ÐÏ à¡± á > þÿ d e þÿÿÿ c ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ g2Í É€ á ° Á â \ p Mary Moore B ° a À = œ ¯ ¼ = à 0 ˜7 -8 X @ • " · a l 1 È •¼ Å r i a l 1 • Å Ú 1 ÿ•• A r i a l ´ A r i a l È Å 1 1 ÿ•• Å A r i a l 1 ´ ÿ•¼ ´ A r i a l 1 È È ÿ•• Å Å A r i a l 1 ÿ•• Å A r i a l 1 ´ ÿ•• A r i È ÿ Å A ¼ Å A r i a l 1 ´ • Å A r i a l 1 ´ ¼ Å A r i a l 1 ´ • Å A r i a l 1 È ÿ•• Å A r i a l 1 - Ü • ê C a l i b r i 1 - Ü • ê C a l i b r i 1 - Ü • ê C a l i b r i 1 - Ü 4 ¼ ê C a l i b r i 1 - Ü ¼ ê C a l i b r i 1 - Ü • ê C a l i b r i 1 - Ü • ê C a l i b r i 1 - , 8 ¼ ê C a l i b r i 1 8 ¼ ê C a l i b r i 1 - Ü 8 ¼ ê C a l i b r i 1 - Ü > • ê C a l i b r i 1 - Ü 4 • ê C a l i b r i 1 - Ü < • ê C a l i b r i 1 - Ü ? ¼ ê C a l i b r i 1 - h 8 ¼ ê C a m b r i a 1 - Ü ¼ ê C a l i b r i 1 - Ü • ê C a l i b r i "$"#,##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_);_(* \(#,##0.00\);_(* ""??_);_(@_)à õÿ À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à õÿ ô À à À à õÿ ´ Ÿ à õÿ ´ - à õÿ ´ ª à õÿ ´ ® à õÿ ´ › à õÿ ´ ¯ à õÿ ´ ¬ à õÿ ´ • à õÿ ´ ‹ à õÿ ´ ® à õÿ ´ ¬ à õÿ ´ õÿ õÿ õÿ õÿ à à à à — ³ à ´ ´ ´ ´ – à à à , õÿ õÿ À à õÿ ‹ ´ ¹ µ õÿ ø ´ õÿ ”ff¿¿ õÿ Ô ` Ô à à à à ´ õÿ õÿ õÿ õÿ ž à ´ ´ ´ ´ õÿ ¤ ¾ ¤ - · à + õÿ ø À à * õÿ ø ª à õÿ Ô P À à õÿ ô à à à à À à À à À à À à ´ õÿ õÿ õÿ õÿ • ´ ´ ´ ”— ) õÿ ø À õÿ ô À õÿ Ô P õÿ ”— — ¯ à õÿ À à õÿ ´ « à œ š à ô x""@ @ x õÿ À à à @ ”¿¿ – à õÿ Ô a > x @ À à õÿ À à À à ø - õÿ À à ô x" @ ± Š ± õÿ À à À à x @ À à x "@ @ À à x @ @ À à x @ @ À à x x @ x" @ x @ x @ x x" @ @ À à x "@ @ À à À à @ @ À à x x" @ x @ x" @ À à @ @ x" @ @ x" @ À à À à @ x x "@ @ @ À à À à x À à À À x" @ x" @ À x" @ À à à @ À à À à x @ @ À à À à @ À à x" @ À à À à À à à x" @ À à À à à x" @ 00\);_(* x" @ @ À | | À à x" @ a {#a»} A } À à ef ;_(@_) 00\);_(* } A } ef ;_(@_) 00\);_(* } A } ef ;_(@_) 00\);_(* } A } ef ;_(@_) 00\);_(* } A } ef ;_(@_) 00\);_(* } A } ef ;_(@_) 00\);_(* } A } ÌL ;_(@_) 00\);_(* } A } ÌL ;_(@_) 00\);_(* } A } ÌL ;_(@_) 00\);_(* } A } ÌL ;_(@_) 00\);_(* } A } ÌL ;_(@_) 00\);_(* } A } ÌL ;_(@_) 00\);_(* } A } 23 ;_(@_) 00\);_(* } A } 23 ;_(@_) 00\);_(* } A } - 23 ;_(@_) 00\);_(* } A } 23 ;_(@_) 00\);_(* } A } 23 ;_(@_) 00\);_(* } A } ! 23 ;_(@_) 00\);_(* } A } " ;_(@_) 00\);_(* } A } # ;_(@_) 00\);_(* } A } $ ;_(@_) 00\);_(* } A } % ;_(@_) 00\);_(* } A } & ;_(@_) 00\);_(* } A } ' ;_(@_) œ ÿ00\);_(* } A } ( ÿÇÎÿ;_(@_) ú} ÿ00\);_(* }‘ } ) òòòÿ;_(@_) •••ÿ •••ÿ }‘ } 00\);_(* •••ÿ •••ÿ * ¥¥¥ÿ;_(@_) ???ÿ ???ÿ } - } •••ÿ00\);_(* ???ÿ ???ÿ / } A } a ÿ00\);_(* 0 ÆïÎÿ;_(@_) 00\);_(* } A } 1 ;_(@_) 00\);_(* } A } 2 ÿ? ;_(@_) 00\);_(* } A } 3 23 ;_(@_) 00\);_(* } - } 4 }‘ } ??vÿ00\);_(* 5 ÿÌ™ÿ;_(@_) •••ÿ •••ÿ } A } ú} ÿ00\);_(* •••ÿ •••ÿ 6 ÿ€ÿ;_(@_) œe ÿ00\);_(* }A } 7 ÿëœÿ;_(@_) } x } 8 ²²ÿ •••ÿ ²²²ÿ •••ÿ ²²²ÿ •••ÿ }‘ } ???ÿ00\);_(* ÿÿÌÿ00\);_(* 9 ²²²ÿ ÿëœÿ;_( ² òòòÿ;_( ???