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8.5661 0 0 8.2407 379.3563 500.3943 Tm
[(o)4(r)4(k)]TJ
ET
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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Q
q
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Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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118.655 -73.059 m
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 29.6802 442.2175 Tm
[(1st )-6(Person )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 8.2407 81.5882 442.2175 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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Q
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S
Q
q
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 235.1389 442.2175 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 8.2407 289.7318 442.2175 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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118.655 -27.579 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 8.2407 29.6802 419.0944 Tm
[(1)1(s)1(t)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(M)1(o)1(b)1(i)1(l)1(e)]TJ
ET
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-57.145 -5.019 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 8.2407 235.1389 419.0944 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 8.2407 289.7318 419.0944 Tm
[(o)2(r)2(k)2( )-6(M)2(o)2(b)2(i)2(l)2(e)]TJ
ET
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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118.655 -5.019 m
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S
Q
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/TT0 1 Tf
8.5661 0 0 8.2407 28.9131 384.6556 Tm
[(A)51(l)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 8.2407 37.0956 384.6556 Tm
[(l)-1(o)-1(w)-1(e)-1(d)-1( )-6(t)-1(h)-1(e)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(p)-1(e)-1(r)-1(m)-1(i)-1(s)-1(s)-1(i)-1(o)-1(n)-1(s)-1( )-6(w)-1(i)-1(t)-1(h)-1( )-6(o)-1(u)-1(t)-1( )-5(h)-1(a)-1(v)-1(i)-1(n)-1(g)-1( )-6(t)-1(o)-1( )-6(c)-1(o)-1(n)-1(t)-1(a)-1(c)-1(t)-1( )-6(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 8.2407 285.3848 384.6556 Tm
[(o)1(u)1( )-6(f)1(i)1(r)1(s)1(t)1(.)1( )-6(E)1(n)1(t)1(e)1(r)1( )-6(Y)1(e)1(s)1( )-6(o)1(r)1( )-6(N)1(o)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 8.2407 29.6802 372.6021 Tm
[(C)3(a)3(l)3(p)3(o)3(l)]TJ
ET
q
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S
Q
q
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Q
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S
Q
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Q
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W n
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BT
/TT1 1 Tf
8.5661 0 0 8.2407 120.3275 372.6021 Tm
[(M)1(i)1(n)1(o)1(r)1( )-6(E)1(m)1(e)1(r)1(g)1(e)1(n)1(c)1(y)1( )-6(A)1(i)1(d)]TJ
ET
Q
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 422.3147 465.5866 Tm
[(4th )-6(Person )-6(Name, )-6(Relationship )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 8.2407 422.3147 456.116 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
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Q
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S
Q
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 210.847 372.6021 Tm
[(O)1(u)1(t)1(i)1(n)1(g)1(s)]TJ
ET
q
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Q
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S
Q
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/TT1 1 Tf
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[(P)2(h)2(o)2(t)2(o)2(g)2(r)2(a)2(p)2(h)2(s)]TJ
ET
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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S
Q
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S
Q
q
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 29.6802 308.6445 Tm
[(Doctor's )-6(Name )-5(& )-6(Phone)]TJ
ET
q
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Q
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S
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 313.6402 308.6445 Tm
[(Health )-6(Visitor )-6(& )-6(Phone)]TJ
ET
q
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Q
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Q
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Q
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/TT0 1 Tf
8.5661 0 0 8.2407 28.9131 274.2058 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 8.2407 65.0953 274.2058 Tm
[(of )-6(following )-6(vaccinations )-6(had)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 8.2407 28.9131 233.6173 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 8.2407 65.0953 233.6173 Tm
[(o)-1(f)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(i)-1(l)-1(l)-1(n)-1(e)-1(s)-1(s)-1(e)-1(s)-1( )-6(h)-1(a)-1(d)]TJ
ET
BT
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[(Chicken )-6(Pox)]TJ
ET
q
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Q
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S
Q
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Q
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 96.1634 221.4408 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
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Q
q
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Q
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S
Q
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[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
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Q
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Q
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Q
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[(R)1(u)1(b)1(e)1(l)1(l)1(a)1(/)1( )-6(G)1(e)1(r)1(m)1(a)1(n)]TJ
ET
BT
/TT1 1 Tf
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[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
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Q
q
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Q
q
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Q
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S
Q
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/TT1 1 Tf
8.5661 0 0 8.2407 313.6402 221.4408 Tm
[(W)-41(h)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 8.2407 326.809 221.4408 Tm
[(o)3(o)3(p)3(i)3(n)3(g)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 8.2407 313.6402 211.9701 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -1.0249634 287.9685059 404.6022034 cm
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Q
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Q
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22.655 193.101 m
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Q
q
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0.72 w 10 M 0 j 0 J []0 d
73.295 193.461 m
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/TT1 1 Tf
8.5661 0 0 8.2407 198.8288 732.8556 Tm
[(C)1(h)1(i)1(l)1(d)1( )-6(L)1(e)1(g)1(al)1( )-6(N)1(a)1(m)1(e)1( )-6(\()1(I)1(f)1( )-6(d)1(i)1(f)1(f)1(e)1(r)1(e)1(n)1(t)1(\))]TJ
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[(R)2(e)2(l)2(i)2(g)2(i)2(o)2(n)]TJ
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[(Ethnic )-5(Origin)]TJ
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BT
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[(A)1(n)1(y)1( )-6(s)1(p)1(e)1(c)1(i)1(a)1(l)1( )-6(c)1(a)1(r)1(e)1(,)1( )-6(a)1(l)1(l)1(e)1(r)1(g)1(y)1(,)1( )-6(m)1(e)1(d)1(i)1(c)1(a)1(l)1( )-6(o)1(r)1( )-6(d)1(i)1(e)1(t)1(a)1(r)1(y)1( )-6(i)1(n)1(f)1(o)1(r)1(m)1(a)1(t)1(i)1(o)1(n)1( )-6(t)1(h)1(a)1(t)1( )-6(t)1(h)1(e)1( )-6(s)1(t)1(a)1(f)1(f)1( )-6(w)1(i)1(l)1(l)1( )-6(n)1(e)1(e)1(d)1( )-6(t)1(o)1( )-6(b)1(e)1( )-6(a)1(w)1(a)1(r)1(e)1( )-6(o)1(f)]TJ
ET
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Q
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[(Convulsion/Fits )-6(Others)]TJ
ET
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Q
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[(S)1(c)1(a)1(r)1(l)1(e)1(t)1( )-6(F)1(e)1(v)1(e)1(r)]TJ
ET
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[(P)-1(l)-1(a)-1(s)-1(t)-1(e)-1(r)-1(s)]TJ
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Q
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Q
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BT
/TT1 1 Tf
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[(A)-2(n)-2(t)-2(i)-2(h)-2(i)-2(s)-2(t)-2(a)-2(m)-2(i)-2(n)-2(e)]TJ
ET
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[(S)3(u)3(n)3( )-6(C)3(r)3(e)3(a)3(m)]TJ
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[(N)5(a)5(p)5(p)5(y)5( )-6(C)5(r)5(e)5(a)5(m)]TJ
ET
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Q
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[(H)2(a)2(i)2(r)2( )-6(C)2(h)2(e)2(c)2(k)]TJ
ET
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[(E)-5(m)-5(a)-5(i)-5(l)]TJ
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Q
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[(F)-1(a)-1(t)-1(h)-1(e)-1(r)-1(')-1(s)-1( )-5(N)-1(a)-1(m)-1(e)]TJ
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ET
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[(l)1(i)1(s)1(t)1(e)1(d)1( )-6(h)1(e)1(r)1(e)1(\))]TJ
ET
q
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ET
BT
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[(\()1(I)1(t)1( )-6(i)1(s)1( )-6(a)1(s)1(s)1(u)1(m)1(e)1(d)1( )-6(t)1(h)1(a)1(t)1( )-6(a)1(n)1(y)1( )-6(o)1(f)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(n)1(a)1(m)1(e)1(d)1( )-6(p)1(e)1(r)1(s)1(o)1(n)1(s)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(l)1(l)1(o)1(w)1(e)1(d)1( )-6(t)1(o)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1( )-6(y)1(o)1(u)1(r)1( )-6(c)1(h)1(i)1(l)1(d)1(\))]TJ
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[(ork )-6(Place )-6(& )-6(Hours )-6(of )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 312.7422 511.813 Tm
[(o)4(r)4(k)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-51.025 -116.659 m
119.015 -116.659 l
S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-50.665 -88.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-51.025 -89.059 m
119.015 -89.059 l
S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
118.655 -88.699 m
118.655 -117.019 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -36.934 456.0355 Tm
[(1st )-6(Person )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 14.9741 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-243.865 -59.899 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-243.505 -43.219 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
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/TT1 1 Tf
8.5661 0 0 7.9008 168.5247 456.0355 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 223.1177 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-51.025 -59.899 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-50.665 -43.219 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-51.025 -43.579 m
119.015 -43.579 l
S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
118.655 -43.219 m
118.655 -60.259 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -36.934 433.866 Tm
[(1)1(s)1(t)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(M)1(o)1(b)1(i)1(l)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-243.865 -37.339 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-243.505 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-243.865 -21.019 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-57.145 -20.659 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 168.5247 433.866 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 223.1177 433.866 Tm
[(o)2(r)2(k)2( )-6(M)2(o)2(b)2(i)2(l)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-51.025 -37.339 m
119.015 -37.339 l
S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-50.665 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-51.025 -21.019 m
119.015 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
118.655 -20.659 m
118.655 -37.699 l
S
Q
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/TT0 1 Tf
8.5661 0 0 7.9008 -37.7011 400.8476 Tm
[(A)51(l)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -29.5186 400.8476 Tm
[(l)-1(o)-1(w)-1(e)-1(d)-1( )-6(t)-1(h)-1(e)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(p)-1(e)-1(r)-1(m)-1(i)-1(s)-1(s)-1(i)-1(o)-1(n)-1(s)-1( )-6(w)-1(i)-1(t)-1(h)-1( )-6(o)-1(u)-1(t)-1( )-5(h)-1(a)-1(v)-1(i)-1(n)-1(g)-1( )-6(t)-1(o)-1( )-6(c)-1(o)-1(n)-1(t)-1(a)-1(c)-1(t)-1( )-6(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 218.7707 400.8476 Tm
[(o)1(u)1( )-6(f)1(i)1(r)1(s)1(t)1(.)1( )-6(E)1(n)1(t)1(e)1(r)1( )-6(Y)1(e)1(s)1( )-6(o)1(r)1( )-6(N)1(o)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -36.934 389.2912 Tm
[(C)3(a)3(l)3(p)3(o)3(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-243.865 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-243.505 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-164.785 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
-157.345 8.381 76.68 9.12 re
W n
0.9385885 0 0 -1.0176081 -207.7606124 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 53.7133 389.2912 Tm
[(M)1(i)1(n)1(o)1(r)1( )-6(E)1(m)1(e)1(r)1(g)1(e)1(n)1(c)1(y)1( )-6(A)1(i)1(d)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 355.7005 478.4408 Tm
