%PDF-1.4 % 232 0 obj <> endobj xref 232 18 0000000016 00000 n 0000001073 00000 n 0000001388 00000 n 0000001577 00000 n 0000001892 00000 n 0000002334 00000 n 0000002731 00000 n 0000002779 00000 n 0000003002 00000 n 0000003231 00000 n 0000003276 00000 n 0000003354 00000 n 0000004702 00000 n 0000007396 00000 n 0000007433 00000 n 0000008233 00000 n 0000000892 00000 n 0000000656 00000 n trailer <]>> startxref 0 %%EOF 249 0 obj <>stream xb```b``i``a``dc@>r``6G@$c\{AEP2{F2D9L\5i PUxY6k56``tr~X!:,[ d`XZd+D endstream endobj 248 0 obj <>/Size 232/Type/XRef>>stream xbbd`b``Ń3 U endstream endobj 233 0 obj <>/Metadata 15 0 R/PieceInfo<>>>/Pages 14 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[234 0 R]>>/StructTreeRoot 17 0 R/Type/Catalog/LastModified(D:20080220145658)/PageLabels 12 0 R>> endobj 234 0 obj <>/PageElement<>>>/Name(HeaderFooter)/Type/OCG>> endobj 235 0 obj <>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/Properties<>/ExtGState<>>>/Type/Page>> endobj 236 0 obj <> endobj 237 0 obj <> endobj 238 0 obj [/Indexed 245 0 R 237 246 0 R] endobj 239 0 obj <> endobj 240 0 obj <> endobj 241 0 obj <> endobj 242 0 obj <> endobj 243 0 obj <>stream HWmoF_1*jeyIIܹ U?$QD`ºwͥ-3<3;"xwŽX9g x ?\n2[_0DĠ'pm 6 5g,`P, ln߿?@Or ϞC ߢMgS1Pcz(;vגt%@(ш+Fv4a;)Nڒ_tV.-d BpC_ oȡ815K*VE$7 Jga&H/5#h͈0"@jD8r\[nUzG4l wwbTb F%׮첤Y8^Luy: f 9=/ iDÉL3f!pMAaSkt uF O/O.?C(ddZJˎq>Uxyby,4p-a,)^SY#*++R[FXd|"E*Y$R{ A u$Rs Tb[=5*7@s=8aD#v7yuN~*lZ sy@+VUXM_ixb ԡS888CZvptt be-GA9hl6z'{8M%aiT\8Epf*?ƝF־<3Ls(+!ɎZ:ԾtlrޜGځyj>ų5t#owغ&wjfnͧn endstream endobj 244 0 obj <>stream hޜwTTϽwz0z.0. Qf Ml@DEHb!(`HPb0dFJ|yyǽgs{.$O./ 'z8WGбx0Y驾A@$/7z HeOOҬT_lN:K"N3"$F/JPrb[䥟}Qd[Sl1x{#bG\NoX3I[ql2$ 8xtrp/8 pCfq.Knjm͠{r28?.)ɩL^6g,qm"[Z[Z~Q7%" 3R`̊j[~: w!