ÿ ???ÿ } - } 00\);_(* ???ÿ ???ÿ ; } U } < 00\);_(* ÿ ;_( ÿ00\);_(* } - } = “ 20% - Accent1’M ’ 2 0 % A c c e n t 1 -ÿ efÜæñÿ ÿ% “ 20% - Accent2’M ’ 2 0 % A c c e n t 2 "ÿ efòÜÛÿ ÿ% “ 20% - Accent3’M ’ 2 0 % A c c e n t 3 &ÿ efëñÞÿ ÿ% “ 20% - Accent4’M ’ 2 0 % A c c e n t 4 *ÿ efäßìÿ ÿ% “ 20% - Accent5’M ’ 2 0 % A c c e n t 5 .ÿ efÚîóÿ ÿ% “ 20% - Accent6’M ’ 2 0 % A c c e n t 6 2ÿ efýéÙÿ ÿ% “ 40% - Accent1’M ’ 4 0 % A c c e n t 1 ÿ ÌL¸Ìäÿ ÿ% “ 40% - Accent2’M ’ 4 0 % A c c e n t 2 #ÿ ÌL渷ÿ ÿ% “ 40% - Accent3’M ’ 4 0 % A c c e n t 3 'ÿ ÌLØä¼ÿ ÿ% “ 40% - Accent4’M ’ 4 0 % A c c e n t 4 +ÿ ÌLÌÀÚÿ ÿ% “ 40% - Accent5’M ’ 4 0 % A c c e n t 5 /ÿ ÌL·Þèÿ ÿ% “ 40% - Accent6’M ’ 4 0 % A c c e n t 6 3ÿ ÌLüÕ´ÿ ÿ% “ 60% - Accent1’M ’ 6 0 % A c c e n t 1 ÿ 23•³×ÿ ÿÿÿÿ% “ 60% - Accent2’M ’ 6 0 % A c c e n t 2 $ÿ 23Ú–”ÿ ÿÿÿÿ% “ 60% - Accent3’M ’ 6 0 % A c c e n t 3 (ÿ 23Ä×›ÿ ÿÿÿÿ% “ 60% - Accent4’M ’ 6 0 % A c c e n t 4 ,ÿ 23± Çÿ ÿÿÿÿ% “ 60% - Accent5’M ’ 6 0 % A c c e n t 5 0ÿ 23’ÍÜÿ ÿÿÿÿ% “ ! 60% - Accent6’M ’ 6 0 % A c c e n t 6 4ÿ 23ú¿•ÿ ÿÿÿÿ% “ " Accent1’A ’ ÿ A c c e n t 1 O•½ÿ ÿÿÿÿ% “ # Accent2’A ’ !ÿ A c c e n t 2 ÀPMÿ ÿÿÿÿ% “ $ Accent3’A ’ %ÿ A c c e n t 3 ›»Yÿ ÿÿÿÿ% “ % Accent4’A ’ )ÿ A c c e n t 4 €d¢ÿ ÿÿÿÿ% “ & Accent5’A ’ -ÿ A c c e n t 5 K¬Æÿ ÿÿÿÿ% “ ' Accent6’A ’ 1ÿ A c c e n t 6 ÷–Fÿ ÿÿÿÿ% “ ( Bad’9 ’ ÿ B a d ÿ ÿÇÎÿ ÿ œ ÿ% “ ) Calculation’• ’ C a l c u l a t i o n ÿ ÿ òòòÿ ÿ ú} ÿ% ÿ •••ÿ ÿ •••ÿ ÿ •••ÿ ÿ •••ÿ “ * Check Cell’• ’ C h e c k C e l l ÿ ÿ ¥¥¥ÿ ÿÿÿÿ% ÿ ???ÿ ÿ ???ÿ ÿ ???ÿ ÿ ’ ???ÿ “ +€ÿ’ ÿ C o m m a “ ,€ÿ’( ’ ÿ C o m m a [ 0 ] “ €ÿ’& ’ ÿ C u r r e n c y “ .€ ÿ’. ’ ÿ C u r r e n c y Text’G ’ [ 0 ] 5ÿ “ / Explanatory E x p l a n a t o r y T e x t ÿ •••ÿ% “ 0 Good’; ’ ÿ G o o d ÿ ÆïÎÿ ÿ a ÿ% “ 1 Heading 1’G ’ ÿ H e a d i n g 1 I}ÿ% O•½ÿ “ 2 Heading 2’G ’ ÿ H e a d i n g 2 I}ÿ% ÿ?§¿Þÿ “ 3 Heading 3’G ’ ÿ H e a d i n g 3 I}ÿ% 23•³×ÿ “ 4 Heading 4’9 ’ ÿ H e a d i n g 4 5 I}ÿ% “ Input’u ’ ÿ I n p u t ÿ ÿÌ™ÿ ÿ ??vÿ% ÿ •••ÿ ÿ •••ÿ ÿ •••ÿ ÿ •••ÿ “ 6 Linked Cell’K ’ L i n k e d C e l l ÿ ÿ ú} ÿ% ÿ ÿ€ÿ “ 7 Neutral’A ’ ÿ N e u t r a l ÿ ÿëœÿ ÿ ÿ œe ÿ% 8 N o t e “ € ÿ’" ’ Note’b ’ ÿ N o r m a l “ ÿ ÿÿÌÿ ÿ ²²²ÿ ÿ ²²²ÿ ÿ ²²²ÿ ÿ 9 ²²²ÿ “ Output’w ’ ÿ O u t p u t ÿ òòòÿ ÿ ???ÿ% ÿ ???ÿ ÿ ???ÿ ÿ ???ÿ ÿ ; ???ÿ “ :€ÿ’$ ’ Title’1 ’ ÿ ÿ P e r c e n t T i t l e “ < I}ÿ% “ Total’M ’ ÿ T o t a l ÿ% O•½ÿ O•½ÿ “ = Warning Text’? ’ ÿ W a r n i n g T e x t ÿ ÿ ÿ% ŽX Ž • i v o t S t y l e L i g h t 1 6 ` T a b l e S t y l e M e d i u m 2 P … ˆT Á Sheet1š š £ £ "¾ ü r Number Field Name Length From Thru Description Record Type 9(2) Constant "54" Region Code (1) X(10) Vendor Number X(15) Usually pharmacy NABP number Œ Á Carrier Number. Pharmacy network associated with group/benefit Payment Batch Number 9(10) EOB cycle number Payment Batch Date 9(8) YYYYMMDD Member Number X(13) ID Number of patient Person Code\ Family position of patient. Example: 01 = insured. 