[(4th )-6(Person )-6(Name, )-6(Relationship )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 355.7005 469.3607 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
124.655 -82.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
125.015 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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124.655 -21.019 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
260.375 -20.659 m
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S
Q
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/TT1 1 Tf
8.5661 0 0 7.9008 144.2328 389.2912 Tm
[(O)1(u)1(t)1(i)1(n)1(g)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
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S
Q
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/TT1 1 Tf
8.5661 0 0 7.9008 234.8801 389.2912 Tm
[(P)2(h)2(o)2(t)2(o)2(g)2(r)2(a)2(p)2(h)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
11.255 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
11.615 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
11.255 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
90.335 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -36.934 327.9713 Tm
[(Doctor's )-6(Name )-5(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
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5.255 104.021 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 247.026 327.9713 Tm
[(Health )-6(Visitor )-6(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
22.655 70.421 m
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
23.015 104.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
22.655 103.781 m
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Q
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1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
260.375 104.141 m
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/TT0 1 Tf
8.5661 0 0 7.9008 -37.7011 294.953 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -1.5189 294.953 Tm
[(of )-6(following )-6(vaccinations )-6(had)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -37.7011 256.0385 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -1.5189 256.0385 Tm
[(o)-1(f)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(i)-1(l)-1(l)-1(n)-1(e)-1(s)-1(s)-1(e)-1(s)-1( )-6(h)-1(a)-1(d)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -36.934 244.3641 Tm
[(Chicken )-6(Pox)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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S
Q
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/TT1 1 Tf
8.5661 0 0 7.9008 29.5492 244.3641 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
-181.465 155.501 m
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Q
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1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 95.9046 244.3641 Tm
[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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/TT1 1 Tf
8.5661 0 0 7.9008 156.3787 244.3641 Tm
[(R)1(u)1(b)1(e)1(l)1(l)1(a)1(/)1( )-6(G)1(e)1(r)1(m)1(a)1(n)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 156.3787 235.2841 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
-62.425 177.461 m
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
10.895 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 247.026 244.3641 Tm
[(W)-41(h)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 260.1948 244.3641 Tm
[(o)3(o)3(p)3(i)3(n)3(g)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 247.026 235.2841 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
22.655 155.501 m
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
23.015 177.821 m
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
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0.72 w 10 M 0 j 0 J []0 d
22.655 177.461 m
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Q
q
1.0654297 0 0 -0.9826965 221.3543243 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M 0 j 0 J []0 d
73.295 177.821 m
73.295 155.141 l
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/TT1 1 Tf
8.5661 0 0 7.9008 132.2146 734.687 Tm
[(C)1(h)1(i)1(l)1(d)1( )-6(L)1(e)1(g)1(al)1( )-6(N)1(a)1(m)1(e)1( )-6(\()1(I)1(f)1( )-6(d)1(i)1(f)1(f)1(e)1(r)1(e)1(n)1(t)1(\))]TJ
ET
q
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[(A)1(n)1(y)1( )-6(s)1(p)1(e)1(c)1(i)1(a)1(l)1( )-6(c)1(a)1(r)1(e)1(,)1( )-6(a)1(l)1(l)1(e)1(r)1(g)1(y)1(,)1( )-6(m)1(e)1(d)1(i)1(c)1(a)1(l)1( )-6(o)1(r)1( )-6(d)1(i)1(e)1(t)1(a)1(r)1(y)1( )-6(i)1(n)1(f)1(o)1(r)1(m)1(a)1(t)1(i)1(o)1(n)1( )-6(t)1(h)1(a)1(t)1( )-6(t)1(h)1(e)1( )-6(s)1(t)1(a)1(f)1(f)1( )-6(w)1(i)1(l)1(l)1( )-6(n)1(e)1(e)1(d)1( )-6(t)1(o)1( )-6(b)1(e)1( )-6(a)1(w)1(a)1(r)1(e)1( )-6(o)1(f)]TJ
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ET
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[(l)1(i)1(s)1(t)1(e)1(d)1( )-6(h)1(e)1(r)1(e)1(\))]TJ
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[(\()1(F)1(o)1(r)1( )-6(a)1(n)1(y)1( )-6(f)1(u)1(r)1(t)1(h)1(e)1(r)1( )-6(p)1(r)1(e)1(s)1(c)1(r)1(i)1(b)1(ed)1( )-6(m)1(e)1(d)1(i)1(c)1(i)1(n)1(e)1(s)1( )-6(et)1(c)1(,)1( )-6(y)1(o)1(u)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(s)1(k)1(e)1(d)1( )-6(t)1(o)1( )-6(s)1(i)1(g)1(n)1( )-6(a)1( )-6(s)1(e)1(p)1(a)1(r)1(a)1(t)1(e)1( )-6(co)1(n)1(s)1(e)1(n)1(t)1( )-6(f)1(o)1(r)1(m)1( )-6(f)1(o)1(r)1( )-6(e)1(a)1(c)1(h)1( )-6(r)1(e)1(q)1(u)1(e)1(s)1(t)1(\))]TJ
ET
BT
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[(\()1(I)1(t)1( )-6(i)1(s)1( )-6(a)1(s)1(s)1(u)1(m)1(e)1(d)1( )-6(t)1(h)1(a)1(t)1( )-6(a)1(n)1(y)1( )-6(o)1(f)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(n)1(a)1(m)1(e)1(d)1( )-6(p)1(e)1(r)1(s)1(o)1(n)1(s)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(l)1(l)1(o)1(w)1(e)1(d)1( )-6(t)1(o)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1( )-6(y)1(o)1(u)1(r)1( )-6(c)1(h)1(i)1(l)1(d)1(\))]TJ
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[(W)-41(/)]TJ
ET
BT
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[(C)4(o)4(u)4(g)4(h)]TJ
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[(N)2(a)2(m)2(e)2( )-6(a)2(n)2(y)2( )-6(o)2(t)2(h)2(e)2(r)2( )-6(a)2(g)2(e)2(n)2(c)2(i)2(e)2(s)2( )-6(i)2(n)2(v)2(o)2(l)2(v)2(e)2(d)2( )-6(w)2(i)2(t)2(h)2( )-6(t)2(h)2(e)2( )-6(c)2(h)2(i)2(l)2(d)]TJ
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
-243.505 -43.219 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 456.0355 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.7318 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -59.899 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -43.579 m
119.015 -43.579 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -43.219 m
118.655 -60.259 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 433.866 Tm
[(1)1(s)1(t)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(M)1(o)1(b)1(i)1(l)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -37.339 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -21.019 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-57.145 -20.659 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 433.866 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.7318 433.866 Tm
[(o)2(r)2(k)2( )-6(M)2(o)2(b)2(i)2(l)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -37.339 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
-50.665 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -21.019 m
119.015 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -20.659 m
118.655 -37.699 l
S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 28.9131 400.8476 Tm
[(A)51(l)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 37.0956 400.8476 Tm
[(l)-1(o)-1(w)-1(e)-1(d)-1( )-6(t)-1(h)-1(e)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(p)-1(e)-1(r)-1(m)-1(i)-1(s)-1(s)-1(i)-1(o)-1(n)-1(s)-1( )-6(w)-1(i)-1(t)-1(h)-1( )-6(o)-1(u)-1(t)-1( )-5(h)-1(a)-1(v)-1(i)-1(n)-1(g)-1( )-6(t)-1(o)-1( )-6(c)-1(o)-1(n)-1(t)-1(a)-1(c)-1(t)-1( )-6(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 285.3848 400.8476 Tm
[(o)1(u)1( )-6(f)1(i)1(r)1(s)1(t)1(.)1( )-6(E)1(n)1(t)1(e)1(r)1( )-6(Y)1(e)1(s)1( )-6(o)1(r)1( )-6(N)1(o)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 389.2912 Tm
[(C)3(a)3(l)3(p)3(o)3(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
-157.345 8.381 76.68 9.12 re
W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3275 389.2912 Tm
[(M)1(i)1(n)1(o)1(r)1( )-6(E)1(m)1(e)1(r)1(g)1(e)1(n)1(c)1(y)1( )-6(A)1(i)1(d)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 422.3147 478.4408 Tm
[(4th )-6(Person )-6(Name, )-6(Relationship )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 422.3147 469.3607 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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124.655 -82.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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125.015 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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124.655 -21.019 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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260.375 -20.659 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 210.847 389.2912 Tm
[(O)1(u)1(t)1(i)1(n)1(g)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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5.255 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 301.4943 389.2912 Tm
[(P)2(h)2(o)2(t)2(o)2(g)2(r)2(a)2(p)2(h)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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11.255 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
11.615 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
90.335 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 327.9713 Tm
[(Doctor's )-6(Name )-5(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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5.255 104.021 m
5.255 70.061 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 313.6402 327.9713 Tm
[(Health )-6(Visitor )-6(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 70.421 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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23.015 104.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 103.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 104.141 m
260.375 70.061 l
S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 28.9131 294.953 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 65.0953 294.953 Tm
[(of )-6(following )-6(vaccinations )-6(had)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 28.9131 256.0385 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 65.0953 256.0385 Tm
[(o)-1(f)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(i)-1(l)-1(l)-1(n)-1(e)-1(s)-1(s)-1(e)-1(s)-1( )-6(h)-1(a)-1(d)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 244.3641 Tm
[(Chicken )-6(Pox)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 96.1634 244.3641 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 162.5188 244.3641 Tm
[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
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S
Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 222.9929 244.3641 Tm
[(R)1(u)1(b)1(e)1(l)1(l)1(a)1(/)1( )-6(G)1(e)1(r)1(m)1(a)1(n)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 222.9929 235.2841 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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10.895 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 313.6402 244.3641 Tm
[(W)-41(h)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 326.809 244.3641 Tm
[(o)3(o)3(p)3(i)3(n)3(g)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 313.6402 235.2841 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
73.295 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 198.8288 734.687 Tm
[(C)1(h)1(i)1(l)1(d)1( )-6(L)1(e)1(g)1(al)1( )-6(N)1(a)1(m)1(e)1( )-6(\()1(I)1(f)1( )-6(d)1(i)1(f)1(f)1(e)1(r)1(e)1(n)1(t)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
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101.615 -315.499 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 216.5344 Tm
[(R)2(e)2(l)2(i)2(g)2(i)2(o)2(n)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 216.5344 Tm
[(Ethnic )-5(Origin)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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22.535 205.781 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.175 206.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 160.8748 Tm
[(A)1(n)1(y)1( )-6(s)1(p)1(e)1(c)1(i)1(a)1(l)1( )-6(c)1(a)1(r)1(e)1(,)1( )-6(a)1(l)1(l)1(e)1(r)1(g)1(y)1(,)1( )-6(m)1(e)1(d)1(i)1(c)1(a)1(l)1( )-6(o)1(r)1( )-6(d)1(i)1(e)1(t)1(a)1(r)1(y)1( )-6(i)1(n)1(f)1(o)1(r)1(m)1(a)1(t)1(i)1(o)1(n)1( )-6(t)1(h)1(a)1(t)1( )-6(t)1(h)1(e)1( )-6(s)1(t)1(a)1(f)1(f)1( )-6(w)1(i)1(l)1(l)1( )-6(n)1(e)1(e)1(d)1( )-6(t)1(o)1( )-6(b)1(e)1( )-6(a)1(w)1(a)1(r)1(e)1( )-6(o)1(f)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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260.375 285.461 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 434.3329 244.3641 Tm
[(Convulsion/Fits )-6(Others)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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135.935 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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136.295 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
135.935 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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260.375 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 373.9865 244.3641 Tm
