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”€”ˆŒŒƒ–‡
€€€€–(”–)š____________
€€€€œ€š______________________
€€€€”š______________________
€€€€œŸš______________________
€€€€‡”–(™–)š____________
€€€€œ€š______________________
€€€€”š______________________
€€€€œŸš______________________
€€€€œ‚š__________________
€€€€—œŸš__________________
€€€€€€€Œ–ˆœ›‡
€€€€1.1€€™–›________________________™”–ŒŸ’€ž–€‚
€€€€‡šŠ†…Œ˜Ž
€€€€Œ€€ˆŒ‡‘
€€€€2.1€€š__________________; (‘______…ƒ•) ;
€€€€2.2€€ž–ŠœŠš€__________…ƒ(Œ‰ˆš„_____%);2ŽŒŒ‰š„_____%”–œŠŒ˜‚œŠŒ””–‡Œ†š;
€€€€2.3€€œˆŒ‡‘Œ…‹œŸ‰€œ€š„”€”‡ŠŸ””€”€‚
€€€€‰€€˜–
€€€€3.1€€ˆŒš“—†…Œ”–˜ˆŒ€š„_____%(‘_____…ƒ•)™™–;
€€€€3.2€€‰ˆ‰…ŠŸŽŒ”–˜ˆŒ€š„_____% (‘_____…ƒ•)™™–
€€€€3.3€€Œ”Œ•‹—Œ€œˆ†…˜”–˜ˆŒ€š„_____%(‘_____…ƒ•)™™–
€€€€››€€ŽŒ”
€€€€4.1€€_____œˆ_____—‰Œ™–‘”–‰ˆŒ”–›Œ•Œ’Œ‹••;
€€€€4.2€€_____œˆ_____—‰Œ™–”–›Œ…Œ”;Œ”Œ‰_______________˜Ž›ŒŒ…‡ŠŒƒ›š„ŠŸƒ€‚Œ™–œ‰ƒ”–€‘”Œ”‡‡†€ž–‘œŸˆš€‚
€€€€”€€”™Œ–ŒŽ‰Š
€€€€5.1€€”–”™–›ƒœŸ›Œš„€ˆ‡ˆ;”–Ÿ‘™–›Ÿžœ€š„œ‰…„–™Œ ™–”–š„˜††;
€€€€5.2€€™–”–š„†Ÿ€šŠ€”Ÿœ‰…„–™’Œ•†;
€€€€5.3€€”–™–“Œ—_______________…‡”–Œƒ›†…š„‡Œ”–…—™–Œ‰ˆœ‡œŠ_____;
€€€€5.4€€Š™–š„•†šˆ›ŠŒ™–””›ŒŠ†€‚”–œ€Œ€‘ˆ–†™–‘—œƒš„”””Ž…–”€”—Œ‘__________‡”Œ_______________ŽˆƒŽŒ”––”€‚”–œ__________Žˆƒ€Œ”Œ™–œ‰ƒ”–ƒ‚”€‚
€€€€5.5€€”–œ€™–‡”š„›Œ†;”–”™–œ‰…š„€Š€œ€–‡†
€€€€…€€Š€œˆžœš„’ž’Œˆ†
€€€€6.1€€”–‹œ‰__________Ÿš„”ƒŒ”œ‰›ŸŒ”‰€”Ÿš„…ƒš„•„’ŒŸŽš„šŠŽ•ˆ›Š;
€€€€6.2€€™–‹œ‰_______________Ÿš„Ÿ†ƒ€‚
€€€€ƒ€€„š
€€€€7.1€€•€–ˆŒ†Œ–†‰‹…”€ˆš„ŽžœŒˆ–•™ŽŠ•‹š„ƒˆŒ‡‘ˆŒ€š„10%;
€€€€7.2€€ˆŒŒœŸ†…Œ”ŽŠ—Š›(€€œœ‡€”€”–‰) Šž”™Œ–‰€ƒŽˆš„…–ŽŸ›‡ˆŒƒŒŒ…Ž‰‹…Œ†Œ–‡œ‰‡‡–žŽ–‡‡‘Ÿ€‚
€€€€…€€‰†Š•‹€‚”
€€€€8.1€€‚”™–œœˆŒš„Œƒ›†…‘”Ÿ”‡•††;
€€€€8.2€€•†ƒ†š„Œ•€–‡†œ‰…‰“œœž„…ŽŒ„ˆ™†Œ†˜ˆ€€š„ŒŒ–‡œ‰ŸŠ›;
€€€€8.3€€œˆŒš„‹€‰Œ’Œ‡ŠŠ‰š„†‡€‚ˆŽ‘…’Œ›•‹€‚
€€€€€€ˆŒœŸ™
€€€€9.1€€œˆŒŒ–Žˆƒ—’Œ›–Ž”Ÿ•ˆŒ™ž”™Œ–‚•œŸ™ŒœˆŒœ‰•ˆœŸ™_____Œ‡__________œˆ_____—‡__________œˆ_____—€‚
€€€€€€™„Š
€€€€10.1 _____________________________________________________________________________________
€€€€€€€…ƒ
€€€€11.1€€_______________‰€‰Šš„“œŸ__________Š•“_______________…‰€œ‰ŒœˆŒ‰€ˆ—_______________Œ…‹Š“Š›…Š€œœŠ;
€€€€11.2€€”™Œ–†œˆ‹ˆœŸ€ŠŒ›€Ž•œŸ…ˆœš„ƒ€;
€€€€11.3€€œˆŒ€ŒŒ”™Œ–„€ŒœˆŒ™„œœˆŒˆ†‰š„€ƒˆ†Œ…œ‰Œ‰•‹•ˆŠ›;
€€€€11.3€€œˆŒ‡–›–‹—”Ÿ•ˆŒŽˆœœŸ™œŸ‹—ˆ;
€€€€11.4€€œˆŒ
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