02 = spouse. 03 or greater = dependents Relationship Code X(1)’ R e l a t i o n s h i p t o i n s u r e d . O n l y N C P D P s t a n d a r d c o d e s a r e r e p o r t e d . N o n - s t a n d a r d c o d e s a r e r e p o r t e d a s D . I = I n s u r e d . S = S p o u s e . D = D e p e n d e n t Group Number Group number of member Division Number1 Allows for a subset of employees within a company Date of Birth Last Name X(50)1 Reference only -not to be used as key information Headquarter Code X(5) Assigned by MedImpact Chain ID For internal use Ingredient Cost 9(8)V99- Discounted ingredient cost - 2 Decimal places Claim ID X(14)I Claim number a different claim number will be used for each prescription. TCC Standard Code X(2) Therapeutic Class Code Generic Product Flag3 0=Non-Drug Item, 1=Generic, 2=Brand, 3=Multi Source Claim Created Date X(8)3 D a t e c l a i m r e c e i v e d / c r e a t e d b y M e d I m p a c t Y Y Y Y M M D D Region code (2) Region Code (2) Rx Number Prescription number Prescriber ID Usually DEA # Prescriber ID Type X(30)- Usually the abbreviation "DEA" NDC Number 9(11)• National Drug Code number, must have format of 55555-4444-22 where 55555 indicates the maker, 4444 indicates the drug and 22 indicates the packaging. Date of Service YYYYMMDD. Fill date Metric Quantity$ Quantity of drug (No decimal values) DAW Code 9(1)² 0 = No DAW. 1 = Physician DAW. 2 = Patient DAW. 3 = Pharmacy DAW. 4 = No generic in stock. 5 = Brand as generic. 6 = Override. 7 = Brand by law. 8 = Generic not available Compound Code) Blank, 0, 1 = Non-compound. 2 = Compound Approval Number Prior Authorization Number Days Supply\ Number of days prescription should last based on doses per day and the total number of doses New/Refill Code 00 = New. 01 = Refill Filler 9(5)ƒ Formerly the deductible amount. Deductible amount in this position will be obsolete as of 1/1/2002. See new field position 693-700. 9(3)V99‚ Formerly the Tax Amount field. Tax amount in this position will be obsolete as of 01/01/2004. See new field position 737 to 743. Facility CodeØ Member's facility code : Facility code is the clinic or Vendor that has that patient at that time the claim is run. This field is what triggers which pharmacy that a patient could go to. It is a physical address. COB Code 0 = N o t S p e c i f i e d N o r m a l P r o c e s s i n g . 1 = P r i m a r y C o v e r a g e N o r m a l p r o c e s s i n g . 2 = S e c o n d a r y C o v e r a g e R e j e c t . 3 = D o u b l e C o v e r a g e N o c o p a y . 4 = D o u b l e C o v e r a g e N o c o p a y ( C O B I I ) . 6 = S e c o n d a r y C o v e r a g e S o f t m e s s a g e . 