$E}kyhyRm333: }=#vʉe tqX)I)B>== <8Xȉ9yP:8p΍Lg kk Ѐ$t!0V87`ɀ2A. @JPA#h'@8 .: ``a!2D!UH 2 dA>P ECqB**Z:]B=h~L2  5pN:|ó@ QC !H,G6 H9R ]H/r Aw( Q(OTJCm@*QGQ-(j MF+ 6h/*t:].G7Зw7 Xa<1:L1s3bXyeb~19 vGĩp+5qy^ oó|= ?'Htv`Ba3BDxHxE$Չ"XAP44077&9$An0;T2421t.54ld+s;# V]=iY9FgM֚k&=%Ō:nc1gcbcfX.}lGv{c)LŖN퉛w/p+/<j$.$%&㒣OdxTԂԑ4i3|o~C:&S@L u[Uo3C3OfIgwdO|;W-wsz 17jl8c͉̈́3+{%lKWr[ $ llGmnacOkE&EEY׾2⫅;K,KhtiN=e²{^-_V^Oo§s]?TWީrjVQ=w}`嚢zԶiו8>k׍ E  [ly邟~_Y53rW򯎼^{7so}x>|쇊z>yz endstream endobj 245 0 obj [/ICCBased 244 0 R] endobj 246 0 obj <>stream h5rrr>>>GGG<<<&&&,,,---)))AAA^^^(((222111'''...000+++TTT444666888333KKKCCCLLL555===777zzzjjjddd///%%%kkk񲲲 999QQQfffyyyDDDZZZ***iiiߔMMM~~~ʯÆvvvEEE𖖖BBBttt@@@www###ccc\\\;;;SSSnnnHHHpppWWW]]]PPPVVVxxx}}}uuuԱUUU:::```aaa킂FFFJJJeeeIII[[[___ސ???XXXooobbb̤䑑{{{ssslllRRR"""NNNgggOOOhhh׏YYY!!!$$$ˠ㬬qqqĪ|||mmm m| endstream endobj 247 0 obj <>stream h[_ǶoVE]dQY0`v *;*ATDDTE%`FQcL;Jrr{x]U=K3Wb>vwuUOa=!W7H̞]t1NQ~#FӌD, $QpVHPаN˃Z@C=#F:Z++w}bHW;_&$jƒd0ħ?陵< uࠠ9 L}83 Niu MFȘ tׇf38=#r^ "/ z:N %1!Vy4nXh]8g厧 ^O4Mz5fa`03iSIdQ=QOSL1sl-H*hg> ug@6%$p? 8><&Wa2s;l2/ 3`C.hy)LM[pgXho+"\tx<lpjc4rW`^ ,dR`[eN03,i\N:(M2RC\g8ueJsU_^FkJ: ZۑuPq8 ,$z/I<_! &92W* q# $ej f6qPЭ7}X ffl/ͨu4*dJ–Fnbɫ+]Ϊ'!1 sF~r۬IiKLn543,Tm1bmBfL˭LYZ.6\W]"TȦOh0BqGHֈ0gh`)O^?Dr/s`XTy?`N\FoH FP'l+y2$sU>jQpE;>]By2 ڄ +>iG]ydb05g}ciM"4a}I"ĕЕD4 ֪F{_+Gsj1Pc8#cnjk"NRʼn[jfjvPhtBV!3O2VdK{i2~^r:q50@i=fUmYr3rpn:8UAF&k/nM+Y+3&Xr/ETnYsY23>~_e2Ua!in ̖BuN2R׺~lfa.DQhVq.|X[6E0Z'NH|@sNtid^?P̥4׹IWm]T, %خ%i;\K`8 rw?o9Q \*a?ӵ^9p"_^P]$I34j!0 P(<"Ua{fCDV1S흎'( Ͻ(57:aN>p"]"Zi$PF" {]a; SM%sDKک]`/iWԈ'yNoVs柒AZ/B~0U':5Z5K`N7OY h;bmwfD?f:>A9a!AA%FI ,~TuL/MN=#ŴHyOu:^Os6ݣ ڽi5B$܇ N)9ldd+7/^_B;g9{%(gS냓JwH6Wr*]-7Y $IN?wCN.