[(S)1(c)1(a)1(r)1(l)1(e)1(t)1( )-6(F)1(e)1(v)1(e)1(r)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
79.295 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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79.655 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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79.295 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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129.935 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 365.4708 Tm
[(P)-1(l)-1(a)-1(s)-1(t)-1(e)-1(r)-1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3275 365.4708 Tm
[(A)-2(n)-2(t)-2(i)-2(h)-2(i)-2(s)-2(t)-2(a)-2(m)-2(i)-2(n)-2(e)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 210.847 365.4708 Tm
[(S)3(u)3(n)3( )-6(C)3(r)3(e)3(a)3(m)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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5.255 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 301.4943 365.4708 Tm
[(N)5(a)5(p)5(p)5(y)5( )-6(C)5(r)5(e)5(a)5(m)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 32.261 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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11.615 54.581 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
11.255 54.221 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
90.335 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 398.1506 389.2912 Tm
[(H)2(a)2(i)2(r)2( )-6(C)2(h)2(e)2(c)2(k)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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101.975 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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102.335 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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101.975 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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181.055 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 398.1506 365.4708 Tm
[(Face )-6(Paint)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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101.975 32.261 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
102.335 54.581 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
181.055 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 404.1597 734.687 Tm
[(L)1(e)1(g)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(\()1(I)1(f)1( )-6(a)1(p)1(p)1(l)1(i)1(c)1(a)1(b)1(l)1(e)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
107.615 -343.459 m
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Q
q
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107.975 -315.499 m
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S
Q
q
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107.615 -315.859 m
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S
Q
q
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/CS0 CS 1 SCN
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260.375 -315.499 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 478.4408 Tm
[(1st )-6(Person )-6(Occupation)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 478.4408 Tm
[(2)1(n)1(d)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(O)1(c)1(c)1(u)1(p)1(a)1(t)1(i)1(o)1(n)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
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/CS0 CS 1 SCN
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118.655 -66.019 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 355.8315 606.5049 Tm
[(E)-5(m)-5(a)-5(i)-5(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
62.255 -213.019 m
260.735 -213.019 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
62.615 -185.059 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
62.255 -185.419 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 -185.059 m
260.375 -213.379 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 606.5049 Tm
[(Mother's )-6(Name)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 -196.339 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -196.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-102.505 -196.339 m
-102.505 -213.379 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 606.5049 Tm
[(F)-1(a)-1(t)-1(h)-1(e)-1(r)-1(')-1(s)-1( )-5(N)-1(a)-1(m)-1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.505 -213.019 m
56.615 -213.019 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.145 -196.339 m
-96.145 -213.379 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.505 -196.699 m
56.615 -196.699 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
56.255 -196.339 m
56.255 -213.379 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.6493 216.5344 Tm
[(C)1(o)1(l)1(l)1(e)1(c)1(t)1(i)1(o)1(n)1( )-6(P)1(a)1(s)1(s)1(w)1(o)1(r)1(d)1( )-6(\()1(I)1(f)1( )-6(c)1(h)1(i)1(l)1(d)1( )-6(m)1(a)1(y)1( )-6(b)1(e)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1(e)1(d)1( )-6(b)1(y)1( )-6(a)1(n)1(y)1(o)1(n)1(e)1( )-6(n)1(o)1(t)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.6493 207.4543 Tm
[(l)1(i)1(s)1(t)1(e)1(d)1( )-6(h)1(e)1(r)1(e)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.295 183.821 m
260.735 183.821 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.655 206.141 m
28.655 183.461 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.295 205.781 m
260.735 205.781 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 206.141 m
260.375 183.461 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 188.7046 Tm
[(F)1(i)1(r)1(s)1(t)1( )-6(L)1(a)1(n)1(g)1(u)1(a)1(g)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 212.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 234.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 234.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
-95.065 212.501 121.2 9.12 re
W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 188.7046 Tm
[(A)-1(n)-1(y)-1( )-5(S)-1(p)-1(e)-1(c)-1(i)-1(a)-1(l)-1( )-6(E)-1(q)-1(u)-1(i)-1(p)-1(m)-1(e)-1(n)-1(t)-1( )-6(o)-1(r)-1( )-6(A)-1(c)-1(c)-1(e)-1(s)-1(s)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
84.575 234.461 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 28.9131 345.4239 Tm
[(\()1(F)1(o)1(r)1( )-6(a)1(n)1(y)1( )-6(f)1(u)1(r)1(t)1(h)1(e)1(r)1( )-6(p)1(r)1(e)1(s)1(c)1(r)1(i)1(b)1(ed)1( )-6(m)1(e)1(d)1(i)1(c)1(i)1(n)1(e)1(s)1( )-6(e)1(t)1(c)1(,)1( )-6(y)1(o)1(u)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(s)1(k)1(e)1(d)1( )-6(t)1(o)1( )-6(s)1(i)1(g)1(n)1( )-6(a)1( )-6(s)1(e)1(p)1(a)1(r)1(a)1(t)1(e)1( )-6(co)1(n)1(s)1(e)1(n)1(t)1( )-6(f)1(o)1(r)1(m)1( )-6(f)1(o)1(r)1( )-6(e)1(a)1(c)1(h)1( )-6(r)1(e)1(q)1(u)1(e)1(s)1(t)1(\))]TJ
ET
BT
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[(\()1(I)1(t)1( )-6(i)1(s)1( )-6(a)1(s)1(s)1(u)1(m)1(e)1(d)1( )-6(t)1(h)1(a)1(t)1( )-6(a)1(n)1(y)1( )-6(o)1(f)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(n)1(a)1(m)1(e)1(d)1( )-6(p)1(e)1(r)1(s)1(o)1(n)1(s)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(l)1(l)1(o)1(w)1(e)1(d)1( )-6(t)1(o)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1( )-6(y)1(o)1(u)1(r)1( )-6(c)1(h)1(i)1(l)1(d)1(\))]TJ
ET
BT
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ET
BT
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Q
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BT
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[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
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Q
BT
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[(M)1(u)1(m)1(p)1(s)]TJ
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Q
BT
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[(R)2(u)2(b)2(e)2(l)2(l)2(a)]TJ
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Q
q
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Q
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BT
/TT1 1 Tf
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[(M)6(M)6(R)6( )-6(3)6( )-6(i)6(n)6( )-6(1)]TJ
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q
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S
Q
q
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S
Q
BT
/TT1 1 Tf
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(HIB)Tj
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
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S
Q
BT
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[(P)-1(o)-1(l)-1(i)-1(o)]TJ
ET
q
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Q
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Q
q
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S
Q
q
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S
Q
BT
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[(T)1(e)1(t)1(a)1(n)1(u)1(s)]TJ
ET
q
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q
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S
Q
q
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S
Q
q
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S
Q
BT
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[(D)2(i)2(p)2(t)2(h)2(e)2(r)2(i)2(a)]TJ
ET
q
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q
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Q
q
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S
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q
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S
Q
BT
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[(M)7(e)7(n)7( )-6(C)]TJ
ET
q
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S
Q
q
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S
Q
q
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Q
q
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S
Q
BT
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[(W)-41(/)]TJ
ET
BT
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[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
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S
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BT
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[(P)-2(n)-2(')-2(c)-2(o)-2(c)-2(c)-2(a)-2(l)]TJ
ET
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S
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q
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S
Q
q
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S
Q
q
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S
Q
BT
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[(N)2(a)2(m)2(e)2( )-6(a)2(n)2(y)2( )-6(o)2(t)2(h)2(e)2(r)2( )-6(a)2(g)2(e)2(n)2(c)2(i)2(e)2(s)2( )-6(i)2(n)2(v)2(o)2(l)2(v)2(e)2(d)2( )-6(w)2(i)2(t)2(h)2( )-6(t)2(h)2(e)2( )-6(c)2(h)2(i)2(l)2(d)]TJ
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Q
q
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Q
q
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Q
q
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Q
q
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BT
/TT1 1 Tf
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[(D)1(o)1(e)1(s)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(h)1(a)1(v)1(e)1( )-6(P)1(a)1(r)1(e)1(n)1(t)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(Y)1(e)1(s)1(/)1(N)1(o)]TJ
ET
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Q
q
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Q
BT
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[(D)2(o)2(e)2(s)2( )-6(t)1(h)2(e)2( )-6(a)2(b)2(o)2(v)2(e)2( )-6(h)1(a)2(v)2(e)2( )-6(P)2(a)2(r)2(e)2(n)2(t)1(a)2(l)2( )-6(R)2(e)2(s)2(p)2(o)2(n)2(s)2(i)1(b)2(i)2(l)2(i)2(t)2(y)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 526.907 Tm
[(Y)-2(e)-2(s)-2(/)-2(N)-2(o)]TJ
ET
q
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S
Q
EMC
/PlacedPDF /MC3 BDC
Q
Q
Q
q
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BT
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[(1)-1(s)-1(t)-1( )-6(P)-1(e)-1(r)-1(s)-1(o)-1(n)]TJ
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BT
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[(Who )-6(first )-6(to )-6(contact )-6(in )-6(emergency)]TJ
ET
BT
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[(& )-6(Relationship )-6(to )-6(child )]TJ
ET
BT
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[(2)2(n)2(d)2( )-6(P)1(e)2(r)2(s)2(o)2(n)]TJ
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[(3)1(r)1(d)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(N)1(a)1(m)1(e)1(,)1( )-6(R)1(e)1(l)1(a)1(t)1(i)1(o)1(n)1(s)1(h)1(i)1(p)1( )-6(&)]TJ
ET
BT
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[(P)2(h)2(o)2(n)2(e)]TJ
ET
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[(o)4(r)4(k)]TJ
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[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
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[(ork )-6(Place )-6(& )-6(Hours )-6(of )-6(W)]TJ
ET
BT
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[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
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[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
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[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
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[(1)1(s)1(t)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(M)1(o)1(b)1(i)1(l)1(e)]TJ
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[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
