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u
Subject Yeac Mooth Date
I
I I -I (~( _ltrR~i - -
I
Y
~ J I J JJ) - Ui
r J (a br 1tS1J U JdGI kd 7~ J
fda
CJ Ushy
lt f 1 ~(f(i
I -- 1 (
I
JJ-J- 1 (
) )
o
~
F~R~Z_____________________________
bull
bull - 3
SubjeCt r fro cQ ~~+ L YffilG I Month Date
7
rSi r shy9 I f)9 (1shy
-- 7 9 p r _ r 1-
-= gtgtgt -yenPgt J) CH-I jt J JJ~ G~J I II ~(j (f iJ 1 gt) V l
7
7 0
-
~ 1 10 gt
shyy
CU oI
7 ~ bull 1 6 (1lt oJ diMJ ~ c 1 crJJgtpound ymiddotw (T
-if bull )gt J
__ 7 ~
~ ( (J j I- Vo lt-t)gt lc J I U T ~- shy
-F~R~Z ____________________~~~~
Subject Year Month Pate
- ~ -- shycr Co( 1 (f YJ~~JLC1)-bull)LLl~ ~f()~~-middot-Jgt-J~~lgtmiddot- - shy
J J bull U kl
~ 7 9 _CJ-Ie~4a~lt-()4~_=~middot_d -- -Jmiddotw J ) JlF 1i~J d--j7-- ~-l_elLOJ 4oJLI6fjmiddotJ~~~q
(
ry ~ bull I II -~Q I jwltiL1c _
7 flteav~-~J)ltll-fjJLJ-L~-(j I-I~JfydL$)-J c-r0 0 v7ol )s- _ )
-_ _________ _____ r v--------~middot-----------7~--------~Z_ O 77 7 _~_______7L-middot----- ~o-116 -e d fJdn s Thfl ~ gt1 GV J J ~~ ~F-I1Ll_~-~~ ~JL)JLj~L_~oJoL ~ f V 7 n -r v __ _
-- F~R~Z~________________________________________________
bull
Subject YeaG Month pale
cJtlW rc Cfl e 1
I
I - 1 ipound) 1-11 I ) Iampel Ie (I(cfo ~
t I) (= J J L e-J ( d L cJ~cshy
~ 7 v fbJ-cfJe-L ~ -w (_ () ~JI~q lt ltyJk ett r 0 i -
(fJ Ibull
P ~I~ jgt
0 -
-J 0) 6~ (tt2
JIP
J I bull I ( 10 bull e ) d~ ~ -J1
7 Igt ~ J ~ I cd _ ~ 1 I
I ~- C-- r - - F ~_t 11 laquooflt- i
()Igtlt 0 -J c y- ltrJ1e cr G J 1 ) tJ Iu --
p (J i _ cJl JIL (Jgt -I
J
- i-tp lIpJ (r
i~~~zE-==---~__amp- __ __ _____ 6__I_Jl______ r ___ 7__J _gt_~_ I L d _ I Ci- t _(j_~-__
Subject Year Month pate
JA~ pound r I J (-J or -
~ ~ ) ltIfJc W J (
7 I
~ J
Ie 0 J bull uc a 1-sV_ J IA0 gt -- 11 10
IJ7
7 7
-- I v r 7 o
0--gt I of l
c 7 o JJ JAPJ(FIGI d ~ - u J It 0
r
shy
~ -( L~ __ 7
z - (JH E)I Or n AI
bull 7
Tshylt)p cJ~~ It
--
Subject Yeac Month Date
- ~ I lt-- 4 I cr~ oJ (f P ltoJ [- ltJ l ~ u I
0 shy_ I 4 L4 ~u J_ w _ _ ~r y (f Is-I L G (oK cO I iJ ( O J~JQ
5) r J I 1 gtJ edt I - ~ -
I - if J- 4) t- fw
shy 0 - J P c l+2 1~ U I ~ If ~ Vtr middot-= )1 f f 7 gt rv - gt
7
---J ~ -r------L gt
if ~J - It c
J
Alif (I L
IJ iY
MId
C ~I I shy lt () I 1 if (Co ( p N poundamp 0(2
-shy
A
l (J b-P (J j
I gt -
F~R~Z ________________________~__
) (J
i5l 11 J oJ I
C ~ILULI
Subject Year Month Date
9 ~()I
l
I
r o ~ I G ( cI1
n-r l eft f l ) Ut
( ru- J (
~ j 9 (f ( I ) (u if ( cJkpI ltria r I ilt- (
rrs if( r
~
~
~ ~
J 0 r- ~ crL oJ 1- ltJ I - (
r 9 7~
-
7 L (f i J
~ F~R~Z ~________________________
~ sectamp
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
bull - 3
SubjeCt r fro cQ ~~+ L YffilG I Month Date
7
rSi r shy9 I f)9 (1shy
-- 7 9 p r _ r 1-
-= gtgtgt -yenPgt J) CH-I jt J JJ~ G~J I II ~(j (f iJ 1 gt) V l