@Fs] 9,%޻i twsȖs_GK&GA}om{՗uKw 3w?qb} J&x8qux%x~ɓ/Z#,%ve9<1v_ r#;+vƲ#~Q0)G Zj<֥8E-:Glʚ$sVG'u' GI6f,Iq}`nmj,1e*f{Pvd}D^\xm E#O_~};fֳz$RBdm{ؑd%-#?[ ݄3a&кeAAg,?9h*/w :,=wClk13n)6a̒2j+!y! O_' Nf+zbz.)`D<s6bEWr1=y Io\R+#>rɎg_|9aP~~ek]w Ыj3h G>ƥa}Ejޭha&z[*C/,Z1gu]:9>;=lb#R8/S [k|'#Ka'=UMvlޞ.Q8_Kl0g;`.*}-f=K?[v<c}#^"Tձ IIqivh?2'1,Sˆ?H\???.Pڅ3 dphfY'{u܃'' :.xR)^m=֯w,u |} 7Y /!䄭*pX!y^~xk;=`Xؗ\!)mI텊:TOw9n玎w_ oO??K FqpV{9u!Pן`}YT}:669/= ?3Re4/QC0:nIǬm5;Gٗ9/эMãk{ĉ_S T0͗ӱ 5N4J0qo4^g7445vֻ"v4x/MLE|Qy'unA׾;JWVi8]8~딫g_UW+Q[u`VT4c>|R5?\^޷9R]vC|եa'&&u~'2ցgꀹPI8xΕS^^fKhgll1c-yaã$~T(;jJ)4 JyczD*6ćk?*q#qs j>p //o-mSf yx1u 8);53 br@jۗo9ڝ4[[NaIʡflPE<8ԵsY7Ɯd'_Yp#XjyKDaZ@gombʶoC/ۜaN4 %1Af"06`(HS! s'S%0}a!Ì/_/ ZXQ[OU{7Ō BMN0 F:)߀a~6٩`ބ ${ԧi7JCğ:*{_7")f&b2Ԯ噲C~ǘ̱̮N5{FsQ"7u(L_<~Cq z; ϻ;4СuE 'D//CkRg[㞙n:= ~E=nZm&#rS9_2*:yz6~ /Ձ'<tҝIaݶevgtĕt]֫CIفMD˾N ι0=a@N{6eeerj֓;K. sl>Z\S{oI>6\/hȎ aΕ"sDsԲ0W)>UV^@)7uʤ)AwxkAo`TWx=]c^%u簅-Zm,,1/ܽ%t O]뜺+;VH?2AK'o9ܰ%;vSNJ],|.e[&.s%zK2B#g]@y7S{,zۡ$>{wb_\E^2aw̒0Ss8xWVar?sq6t<nI8fB_,#ǏuK1s.Vu[Z`} mOLq-o c:1ٲ0a'yERPaUZ>e*=#C n~ slze -tIÈXa\x)m1<5o܀lm -5 B5as Nb.A=t`,Q(diⲧg6!G=Ķr#Cs:IJ{\}1Nh ' /,ȕH^ Y6pFɢઢU> 3߷h3vet`\b=X z@9rz%Ruݒ j%G8p`#N\>/ProcSet[/PDF/Text]/Properties<>/ExtGState<>>>/Type/Page>> endobj 2 0 obj <>stream HWn6}WSW*j/6Emf@ڢmJ&)YGv4-&rf 7@Nz`BfX`>%5 9__]BS%('XP -G[{BLcC8z M|& lj+X)\S)Iec(=!_HbG#w>l>́T.amf aaLWX@lM b.Зε`NT|goUOzv`I4"k8sXmelιZh!]RH3\ɑ*Ft 碟Yx>@wЇ];hV؋a>Ȗ[Md Oz#pD$o:tڒ9Mi&~ *>6r4{0óV +77EZN2ukW1˭(ש7rgLWB׊˭e, =Ͷs"*)}l^ehv?CZ2 8`7dre;ޅ(@}O k7j`dWձq?N e4oLGNv:o2ܑ}''=tL;ΛF'KQ;uraYG7T譱Sm߭f}\jWk(Y\ †ī"e87[&y>{+W*ϔPg)f=*B|%X ؁SG۰i2o9R\QٗkkI!`V xXY|O>~;_;bMw~_Fw^9bD=L0!XPK ^$b1[GKõHQpTWI( G49fM+?$liA $ i6WVdsBWW$sѿ Eicϥ>*Ju|s)oK#Y:J]Gz G+͛8' L0n@%O& f6iaa-OGxHݱrPZ84<,W: 0E( endstream endobj 3 0 obj <>/ProcSet[/PDF/Text]/Properties<>/ExtGState<>>>/Type/Page>> endobj 4 0 obj <>stream HWn8}WFZԺ_lh;fHczsh [ (f%_$Yr촛uh9g̐9lFB?