__________ in
__________ in
__________ %
__________ in
__________ %
__________ in
__________ in
__________ %
__________ in
__________ %
__________ in
__________ in
__________ %
__________ in
__________ %
__________ in
__________ in
__________ %
__________ in
__________ %
__________ %
__________ %
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complies does not comply not applicable (Circle One)