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[(o)2(r)2(k)2( )-6(M)2(o)2(b)2(i)2(l)2(e)]TJ
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[(A)51(l)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -17.4713 400.8476 Tm
[(l)-1(o)-1(w)-1(e)-1(d)-1( )-6(t)-1(h)-1(e)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(p)-1(e)-1(r)-1(m)-1(i)-1(s)-1(s)-1(i)-1(o)-1(n)-1(s)-1( )-6(w)-1(i)-1(t)-1(h)-1( )-6(o)-1(u)-1(t)-1( )-5(h)-1(a)-1(v)-1(i)-1(n)-1(g)-1( )-6(t)-1(o)-1( )-6(c)-1(o)-1(n)-1(t)-1(a)-1(c)-1(t)-1( )-6(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 230.8179 400.8476 Tm
[(o)1(u)1( )-6(f)1(i)1(r)1(s)1(t)1(.)1( )-6(E)1(n)1(t)1(e)1(r)1( )-6(Y)1(e)1(s)1( )-6(o)1(r)1( )-6(N)1(o)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -24.8867 389.2912 Tm
[(C)3(a)3(l)3(p)3(o)3(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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W n
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BT
/TT1 1 Tf
8.5661 0 0 7.9008 65.7606 389.2912 Tm
[(M)1(i)1(n)1(o)1(r)1( )-6(E)1(m)1(e)1(r)1(g)1(e)1(n)1(c)1(y)1( )-6(A)1(i)1(d)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 367.7478 478.4408 Tm
[(4th )-6(Person )-6(Name, )-6(Relationship )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 367.7478 469.3607 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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124.655 -82.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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260.375 -20.659 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 156.28 389.2912 Tm
[(O)1(u)1(t)1(i)1(n)1(g)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
BT
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8.5661 0 0 7.9008 246.9273 389.2912 Tm
[(P)2(h)2(o)2(t)2(o)2(g)2(r)2(a)2(p)2(h)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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90.335 30.341 m
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S
Q
BT
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8.5661 0 0 7.9008 -24.8867 327.9713 Tm
[(Doctor's )-6(Name )-5(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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5.255 104.021 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 259.0733 327.9713 Tm
[(Health )-6(Visitor )-6(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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22.655 70.421 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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23.015 104.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
22.655 103.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 104.141 m
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S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -25.6539 294.953 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 10.5284 294.953 Tm
[(of )-6(following )-6(vaccinations )-6(had)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -25.6539 256.0385 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 10.5284 256.0385 Tm
[(o)-1(f)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(i)-1(l)-1(l)-1(n)-1(e)-1(s)-1(s)-1(e)-1(s)-1( )-6(h)-1(a)-1(d)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -24.8867 244.3641 Tm
[(Chicken )-6(Pox)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 41.5965 244.3641 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 107.9518 244.3641 Tm
[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 168.426 244.3641 Tm
[(R)1(u)1(b)1(e)1(l)1(l)1(a)1(/)1( )-6(G)1(e)1(r)1(m)1(a)1(n)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 168.426 235.2841 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
10.895 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 259.0733 244.3641 Tm
[(W)-41(h)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 272.2421 244.3641 Tm
[(o)3(o)3(p)3(i)3(n)3(g)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 259.0733 235.2841 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 155.501 m
73.655 155.501 l
S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
23.015 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
73.295 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 144.2619 734.687 Tm
[(C)1(h)1(i)1(l)1(d)1( )-6(L)1(e)1(g)1(al)1( )-6(N)1(a)1(m)1(e)1( )-6(\()1(I)1(f)1( )-6(d)1(i)1(f)1(f)1(e)1(r)1(e)1(n)1(t)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
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101.615 -315.499 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -24.8867 216.5344 Tm
[(R)2(e)2(l)2(i)2(g)2(i)2(o)2(n)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 132.1159 216.5344 Tm
[(Ethnic )-5(Origin)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.175 206.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
-242.425 240.821 330.84 9.12 re
W n
0.9385885 0 0 -1.0176081 -219.0680282 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -24.8867 160.8748 Tm
[(A)1(n)1(y)1( )-6(s)1(p)1(e)1(c)1(i)1(a)1(l)1( )-6(c)1(a)1(r)1(e)1(,)1( )-6(a)1(l)1(l)1(e)1(r)1(g)1(y)1(,)1( )-6(m)1(e)1(d)1(i)1(c)1(a)1(l)1( )-6(o)1(r)1( )-6(d)1(i)1(e)1(t)1(a)1(r)1(y)1( )-6(i)1(n)1(f)1(o)1(r)1(m)1(a)1(t)1(i)1(o)1(n)1( )-6(t)1(h)1(a)1(t)1( )-6(t)1(h)1(e)1( )-6(s)1(t)1(a)1(f)1(f)1( )-6(w)1(i)1(l)1(l)1( )-6(n)1(e)1(e)1(d)1( )-6(t)1(o)1( )-6(b)1(e)1( )-6(a)1(w)1(a)1(r)1(e)1( )-6(o)1(f)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
260.375 285.461 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 379.7659 244.3641 Tm
[(Convulsion/Fits )-6(Others)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
135.935 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
136.295 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
135.935 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
260.375 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.4196 244.3641 Tm
[(S)1(c)1(a)1(r)1(l)1(e)1(t)1( )-6(F)1(e)1(v)1(e)1(r)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
79.295 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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79.655 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
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0.72 w 10 M
79.295 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
129.935 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -24.8867 365.4708 Tm
[(P)-1(l)-1(a)-1(s)-1(t)-1(e)-1(r)-1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 233.4015808 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
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[(F)-1(a)-1(t)-1(h)-1(e)-1(r)-1(')-1(s)-1( )-5(N)-1(a)-1(m)-1(e)]TJ
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[(C)1(o)1(l)1(l)1(e)1(c)1(t)1(i)1(o)1(n)1( )-6(P)1(a)1(s)1(s)1(w)1(o)1(r)1(d)1( )-6(\()1(I)1(f)1( )-6(c)1(h)1(i)1(l)1(d)1( )-6(m)1(a)1(y)1( )-6(b)1(e)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1(e)1(d)1( )-6(b)1(y)1( )-6(a)1(n)1(y)1(o)1(n)1(e)1( )-6(n)1(o)1(t)]TJ
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[(l)1(i)1(s)1(t)1(e)1(d)1( )-6(h)1(e)1(r)1(e)1(\))]TJ
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BT
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[(D)1(o)1(e)1(s)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(h)1(a)1(v)1(e)1( )-6(P)1(a)1(r)1(e)1(n)1(t)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(Y)1(e)1(s)1(/)1(N)1(o)]TJ
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BT
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[(Home )-6(Address)]TJ
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BT
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[(Parents/Guardian )-6(preferred )-6('Known )-6(As' )-6(name/s )-6(e.g. )-6(Mary )-6(and )-6(Bill )-6(Smith/ )-6(Mr )-6(& )-6(Mrs )-6(Smith )-6(etc)]TJ
ET
q
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Q
BT
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[(1)-1(s)-1(t)-1( )-6(P)-1(e)-1(r)-1(s)-1(o)-1(n)]TJ
ET
q
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Q
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S
Q
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S
Q
q
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S
Q
BT
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[(Who )-6(first )-6(to )-6(contact )-6(in )-6(emergency)]TJ
ET
BT
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[(& )-6(Relationship )-6(to )-6(child )]TJ
ET
BT
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[(2)2(n)2(d)2( )-6(P)1(e)2(r)2(s)2(o)2(n)]TJ
ET
q
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S
Q
BT
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[(3)1(r)1(d)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(N)1(a)1(m)1(e)1(,)1( )-6(R)1(e)1(l)1(a)1(t)1(i)1(o)1(n)1(s)1(h)1(i)1(p)1( )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 422.3147 558.3924 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
124.655 -173.299 m
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S
Q
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S
Q
q
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124.655 -88.939 m
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S
Q
q
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S
Q
BT
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[(1st )-6(Person )-6(W)]TJ
ET
BT
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8.5661 0 0 7.9008 81.5882 511.813 Tm
[(ork )-6(Place )-6(& )-6(Hours )-6(of )-6(W)]TJ
ET
BT
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[(o)4(r)4(k)]TJ
ET
q
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S
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S
Q
BT
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[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.7318 511.813 Tm
[(ork )-6(Place )-6(& )-6(Hours )-6(of )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 379.3563 511.813 Tm
[(o)4(r)4(k)]TJ
ET
q
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S
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S
Q
BT
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8.5661 0 0 7.9008 29.6802 456.0355 Tm
[(1st )-6(Person )-6(W)]TJ
ET
BT
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8.5661 0 0 7.9008 81.5882 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
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S
Q
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S
Q
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S
Q
BT
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8.5661 0 0 7.9008 235.1389 456.0355 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.7318 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
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S
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118.655 -43.219 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 433.866 Tm
[(1)1(s)1(t)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(M)1(o)1(b)1(i)1(l)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 433.866 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.7318 433.866 Tm
[(o)2(r)2(k)2( )-6(M)2(o)2(b)2(i)2(l)2(e)]TJ
ET
q
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0.72 w 10 M
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S
Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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118.655 -20.659 m
118.655 -37.699 l
S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 28.9131 400.8476 Tm
[(A)51(l)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 37.0956 400.8476 Tm
[(l)-1(o)-1(w)-1(e)-1(d)-1( )-6(t)-1(h)-1(e)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(p)-1(e)-1(r)-1(m)-1(i)-1(s)-1(s)-1(i)-1(o)-1(n)-1(s)-1( )-6(w)-1(i)-1(t)-1(h)-1( )-6(o)-1(u)-1(t)-1( )-5(h)-1(a)-1(v)-1(i)-1(n)-1(g)-1( )-6(t)-1(o)-1( )-6(c)-1(o)-1(n)-1(t)-1(a)-1(c)-1(t)-1( )-6(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 285.3848 400.8476 Tm
[(o)1(u)1( )-6(f)1(i)1(r)1(s)1(t)1(.)1( )-6(E)1(n)1(t)1(e)1(r)1( )-6(Y)1(e)1(s)1( )-6(o)1(r)1( )-6(N)1(o)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 389.2912 Tm
[(C)3(a)3(l)3(p)3(o)3(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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-243.505 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
-157.345 8.381 76.68 9.12 re
W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3275 389.2912 Tm
[(M)1(i)1(n)1(o)1(r)1( )-6(E)1(m)1(e)1(r)1(g)1(e)1(n)1(c)1(y)1( )-6(A)1(i)1(d)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
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q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 422.3147 478.4408 Tm
[(4th )-6(Person )-6(Name, )-6(Relationship )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 422.3147 469.3607 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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124.655 -82.699 m
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S
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S
Q
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124.655 -21.019 m
260.735 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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260.375 -20.659 m
260.375 -83.059 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 210.847 389.2912 Tm
[(O)1(u)1(t)1(i)1(n)1(g)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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5.615 8.021 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