9 = R e s e r v e d f o r s p e c i a l p u r p o s e Medicare Codeo Medicare coverage for the member (subscriber or spouse only) If the member has Medicare as the primary coverage B = Medicare part B only = M = Part A & B R = Renal dialysis Medicare Part D Y = Yes, specifics undefined D Formulary Flag® Drug on formulary, "Y" Is part of Formulary, "N", Is outside Formulary. "O" (Other) There is no Formulary. The Claim was adjudicated under a benefit that has no formulary Member Residence Code' Member Residence Code. (NCPDP standard) Other Coverage Code8 Pharmacy submitted other coverage code. (NCPDP standard)- Eligibility Clarification Code0 Eligibility clarification code. (NCPDP standard) Dispensing Fee. Professional dispensing fee - 2 decimal places Billed AmountF Amount billed or submitted by pharmacy before copay - 2 decimal places Total Costf Adjudicated Drug Cost. (Allowed drug cost). Field length includes 2 decimal places. - 2 decimal places Paid AmountU Amount paid to the pharmacy. Field length includes 2 decimal places. 2 decimal places Generic Code Number% Generic product identification number Used Price Code] 1 = AWP. 2 = Baseline. 3 = HCFA. 4 = MAC. 5 = HCFA/MAC. 6 = MMAC. 9 = Other. 9 = Other Claim Status Code» 0 = NEW. 1 = Approved and Paid. 2 = Denied. 3 = Reversed original claim. 4 = Reversal entry against original claim. 5 = Dual Claim. 6 = Dual Claim Reversed. 7 = Dual Claim Reversal Region Code (3) Region Code 3 Paid Date YYYYMMDD. Date of check payment Check Number? Pharmacy or member reimbursement check number for claim payment Message Field Code X(3)" MedImpact error # for paper claims Out of Pocket 9(6)V99E Sum of all charges to Member. Field length includes 2 decimal places. Drug CategoryU G = Generic, P = Preferred,N = Non-preferred , S = Special, O = Other (not specified) Payment Type Code• 1 = Pay to pharmacy as calculated, 2 = Pay to pharmacy as billed, 3 = Pay to member as billed, 4 = Pay to member as calculated Sex M = Male, F = Female General Text Message X(61) Claim record comment line NAF Dispensing Fee= Usually blank filled. Field length includes 2 decimal places. NAF Paid Amount Benefit Code( Benefit code that claim processed under. Copay Amount, Member Co-payment on claim. 2 decimal places NAF Ingredient Cost 9(10)V99 Reference Number Claim number being reversed AHFS Therapeutic Code X(6)4 American Hospital Formulary Service therapeutic code Label Name% Drug name, strength, and dosage form Claim Source Code< P = POS, D = Data entered, H or F = File/Data load from tape Undiscounted awp unit price 9(14)V99999 When requested. 2 decimal places Member First Name First Name of member Member Age 9(3) Age of member Drug Name (Brand) Name of Drug Deductible AmountU Amount of claim applied to member deductible. Field length includes 2 decimal places. PCP ID Number X(18) Primary Care Physician ID Number Alternate Member Number Tax Amount (New) 9(7)V99 2 decimal places X(7) Generic Flag< Blank = Unspecified, 1 = Multiple Sources, 2 = Single Source Physician First Name X(51) First Name of Physician Physician Last Name Last Name of Physician Metric Decimal Quantity$ This is the complete metric quantity Member Number Overflow X(11) Pharmacy Name Pharmacy Medi-Cal ID Pharmacy Medi-Cal id Date Rx Written Submitted by pharmacy (YYYYMMDD) Part D type indicatorV 1 = OTC. 2 = Part D Covered. 