO # Icertifythattheaboveinformationistrueandcorrecttothebestofmyknowledgeandbelief.IauthorizetheU.S.DepartmentofLabortocontactmy  ( employeroranyotherpersonforinformationconcerningthisclaim.Pursuantto5U.S.C.,Section552(b)ofthePrivacyAct,Iconsenttothereleaseoftheaboveinformationandanyrecordsnecessaryfortheinvestigationandprosecutionofmyclaim.=f *                   v  g  X  I  :  + SIGNATURE:򀀀DATE:򀀀#=f#=fԀ p#!,  =fPersonsarenotrequiredtorespondtothecollectionofinformationunlessitdisplaysacurrentlyvalidOMBcontrolnumber.Publicreportingburden $$D"- forthiscollectionofinformationisestimatedtoaverage15minutesperresponse,includingthetimeforreviewinginstructions,searchingexistingdatasources,gatheringandmaintainingthedataneeded,andcompletingandreviewingthecollectionofinformation.Sendcommentsregardingthisburdenestimateoranyotheraspectofthiscollectionofinformation,includingsuggestionsforreducingthisburden,totheOfficeofInformationManagement,DepartmentofLabor,RoomN1301,200ConstitutionAvenue,_N.W._,Washington,D.C.20210.#=f#D=f &$1 Ѐ #=fD#=fPRIVACYACTSTATEMENT  '%3 TheprimaryuseofthisinformationisbystaffoftheVeteransEmploymentandTrainingServiceininvestigatingcasesunder_USERRA_Ԁorlaws/regulationsrelatingtoveteranspreferenceinFederalemployment.Disclosureofthisinformationmaybemadeto:aFederal,stateorlocalagencyforappropriatereasons;inconnectionwithlitigation;andtoanindividualorcontractorperformingaFederalfunction.Furnishingtheinformationonthisform,includingyourSocialSecurityNumber,isvoluntary.However,failuretoprovidethisinformationmayjeopardizetheDepartmentofLaborsabilitytoprovideassistanceonyourclaim.#=fR # *(8  ContinueinCommentsbox&/oruseadditionalsheet(s)toexplainitemsifneededSignanddateform(above)  ,5*:    -+< 9_XX=fYX   XYExplainyourclaimindetailListallremediesyouseek#=fXXX$#Ԁ  ЀUseadditionalsheet(s)ifneededInitial&dateeachpageatbottom h?9QA=h|Z/"% `Xdddd0000EZ3"%t+!"*=#~% g%%g%%%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% g%%g%%g%%g%% %%g%%g%% INITIALS: #=f=f##=fԀ @  @ ##+##=f+# DATE: #=f=f##=fԀ##x,##=f,#