5.255 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 301.4943 389.2912 Tm
[(P)2(h)2(o)2(t)2(o)2(g)2(r)2(a)2(p)2(h)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 8.021 m
90.695 8.021 l
S
Q
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ET
BT
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[(of )-6(following )-6(vaccinations )-6(had)]TJ
ET
BT
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8.5661 0 0 7.9008 28.9131 256.0385 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
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BT
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[(o)-1(f)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(i)-1(l)-1(l)-1(n)-1(e)-1(s)-1(s)-1(e)-1(s)-1( )-6(h)-1(a)-1(d)]TJ
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ET
BT
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BT
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[(W)-41(h)]TJ
ET
BT
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[(o)3(o)3(p)3(i)3(n)3(g)]TJ
ET
BT
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[(C)4(o)4(u)4(g)4(h)]TJ
ET
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[(C)1(h)1(i)1(l)1(d)1( )-6(L)1(e)1(g)1(al)1( )-6(N)1(a)1(m)1(e)1( )-6(\()1(I)1(f)1( )-6(d)1(i)1(f)1(f)1(e)1(r)1(e)1(n)1(t)1(\))]TJ
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BT
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[(R)2(e)2(l)2(i)2(g)2(i)2(o)2(n)]TJ
ET
q
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BT
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q
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Q
q
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BT
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[(A)1(n)1(y)1( )-6(s)1(p)1(e)1(c)1(i)1(a)1(l)1( )-6(c)1(a)1(r)1(e)1(,)1( )-6(a)1(l)1(l)1(e)1(r)1(g)1(y)1(,)1( )-6(m)1(e)1(d)1(i)1(c)1(a)1(l)1( )-6(o)1(r)1( )-6(d)1(i)1(e)1(t)1(a)1(r)1(y)1( )-6(i)1(n)1(f)1(o)1(r)1(m)1(a)1(t)1(i)1(o)1(n)1( )-6(t)1(h)1(a)1(t)1( )-6(t)1(h)1(e)1( )-6(s)1(t)1(a)1(f)1(f)1( )-6(w)1(i)1(l)1(l)1( )-6(n)1(e)1(e)1(d)1( )-6(t)1(o)1( )-6(b)1(e)1( )-6(a)1(w)1(a)1(r)1(e)1( )-6(o)1(f)]TJ
ET
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S
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BT
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[(Convulsion/Fits )-6(Others)]TJ
ET
q
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S
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BT
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[(S)1(c)1(a)1(r)1(l)1(e)1(t)1( )-6(F)1(e)1(v)1(e)1(r)]TJ
ET
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BT
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[(P)-1(l)-1(a)-1(s)-1(t)-1(e)-1(r)-1(s)]TJ
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BT
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[(A)-2(n)-2(t)-2(i)-2(h)-2(i)-2(s)-2(t)-2(a)-2(m)-2(i)-2(n)-2(e)]TJ
ET
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q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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q
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BT
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[(S)3(u)3(n)3( )-6(C)3(r)3(e)3(a)3(m)]TJ
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BT
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[(N)5(a)5(p)5(p)5(y)5( )-6(C)5(r)5(e)5(a)5(m)]TJ
ET
q
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S
Q
BT
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[(H)2(a)2(i)2(r)2( )-6(C)2(h)2(e)2(c)2(k)]TJ
ET
q
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BT
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[(Face )-6(Paint)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
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[(L)1(e)1(g)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(\()1(I)1(f)1( )-6(a)1(p)1(p)1(l)1(i)1(c)1(a)1(b)1(l)1(e)1(\))]TJ
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
BT
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[(2)1(n)1(d)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(O)1(c)1(c)1(u)1(p)1(a)1(t)1(i)1(o)1(n)]TJ
ET
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
BT
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[(E)-5(m)-5(a)-5(i)-5(l)]TJ
ET
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S
Q
BT
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8.5661 0 0 7.9008 29.6802 606.5049 Tm
[(Mother's )-6(Name)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 606.5049 Tm
[(F)-1(a)-1(t)-1(h)-1(e)-1(r)-1(')-1(s)-1( )-5(N)-1(a)-1(m)-1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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56.255 -196.339 m
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S
Q
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/TT1 1 Tf
8.5661 0 0 7.9008 319.6493 216.5344 Tm
[(C)1(o)1(l)1(l)1(e)1(c)1(t)1(i)1(o)1(n)1( )-6(P)1(a)1(s)1(s)1(w)1(o)1(r)1(d)1( )-6(\()1(I)1(f)1( )-6(c)1(h)1(i)1(l)1(d)1( )-6(m)1(a)1(y)1( )-6(b)1(e)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1(e)1(d)1( )-6(b)1(y)1( )-6(a)1(n)1(y)1(o)1(n)1(e)1( )-6(n)1(o)1(t)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.6493 207.4543 Tm
[(l)1(i)1(s)1(t)1(e)1(d)1( )-6(h)1(e)1(r)1(e)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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28.295 205.781 m
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
BT
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[(F)1(i)1(r)1(s)1(t)1( )-6(L)1(a)1(n)1(g)1(u)1(a)1(g)1(e)]TJ
ET
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 188.7046 Tm
[(A)-1(n)-1(y)-1( )-5(S)-1(p)-1(e)-1(c)-1(i)-1(a)-1(l)-1( )-6(E)-1(q)-1(u)-1(i)-1(p)-1(m)-1(e)-1(n)-1(t)-1( )-6(o)-1(r)-1( )-6(A)-1(c)-1(c)-1(e)-1(s)-1(s)]TJ
ET
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
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1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
BT
/TT1 1 Tf
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[(\()1(F)1(o)1(r)1( )-6(a)1(n)1(y)1( )-6(f)1(u)1(r)1(t)1(h)1(e)1(r)1( )-6(p)1(r)1(e)1(s)1(c)1(r)1(i)1(b)1(ed)1( )-6(m)1(e)1(d)1(i)1(c)1(i)1(n)1(e)1(s)1( )-6(e)1(t)1(c)1(,)1( )-6(y)1(o)1(u)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(s)1(k)1(e)1(d)1( )-6(t)1(o)1( )-6(s)1(i)1(g)1(n)1( )-6(a)1( )-6(s)1(e)1(p)1(a)1(r)1(a)1(t)1(e)1( )-6(co)1(n)1(s)1(e)1(n)1(t)1( )-6(f)1(o)1(r)1(m)1( )-6(f)1(o)1(r)1( )-6(e)1(a)1(c)1(h)1( )-6(r)1(e)1(q)1(u)1(e)1(s)1(t)1(\))]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 28.9131 417.8285 Tm
[(\()1(I)1(t)1( )-6(i)1(s)1( )-6(a)1(s)1(s)1(u)1(m)1(e)1(d)1( )-6(t)1(h)1(a)1(t)1( )-6(a)1(n)1(y)1( )-6(o)1(f)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(n)1(a)1(m)1(e)1(d)1( )-6(p)1(e)1(r)1(s)1(o)1(n)1(s)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(l)1(l)1(o)1(w)1(e)1(d)1( )-6(t)1(o)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1( )-6(y)1(o)1(u)1(r)1( )-6(c)1(h)1(i)1(l)1(d)1(\))]TJ
ET
BT
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[(P)1(r)1(e)1(f)1(e)1(r)1(r)1(e)1(d)1( )-6(D)1(r)1(i)1(n)1(k)1(s)1( )-6(M)1(i)1(l)1(k)1(,)1( )-6(J)1(u)1(i)1(c)1(e)1( )-6(a)1(n)1(d)1( )-6(W)]TJ
ET
BT
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[(a)1(t)1(e)1(r)]TJ
ET
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BT
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ET
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Q
BT
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[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
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Q
q
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S
Q
BT
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[(M)1(u)1(m)1(p)1(s)]TJ
ET
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Q
BT
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[(R)2(u)2(b)2(e)2(l)2(l)2(a)]TJ
ET
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
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BT
/TT1 1 Tf
8.5661 0 0 7.9008 174.6647 283.3966 Tm
[(M)6(M)6(R)6( )-6(3)6( )-6(i)6(n)6( )-6(1)]TJ
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Q
q
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S
Q
BT
/TT1 1 Tf
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(HIB)Tj
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-57.145 -145.339 m
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S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -85.8901 579.1468 Tm
[(Who )-6(first )-6(to )-6(contact )-6(in )-6(emergency)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 54.3639 579.1468 Tm
[(& )-6(Relationship )-6(to )-6(child )]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3358 567.4725 Tm
[(2)2(n)2(d)2( )-6(P)1(e)2(r)2(s)2(o)2(n)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -173.299 m
119.015 -173.299 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-50.665 -145.339 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -145.699 m
119.015 -145.699 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -145.339 m
118.655 -173.659 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 307.5116 567.4725 Tm
[(3)1(r)1(d)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(N)1(a)1(m)1(e)1(,)1( )-6(R)1(e)1(l)1(a)1(t)1(i)1(o)1(n)1(s)1(h)1(i)1(p)1( )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 307.5116 558.3924 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
124.655 -173.299 m
260.735 -173.299 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
125.015 -88.579 m
125.015 -173.659 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
124.655 -88.939 m
260.735 -88.939 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 -88.579 m
260.375 -173.659 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 511.813 Tm
[(1st )-6(Person )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -33.2149 511.813 Tm
[(ork )-6(Place )-6(& )-6(Hours )-6(of )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 56.4096 511.813 Tm
[(o)4(r)4(k)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -116.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 -88.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -89.059 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-57.145 -88.699 m
-57.145 -117.019 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3358 511.813 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 174.9287 511.813 Tm
[(ork )-6(Place )-6(& )-6(Hours )-6(of )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 264.5532 511.813 Tm
[(o)4(r)4(k)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -116.659 m
119.015 -116.659 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-50.665 -88.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -89.059 m
119.015 -89.059 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -88.699 m
118.655 -117.019 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 456.0355 Tm
[(1st )-6(Person )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -33.2149 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -59.899 m
-56.785 -59.899 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 -43.219 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -43.579 m
-56.785 -43.579 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-57.145 -43.219 m
-57.145 -60.259 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3358 456.0355 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 174.9287 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -59.899 m
119.015 -59.899 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-50.665 -43.219 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -43.579 m
119.015 -43.579 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -43.219 m
118.655 -60.259 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 433.866 Tm
[(1)1(s)1(t)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(M)1(o)1(b)1(i)1(l)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -37.339 m
-56.785 -37.339 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 -20.659 m
-243.505 -37.699 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -21.019 m
-56.785 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-57.145 -20.659 m
-57.145 -37.699 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3358 433.866 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 174.9287 433.866 Tm
[(o)2(r)2(k)2( )-6(M)2(o)2(b)2(i)2(l)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -37.339 m
119.015 -37.339 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-50.665 -20.659 m
-50.665 -37.699 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -21.019 m
119.015 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -20.659 m
118.655 -37.699 l
S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -85.8901 400.8476 Tm
[(A)51(l)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -77.7075 400.8476 Tm
[(l)-1(o)-1(w)-1(e)-1(d)-1( )-6(t)-1(h)-1(e)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(p)-1(e)-1(r)-1(m)-1(i)-1(s)-1(s)-1(i)-1(o)-1(n)-1(s)-1( )-6(w)-1(i)-1(t)-1(h)-1( )-6(o)-1(u)-1(t)-1( )-5(h)-1(a)-1(v)-1(i)-1(n)-1(g)-1( )-6(t)-1(o)-1( )-6(c)-1(o)-1(n)-1(t)-1(a)-1(c)-1(t)-1( )-6(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 170.5817 400.8476 Tm
[(o)1(u)1( )-6(f)1(i)1(r)1(s)1(t)1(.)1( )-6(E)1(n)1(t)1(e)1(r)1( )-6(Y)1(e)1(s)1( )-6(o)1(r)1( )-6(N)1(o)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 389.2912 Tm
[(C)3(a)3(l)3(p)3(o)3(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 8.021 m
-164.425 8.021 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 30.341 m