3 = Part B Covered. 4 = Medicaid wrap. Blank = N/A Pharmacy Address Pharmacy City Pharmacy St Pharmacy Zip Pharmacy Phone Pharmacy Tax Id X(20) Pharmacy Tax ID TCC Standard Description X(29) AHFS Therapeutic Description Pharmacy County Medicaid No Social Security Number 9(9) Class Code9 Drug class code, F = Federal Legend, O = Over The Counter Vendor NPI No.5 NPI associated with Vendor NCPDP No. (when available)# (National Provider Identifier) Submitted Vendor ID code 0 1 = N P I 0 7 = N C P D P ( N A B P ) M may also be any of the 15 other codes allowed by NCPDP in the original claim Prescriber NPI No.7 NPI associated with Prescriber DEA No. (when available) Submitted Prescriber ID code 1 2 = D E A HICL X(05)@ H I C L d r u g i d e n t i f i e r o n l y p o p u l a t e d f o r d r u g d a t a s u b s c r i b e r s . HICL Description< H I C L D e s c r i p t i o n o n l y p o p u l a t e d f o r d r u g d a t a s u b s c r i b e r s . GTC Code X(02)V G e n e r i c T h e r a p e u t i c C l a s s C o d e ( S m a r t K e y ) o n l < B y populated for drug data subscribers. GTC DescriptionG G T C D e s c r i p t i o n ( S m a r t K e y ) o n l y p o p u l a t e d f o r d r u g d a t a s u b s c r i b e r s . STC Code X(04)X S p e c i f i c T h e r a p e u t i c C l a s s C o d e ( S m a r t K e y ) o n l y p o p u l a t e d f o r d r u g d a t a s u b s c r i b e r s . STC DescriptionG S T C D e s c r i p t i o n ( S m a r t K e y ) o n l y p o p u l a t e d f o r d r u g d a t a s u b s c r i b e r s . Drug Name Example: LEXAPRO Drug Strength Example: 20 MG Drug Dosage Form Example:TABLET Value Options Physician State License No' Based on Data provided by Facility NPI Facility ID field 340B Indicator ( Carrier) Usually Carrier Number Drug Generic Name Generic Name for Drug Always Member Number Combined x(30)L Combination of existing Member Number X(13) and Member Number Overflow X(11) Refills Available (9)10< Difference between # of Fills Field and Refill Number field 340B Wholesale Account9 340B Wholesale Distribution Accout for Coverd entity site Standard Wholesale Account7 Standard Wholesale Account for Association for Pharmacy PBM Claim Fee (Admin Fee) PBM Fee - 2 decimal places$ Data Submission Specs - From BHO PBMÿ º- . \ -. ÿ -/ p 1 ^ ø; Ä1 J Y2 « H3 š ,4 ~ <5 Ž •6 ç Í7 X= • fO F $ ª G ” ˜> ê $@ v —A é ¢B ô ¥C Y ½G pH  hI º íI ? oP • AQ o aR • c c Bå › › Œ Œ g2Í É€ „ Êq ˆ} 2‰ ¶• j¡ :£ ÷ •D •J ï â `E ² ÌK -- \M ®– – d ü©ñÒMbP?