ࡱ> b  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`acdefghijklmnopqrstuvwxyz{|}~Root Entry FYWorkbookDJSummaryInformation(DocumentSummaryInformation8 ɀ\pcarder Ba=ݯ=Z[; 8X@"1`Arial1`Arial1`Arial1`Arial1 `Arial1`Arial1`Tahoma1`Arial1`Arial1`Arial1`Arial1`Arial1`Arial1(h` Arial Narrow1 `Arial1BCalibri1 BCalibri1BCalibri14BCalibri1 BCalibri1BCalibri1BCalibri1,8BCalibri18BCalibri18BCalibri1>141<BCalibri1?BCalibri1h8BCambria1BCalibri1 BCalibri1 BArial1(B Arial Narrow1(B Arial Narrow"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_) "$"#,##0.00$[$-409]dddd\,\ mmmm\ dd\,\ yyyy[$-409]mmmm\ d\,\ yyyy;@ m/d/yyyy;@[$-409]h:mm:ss\ AM/PM% [$-F800]dddd\,\ mmmm\ dd\,\ yyyy0.0                                                                      ff + ) , *     P  P         `            a>     8   8   4 4   @        8  8    8 0  8@    @   !8    (  @    @    1"<!@@  1"<! @ "!@@ "! @ @   @  @    @   "@ " "  " ! @ "@@ "  @ @    @   @    @   @   @   1"<@  1"< @    @    @  " @ @    @   @    1"<@@  1"< @ "p@@ "p@ "p  @ "p @  "p  "p  "p@@ "p @  @@ @   @ @@ @   @  @ @@ @@ @   @ @@ @  @ @@   @  8@  8  8  8 @  8  8 1"@@ 1" @ !@@ ! @ "@@ " @ "  @     @  8@  0 1"  @  ! @  < 0  "0 "0 "0 @  8@@  8@  8  @ @ @   @   @      @     8@@  8@  8 @  8 @  8  8  #@  @  @   @    @   8@@  8 @  1"<@@  1"< @ 1"@@ !@@  8  @  8@  8  8  8 8 8 8@@  0@  0  @ 8@@  8@  8  @ 8@@ !x@@ !x@ !x @  !x  !x@@ !x@ !x  @ !x @  !x  !x  !x  @ !x  !@ !  @ !  !   1@@  1@  1@  1  1  @  1   1@@  1@  1  @  1 @  1  1  0 " 8 # 8 || 9}A}  yyyy_(*ef;_(@_) }A}  yyyy_(*ef;_(@_) }A}  yyyy_(*ef;_(@_) }A}  yyyy_(*ef;_(@_) }A}  yyyy_(*ef;_(@_) }A}  yyyy_(*ef ;_(@_) }A}  yyyy_(*L;_(@_) }A}  yyyy_(*L;_(@_) }A}  yyyy_(*L;_(@_) }A}  yyyy_(*L;_(@_) }A}  yyyy_(*L;_(@_) }A}  yyyy_(*L ;_(@_) }A}  yyyy_(*23;_(@_) }A}  yyyy_(*23;_(@_) }A}  yyyy_(*23;_(@_) }A}  yyyy_(*23;_(@_) }A}   yyyy_(*23;_(@_) }A}!  yyyy_(*23 ;_(@_) }A}"  yyyy_(*;_(@_) }A}#  yyyy_(*;_(@_) }A}$  yyyy_(*;_(@_) }A}%  yyyy_(*;_(@_) }A}&  yyyy_(*;_(@_) }A}'  yyyy_(* ;_(@_) }A}(  yyyy_(*;_(@_) }}) } yyyy_(*;_(@_)    }}*  yyyy_(*;_(@_) ??? ??? ??? ???}-}/  yyyy_(*}A}0 a yyyy_(*;_(@_) }A}1  yyyy_(*;_(@_) }A}2  yyyy_(*?;_(@_) }A}3  yyyy_(*23;_(@_) }-}4  yyyy_(*}}6 ??v yyyy_(*̙;_(@_)    }A}7 } yyyy_(*;_(@_) }A}8 e yyyy_(*;_(@_) }x}9 yyyy_(*;_(  }}: ??? yyyy_(*;_(??? ???  ??? ???}-}<  yyyy_(*}U}=  yyyy_(*;_( }-}>  yyyy_(*}(} yyyy_(*}(} yyyy_(*}(} yyyy_(*}(} yyyy_(*}(} yyyy_(*}(} yyyy_(*}(} yyyy_(*}(} yyyy_(*}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_(}<}   yyyy_(*;_(}<}   yyyy_(*;_(}<}   yyyy_(*;_(}<}   yyyy_(*;_(}<}   yyyy_(*;_(}<}  yyyy_(*;_(}<}  yyyy_(*;_( 20% - Accent1M 20% - Accent1 ef % 20% - Accent2M" 20% - Accent2 ef % 20% - Accent3M& 20% - Accent3 ef % 20% - Accent4M* 20% - Accent4 ef % 20% - Accent5M. 20% - Accent5 ef % 20% - Accent6M2 20% - Accent6  ef % 40% - Accent1M 40% - Accent1 L % 40% - Accent2M# 40% - Accent2 L湸 % 40% - Accent3M' 40% - Accent3 L % 40% - Accent4M+ 40% - Accent4 L % 40% - Accent5M/ 40% - Accent5 L % 40% - Accent6M3 40% - Accent6  Lմ % 60% - Accent1M 60% - Accent1 23 % 60% - Accent2M$ 60% - Accent2 23ٗ % 60% - Accent3M( 60% - Accent3 23֚ % 60% - Accent4M, 60% - Accent4 23 % 60% - Accent5M0 60% - Accent5 23 %! 60% - Accent6M4 60% - Accent6  23 % "Accent1AAccent1 O % #Accent2A!Accent2 PM % $Accent3A%Accent3 Y % %Accent4A)Accent4 d % &Accent5A-Accent5 K % 'Accent6A1Accent6  F %(Bad9Bad  %) Calculation Calculation  }% * Check Cell Check Cell  %????????? ???