ǩx~_QQ$i=HN?Ȝ%D4}0H`b[mys==Wsz w_ .fЀ|B66`u 0`1 ͰS2ݹFˠ# Z]W1 ц7-|G=DqDU=,D|O_΁zU-4(sDH3$.f\ U[J4/,H9&.wmZWY2+~X:?OW]K)π[er||1>RaEiҌoh K…+.e-S\%,YJ8dN7EҳFj[&E3L{iT7Q%tH):ejA5Ԯ xADn9`\ěYD+iLa:%gZ% Un&vQy}WU6M,.R8qXZJQp;ɍVV;4vMuBi*e?VJk//(W%O3j=Rp,Չ).* HJi'WJOm%_`4eU2,ݥO&St{:K~ p0M^ ޯ]#Ȯ eRY*^Y)f$.f{񟶒j={s=$~Xvtr?NHHjkٹTs<&>7  1Y̺S_]gz؊(fЦKnm6(r;Z)~|ZA9WɻW0}M\ ~Cވ6}72ZY%_ K$'lB^nkicm/%|d MOnS 0`֩@os&r5! e'ѬHH 4;61VQ~򓻆I]ɒBQP'ngK',1gk )F RYuZOul1JV}v 6qư*:;._j-on24+BpD4'Ԯd)d$lpfBc(DĈVI߬Zjݕ_xEq\ 6#0ƏS@A#M~. cDBKӃA !{>O03 mys=pz}[13oT#MBލShO>eYj{>+4? endstream endobj 5 0 obj <>/ProcSet[/PDF/Text]/Properties<>/ExtGState<>>>/Type/Page>> endobj 6 0 obj <>stream HWNH}Wb/[,fDX-;H- c#ѐ궓ءvq]uryRtJc>7|`4a%'xQwf$iNyZ` LBv!=Y6}<>;8O:@>0XX (h:-"`}W@4hGίpyT_Ŗ3\X z!ncQ 8M3?p ? Cah]QJrꞖ'ޕE[%Z CÃ00Zrt8X9b};:3Gg}׽g l"::#s>2 =^~C 33(0NK>}5ms;؜5`#4@#?`N<:헫 מnvݕX N{K^ۛ'u*s@3>[-Bb@Z%cHDh4aTe Lp>W2O |Hnu}HՍwpB5lj.ڪlYu@F+<{|ح0y DcU"(r,i7|̰ʑssY^Xp"W”l]U$5E3Zavg,HM Dc(rѦC3&!.۱X(*  ъ,f }?15< !y4Xf,!ˁN һaӅSY٨v^=Wv;HP./Wx0>٨(me,iiݑ3PRS y"\T;dixTW498+f6^tDk6S AZՑh Ƃ+nL@X{Yږڡw FS`r~O_SbwveU)s}KQwa WgQ~AܶsvJ`Oi8qB<!9jh`<Ҙ7|Z(~<3s3#5s-i9/0q0gXeC|#y>#h)ldNQ*~#!an? ? endstream endobj 7 0 obj <>/ProcSet[/PDF/Text]/ExtGState<>>>/Type/Page>> endobj 8 0 obj <>stream HWn@}WSUYT5jU%P3m.cR봱/̙9sf8&LcJx0dm9 x̩izd[;u XN4Ѓo M]oE3uƒg_xi`=?)sFk+^КڝGt5^BK&ټAVrZvbPvXZL ^ bJlZ/ <[ALpxEl9V2E[Jݰ5Y,\PyZfyw9>J5|:G_{ZgȃKNzÃGԀN\Q6(+ ~k#,bm-3Efi< E?T } Jbh3G4A=lx-`- ۯE*8Y%u(8KUf L@?𥀖 6A:PmNP/e!U4{p!'XYjCAu2>qnUyMTauLW2Ib;ʁɵj5U XWIixURd^S g-!a5L+i@DY۶vOM#C T$Lgү${chZ-sec݂i`}Ŵw*rmYߨu 'K21-ڜNUobXN!8;ml5m[KZj@cS:te0%KV endstream endobj 9 0 obj <>stream x_O8ſ?