_ * + ‚ € % • Á J G &LNorthSTAR Contract for Services 9/1/13 through 08/31/15&RAppendix 20 &RAppendix 20ƒ „ & è?' è?( ð?) ð?M ¾ \ \ d s h s h q f p 0 4 \ T 5 0 2 x 7 5 4 5 Ü à Sÿ• ê o d X X L e t t e r PRIVâ0 ' ' ' hC ' È œ ¸?öè D ÿ È ¸ X e r o x W o r k C e n t r e 7 5 4 5 P S LeadingEdge PageSize Letter PageRegion 0x600dpi NRX \K ÿ SMTJ Duplex None Resolution 60 D 1 z sÄ L L MSCF , Data// í,DÂL îACKÅ[}pTW ?ï%@Â7! ¦ 90 R îA à //Uncompressed- ô ¾` M6»›ÆÁ|BYCºÉŒ©Òb ia I II ¨3mmé— b‡¦(`[Kum*• ¥­S¥Ö¶NujEå§S;Ê´ëÇè`=çž÷öÝýx°•y»{î\îÝûî¹û{çœ{î¹gC}CK[¨0” Hõ kCõ áP¾‚¦ œDcᕺ ?«{f.6_æþõ_ɘ€íOT1¶½›¯JÏϨ´Ž2Œu~ÊóvÓ¼{xÞÊyØÜ+õóŒ5›sxÍ%Ø|Mz þ •MYc®¹ŠŸ•ÎÁæ5z¦@¹ñl"ðÜùæÜÝüý7,Æf ö'Ó Pïãá—ulîçå.ÐWíÅ~ O )´²òŽ¹R‹"¦x°iåþQêoàþØBlÖsÿ ßÀýÔÿ÷Ÿ¡9[p¹n~&]¨ýfggça3¬ ¿ lu›ž @%¨Û͹C<×Cs{ÍÁ ³s ?-¾›>sp§X²/»X¯û:Kd)êAkø --¥á‡XP_!=Ïä•[‹±y‹eî7ßèYž·QÃfÌÐõ_áþ%TŽús^÷nZ7¬Ò×…rC…ê7Ø gÊêÄiçH7mjU»Jï’ Ãàƒf¨õm†sp66¿ežf > iLëw<vj67š‚8' –p•Ïã7Ñ ÀÒÅƼˆ0ßÄã-Ô¿ƒû·“\¾Åý:Zó ÷çS•¼HÖðG¶€°)/C~ æç'ù³f~Ž`'6¬Ëõ ¢»¹1 Ô#`éV–òÍØχ ÄÚ! ¦ÞÉ •Fð¾ –¹ +$ E=ÏpVÇÁ ^=œb¡ž9ÐÝ0 }¨& | Û Ø •8Ö ƒØïÆÑ€«ZÌ{ßO{•¡¡Ý&h•õ ~ u# mâƒÜ_N‚_ÈLMÄtHØì&BqHa¥{Äû+bˆ¹jˆËÃ\«ˆë0£.'6Ø «–™?Áîì$q‹² “×—ÍAv•²K+asø1•ËúÙ-ñÊnUv•¥ ¯, •ç¼U·þŸyütQïÓ†Û-‡¨˜þªZJ\Îl^ò²ËYdדÿªàñe4ÞÇóGH1cÜo"(rÿmê1ï…RrqB³×¢Â+ ê (Ú*ü· uíÁÝ\ýÌÏ‚°Ç›ÐlZa…è±M”%¬Q‰…ø–‚êcˆ' n5÷Û î î‡éíŸÏ±^Õo8,šó#-¿Dp•©–Žñøÿh|ÜØ9ãÒóq~®”asÜx>lùÑZátg/Âî ãéˆõ´N‰vwY£ÿ݈µ‹üö‘Þ†M"<Ötô,«¦T|þæ­g¿¾bðTÁÉ5ëÚh +°Søz:Bèe›ÐÔŸéáþÄB;Ôƒâ¬Eá°G{•Ä¹™Nš€ßD¸Þà‰Ãu+tBOTþ´£˜»a·a[$áj CYu ym3<˜Ç0BcMÂIp'ø0:ÛŠz\,Ạ¿» º` mÛ„W-C£©ÀÍdI®2mئÃ.!«÷¦”I¸b5WßYš÷ ›?•±ÄB W;jñKh]}(­MBVdí&Κ´[Ø2x >0ö£OÂU³÷2O÷cù'†E1æZ)á2uX“T {±ü íþB>À§cì˲íl { Ëûè†Ï ¬“pUá¾3‘ÕeÙ«Xȶþ4`m .ËÊYÀ5W™«•¼þ0 ÚF^µYÀ5¬Ü ÿÆ#õcôù«$\-è!v OíB•1`x ¿4˜•s(FÀ~be¦#®FW½@Q†R#Ëg<>´´l·aI7®<xP`ÚŒ~Õƒ«ÚÀÅX—_t™Á5n‡³¨C’YI ®€áåýQŸaÊ.¸¦ÂC0÷c-îÇ% ®ëa-Æ -hˆê3•[5Z˜?Íø¦Á]P„~•°•&ÅeÊ­6ºCMŒéÄU ÷Àû¸I—U®dû‘ƒ~+:¬M#¶Õp h¹ŒËc_Á(–@†°È†û¦_¡.W”—¼ *Óº :àaq½$ &µ/Sn>é,g[K§Üöa¹ }D Æ«a —Oœ‹æþã>áÈbÙƒ˜öáùX'ájC ›¾µÚð§ì[ña»¿2nœC+ΡõâÆ1€– ¶ï݆ù°T§ùl*„Ï(óp?nøp©qnqµ ÝW q¡ oG½!ÅûýÆÝÈ/Œ®Îõ{Q LVÞAÿµ íþZ ×gA¯Ø‹]°ÙY5¢©‹ÆÛî"›­ÌV(Æ¡»Ç%\Ép £ÒIœS¨*„‰bÃÎ+à²îH¾´#›ù ýF²±}Ê°{ÂÕ!íUÅDdéŠ|Š OiÇ;ÚEÄU.áj-+9® t‚û„ÝÇU …0A¶, —ß —‰…=®/M‚%>ÿ‰ËAVò_ò_‘˜üd)ÿ51!ÿIšÿ‚ ç¿&%ä¿"Ió_áü×ô„üáZ–Þƒˆú ²”ÿš•ÿŠy€a‘é‚¬ä¿ ±ÄŸÛ‘¤þÞ+ô;·K þÜNŽ+ö$‡4ŸÛË°Äç #"_8,4 YÊæc‰ÏODŒ¸²šŸÈKÈODŒüd5?1%!?1òÕüÄÔ„üá2ó|_#™ÎOLKÈO0®@®Ìæ'æ c‰• “û Š!ƒqaÄÇ…Éq5F-.3qa1ÄÇ…v¸LÏ‘‰¸°K|ž)"òˆ§Ñuã­–pÅgR Íy¦Õ y¦ˆ‘g‚¬æ™Â y¦ˆ¸õaìE¿¨‘¬,éy’d Â8bF‘›\Ë3u$ä™ØOãüDfóLtñˆ¿w<'îCCB*}øÝ-DÆy“Ì‘J•S5 6 ´ÿ^W÷ÉÆ_?Ѷ Gf`¥?̪ •4•ë u—¸ŠôÀˆ Û-ÔÜ%‚•c9 àóégÕœI³)ÁÈA¾cøü)ñå"ßßcøªS»n!ßÅ>_j×!äû(†¯*%¾g½\™¯UÞ/¶]•º`Ė益 kƒ2Sß$Ï{¹†ÄÏÛ¤§)ñór•5ËvDÈNÙîmǽ\íøì¤{ÜËÕŽÏN›'¼\íøì¬ç¤— «Ÿ•µ¾àåjÇ ´á;ååjÇWcÃ÷¢— k+j®÷]oŠz•ÉË5þ8½ Íй6ãÜNä ØÛ·â•fP¸j^«mPvÖ³t®v|k× ,t ÷ ^ @çJ×õA±'<6kÄ¥u®©Ì•¹fê\¯ü}-!ó!c¿ÌÓ¹†¢ÏSû¾kt®­b/í‘&¹üQ§é\›Eº€Ã•!á#6_– ³HçjÙ‹½ÎdZ sME.