7
7 0
-
~ 1 10 gt
shyy
CU oI
7 ~ bull 1 6 (1lt oJ diMJ ~ c 1 crJJgtpound ymiddotw (T
-if bull )gt J
__ 7 ~
~ ( (J j I- Vo lt-t)gt lc J I U T ~- shy
-F~R~Z ____________________~~~~
Subject Year Month Pate
- ~ -- shycr Co( 1 (f YJ~~JLC1)-bull)LLl~ ~f()~~-middot-Jgt-J~~lgtmiddot- - shy
J J bull U kl
~ 7 9 _CJ-Ie~4a~lt-()4~_=~middot_d -- -Jmiddotw J ) JlF 1i~J d--j7-- ~-l_elLOJ 4oJLI6fjmiddotJ~~~q
(
ry ~ bull I II -~Q I jwltiL1c _
7 flteav~-~J)ltll-fjJLJ-L~-(j I-I~JfydL$)-J c-r0 0 v7ol )s- _ )
-_ _________ _____ r v--------~middot-----------7~--------~Z_ O 77 7 _~_______7L-middot----- ~o-116 -e d fJdn s Thfl ~ gt1 GV J J ~~ ~F-I1Ll_~-~~ ~JL)JLj~L_~oJoL ~ f V 7 n -r v __ _
-- F~R~Z~________________________________________________
bull
Subject YeaG Month pale
cJtlW rc Cfl e 1
I
I - 1 ipound) 1-11 I ) Iampel Ie (I(cfo ~
t I) (= J J L e-J ( d L cJ~cshy
~ 7 v fbJ-cfJe-L ~ -w (_ () ~JI~q lt ltyJk ett r 0 i -
(fJ Ibull
P ~I~ jgt
0 -
-J 0) 6~ (tt2
JIP
J I bull I ( 10 bull e ) d~ ~ -J1
7 Igt ~ J ~ I cd _ ~ 1 I
I ~- C-- r - - F ~_t 11 laquooflt- i
()Igtlt 0 -J c y- ltrJ1e cr G J 1 ) tJ Iu --
p (J i _ cJl JIL (Jgt -I
J
- i-tp lIpJ (r
i~~~zE-==---~__amp- __ __ _____ 6__I_Jl______ r ___ 7__J _gt_~_ I L d _ I Ci- t _(j_~-__
Subject Year Month pate
JA~ pound r I J (-J or -
~ ~ ) ltIfJc W J (
7 I
~ J
Ie 0 J bull uc a 1-sV_ J IA0 gt -- 11 10
IJ7
7 7
-- I v r 7 o
0--gt I of l
c 7 o JJ JAPJ(FIGI d ~ - u J It 0
r
shy
~ -( L~ __ 7
z - (JH E)I Or n AI
bull 7
Tshylt)p cJ~~ It
--
Subject Yeac Month Date
- ~ I lt-- 4 I cr~ oJ (f P ltoJ [- ltJ l ~ u I
0 shy_ I 4 L4 ~u J_ w _ _ ~r y (f Is-I L G (oK cO I iJ ( O J~JQ
5) r J I 1 gtJ edt I - ~ -
I - if J- 4) t- fw
shy 0 - J P c l+2 1~ U I ~ If ~ Vtr middot-= )1 f f 7 gt rv - gt
7
---J ~ -r------L gt
if ~J - It c
J
Alif (I L
IJ iY
MId
C ~I I shy lt () I 1 if (Co ( p N poundamp 0(2
-shy
A
l (J b-P (J j
I gt -
F~R~Z ________________________~__
) (J
i5l 11 J oJ I
C ~ILULI
Subject Year Month Date
9 ~()I
l
I
r o ~ I G ( cI1
n-r l eft f l ) Ut
( ru- J (
~ j 9 (f ( I ) (u if ( cJkpI ltria r I ilt- (
rrs if( r
~
~
~ ~
J 0 r- ~ crL oJ 1- ltJ I - (
r 9 7~
-
7 L (f i J
~ F~R~Z ~________________________
~ sectamp
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month Pate
- ~ -- shycr Co( 1 (f YJ~~JLC1)-bull)LLl~ ~f()~~-middot-Jgt-J~~lgtmiddot- - shy
J J bull U kl
~ 7 9 _CJ-Ie~4a~lt-()4~_=~middot_d -- -Jmiddotw J ) JlF 1i~J d--j7-- ~-l_elLOJ 4oJLI6fjmiddotJ~~~q
(
ry ~ bull I II -~Q I jwltiL1c _
7 flteav~-~J)ltll-fjJLJ-L~-(j I-I~JfydL$)-J c-r0 0 v7ol )s- _ )
-_ _________ _____ r v--------~middot-----------7~--------~Z_ O 77 7 _~_______7L-middot----- ~o-116 -e d fJdn s Thfl ~ gt1 GV J J ~~ ~F-I1Ll_~-~~ ~JL)JLj~L_~oJoL ~ f V 7 n -r v __ _
-- F~R~Z~________________________________________________