+ Comma,( Comma [0]-&Currency.. Currency [0]/Explanatory TextG5Explanatory Text % 0Good;Good  a%1 Heading 1G Heading 1 I}%O2 Heading 2G Heading 2 I}%?3 Heading 3G Heading 3 I}%234 Heading 49 Heading 4 I}%5( Hyperlink 6InputuInput ̙ ??v% 7 Linked CellK Linked Cell }% 8NeutralANeutral  e%"Normal 9Noteb Note   :OutputwOutput  ???%????????? ???;$Percent <Title1Title I}% =TotalMTotal %OO> Warning Text? Warning Text %XTableStyleMedium2PivotStyleLight16`x InstructionspPart APart BYVhttp://www.das.ohio.gov/Angie\Forms\2003\New 2003 Forms\AssociatePayRequestv052803.xls Instructions A - Summary B - DetailsC - Original ContractD - AmendmentsE - Change Order Fee AllowanceYZ !!?YZ ?YZ *Z VZ Z Z Z Z ^Z Z Z Z Z :Z fZ Z Z Z Z BZ nZ Y  AMDLastPagec #c #dc #Fc #(c # """"" AMDLastPage1czc^cBc&c """"" AMDLastPage2c zc ^cBc&c """"" AMDLastPage3c zc ^c  Bc  &c   """"" AMDLastPage4czc^cBc&c """"": AMDLastPage5c "AMDTot1:* AMDTot10: AMDTot11: AMDTot12: AMDTot13:: AMDTot14:f AMDTot15: AMDTot16: AMDTot17: AMDTot18: AMDTot19:B AMDTot2:V AMDTot20:n AMDTot21: AMDTot3: AMDTot4: AMDTot5: AMDTot6: AMDTot7:^ AMDTot8:^ AMDTot9:  COFLastPagec! #!c  # dc #Fc #(c # """"" COFLastPage1c6zc5^c4Bc-&c" """"" COFLastPage2c# zc: ^c9Bc8&c7 """"" COFLastPage3c(zc'^c& Bc% &c$  """"" COFLastPage4c.zc,^c+Bc*&c) """"" COFLastPage5c3zc2^c1Bc0&c/ """""COFP1: COFP10:~COFP11:COFP12:COFP13:COFP14:"COFP15:KCOFP16:tCOFP17:COFP18:COFP19:COFP2:6COFP20:COFP21:ACOFP22:jCOFP23:COFP24:COFP25:COFP3:_COFP4:COFP5:COFP6:COFP7:COFP8:,COFP9:U! DETLastPage:!T=LastPagec>@c;@@c=@@c@@c@! ORCLastPage: ! SUMLastPage:fvf`@@z@9,+3 A@@  rLofMTSWFH&WOTST=State of Ohio Standard Forms for Public Facility ConstructionEMPLOYER NAME AND ADDRESS"NAME OF GENERAL / PRIME CONTRACTOR"PROJECT NAME AND LOCATION (COUNTY) CONTRACTING AUTHORITY (OR OWNER) CHECK IF SUBCONTRACTOR1 WEEK ENDINGPROJECT / CONTRACT NUMBEROTHERCASHAPPROVED PLANSCASH AND APPROVED PLANSPENSVACAPPPAYROLL NUMBERPAGE2 Type or Print Name and Title: Signature:Date:STREET ADDRESSCITY, STATE AND ZIP CODEFULL NAME OF WORKER!Certified Payroll Report - Part A!Certified Payroll Report - Part BMy signature on this form signifies that I pay, or supervise the payment of the employees shown above. I am certifying: 1) That during the pay period reported on this form, all hours worked on this Project have been paid at the appropriate prevailing wage rate for the class of work done. 2) That the fringe benefits have been paid as indicated above. 3) That no rebates or deductions have been or will be made, directly or indirectly from the total wages earned, other than permissable deductions as defined in Ohio Revised Code Chapter 4115. 4) That apprentices are registered with the U.S. Department of Labor, Bureau of Apprenticeship and Training. I understand that the willful falsification of any of the above statements may subject the Contractor or Subcontractor to civil or criminal prosecution. In addition, I have submitted the full Name, Social Security Number, and Address of each Worker on a separate sheet (Part B) to form the entire Certified Payroll Report required by Applicable Law.'Certified Payroll Report - Instructions:This Certified Payroll Report was created in Excel Version 14.0.6112.5000 (32-bit), part of Microsoft Office Professional 2010. There are two tabs that comprise a complete Certified Payroll Report that complies with Section 4115.071 of the Ohio Revised Code. Part A may be produced in response to a public records request without the need for redacting each Worker's Social Security Number in order to protect sensitive personal information. Part B shall be produced in response to a request from the Bureau of Wage and Hour Administration of the Department of Commerce.g1. NAME