-243.505 7.661 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 29.981 m
-164.425 29.981 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-164.785 30.341 m
-164.785 7.661 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
-157.345 8.381 76.68 9.12 re
W n
0.9385885 0 0 -1.0176081 -162.5310065 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 5.5244 389.2912 Tm
[(M)1(i)1(n)1(o)1(r)1( )-6(E)1(m)1(e)1(r)1(g)1(e)1(n)1(c)1(y)1( )-6(A)1(i)1(d)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-158.785 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-158.425 30.341 m
-158.425 7.661 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-158.785 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-79.705 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 307.5116 478.4408 Tm
[(4th )-6(Person )-6(Name, )-6(Relationship )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 307.5116 469.3607 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
124.655 -82.699 m
260.735 -82.699 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
125.015 -20.659 m
125.015 -83.059 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
124.655 -21.019 m
260.735 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 -20.659 m
260.375 -83.059 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 96.0438 389.2912 Tm
[(O)1(u)1(t)1(i)1(n)1(g)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-73.825 8.021 m
5.615 8.021 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-73.465 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-73.825 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
5.255 30.341 m
5.255 7.661 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6911 389.2912 Tm
[(P)2(h)2(o)2(t)2(o)2(g)2(r)2(a)2(p)2(h)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 8.021 m
90.695 8.021 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.615 30.341 m
11.615 7.661 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 29.981 m
90.695 29.981 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
90.335 30.341 m
90.335 7.661 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 327.9713 Tm
[(Doctor's )-6(Name )-5(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 70.421 m
5.615 70.421 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 104.021 m
-243.505 70.061 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 103.661 m
5.615 103.661 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
5.255 104.021 m
5.255 70.061 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 198.8371 327.9713 Tm
[(Health )-6(Visitor )-6(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 70.421 m
260.735 70.421 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
23.015 104.141 m
23.015 70.061 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 103.781 m
260.735 103.781 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 104.141 m
260.375 70.061 l
S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -85.8901 294.953 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -49.7079 294.953 Tm
[(of )-6(following )-6(vaccinations )-6(had)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -85.8901 256.0385 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 -49.7079 256.0385 Tm
[(o)-1(f)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(i)-1(l)-1(l)-1(n)-1(e)-1(s)-1(s)-1(e)-1(s)-1( )-6(h)-1(a)-1(d)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 244.3641 Tm
[(Chicken )-6(Pox)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 155.501 m
-192.865 155.501 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-193.225 177.821 m
-193.225 155.141 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -18.6397 244.3641 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-181.465 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-181.105 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-181.465 177.461 m
-130.465 177.461 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-130.825 177.821 m
-130.825 155.141 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 47.7156 244.3641 Tm
[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-119.185 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-118.825 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
-119.185 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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-68.545 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 108.1898 244.3641 Tm
[(R)1(u)1(b)1(e)1(l)1(l)1(a)1(/)1( )-6(G)1(e)1(r)1(m)1(a)1(n)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 108.1898 235.2841 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
10.895 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 198.8371 244.3641 Tm
[(W)-41(h)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 212.0059 244.3641 Tm
[(o)3(o)3(p)3(i)3(n)3(g)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 198.8371 235.2841 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 155.501 m
73.655 155.501 l
S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
23.015 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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22.655 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
73.295 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 84.0257 734.687 Tm
[(C)1(h)1(i)1(l)1(d)1( )-6(L)1(e)1(g)1(al)1( )-6(N)1(a)1(m)1(e)1( )-6(\()1(I)1(f)1( )-6(d)1(i)1(f)1(f)1(e)1(r)1(e)1(n)1(t)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 216.5344 Tm
[(R)2(e)2(l)2(i)2(g)2(i)2(o)2(n)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
-243.865 183.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 71.8797 216.5344 Tm
[(Ethnic )-5(Origin)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.9385885 0 0 -1.0176081 -162.5310065 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 160.8748 Tm
[(A)1(n)1(y)1( )-6(s)1(p)1(e)1(c)1(i)1(a)1(l)1( )-6(c)1(a)1(r)1(e)1(,)1( )-6(a)1(l)1(l)1(e)1(r)1(g)1(y)1(,)1( )-6(m)1(e)1(d)1(i)1(c)1(a)1(l)1( )-6(o)1(r)1( )-6(d)1(i)1(e)1(t)1(a)1(r)1(y)1( )-6(i)1(n)1(f)1(o)1(r)1(m)1(a)1(t)1(i)1(o)1(n)1( )-6(t)1(h)1(a)1(t)1( )-6(t)1(h)1(e)1( )-6(s)1(t)1(a)1(f)1(f)1( )-6(w)1(i)1(l)1(l)1( )-6(n)1(e)1(e)1(d)1( )-6(t)1(o)1( )-6(b)1(e)1( )-6(a)1(w)1(a)1(r)1(e)1( )-6(o)1(f)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.5297 244.3641 Tm
[(Convulsion/Fits )-6(Others)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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135.935 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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136.295 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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135.935 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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260.375 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 259.1834 244.3641 Tm
[(S)1(c)1(a)1(r)1(l)1(e)1(t)1( )-6(F)1(e)1(v)1(e)1(r)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
79.295 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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79.655 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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129.935 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 365.4708 Tm
[(P)-1(l)-1(a)-1(s)-1(t)-1(e)-1(r)-1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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W n
0.9385885 0 0 -1.0176081 -162.5310065 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 5.5244 365.4708 Tm
[(A)-2(n)-2(t)-2(i)-2(h)-2(i)-2(s)-2(t)-2(a)-2(m)-2(i)-2(n)-2(e)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-158.785 32.261 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 96.0438 365.4708 Tm
[(S)3(u)3(n)3( )-6(C)3(r)3(e)3(a)3(m)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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5.255 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6911 365.4708 Tm
[(N)5(a)5(p)5(p)5(y)5( )-6(C)5(r)5(e)5(a)5(m)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 32.261 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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11.615 54.581 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
90.335 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 283.3475 389.2912 Tm
[(H)2(a)2(i)2(r)2( )-6(C)2(h)2(e)2(c)2(k)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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101.975 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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181.055 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 283.3475 365.4708 Tm
[(Face )-6(Paint)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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101.975 32.261 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
181.055 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.3565 734.687 Tm
[(L)1(e)1(g)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(\()1(I)1(f)1( )-6(a)1(p)1(p)1(l)1(i)1(c)1(a)1(b)1(l)1(e)1(\))]TJ
ET
q
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107.615 -343.459 m
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q
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Q
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S
Q
BT
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[(1st )-6(Person )-6(Occupation)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3358 478.4408 Tm
[(2)1(n)1(d)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(O)1(c)1(c)1(u)1(p)1(a)1(t)1(i)1(o)1(n)]TJ
ET
q
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Q
q
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S
Q
q
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S
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q
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 241.0284 606.5049 Tm
[(E)-5(m)-5(a)-5(i)-5(l)]TJ
ET
q
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S
Q
q
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S
Q
q
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S
Q
q
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.123 606.5049 Tm
[(Mother's )-6(Name)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
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S
Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 71.8797 606.5049 Tm
[(F)-1(a)-1(t)-1(h)-1(e)-1(r)-1(')-1(s)-1( )-5(N)-1(a)-1(m)-1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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56.255 -196.339 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 204.8462 216.5344 Tm
[(C)1(o)1(l)1(l)1(e)1(c)1(t)1(i)1(o)1(n)1( )-6(P)1(a)1(s)1(s)1(w)1(o)1(r)1(d)1( )-6(\()1(I)1(f)1( )-6(c)1(h)1(i)1(l)1(d)1( )-6(m)1(a)1(y)1( )-6(b)1(e)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1(e)1(d)1( )-6(b)1(y)1( )-6(a)1(n)1(y)1(o)1(n)1(e)1( )-6(n)1(o)1(t)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 204.8462 207.4543 Tm
[(l)1(i)1(s)1(t)1(e)1(d)1( )-6(h)1(e)1(r)1(e)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.295 183.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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28.655 206.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.295 205.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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260.375 206.141 m
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S
Q
BT
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8.5661 0 0 7.9008 -85.123 188.7046 Tm
[(F)1(i)1(r)1(s)1(t)1( )-6(L)1(a)1(n)1(g)1(u)1(a)1(g)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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W n
0.9385885 0 0 -1.0176081 -162.5310065 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 71.8797 188.7046 Tm
[(A)-1(n)-1(y)-1( )-5(S)-1(p)-1(e)-1(c)-1(i)-1(a)-1(l)-1( )-6(E)-1(q)-1(u)-1(i)-1(p)-1(m)-1(e)-1(n)-1(t)-1( )-6(o)-1(r)-1( )-6(A)-1(c)-1(c)-1(e)-1(s)-1(s)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.8901 345.4239 Tm
[(\()1(F)1(o)1(r)1( )-6(a)1(n)1(y)1( )-6(f)1(u)1(r)1(t)1(h)1(e)1(r)1( )-6(p)1(r)1(e)1(s)1(c)1(r)1(i)1(b)1(ed)1( )-6(m)1(e)1(d)1(i)1(c)1(i)1(n)1(e)1(s)1( )-6(et)1(c)1(,)1( )-6(y)1(o)1(u)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(s)1(k)1(e)1(d)1( )-6(t)1(o)1( )-6(s)1(i)1(g)1(n)1( )-6(a)1( )-6(s)1(e)1(p)1(a)1(r)1(a)1(t)1(e)1( )-6(co)1(n)1(s)1(e)1(n)1(t)1( )-6(f)1(o)1(r)1(m)1( )-6(f)1(o)1(r)1( )-6(e)1(a)1(c)1(h)1( )-6(r)1(e)1(q)1(u)1(e)1(s)1(t)1(\))]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -85.8901 417.8285 Tm
[(\()1(I)1(t)1( )-6(i)1(s)1( )-6(a)1(s)1(s)1(u)1(m)1(e)1(d)1( )-6(t)1(h)1(a)1(t)1( )-6(a)1(n)1(y)1( )-6(o)1(f)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(n)1(a)1(m)1(e)1(d)1( )-6(p)1(e)1(r)1(s)1(o)1(n)1(s)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(l)1(l)1(o)1(w)1(e)1(d)1( )-6(t)1(o)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1( )-6(y)1(o)1(u)1(r)1( )-6(c)1(h)1(i)1(l)1(d)1(\))]TJ
ET
BT
/TT1 1 Tf
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[(P)1(r)1(e)1(f)1(e)1(r)1(r)1(e)1(d)1( )-6(D)1(r)1(i)1(n)1(k)1(s)1( )-6(M)1(i)1(l)1(k)1(,)1( )-6(J)1(u)1(i)1(c)1(e)1( )-6(a)1(n)1(d)1( )-6(W)]TJ
ET
BT
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ET
q
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Q
q
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Q
BT
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[(Please )-6(Sign)]TJ