Özx„é\•ÈÓƒ|‹t®Éí¢y’Ób•«=_ò÷õê\•Ú§®sMåý¬5ð*§suÊ·Tç*ÛÉ€¸4tà -È=„s %Ï [u®aq •`íI)˜ªÐ¹ÊiÏÍçåy×è\ Ç ^ fìÅ[xïGÓ--øà•¹d û5çG›Ûô]͹r›žÔœš¨ýV¹Zzíª0¤æfR¥ó)é"ÖE»M¿Lƒ¼}ݦ×cpWDgêÂ} OkΕz·é¬æü¸r ›^Õœ}nÓ›šóðÐm:•¢M¦ Ï ÍùõÈm:©9¿j¹M/hίmnÓ)Íù ÐmzQs~t›^Òœ_Mݦ— 5ç×\·éQÍùÕ×mú¦æ<íâ6=¬9O¸MOiίnÓsšó«»ÛtTsžp›~¨9O)¸MÇ5ç×T·i\sž"q›F5ç×|·é Íy*ÚmzWsžFpý×HKP¨pvÝþï|ÿÆÒ†ÿù•êŒRn‰jŒZX °g깂þœßä¨ÿú„Øéÿ:¸ë‘ÓoÎxï),ó?] ÅßV - í¬_$™RFIðŒê3Öò]åZÿ . e x e m m o o r e 8 0 0 ÿÿÿÿ AîCOM5 w i n w o r d o ê 1 4 . 0 . 6 1 2 9 . 5 0 0 0 1 0 . 1 3 . 3 8 . 2 1 9 ™Öª4 ¡ " à? œ& œ d X X U } à? T } T } ª } } Ž% „ È • È È È È • - • ý ý > > > > > > G H ? E G H ? ½ ý ý ý ý ý ~ ð?ý ý ½ ~ @ý ? ý ? E I J ý @ ð?? @? ~ @ý (@ ý @ ý ½ @ E ~ G H @ý *@@ ;@ ý ý ? ½ ? ~ @ý ý ½ ~ E G H ? E G H ? E G @ý H ý ? ? ½ €N@? E ~ I @ý J ý @ @ ½ €R@@ E ~ <@? E@ ? @ý ý ½ ~ ý €E@? ? @R@ ý ÀR@ ý J@ €J@? ý N@ ý I "@ý J ý @ ½ @ S@@ S@ ý E ~ G $@ý H ? ½ ? E ý @S@? ~ €U@ ý G &@ý H ý ? ½ ? ÀU@? X@ ý E ! G H ? E G H ? E I J @ E G H ? E I J @ E G H ? E G H ? E G H ? E I J @ E G H ? ½ E G H ? E G H ? " # $ % & ' ( ) * + , . / 0 1 2 3 4 5 6 7 8 9 ~ (@ý ý ½ ~ *@ý ý ½ ~ ,@ý ý ½ ~ .@ý ý ½ ~ 0@ý ý ½ ~ 1@ý ý ½ ~ 2@ý ý ½ ~ 3@ý ý ½ ~ 4@ý ý ½ ~ 5@ý ý ? ~ 6@ý ; ý ½ < ~ 7@ý = ý ? @X@? Z@ ý ? @Z@? @c@ ý @ `c@@ àc@ ý ? d@? e@ ý @ @e@@ `f@ ý ? €f@? h@ ý ? @h@? `h@ ý ? €h@? €h@ ý @ h@@ €i@ ý i@? Àj@ ý : ? àj@? l@ ý ½ - X ? l@? E > ~ G 8@ý H ? ý ? @ ½ E A ~ I 9@ý J B ý @ C ½ E D ~ I :@ý J E ý @ ½ E F ~ I ;@ý J G ý @ ½ E H ~ I <@ý J I ý @ J ½ @ E K × B V àm@ ý ? n@? @ àp@@ @ •q@@ r@ ý @ r@@ r@ ý °r@@ Ðp@ ý €q@ ý °r@ ý + 8 ¬ ! ! ! ! " " " " # # # # $ $ $ $ % % % % & & & & ' ' ' ' ( ( ( ( ) * + , . T N N N N N N N N N N N N N N N N N N N N N N N N N N N ! " È # $ ¬ % ¬ & X ( ¬ ) * , . • / 0 1 2 3 È 5 È 6 7 È • 9 : ; < = È > È ~ I =@ý J L ý @ J ½ @ Àr@@ Àr@ ý E M ~ G >@ý H N ý ? ½ ! ? Ðr@? `s@ ý E O ~ G ?@ý H P ý ? ½ " ? ps@? t@ ý E Q ~ I @@ý J R ý @ ½ # @ t@@ t@ ý E S ~ G €@@ý H T ý ? U ½ $ ? 0t@? pt@ ý E V ~ G A@ý H T ý ? W ½ % ? €t@? Àt@ ý E X ~ G €A@ý H Y ý ? ½ & ? Ðt@? `u@ ý E Z ~ I B@ý J [ ý @ 2 ½ ' @ pu@@ €u@ ý E \ ~ Z €B@ý [ ] ý U ½ ( U •u@U •u@ ý E ^ ¾ ) Z [ U U U ý E _ ¾ * Z [ U U U ý E ` ¾ + Z [ U U U ý E a ¾ , Z [ U U U ý E b ¾ Z [ U U U ý E c ~ I C@ý ' X È 4 ¬ È ? . . . / / / / 0 0 0 0 1 1 1 1 2 2 2 2 3 3 3 3 4 4 4 4 5 5 5 5 6 6 6 6 7 7 7 7 8 8 8 8 9 9 9 J @ E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E I J @ E I J @ E G H ? ½ 9 : : : : ; ; E G H ? E G H d ý ½ e ~ €C@ý f ý ½ g ~ D@ý h ý J ½ i ~ €D@ý j ý J ½ k ~ E@ý l ý , ½ m ~ €E@ý n ý , ½ o ~ F@ý p ý , ½ q ~ €F@ý r ý , ½ s ~ G@ý t ý ' ½ u ~ €G@ý v ý J ½ w ~ H@ý x ý J ½ y ~ €H@ý z ý 9 { ? ~ I@ý | ý ½ } ~ €I@ý ~ ý . @ u@@ u@ ý / ? °u@? Àu@ ý 0 ? Ðu@? Ðu@ ý 1 ? àu@? àu@ ý 2 ? ðu@? €v@ ý 3 ? •v@? w@ ý 4 ? 