bull
Subject YeaG Month pale
cJtlW rc Cfl e 1
I
I - 1 ipound) 1-11 I ) Iampel Ie (I(cfo ~
t I) (= J J L e-J ( d L cJ~cshy
~ 7 v fbJ-cfJe-L ~ -w (_ () ~JI~q lt ltyJk ett r 0 i -
(fJ Ibull
P ~I~ jgt
0 -
-J 0) 6~ (tt2
JIP
J I bull I ( 10 bull e ) d~ ~ -J1
7 Igt ~ J ~ I cd _ ~ 1 I
I ~- C-- r - - F ~_t 11 laquooflt- i
()Igtlt 0 -J c y- ltrJ1e cr G J 1 ) tJ Iu --
p (J i _ cJl JIL (Jgt -I
J
- i-tp lIpJ (r
i~~~zE-==---~__amp- __ __ _____ 6__I_Jl______ r ___ 7__J _gt_~_ I L d _ I Ci- t _(j_~-__
Subject Year Month pate
JA~ pound r I J (-J or -
~ ~ ) ltIfJc W J (
7 I
~ J
Ie 0 J bull uc a 1-sV_ J IA0 gt -- 11 10
IJ7
7 7
-- I v r 7 o
0--gt I of l
c 7 o JJ JAPJ(FIGI d ~ - u J It 0
r
shy
~ -( L~ __ 7
z - (JH E)I Or n AI
bull 7
Tshylt)p cJ~~ It
--
Subject Yeac Month Date
- ~ I lt-- 4 I cr~ oJ (f P ltoJ [- ltJ l ~ u I
0 shy_ I 4 L4 ~u J_ w _ _ ~r y (f Is-I L G (oK cO I iJ ( O J~JQ
5) r J I 1 gtJ edt I - ~ -
I - if J- 4) t- fw
shy 0 - J P c l+2 1~ U I ~ If ~ Vtr middot-= )1 f f 7 gt rv - gt
7
---J ~ -r------L gt
if ~J - It c
J
Alif (I L
IJ iY
MId
C ~I I shy lt () I 1 if (Co ( p N poundamp 0(2
-shy
A
l (J b-P (J j
I gt -
F~R~Z ________________________~__
) (J
i5l 11 J oJ I
C ~ILULI
Subject Year Month Date
9 ~()I
l
I
r o ~ I G ( cI1
n-r l eft f l ) Ut
( ru- J (
~ j 9 (f ( I ) (u if ( cJkpI ltria r I ilt- (
rrs if( r
~
~
~ ~
J 0 r- ~ crL oJ 1- ltJ I - (
r 9 7~
-
7 L (f i J
~ F~R~Z ~________________________
~ sectamp
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
bull
Subject YeaG Month pale
cJtlW rc Cfl e 1
I
I - 1 ipound) 1-11 I ) Iampel Ie (I(cfo ~
t I) (= J J L e-J ( d L cJ~cshy
~ 7 v fbJ-cfJe-L ~ -w (_ () ~JI~q lt ltyJk ett r 0 i -
(fJ Ibull
P ~I~ jgt
0 -
-J 0) 6~ (tt2
JIP
J I bull I ( 10 bull e ) d~ ~ -J1
7 Igt ~ J ~ I cd _ ~ 1 I
I ~- C-- r - - F ~_t 11 laquooflt- i
()Igtlt 0 -J c y- ltrJ1e cr G J 1 ) tJ Iu --
p (J i _ cJl JIL (Jgt -I
J
- i-tp lIpJ (r
i~~~zE-==---~__amp- __ __ _____ 6__I_Jl______ r ___ 7__J _gt_~_ I L d _ I Ci- t _(j_~-__
Subject Year Month pate
JA~ pound r I J (-J or -
~ ~ ) ltIfJc W J (
7 I
~ J
Ie 0 J bull uc a 1-sV_ J IA0 gt -- 11 10
IJ7
7 7
-- I v r 7 o
0--gt I of l
c 7 o JJ JAPJ(FIGI d ~ - u J It 0
r
shy
~ -( L~ __ 7
z - (JH E)I Or n AI
bull 7
Tshylt)p cJ~~ It
--
Subject Yeac Month Date
- ~ I lt-- 4 I cr~ oJ (f P ltoJ [- ltJ l ~ u I
0 shy_ I 4 L4 ~u J_ w _ _ ~r y (f Is-I L G (oK cO I iJ ( O J~JQ
5) r J I 1 gtJ edt I - ~ -
I - if J- 4) t- fw
shy 0 - J P c l+2 1~ U I ~ If ~ Vtr middot-= )1 f f 7 gt rv - gt
7
---J ~ -r------L gt
if ~J - It c
J
Alif (I L
IJ iY
MId
C ~I I shy lt () I 1 if (Co ( p N poundamp 0(2
-shy
A
l (J b-P (J j
I gt -
F~R~Z ________________________~__
) (J
i5l 11 J oJ I
C ~ILULI
Subject Year Month Date
9 ~()I
l
I
r o ~ I G ( cI1
n-r l eft f l ) Ut
( ru- J (