&B"jSQ89Sj7)wq~9Q%Iq{'I*gPQ )BGV,.  - nH.u5a]qQ#D?.6>Yc|"&OOcT1/y2a*e4c.W풒1 ӊ XZWAɣF)nRB e %"nvKCbUKrJSm:n+=ցWӂ~2xGZxT\\ZF?ZL_2U *TTWm)^SWO|/aږ$lN/c`1eX+y,5cHb Ts ؎fݧ6i3xb6E}f*Ͷ.*"R .#^dŴ[fWweywt9C{o~9N'nڵW-| 4>η۩{szxH[spr%u 3ܵYzY5fJ' yB' yB'ytC:tǓxOIx< '$<ǓxO?x*,-AG@7 @'m@-@ԟS}OydO+V"o]a߭ZoX ka&lX[ kE p"XxbQO,E?(EAoz, zޢ(- zޢ(, t|Z E`Q0X M @SC!hj45M-@SK%hj 4ZM-@SK%hj 4ZM-@SK%hj 4ZM-@SK%hآ`(- FѢOZ-9 endstream endobj 10 0 obj <>stream xڔMG7ʟ!0^ N76-~b̚gk۪6mX߃`iqؗߖZ/\m؏DvO>}ue֋ob?6o̹[` ʕ' W.oɕ'WWbe/b̺v0a ˼tt>pn nx|<4sLu90+NYx`B$ &< X$ ɄxE1s>Λ /7t9SL-w|8 ˩^8_Nܜ*ͩb'1jyYXj0,fW.fc8SI fd lҲsbs13^ f8f8s|- Ƒ)<x8kS3A#2( F(||Qܦ adxo?/[r_WжAK"EV >W `(C! PB0 `*S! TB0L`*S!X RBoDB!hSЖ݂+h[ЎBs+\ =W `HϞB0 `(C! PB0)}}*S! TB0,`)Ɓ=~C:%uI-%htDMp5u kLwP`T? endstream endobj 11 0 obj <>stream xڔ; ADR7²` D`tfA:2h ̰b zz9 Ml(RƁ\ʩMyLynhu`YIKݽ 6Ӯ3ίHٺ1b:ckLo1czUV_Jj# endstream endobj 12 0 obj <> endobj 13 0 obj <> endobj 14 0 obj <> endobj 15 0 obj <>stream Acrobat Distiller 8.1.0 (Windows) American Medical Association D:20080220205323 2008-02-20T14:56:48-06:00 Acrobat PDFMaker 8.1 for Word 2008-02-20T14:56:58-06:00 2008-02-20T14:56:58-06:00 uuid:7eebc51f-4a39-42f8-8154-aea54f2633d4 uuid:9c39567e-a16d-43a7-9109-e9f8db89cc42 3 application/pdf American Medical Association endstream endobj 16 0 obj <> endobj xref 0 232 0000000000 65535 f 0000014380 00000 n 0000014626 00000 n 0000016129 00000 n 0000016375 00000 n 0000017790 00000 n 0000018036 00000 n 0000019578 00000 n 0000019797 00000 n 0000020883 00000 n 0000022491 00000 n 0000023340 00000 n 0000023615 00000 n 0000023651 00000 n 0000023676 00000 n 0000023754 00000 n 0000027877 00000 n 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f 0000000000 65535 f trailer <> startxref 116 %%EOF