AND INDIVIDUAL3 IDENTIFYING NUMBER (e.g., LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER) OF WORKER  2. WORK4 CLASS- IFICA- TION  3. RACE AND SEX4. HOURS WORKED - DAY AND DATE5. TOTAL PROJ HRS6. BASE WAGE RATE 8. FRINGES:12. OTHER DEDUC- TIONS13. NET WAGES PAID11. TAXES WITH- HELD7. PROJ GROSS WAGESaPAYROLL NUMBER: Indicate first, second, third, etc. payroll filed by the company for the project.6PAGE: Indicate number of pages included in the report.LWEEK ENDING: Indicate month, day, and year for last day of reporting period.CONTRACTING AUTHORITY: Enter the name and address of the public authority responsible for maintaining prevailing wage records. This may be the Project Owner.TH96. BASE WAGE RATE: Enter actual rate per hour paid to the employee. The overtime hourly rate is time and one-half the base rate listed in the prevailing wage schedule plus fringe benefits at straight time rate. The prevailing wage schedule lists the base rate plus fringe benefit amounts. These amounts added together equal the total prevailing wage rate. Employers must pay this total amount in one of three ways: (1) total rate may be paid in entirety in the base rate to the employee; in which case, the cash designation will be checked for fringe benefits; (2) total rate may be paid as listed in prevailing wage rate schedule with total fringe amounts paid approved plans; or (3) total rate may be paid with a combination of base rate and fringe payments to approved plans in amounts other than those listed in schedule.I8. FRINGES: If fringe benefits are paid in the hourly base rate, indicate this by marking the cash space. If fringe benefits are paid to approved plans as listed in the prevailing wage rate schedule, mark the space for Approved Plans. If fringe benefits are paid partially in the base rate and partially to approved plans, mark the space for Cash & Approved plans. List the hourly amount paid to approved plans for each fringe. If payments are not made on a per-hour basis, calculate the hourly fringe credit by dividing the yearly employer contribution by the lesser of: hours actually worked in the year (these must be documented) or 2080. Fringe benefits include: Employer's share of health insurance, life insurance, retirement plan, bonus/profit sharing, sick pay, holiday pay, personal leave, vacation, and education/training programs.i9. TOTAL HOURS ALL JOBS: Total all hours worked during the pay period including non-prevailing wage jobs.U10. TOTAL GROSS ALL JOBS: Gross amount earned in the pay period for all hours worked.10. TOTAL GROSS ALL JOBS9. TTL HRS ALL JOBS,ITEMS 11., 12., AND 13. ARE SELF-EXPLANATORYj3. RACE AND SEX: Provide the race and sex of each worker. This information is requested to facilitate review by the Construction Compliance Unit of the Equal Opportunity Division in the Ohio Department of Administrative Services pursuant to Chapter 123:2 of the Ohio Administrative Code. This information is not required by Chapter 4115 of the Ohio Revised Code. EMPLOYER NAME AND ADDRESS: Enter the company's full name and address. Indicate if the company is a Subcontractor in the space below, if so list the name of the General or Prime Contractor. Prime Contractor includes a Construction Manager at Risk or a Design-Build firm.PROJECT NAME AND LOCATION: Enter the name and location of the Project, including the county or counties where the Project is located.PROJECT / CONTRACT NUMBER: Indicate the Project number or Contract number determined by the public authority. If there is no number leave blank.B1. NAME AND INDIVIDUAL