~ j 9 (f ( I ) (u if ( cJkpI ltria r I ilt- (
rrs if( r
~
~
~ ~
J 0 r- ~ crL oJ 1- ltJ I - (
r 9 7~
-
7 L (f i J
~ F~R~Z ~________________________
~ sectamp
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month pate
JA~ pound r I J (-J or -
~ ~ ) ltIfJc W J (
7 I
~ J
Ie 0 J bull uc a 1-sV_ J IA0 gt -- 11 10
IJ7
7 7
-- I v r 7 o
0--gt I of l
c 7 o JJ JAPJ(FIGI d ~ - u J It 0
r
shy
~ -( L~ __ 7
z - (JH E)I Or n AI
bull 7
Tshylt)p cJ~~ It
--
Subject Yeac Month Date
- ~ I lt-- 4 I cr~ oJ (f P ltoJ [- ltJ l ~ u I
0 shy_ I 4 L4 ~u J_ w _ _ ~r y (f Is-I L G (oK cO I iJ ( O J~JQ
5) r J I 1 gtJ edt I - ~ -
I - if J- 4) t- fw
shy 0 - J P c l+2 1~ U I ~ If ~ Vtr middot-= )1 f f 7 gt rv - gt
7
---J ~ -r------L gt
if ~J - It c
J
Alif (I L
IJ iY
MId
C ~I I shy lt () I 1 if (Co ( p N poundamp 0(2
-shy
A
l (J b-P (J j
I gt -
F~R~Z ________________________~__
) (J
i5l 11 J oJ I
C ~ILULI
Subject Year Month Date
9 ~()I
l
I
r o ~ I G ( cI1
n-r l eft f l ) Ut
( ru- J (
~ j 9 (f ( I ) (u if ( cJkpI ltria r I ilt- (
rrs if( r
~
~
~ ~
J 0 r- ~ crL oJ 1- ltJ I - (
r 9 7~
-
7 L (f i J
~ F~R~Z ~________________________
~ sectamp
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
--
Subject Yeac Month Date
- ~ I lt-- 4 I cr~ oJ (f P ltoJ [- ltJ l ~ u I
0 shy_ I 4 L4 ~u J_ w _ _ ~r y (f Is-I L G (oK cO I iJ ( O J~JQ
5) r J I 1 gtJ edt I - ~ -
I - if J- 4) t- fw
shy 0 - J P c l+2 1~ U I ~ If ~ Vtr middot-= )1 f f 7 gt rv - gt
7
---J ~ -r------L gt
if ~J - It c
J
Alif (I L
IJ iY
MId
C ~I I shy lt () I 1 if (Co ( p N poundamp 0(2
-shy
A
l (J b-P (J j
I gt -
F~R~Z ________________________~__
) (J
i5l 11 J oJ I
C ~ILULI
Subject Year Month Date
9 ~()I
l
I
r o ~ I G ( cI1
n-r l eft f l ) Ut
( ru- J (
~ j 9 (f ( I ) (u if ( cJkpI ltria r I ilt- (
rrs if( r
~
~
~ ~
J 0 r- ~ crL oJ 1- ltJ I - (
r 9 7~
-
7 L (f i J
~ F~R~Z ~________________________
~ sectamp
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
) (J
i5l 11 J oJ I
C ~ILULI
Subject Year Month Date
9 ~()I
l
I
r o ~ I G ( cI1
n-r l eft f l ) Ut
( ru- J (
~ j 9 (f ( I ) (u if ( cJkpI ltria r I ilt- (
rrs if( r
~
~
~ ~
J 0 r- ~ crL oJ 1- ltJ I - (
r 9 7~
-
7 L (f i J
~ F~R~Z ~________________________
~ sectamp
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
--
9 p
Subject Yeac Month Date
c I I II (do
Q ft
- Lib _ ~J hJ 1
cp
~-
pJcJ) J W(]-flif j middotJII0J 6 ~ 0 il -
~
l~lah hOC L (jr (1-1 J
------ - ---r-- - - --~-- G - __0 _ -~~~--------------- - -- 1 J I
-gt shy
7 I () G)
7 ~ I c
ltshy bull
I
I
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
______________ __
Subject year Mooth Date
J shy y - ~ ) _j ( I cd ~ b Ir _ _ 7
( Jj ( F
I shy~I tiL c ) ( CPI i shy
bull
Q - - bull1)bull If y- r u l J -- L
10 ltJwP(j MI )kM LJ 1 IE~ _ u tIbl - - shyVu~ Up I (J