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q
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Q
q
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Q
q
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Q
BT
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[(Please )-6(print )-6(name)]TJ
ET
q
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q
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Q
q
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q
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S
Q
BT
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[(Please )-6(date)]TJ
ET
q
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S
Q
q
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
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[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
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Q
q
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S
Q
q
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 -36.7948 283.3966 Tm
[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
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Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 11.5334 283.3966 Tm
[(R)2(u)2(b)2(e)2(l)2(l)2(a)]TJ
ET
q
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S
Q
q
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Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
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W n
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BT
/TT1 1 Tf
8.5661 0 0 7.9008 59.8616 283.3966 Tm
[(M)6(M)6(R)6( )-6(3)6( )-6(i)6(n)6( )-6(1)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 108.1898 283.3966 Tm
(HIB)Tj
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 156.518 283.3966 Tm
[(P)-1(o)-1(l)-1(i)-1(o)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 204.7183 283.3966 Tm
[(T)1(e)1(t)1(a)1(n)1(u)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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28.175 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
28.175 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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67.535 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 253.0465 283.3966 Tm
[(D)2(i)2(p)2(t)2(h)2(e)2(r)2(i)2(a)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
73.535 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
73.895 138.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
73.535 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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112.895 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 301.3747 283.3966 Tm
[(M)7(e)7(n)7( )-6(C)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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118.895 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
119.255 138.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.895 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
158.255 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 352.2599 283.3966 Tm
[(W)-41(/)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 363.1273 283.3966 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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164.375 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
164.735 138.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
164.375 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 404.168 283.3966 Tm
[(P)-2(n)-2(')-2(c)-2(o)-2(c)-2(c)-2(a)-2(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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215.375 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
215.375 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 173.1653595 404.6022034 cm
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0.72 w 10 M
260.375 138.101 m
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S
Q
BT
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[(D)1(o)1(e)1(s)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(h)1(a)1(v)1(e)1( )-6(P)1(a)1(r)1(e)1(n)1(t)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(Y)1(e)1(s)1(/)1(N)1(o)]TJ
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[(2)2(n)2(d)2( )-6(P)1(e)2(r)2(s)2(o)2(n)]TJ
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ET
BT
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[(P)2(h)2(o)2(n)2(e)]TJ
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[(o)4(r)4(k)]TJ
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[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
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BT
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[(1st )-6(Person )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 81.5882 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -59.899 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 -43.219 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
-57.145 -43.219 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 456.0355 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.7318 456.0355 Tm
[(o)1(r)1(k)1( )-6(P)1(h)1(o)1(n)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -59.899 m
119.015 -59.899 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
-50.665 -43.219 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -43.579 m
119.015 -43.579 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -43.219 m
118.655 -60.259 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 433.866 Tm
[(1)1(s)1(t)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(M)1(o)1(b)1(i)1(l)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -37.339 m
-56.785 -37.339 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -21.019 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-57.145 -20.659 m
-57.145 -37.699 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 433.866 Tm
[(2)2(n)2(d)2( )-6(P)2(e)2(r)2(s)2(o)2(n)2( )-6(W)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 289.7318 433.866 Tm
[(o)2(r)2(k)2( )-6(M)2(o)2(b)2(i)2(l)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -37.339 m
119.015 -37.339 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-50.665 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-51.025 -21.019 m
119.015 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.655 -20.659 m
118.655 -37.699 l
S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 28.9131 400.8476 Tm
[(A)51(l)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 37.0956 400.8476 Tm
[(l)-1(o)-1(w)-1(e)-1(d)-1( )-6(t)-1(h)-1(e)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(p)-1(e)-1(r)-1(m)-1(i)-1(s)-1(s)-1(i)-1(o)-1(n)-1(s)-1( )-6(w)-1(i)-1(t)-1(h)-1( )-6(o)-1(u)-1(t)-1( )-5(h)-1(a)-1(v)-1(i)-1(n)-1(g)-1( )-6(t)-1(o)-1( )-6(c)-1(o)-1(n)-1(t)-1(a)-1(c)-1(t)-1( )-6(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 285.3848 400.8476 Tm
[(o)1(u)1( )-6(f)1(i)1(r)1(s)1(t)1(.)1( )-6(E)1(n)1(t)1(e)1(r)1( )-6(Y)1(e)1(s)1( )-6(o)1(r)1( )-6(N)1(o)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 389.2912 Tm
[(C)3(a)3(l)3(p)3(o)3(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.505 30.341 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
-157.345 8.381 76.68 9.12 re
W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3275 389.2912 Tm
[(M)1(i)1(n)1(o)1(r)1( )-6(E)1(m)1(e)1(r)1(g)1(e)1(n)1(c)1(y)1( )-6(A)1(i)1(d)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-79.705 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 422.3147 478.4408 Tm
[(4th )-6(Person )-6(Name, )-6(Relationship )-6(&)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 422.3147 469.3607 Tm
[(P)2(h)2(o)2(n)2(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
124.655 -82.699 m
260.735 -82.699 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
125.015 -20.659 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
124.655 -21.019 m
260.735 -21.019 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 -20.659 m
260.375 -83.059 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 210.847 389.2912 Tm
[(O)1(u)1(t)1(i)1(n)1(g)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
5.255 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 301.4943 389.2912 Tm
[(P)2(h)2(o)2(t)2(o)2(g)2(r)2(a)2(p)2(h)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 8.021 m
90.695 8.021 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.615 30.341 m
11.615 7.661 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
11.255 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
90.335 30.341 m
90.335 7.661 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 327.9713 Tm
[(Doctor's )-6(Name )-5(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 103.661 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
5.255 104.021 m
5.255 70.061 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 313.6402 327.9713 Tm
[(Health )-6(Visitor )-6(& )-6(Phone)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 70.421 m
260.735 70.421 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
23.015 104.141 m
23.015 70.061 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 103.781 m
260.735 103.781 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 104.141 m
260.375 70.061 l
S
Q
BT
/TT0 1 Tf
8.5661 0 0 7.9008 28.9131 294.953 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 65.0953 294.953 Tm
[(of )-6(following )-6(vaccinations )-6(had)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 28.9131 256.0385 Tm
[(T)3(i)3(c)3(k)3( )-6(a)3(n)3(y)]TJ
ET
BT
/TT0 1 Tf
8.5661 0 0 7.9008 65.0953 256.0385 Tm
[(o)-1(f)-1( )-6(f)-1(o)-1(l)-1(l)-1(o)-1(w)-1(i)-1(n)-1(g)-1( )-6(i)-1(l)-1(l)-1(n)-1(e)-1(s)-1(s)-1(e)-1(s)-1( )-6(h)-1(a)-1(d)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 244.3641 Tm
[(Chicken )-6(Pox)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-193.225 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 96.1634 244.3641 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-130.825 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 162.5188 244.3641 Tm
[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-68.545 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 222.9929 244.3641 Tm
[(R)1(u)1(b)1(e)1(l)1(l)1(a)1(/)1( )-6(G)1(e)1(r)1(m)1(a)1(n)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 222.9929 235.2841 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-62.065 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-62.425 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
10.895 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 313.6402 244.3641 Tm
[(W)-41(h)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 326.809 244.3641 Tm
[(o)3(o)3(p)3(i)3(n)3(g)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 313.6402 235.2841 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
23.015 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.655 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
73.295 177.821 m
73.295 155.141 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 198.8288 734.687 Tm
[(C)1(h)1(i)1(l)1(d)1( )-6(L)1(e)1(g)1(al)1( )-6(N)1(a)1(m)1(e)1( )-6(\()1(I)1(f)1( )-6(d)1(i)1(f)1(f)1(e)1(r)1(e)1(n)1(t)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-84.745 -315.499 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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101.615 -315.499 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 216.5344 Tm
[(R)2(e)2(l)2(i)2(g)2(i)2(o)2(n)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 183.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-102.505 206.141 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 216.5344 Tm
[(Ethnic )-5(Origin)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.505 183.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.145 206.141 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 160.8748 Tm
[(A)1(n)1(y)1( )-6(s)1(p)1(e)1(c)1(i)1(a)1(l)1( )-6(c)1(a)1(r)1(e)1(,)1( )-6(a)1(l)1(l)1(e)1(r)1(g)1(y)1(,)1( )-6(m)1(e)1(d)1(i)1(c)1(a)1(l)1( )-6(o)1(r)1( )-6(d)1(i)1(e)1(t)1(a)1(r)1(y)1( )-6(i)1(n)1(f)1(o)1(r)1(m)1(a)1(t)1(i)1(o)1(n)1( )-6(t)1(h)1(a)1(t)1( )-6(t)1(h)1(e)1( )-6(s)1(t)1(a)1(f)1(f)1( )-6(w)1(i)1(l)1(l)1( )-6(n)1(e)1(e)1(d)1( )-6(t)1(o)1( )-6(b)1(e)1( )-6(a)1(w)1(a)1(r)1(e)1( )-6(o)1(f)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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260.375 285.461 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 434.3329 244.3641 Tm
[(Convulsion/Fits )-6(Others)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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135.935 155.501 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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136.295 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
135.935 177.461 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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260.375 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 373.9865 244.3641 Tm
[(S)1(c)1(a)1(r)1(l)1(e)1(t)1( )-6(F)1(e)1(v)1(e)1(r)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
79.295 155.501 m
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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79.655 177.821 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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129.935 177.821 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 365.4708 Tm
[(P)-1(l)-1(a)-1(s)-1(t)-1(e)-1(r)-1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 120.3275 365.4708 Tm