IDENTIFYING NUMBER OF WORKER: Enter the name and a unique number for each employee. The full name, social security number, and address may be provided on Part B, which must be provided with each report to be considered valid. This information must be provided for all employees that perform physical labor on the Project. Corporate officers, partners, and salaried employees are considered employees and must be paid the prevailing rate. Individual sole proprietors do not have to pay themselves prevailing rate but must report their hours on the Project.4. HOURS WORKED - DAY AND DATE: In the first row of column 4 enter the days of the pay period. For example: S M T W TH F S. The second row is for the date that corresponds with each day for the pay period. In the employee information section enter the number of hours worked on the prevailing wage Project and which day(s) the hours were worked. Separate rows are labeled for (ST) straight time hours and (OT) overtime hours. All hours worked beyond 40 hours must be paid at the appropriate overtime rate.C5. TOTAL PROJECT HOURS: Total the hours entered for the pay period.7. PROJECT GROSS: Enter total gross wages earned on the Project for straight time and overtime. Project hours multiplied by base rate should equal the Project gross.SOCIAL SECURITY NUMBER32. WORK CLASSIFICATION: List classification of work actually performed by employee. If unsure of work classification, consult the Ohio Department of Commerce, Wage and Hour Bureau. Employees working more than one classification should have separate line entries for each classification. Indicate what year/level for Apprentices. Be specific when using laborer and operator classifications; for example, Backhoe Operator or Asphalt Laborer. F330-03v0912=1If Subcontractor, provide Contractor name in space provided."&2Attach additional pages as necessary."=3For Public Records Requests, redact Social Security Numbers."3Text will wrap."4Text will fit to cell."RX Y0 Z-uZ [,Ubv c; koNwoccB ɀ (Ԫ  dMbP?_*+%&?'?(?)?Mb\\dassoccprtsrv01.das.ohioad.l oXX8 1/2x11xSPLXxAMUR_2PCLXLc o ++++o 4!*eo o 4!*dInTray1InTray2InTray3InTray4InTrayLCTInTrayManuald}WM_101URGENTURGENTArialHddXXP_ArialCourier NewTimes New RomanSymbolWingdings ArialCourierTimes New RomanSymbolWingdings#ivKkdabneyo EXCEL.EXE ~a("dXX333333?333333?&<3U} PPPJ Px@PVJP@P@P@P@P@ P@ P@ P@ P@ P@P@P@P@P@P@P@P@P@ P? M#NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNO O PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPOQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQO K$KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K=KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K>KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K3KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K2KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K0KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K1 KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K? KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K@ KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO KE KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K< KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO KAKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO KBKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K5KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO KCKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K6KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K7KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO K8KKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKKO L;LLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLLO F@@@@@@ G @@@@ @@$AAAAAAAAAAAAAAA! #H$A&A(A *AA+-ABAAAAA3 5I6A 8AAA:=AAAA@BAAAAAAAAI2PH0(  >@dOOOOOOOOOOO O O O O OOOOOOOOgg@ ɀ ,  dMbP?