J I -- J oJ - bull ( y cr ~I R 1elj 6 Cd () Clgt (J JM J
(p
j J ~gJ Iigt- Yrr ~ 7
I ~
I 1
L 7- ydc O~ I
4 I~ - e
c r(f=Lv( A ltamp t tJ 2 J~
F~R~Z~________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Yeac Month Qale
- ---0 - - p~ ~ I ) I I L e I_ 7~ 0 (f I~ _1 _- I I
71 0 7 7-
-
-reg
7 ~)
lt -
ALA
---At
B8
o Qllj l -
-- U(cpl
t1 1 gtJ(
I I
rmiddot amp~ 1Jc dlaquo ~ rdamp k ( Cr I-
( )
M -tprcJogt
~d
F~R~Z ____~amp~__________________~_____
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Mooth Date
r -1)
7
-
) -
r y ~ ~
~
- l ~ c f J d ~
7 0 Ce- e-- lt - ~ I ( d ~ I 1- IF 0shy7
9 --------~~---------cYv------------~~~~~------~
~~j)~~------------------~rc~~~nb~(j~i r~lV -[ 1
h rfshy
v f ~
~0 middot1 -t )
) I )
bull ioO( -+ y - IP- r~tJI J) ) )
F~R~Z~_ _ __________ _
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
bull
Subject Yeac Month pate 1
_ I
d Lmiddot oJ~ (yen () u LhJ 7 J7 raquo 7gt -cr
I l cJcL w~
-shy
6 Umiddot1r a (P ~N tgt cr ~J 0
~ q -1(((lJL r aJ 0= ( 1 J
shy --
bull I J - V r 0 (y- r Ef~ a ( M
t
n I shy I rL 1 Q d- lt Jlt - 7)
shy(ql()1 lr -~L (j ~ J CIp7 r
6 -if ~ -ifmiddot gt~
- j) 7 p
r ~v~ --J n6y(L J ~( - J0 if I tgt - -shy
(f I1 7 _
JU umiddot f ()ltilt 9 J
G (L~
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
________________ __
Subject Year Month Date
1
jJr ~ J
~
(fUr if ~f~~ --------- - - -shy----------~------~shy- I
tY t e~U (1pound - ) lip I ~ J ~
- JEf wgt l idgt )
I 1 _ P
(f bl (jdR amp(61 I
c e-lt r=d
middot V MUd b
r-~
F~R~Z~______
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
__
UM
P dtuci t
~k lui f
- ~ JfJ I 1 I _
Subject Yeac Month Pate Qshy
) I
) t 7
_
R 1 ~ 11 ~ (f1 II 0 ~ ) lt -ltr ~ __
- 1 shy
-- bull 1
If) JLI shy
l())) ~~ G1t~qr1
--- I I JI) J (A ) c -)[$ lIe) (fU middot middot - _ I middotit (8
ggt-V)
Lgt bull r jc E(Plt=I 17 - ) cr-shy- I (I -oJ iT r l
0
= r I
11 o bull k - I It_ ) laquo(Ie) (
t _ A _J ltIt J L
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
____________________ __
Subject Year Month pate (Jt ~cf-J
- fA I
-- bull r L bullbull~ c- 1
-~AJ
__~~~GllT~~_________ ~______~~__________________ e 1 (-shy
A
tilT
J y~iJcr A a lt
EBT
Eco no ~c F~R~Z~__
bull
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
__________________________ __
Subject Year Mooth Date
p -
J r 0 EJ 1 I 8 I bull ~ I J e --J - ~ III f - ( -- ~ =~ -
Q ~1 (j J n EJ (
j) shy j
6J YH
(I I bull 11 l ~Ir y
7 _
EJe cri ~e J ( -
t bull r -- -lt9 t AJ f) W L t -
IV -0(f -rshy
- )
e w
1M
oJ
~ r (~ ---amp=e d
7 r (oc y z4 ~ y_~ J u )_ e
Il r- ~ --
JP _
ojamp1-- (JK shy-- - shy
shy bull I 1 0 ~U J o centlt AJ --J J ~gt
I -~ N CJf ~1 Cf lp I IJ
- bull J
D middot )I~ oJ 7 - - fcP
F~R~Z
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject year Month Date
- v bull ) JLs (fj Cr 1