[(A)-2(n)-2(t)-2(i)-2(h)-2(i)-2(s)-2(t)-2(a)-2(m)-2(i)-2(n)-2(e)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 210.847 365.4708 Tm
[(S)3(u)3(n)3( )-6(C)3(r)3(e)3(a)3(m)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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5.255 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 301.4943 365.4708 Tm
[(N)5(a)5(p)5(p)5(y)5( )-6(C)5(r)5(e)5(a)5(m)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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11.255 32.261 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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11.615 54.581 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
11.255 54.221 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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90.335 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 398.1506 389.2912 Tm
[(H)2(a)2(i)2(r)2( )-6(C)2(h)2(e)2(c)2(k)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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101.975 8.021 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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101.975 29.981 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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181.055 30.341 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 398.1506 365.4708 Tm
[(Face )-6(Paint)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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101.975 32.261 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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102.335 54.581 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
181.055 54.581 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 404.1597 734.687 Tm
[(L)1(e)1(g)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(\()1(I)1(f)1( )-6(a)1(p)1(p)1(l)1(i)1(c)1(a)1(b)1(l)1(e)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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Q
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S
Q
q
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107.615 -315.859 m
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Q
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/CS0 CS 1 SCN
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260.375 -315.499 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 478.4408 Tm
[(1st )-6(Person )-6(Occupation)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 478.4408 Tm
[(2)1(n)1(d)1( )-6(P)1(e)1(r)1(s)1(o)1(n)1( )-6(O)1(c)1(c)1(u)1(p)1(a)1(t)1(i)1(o)1(n)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
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S
Q
q
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/CS0 CS 1 SCN
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118.655 -66.019 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 355.8315 606.5049 Tm
[(E)-5(m)-5(a)-5(i)-5(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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62.255 -213.019 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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62.615 -185.059 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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62.255 -185.419 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 -185.059 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 606.5049 Tm
[(Mother's )-6(Name)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-243.865 -196.699 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-102.505 -196.339 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 606.5049 Tm
[(F)-1(a)-1(t)-1(h)-1(e)-1(r)-1(')-1(s)-1( )-5(N)-1(a)-1(m)-1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.505 -213.019 m
56.615 -213.019 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.145 -196.339 m
-96.145 -213.379 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
-96.505 -196.699 m
56.615 -196.699 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
56.255 -196.339 m
56.255 -213.379 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.6493 216.5344 Tm
[(C)1(o)1(l)1(l)1(e)1(c)1(t)1(i)1(o)1(n)1( )-6(P)1(a)1(s)1(s)1(w)1(o)1(r)1(d)1( )-6(\()1(I)1(f)1( )-6(c)1(h)1(i)1(l)1(d)1( )-6(m)1(a)1(y)1( )-6(b)1(e)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1(e)1(d)1( )-6(b)1(y)1( )-6(a)1(n)1(y)1(o)1(n)1(e)1( )-6(n)1(o)1(t)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.6493 207.4543 Tm
[(l)1(i)1(s)1(t)1(e)1(d)1( )-6(h)1(e)1(r)1(e)1(\))]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.295 183.821 m
260.735 183.821 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.655 206.141 m
28.655 183.461 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.295 205.781 m
260.735 205.781 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 206.141 m
260.375 183.461 l
S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 188.7046 Tm
[(F)1(i)1(r)1(s)1(t)1( )-6(L)1(a)1(n)1(g)1(u)1(a)1(g)1(e)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
-95.065 212.501 121.2 9.12 re
W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 186.6828 188.7046 Tm
[(A)-1(n)-1(y)-1( )-5(S)-1(p)-1(e)-1(c)-1(i)-1(a)-1(l)-1( )-6(E)-1(q)-1(u)-1(i)-1(p)-1(m)-1(e)-1(n)-1(t)-1( )-6(o)-1(r)-1( )-6(A)-1(c)-1(c)-1(e)-1(s)-1(s)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
84.575 234.461 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 28.9131 345.4239 Tm
[(\()1(F)1(o)1(r)1( )-6(a)1(n)1(y)1( )-6(f)1(u)1(r)1(t)1(h)1(e)1(r)1( )-6(p)1(r)1(e)1(s)1(c)1(r)1(i)1(b)1(ed)1( )-6(m)1(e)1(d)1(i)1(c)1(i)1(n)1(e)1(s)1( )-6(e)1(t)1(c)1(,)1( )-6(y)1(o)1(u)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(s)1(k)1(e)1(d)1( )-6(t)1(o)1( )-6(s)1(i)1(g)1(n)1( )-6(a)1( )-6(s)1(e)1(p)1(a)1(r)1(a)1(t)1(e)1( )-6(co)1(n)1(s)1(e)1(n)1(t)1( )-6(f)1(o)1(r)1(m)1( )-6(f)1(o)1(r)1( )-6(e)1(a)1(c)1(h)1( )-6(r)1(e)1(q)1(u)1(e)1(s)1(t)1(\))]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 28.9131 417.8285 Tm
[(\()1(I)1(t)1( )-6(i)1(s)1( )-6(a)1(s)1(s)1(u)1(m)1(e)1(d)1( )-6(t)1(h)1(a)1(t)1( )-6(a)1(n)1(y)1( )-6(o)1(f)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(n)1(a)1(m)1(e)1(d)1( )-6(p)1(e)1(r)1(s)1(o)1(n)1(s)1( )-6(w)1(i)1(l)1(l)1( )-6(b)1(e)1( )-6(a)1(l)1(l)1(o)1(w)1(e)1(d)1( )-6(t)1(o)1( )-6(c)1(o)1(l)1(l)1(e)1(c)1(t)1( )-6(y)1(o)1(u)1(r)1( )-6(c)1(h)1(i)1(l)1(d)1(\))]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 386.0047 188.7046 Tm
[(P)1(r)1(e)1(f)1(e)1(r)1(r)1(e)1(d)1( )-6(D)1(r)1(i)1(n)1(k)1(s)1( )-6(M)1(i)1(l)1(k)1(,)1( )-6(J)1(u)1(i)1(c)1(e)1( )-6(a)1(n)1(d)1( )-6(W)]TJ
ET
BT
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[(a)1(t)1(e)1(r)]TJ
ET
q
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Q
q
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Q
q
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S
Q
BT
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[(Please )-6(Sign)]TJ
ET
q
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Q
q
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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Q
q
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S
Q
BT
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[(Please )-6(print )-6(name)]TJ
ET
q
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 465.401 70.8998 Tm
[(Please )-6(date)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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164.375 331.661 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 283.3966 Tm
[(M)2(e)2(a)2(s)2(l)2(e)2(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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q
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Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 78.0084 283.3966 Tm
[(M)1(u)1(m)1(p)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 126.3366 283.3966 Tm
[(R)2(u)2(b)2(e)2(l)2(l)2(a)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 174.6647 283.3966 Tm
[(M)6(M)6(R)6( )-6(3)6( )-6(i)6(n)6( )-6(1)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 222.9929 283.3966 Tm
(HIB)Tj
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 271.3211 283.3966 Tm
[(P)-1(o)-1(l)-1(i)-1(o)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
22.295 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 319.5214 283.3966 Tm
[(T)1(e)1(t)1(a)1(n)1(u)1(s)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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28.175 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
28.175 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
67.535 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 367.8496 283.3966 Tm
[(D)2(i)2(p)2(t)2(h)2(e)2(r)2(i)2(a)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
73.535 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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73.895 138.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
73.535 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
112.895 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 416.1778 283.3966 Tm
[(M)7(e)7(n)7( )-6(C)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.895 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
119.255 138.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
118.895 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
158.255 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 467.063 283.3966 Tm
[(W)-41(/)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 477.9305 283.3966 Tm
[(C)4(o)4(u)4(g)4(h)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
164.375 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
164.735 138.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
164.375 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
209.375 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 518.9711 283.3966 Tm
[(P)-2(n)-2(')-2(c)-2(o)-2(c)-2(c)-2(a)-2(l)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
215.375 115.781 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
215.735 138.101 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
215.375 137.741 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 138.101 m
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 110.6397 Tm
[(N)2(a)2(m)2(e)2( )-6(a)2(n)2(y)2( )-6(o)2(t)2(h)2(e)2(r)2( )-6(a)2(g)2(e)2(n)2(c)2(i)2(e)2(s)2( )-6(i)2(n)2(v)2(o)2(l)2(v)2(e)2(d)2( )-6(w)2(i)2(t)2(h)2( )-6(t)2(h)2(e)2( )-6(c)2(h)2(i)2(l)2(d)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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260.735 324.821 l
S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
260.375 325.181 m
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
-242.425 -140.899 184.32 9.12 re
W n
0.9385885 0 0 -1.0176081 -270.2839138 411.7264992 cm
BT
/TT1 1 Tf
8.5661 0 0 7.9008 29.6802 535.9871 Tm
[(D)1(o)1(e)1(s)1( )-6(t)1(h)1(e)1( )-6(a)1(b)1(o)1(v)1(e)1( )-6(h)1(a)1(v)1(e)1( )-6(P)1(a)1(r)1(e)1(n)1(t)1(a)1(l)1( )-6(R)1(e)1(s)1(p)1(o)1(n)1(s)1(i)1(b)1(i)1(l)1(i)1(t)1(y)1( )-6(Y)1(e)1(s)1(/)1(N)1(o)]TJ
ET
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
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S
Q
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 535.9871 Tm
[(D)2(o)2(e)2(s)2( )-6(t)1(h)2(e)2( )-6(a)2(b)2(o)2(v)2(e)2( )-6(h)1(a)2(v)2(e)2( )-6(P)2(a)2(r)2(e)2(n)2(t)1(a)2(l)2( )-6(R)2(e)2(s)2(p)2(o)2(n)2(s)2(i)1(b)2(i)2(l)2(i)2(t)2(y)]TJ
ET
BT
/TT1 1 Tf
8.5661 0 0 7.9008 235.1389 526.907 Tm
[(Y)-2(e)-2(s)-2(/)-2(N)-2(o)]TJ
ET
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
/CS0 CS 1 SCN
0.72 w 10 M
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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S
Q
q
1.0654297 0 0 -0.9826965 287.9685059 404.6022034 cm
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0.72 w 10 M
118.655 -118.939 m
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S
Q
EMC
Q
Q
Q
0.5 w 10 M
28.346 68.036 m
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S
BT
/T1_2 1 Tf
10 0 0 10 28.3464 69.0354 Tm
[(I)19(m)25(p)25(o)25(r)2(t)25(a)25(n)30(t)25( )25(n)25(o)25(t)31(e)25(:)]TJ
ET
BT
/T1_2 1 Tf
10 0 0 10 93.2254 69.0354 Tm
[( )25(C)41(o)25(m)25(p)25(l)25(e)25(t)25(i)25(o)25(n)25( )25(o)25(f)25( )25(t)25(h)25(i)25(s)25( )25(f)36(o)25(r)25(m)25( )25(w)25(i)25(l)25(l)25( )25(b)25(e)25( )25(d)25(e)25(e)25(m)25(e)25(d)25( )25(a)25(c)34(c)34(e)25(p)25(t)25(a)25(n)25(c)34(e)25( )25(o)25(f)25( )25(a)25(l)25(l)25( )25(o)25(u)25(r)25( )25(C)41(o)25(n)25(d)25(i)25(t)25(i)25(o)25(n)25(s)25( )25(a)25(n)25(d)25( )25(P)50(o)25(l)25(i)25(c)25(i)25(e)25(s)36(.)25( )25(P)28(l)25(e)25(a)25(s)25(e)25( )25(e)25(n)25(s)25(u)25(r)34(e)25( )25(y)38(o)25(u)25( )25(h)25(a)35(v)38(e)25( )25(r)34(e)25(a)25(d )]TJ
ET
BT
/T1_2 1 Tf
10 0 0 10 28.3464 57.0354 Tm
[(a)25(n)25(d)25( )25(u)25(n)25(d)25(e)25(r)25(s)25(t)31(o)25(o)25(d)25( )25(t)25(h)25(e)25( )25(d)25(o)25(c)25(u)25(m)25(e)25(n)30(t)25(s)25( )25(r)34(e)25(q)25(u)25(i)25(r)34(e)25(d)25( )25(\226)25( )25(a)35(v)31(a)25(i)25(l)25(a)25(b)25(l)25(e)25( )25(f)25(r)34(o)25(m)25( )25(t)25(h)25(e)25( )25(A)38(d)25(m)25(i)25(n)25(i)25(s)25(t)25(r)34(a)31(t)25(i)25(o)25(n)25( )25(O)12(\037)25(c)34(e)25(r)25( )25(o)25(r)25( )25(a)31(t)25( )25(w)9(w)9(w)69(.)25(t)25(r)34(e)25(e)25(h)25(o)25(u)25(s)25(e)25(p)25(r)34(e)-4(-)25(s)25(c)25(h)25(o)25(o)25(l)35(.)25(c)34(o)55(.)25(u)25(k)]TJ
ET
Q
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