_*+%&?'?(?)?Mb\\dassoccprtsrv01.das.ohioad.l oXX8 1/2x11xSPLXxAMUR_2PCLXLc o ++++o 4!*eo o 4!*dInTray1InTray2InTray3InTray4InTrayLCTInTrayManuald}WM_101URGENTURGENTArialHddXXP_ArialCourier NewTimes New RomanSymbolWingdings ArialCourierTimes New RomanSymbolWingdings#ivKkdabneyo EXCEL.EXE ~a("dXX333333?333333?&<3U} ,TPPJ PPPPPJ@P@ P@ P P  P P  PPPPPPPPPPPPPPPPPPP M NNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNNO O PPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPPO  ,  ,' ( ,); < ,=OOO , ,' ()1 23; <,=OrC5 687DOO %  &  '  ($# $) %& '* () */ +- .+/2 34FE< =: >? @9 AC D. EG H, IK L- MOb - .H /FGOb - .H /HIO2        4     ! " #- . /0 1 23 4 56 7 89 :0 ;O O.  | O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]O. |ssssssstO.uvvvvvvvvvvvw{||}| |opopopopopopoqijk[\][\\][\fe\fe\fe\fe\]ijk[\\][\\][\\][\\]ODl T !T@"T#T$T%T&T'T(T@)T?*T@ +T?. xyyyyyyyyyyyz~ a| bcdcdcdcdcdcdcrlmn^_`^__`^_hg_hg_hg_hg_`lmn^__`^__`^__`^__`O!TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTO "U""UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUO#UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUO$UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUO%UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUO&UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUO'UUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUUO(SSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSO )VN)VVVVVVVVVVVWWWWWWWWWWWWWWWWWWWWWWWW$ )%V@)&VVVVXXXXXXXXXXXXXXXXXXXXXXXXB )CY&)DYYZZZZZZZZZZS*RRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRRO +F+@@@@@@ +G+ @@@@ +@@$+AAAAAAAAAAAAAAA! +#H+$A+&A+(A +*AA++-ABAAAAA3 +5J+6A +8AAA: +=K +>AAA@+BAAAAAAAAI x *`(    BЃ`))A@?;U= K]6 Ѓ` ?  "  B`))A@?;U= +]6 `  "  Ba))A@?;U = ]6 a.  "  Ba))A@?U ]6 a@.  ">@d OO'(;<O<O''<O<O @C $& ')2;35 !"#$&') !"#*- #     !       3:.2 .: .: 13 .0NO  DG HK LO% 79 46 !'(;(;/1&'(1 "# "#678:2;(1+.(*'>M<= =?<O !    :< "#"# ! :<      $& ') *-     =? @C *- DG HK LO .0 13 46 79   !"#$& !')*-.0134679:<=?@CDGHKLO"# $- =O  .0134679:<=?@CDGHKLO   !"#.013 !"#$&:<=?@CDG')*-HKLO4679   !"#$& !')*-.0134679:<=?@CDGHKLO"#   !"#$&')*-.0"#134679:<=?@CDGHKLO !   !"#$& !')*-.0134679:<=?@CDGHKLO"#   !"#$&')*-.0"#134679:<=?@CDGHKLO !   !"#$& !')*-.0134679:<=?@CDGHKLO"#    !"# $& ') *- .0 "# 13 46 79 :< =? @C DG HK LO       !**O((O!!O"'O))%))) #))*A))CE))FO)) gg@ ɀ +J#`<HE  dMbP?_*+%&?'?(?)?Mb\\dassoccprtsrv01.das.ohioad.l oXX8 1/2x11xSPLXxAMUR_2PCLXLc o ++++o 4!*eo o 4!*dInTray1InTray2InTray3InTray4InTrayLCTInTrayManuald}WM_101URGENTURGENTArialHddXXP_ArialCourier NewTimes New RomanSymbolWingdings ArialCourierTimes New RomanSymbolWingdings#ivKkdabneyo EXCEL.EXE ~a("dXX333333?333333?&<3U} +PPPJ PPPPPJ@P@ P@ P@  P P P PPPPPPPPPPPPPPPPPPP M!O O O  ,  ,' ( ,); < ,=OOO , ,' ()1 23; <,=OrC5 687DOO , D,' (,) ; < ,=                   O   O O O O OOOOOOOOOOOOOOOOOOODl P!P"P#P$P%P&P'P(P)P *P? O!O"O#O$O%O&O'O(O)O *F*@@@@@@ *G* @@@@ *@@$*AAAAAAAAAAAAAAA! *#H*$A*&A*(A **AA+*-ABAAAAA3 *5I*6A *8AAA:*=AAAA@*BAAAAAAAAI0(    B`))A@?U ]6 `.  "><O(;OO'(;<O<O&'(*'67'(;<='(12;<O>M%NO'(12;<O+./1358:&'(;&'<O(;<O' (; <O '$%$%'$%(;$%<O()()'()(;()<O&'&'' ! !' !(; !<O"#"#'"#(;"#<O'(;<O'(;<O'(;<O'(;<O'(;<O'(;<O '(;<O'(;<O  ' (; <O  ' (; <Ogg@  Oh+'0HP\l carderMicrosoft Excel@3,͊@W7@n͊՜.+,0 PXd lt| GSD  InstructionsPart APart B  Worksheets F&Microsoft Office Excel 2003 WorksheetBiff8Excel.Sheet.89qCompObj r