(7J-
y
p J 4- II ~ (f
i3
(J gt
fi
- laquo0 0 I
Yltgtr7
-(t c 0 4 c c cJgt -
-j4P IS ~ 6-1 ampshy
7 1 IoJ -J(-t oJ ~1l J I ~ I w e
shylaquo
U middot I bull
J
C PM bull CAP1
7 F~R~Z ~~ ____________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month Data
r () ~ IC oJ
-shy
7
-t - -
~
p
I
I p bull
~J ~ )~ ()5J
o -
P P
- p hV (( 9 As $
cd r bull II ~ ( (+ ti rf) 6 Ilt d J f j )I 3 t3 B I
l tiJ viJ
ulU 0 do
lt d
-I] ) 3 lt d
3 (J r3
F~R~Z ____________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month Date
r ~ I be7)
I 00_d~ I JI tlt 7
7
j 1 ) ~ 6J)1 OJI- oLEJ if (NI f J gt ( 1if ~
r f bull
bull l - J- shy
J I l 0 d
r I ( - - - I CCV
7 (
t p ( h e ampeJ J Jlo
h - (fdFi
rd ( 11- 1 0lt t cf e)p if
r r11 dA -t- 10lt6 1 4 d ~f - bull r ~
(3
-gt o~ I laquo A G 113 ltd 13 )
r I J
- 1+ 0A laquoi3 a 15F~R~Z df shy
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
-- -
Subject Year Mooth- Data
l S 6-ov$Ol- u
A
13
t AJ F8
)1-deg Lit 0d- -J)f - 13 J gt bullbull -- - shy
I
fJ ~J2J
-- 7 _ )-)rfJR 4P 1 lt7 i4I irfgtlt= -- ~ middot ~u
~I
6--(
p --- IIi ~ J JJ - 7
I
~~ l __1--$ )i ~
1_ I
1 --shy
~ (f Jq-) I 411 tw ( d N
bull Mfe ff J rCpound
F~R~Z __________________________~
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Yesr Month Pate
J
I
j -
- c bull
- j j) I tb 1 I iff L 0 )
o ~ J J L w JJ
~ ~gt r i
-
cr)i
__ r oP_ I d d(j I J (1 ~( - 1 Gr -)11 tic lIa (Il)
- ( ( ) 14shy 7
L r--
0 1 j Jr Ctt lt0- 1F ~ ol L l -~
)7 - 0IUpu0- 7~ I eJW pi JI I
~ ~ - 7 _
J IM7
1 ~Iv damp tsQ L I~u (
he l
_--~--lttc~~--G-t()oJiJ4-O 3--amp-6(2Ll 1AL-__ ~--~~--middotUL-~6rlt-hull-EcJJLul--4J oJ
F~R~Z~~__ ________________________-__
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
J
Subject year Month pate
I -shy eId ~ gt t~
l n ~ (jshy
~~ V ( (eJ d wI
I 6- J
~- - of II - I U- t - I I
~ 7
(fi (f~ l elY -
- ---
6 j ) r w j ft rV ( amp1 L J f ~ C Ef 3~ J middot a W LeJ ~Q W~
7
I
- I gt -b r v Jl f -If ~ -n c t l ~J lJ-uJ oJV ~ I I ($I ~ iJ
lt 0 va~ a 7- 7 J l - r J __ 0shy
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month
-
~ uP
U
Date
7
V 14gt0 U ~ otJi
ov
-
--shy
D eeramp- L
J -_e if lAe-s s ~
lIT 1
raquo-
~ J j l rSol R -
P
cY(r~C lao J
Od= cHdc ac hot1
dJ I () ky lPl
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
--gtl~ JI
-shy
1 ytP (V
a
Subject Year Month Date
I ~ ( rJ J lt
I lIb rl
I
rl
~
~~
~iI ~I ~~ ~~
J Jlt
i ed~ ~I
li b ii0 J ~
I (~difJ 7
bull gt
- J 0 I ~
F~R~Z ________~___ ____-L______~_____
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
--
J ~)
1-shy 1 oJ Ef ~ lpl if-7
Subject Year Month Date
7
J 6~ ~)
shy- I
( oM or ~AJ lt 6)( if lpound d r J Ib J SjJc4middotgt J- (f
- o 7 ~
R C--4Jgt middot I~ J rt= (iC( V cJ11
~ 7 - 9 U L( -v6 J I d rfc= (pc lto ~ c cr
c-
PJL
- gt
r J 6
F~R~Z~__~_______________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Yeac Month Date
- v))1
I
shy - I -
- [vlxr
I
~) It JUgt~- ) (I
~
oJ ~ bull cfccLt( - lt -
v a oJc if-- - shy
j7 gt
gt
v _ v 1 I
orr
9 7 ~ r L idAb- () L L yen JJ --J ~I r
(J _ () -shy
bull de - I ( ltJd l L
-shy - _
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month Date
f r- I ) ~7
-shy
)-
IcJ ccd OJ fa I Li[o
v r ~
~
7 6 c UFkrJ
j
0 I~
I -
cF) ( gtd OeJr4oJI
---
V Q
I
6~q) fj ~ e
7
( P
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
rid c 4 if -e fJ C7 fl (
Subject Year Month Date
4 1I I I v r f) fe Idl raquo gt~ y
- I 1 CH 6u cr) (lt Umiddot ([I lttilt- ) _ bull
7
~ ) I - shy
bull I (j )pkY r =J I hI cI~cC
--= shy
-
ultgt-gt- Ie middot-jiJF(
middotY(f
I ii~r b M IOCY r I ~
(101 ~ ~J)LI_____ _____ ~_____~~__~____
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
bull bull bull
Subject Yose Mool) Date
riO
i= 6Y ~ t P(p-JffY --
r ~ oJ d pi -() IUf
IJ
crmiddot -middote
I)
I~~ (Jr)bull Y if ~e l
r-o I C~JLi--gtelo+-_
h lt -
7
LltJ w6middot - ~ Cl =- 7J lt
- )70 middot A Co bull 1 J bull - bull 1t
if raquo
F~R~Z~_________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
bull
SUbject Year Month Pate
1~ - J - Jt J (
V - (yWP (f WJ
~ J tJ J J -pound d1 at_ -cJ
~ 0 (
II cJ(~ ~ y
7 - J
l dl~ OltGJl (fJ dt (j-r O bull 4 aJ
- lt ) I
J y I he
I I bull o ( J ~
-
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject YeaG Month Date
-
r -
cJrA- cr L
I I 7 _ v r b J ~J
1
11 1 I t -
I --1(f -w
bull t
7 bull
o n
t t j -shy
r 7
jJR -OJ~ lz- U gtltYJ r- ~ r 7
I ( o
r ( 0gt c I
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month pate
7~
1bull ( JJi nolt Aa gt jf - shy
J 1 NCf ( )1 e P cP (c
7 _ )fI
r(
7 J i L -~ ~ uJG~
7
h 6 bullR -I
7 1
( 1 r - r 6 ( _1 ) it
I
lu J tv I II H J
7
_ 7I 1 -JJ (j-J ( (II Umiddot ltI F
lt lX-A
0 I A4fl cl-e IW J ~ lLL ~ J
lt
J bull
(j 11 I
cent (pI l bullbullbull L
F~R~Z _____________________ __ _____~~_~~=-~~__~~
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month Date
7 _
u (r ~ () w - p- N r bull I) ()Jt l It bull v ~ - gt ~7 O raquo
tfF 1 IG~fc r r)
- -)
d tt4gtI I Itr shy
~
) - -
I M lt r cJ ~
middot7
( f4- middot0(
- RcO
IS -H I 0 (I 6)1 tp7 ~ l 11 - I A ltA
13
- - shy (jshy
F~R~Z~__________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
- - --
Subject Year Month Date
I
I Q Igtpc ) J VI) Jj f - ( lt0shy-
- 11 - 1~gt-kJd-J rmiddot p _ltJ J L LJ
YO ~ c- ~ F )
~ -
oF bull I IS -)~ (w A gt ~
-J~ shy lJ d ) rJ ( c- () ) J ~~ ( J C iff
~ bull - -
- -_
I 7 t J r J J~ -j-Jgt bull-
7 ~ J~6e16you ~ lt1 - a
7
1~cltfc-ampn4 -=r
I
7 7
o
bull
- 7 rr fjI(j(l1 )I 0 ~ ~) P-J- ---0gthl-
~ 1 r
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
__________________________ ___
Subject year Month Date
) I
d-=-J ) bull v~ err (F~ Nt 4~middot
I7
ps ( I ( AI dl 7 ()
IJ ry (j Lvp I I
( wi
-u1 dY) a)) - - -
p p
() J - JI
7T shy
ty tJ f -
I
-)
v
CJ
F~R~Z
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
______________ _ _ ___ ___ _ _______ ___ ___ __ __ ____
SUbject Year Month Date
7
~
(pound t Q bullbull ( 6 J h L (f A-gt
r r ~ - I bull(l A()~ JJ ~ I )1 t1 raquo raquo t --Ie (
7
- ~U) ~- ~ e lt1 - C bull
J ifJ (oJ 10middot bull ) bull1
IA C middotltII A
I~ J f
f l-4r - 0
~
bull ~) 6 ) 1 cr tlt
~
w if- C 1JJltf I F gt -
~I
I
J ~
~~~~~ -
_~_middot_r_ _middot_~~_ ~ ( _Vr ~~ ~_ middotJ_ t__I__o_lt_Jp _J_lt _gt_ ~
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Yaar Month Date
(e I - p
_ - Uf J ~) f- ~ I Juplt-n
gt~dL~ I ~
p
-~
- I)Ck 114
shydluJ J J --4 I
tgtI -( CJ ( Mr
r-f
-
I -J 1
gt bull bull eL
)to I J -- gt
J II C
t 1 rshyy~ e I J _ Fpound f(~ J
_ J t
J
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
----
Subject Year Month Date
- -~
I (j -t r r
) q- )lmiddot I
-~ C ( ~
~ 1) Q rI I J
II bullbull middot J if 0 I vXP gt ~ f~
I (~J shyr gt - -
) (jr l 177middot
- shy -shy ( ltIf( ~-P ()J ()L cWo
((f lo
7 Ue dpoundS ~r I
- p -- ( )- (It Jshy
F~R~Z _____________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Year Month Date
I gt
c [f-r- (fJ U
)~ 7 v Jor (j ~)I cr e (F 4
1 P 0 ( ~J 1~7 -- ~
shy] idJ ) middot middotJ(f d tl
I JQdl -~ ( (kef tC t U - I) t
~ ltampJJ~ ~ c
7 I
-
~ f
( I
0 6 t- ~F~R~Z~____~~~~~~-~lj~LE_______________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
SubJect Year Month Date
J~ A =aif 77r IIt
( It
bull ~ wdvl ) Jbull ~7 7 r7
1_ cfmiddotmiddot )
I 7
y U t p - ad CJ5-tJ e~1 ~ t
_ r- ( p -
~-)C)~- 14t~6ffJ-r(~i)-_J)-~d-ltlctk ()~LJ---_ 4~---(~-I -shy_j(--(r4 - gtJ-ltOC-~J--ltcJ ~~tgtb(jJ5 U7-LJ-
I
(
) 1-(1 if IJ 01 c cr yentI
I p 7 t
c~- a[~ - ~ ----shy- r - --shy7
F~R~Z ________________ ~________~
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
SUbject YeaG Month Date
-~ I
f ~ gt
r
-
U
- J lJ e gtVO
1 ~ Icent--
I -JoIamp- a
-
LPIQJ bull
7 ~ f gt ) jF _0) J
P 4 I _ ) r 1
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
- -
= Subject Yeac Month Date
-
7 )~
9 I 7
( I 42 A J J aP cryJ (~ ( FC-- 0
bull tJ(4bull 1fMJI1(J1J -
) r 1 0-4 t
( r gt - I
- shyr
) 7 U 4 (17 ~GJ I I ((pound c)1 j ~prI 1 ( )JT gt r I
t -O ) J (V J-9
~ ( r if
-
~ ) 1
_tWpound(t_ ~ Cl) rcr -~a9gt 4 7 lt shy
1- 1 7 -d AHa- cJ J J
V h (oj ( bull J c L -1 I - -4v Jp 7 Ery o lt ampA r 0 bull if ~ 2(
I) 7 ~ IF ( t I) 11
I IEP VmiddotImiddot
F~R~Z______________~______~~
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________
Subject Yeac Month Date
r r
I e I cJ I J-D
- IWLP _1u7
u 7 19 -4 IQ ) (1 ( Lvvomiddot
r- r J J ~ 0 1 eI ~ p~ 6( 7) () c
v
p I ( ~ J - -
F~R~Z~___________________________