0w@? Àw@ ý 5 ? Ðw@? `x@ ý 6 ? px@? °x@ ý 7 @ Àx@@ Àx@ ý 8 @ Ðx@@ Ðx@ ý ðy@ ý àx@? : py@ ? ý €y@? ; ; < < < < = = = = > > > > ? ? ? ? ? ½ ; ? z@? E • ~ G J@ý H € ý ? • ½ < ? z@? E ‚ ~ G €J@ý H ƒ ý ? „ ½ = ? Ðz@? E … ~ I K@ý J † ý @ ½ > @ P{@@ E ‡ ~ G €K@ý H ˆ ý ? ½ ? ? `{@? E ‰ × D d l N N N N N N N N N " " " A D E H È È L O È P S W Z [ ^ @ G L@ý @ H Š ý @ ? ½ @ ? €{@? @ E ‹ ~ A G €L@ý A H Œ ý A ? • ½ A ? •{@? A E Ž ~ B G M@ý B H • ý B ? W ½ B ? `•@? B E • ~ C G €M@ý C H ‘ ý C ? , ½ C ? °•@? C E • ~ D G N@ý D H ’ ý D ? ½ D ? (€@@ p€@ ý D E “ ~ E G €N@ý E H ” ý E ? , ½ E ? x€@? E E • ~ F G O@ý •z@ ý Àz@ ý @{@ ý P{@ ý p{@ ý " " N N N N N N N N N N N N N N N N N B È C È F È G I J È M N Q R T È U X Y \ È ] _ ~ €{@ ý P•@ ý •@ ý €@ ý °€@ ý @ K V F F F G G G G H H H H I I I I J J J J K K K K L L L L M M M M N N N N O O O O P P P P Q Q Q Q R R R R S S S H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? – — • ý ½ ~ €O@ý ˜ ý / ½ ™ ~ P@ý š ý › ½ œ ~ @P@ý • ý @ ½ ž ~ €P@ý Ÿ ý ½ ~ ÀP@ý ¡ ý ¢ ½ £ ~ Q@ý ¤ ý @ ½ ¥ ~ @Q@ý ¦ ý § ½ ¨ ~ €Q@ý © ý $ ½ ª ~ ÀQ@ý « ý , ½ ¬ ~ R@ý ý ® ½ ¯ ~ @R@ý ° ý ® ½ ° ~ €R@ý ± ý ² ½ ³ ~ ÀR@ý T ý ´ ½ F ? ¸€@? •@ ý G ? •@? p•@ ý H ? x•@? •@ ý I ? ¨•@? •‚@ ý J ? ˜‚@? ˜‚@ ý K ? ‚@? ƒ@ ý L ? ƒ@? øƒ@ ý M ? „@? „@ ý N ? „@? …@ ý O ? ¨…@? à…@ ý P ? è…@? p†@ ý Q ? x†@? ‡@ ý R ? ‡@? 8‡@ ý S ? @‡@? p‡@ S E ~ T T T T U U U U V V V V W W W W X X X X Y Y Y Y Z Z Z G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? S@ý ý ½ ¶ ~ @S@ý · ý ¸ ½ ¹ ~ €S@ý º ý ¸ ½ » ~ ÀS@ý ¼ ý ½ ½ ~ T@ý ¾ ý ¿ ½ ¾ ~ @T@ý À ý $ ½ À ~ €T@ý Á ý µ T ? x‡@? x‡@ ý U ? €‡@? ‰@ ý V ? ‰@? ¨Š@ ý W ? °Š@? ‹@ ý X ? ‹@? h‹@ ý Y ? p‹@? øŒ@ ý ½ Z [ [ [ [ \ \ \ \ ] ] ] ] ^ ^ ^ ^ _ _ _ _ E G H ? E I J @ E G H ? E G H ? E G H ? E Z  ? ~ ÀT@ý à ý ½ Ä ~ U@ý Å ý J ½ Æ ~ @U@ý Ç ý $ ½ Ç ~ €U@ý È ý $ ½ È ~ ÀU@ý É ý 2 ½ É × D •@? p•@ ý [ ? x•@? °•@ ý \ @ ¸•@@ ¸•@ ý ] ? À•@? H•@ ý ^ ? P•@? l•@ ý _ < ? p•@? t•@ ý l N N N N N N N N N N a d à h Ô k n Ô o r Ô u Ô x { ~ ` G V@ý ` H Ê ý ` ? ½ ` ? x•@? œ•@ ` E Ê ~ a G @V@ý a H Ë ý a ? N N N N N N N N N J N N N N N N N N N N N b c e f g i ÿ @ j ì l m Ô p s v y | • q t w z } Ô Ô Ô ý ~ Ô Ô Ô ` ½ a b b b b c c c c d d d d e e e e f f f f g g g g h h h h i i i i j E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E G H ? E V K X E L a Ë ? ~ €V@ý Ì ý Í ½ Î ~ ÀV@ý Ï ý Ð ½ Ï ~ W@ý Ñ ý @ ½ Ñ ~ @W@ý Ò ý $ ½ Ò ~ €W@ý Ó ý ® ½ Ó ~ ÀW@ý Ô ý Õ ½ Ô ~ X@ý Ö ý ½ × ~ @X@ý Ø ý ½ Ù Ú ¾ •@? Ø•@ ý b ? Ü•@? (‘@ ý c ? ,‘@? œ‘@ ý d ? ‘@? ’@ ý e ? ’@? Ü’@ ý f ? à’@? $“@ ý g ? (“@? H“@ ý h ? L“@? L“@ ý i j X P“@X W ý t“@ ý j k k k k l m n n n n o o o o p q r r r r s s s s t t t t u u u u v v v v w w w w x x x x y y y Y V ^ X E E E M L A E V ^ X E E E N O B E N O B E N O B E N O B E P Q C E N O B E N O B E N O B ½ y z z z Y Y E €X@ý Û ý ½ Ü ¾ Ý ¾ Þ ~ ÀX@ý ß ý ½ à ~ Y@ý á ý ½ Ü ¾ â ¾ Þ ~ @Y@ý ã ý ä ½ å ~ €Y@ý æ ý $ ½ ç ~ ÀY@ý è ý é ½ ê ~ Z@ý ë ý $ ½ ì ~ @Z@ý í ý î ½ ï ~ €Z@ý ð ý $ ½ ñ ~ ÀZ@ý ò ý @ ½ ó ~ [@ý ô ý y B E õ ~ N @[@ý O ö ý B ½ z B ~ k l m X x“@X |“@ ý ] _ \ \ \ ý W ` Y Y Y ý n A o p q X ¨“@X ¬“@ ý ] _ \ \ \ ý W ` Y Y Y ý r B °“@B À“@ ý s B Ä“@B ˆ”@ ý t B Œ”@B •”@ u B ””@B X•@ ý v C \•@C h•@ ý w B l•@B X–@ ý x B \–@B ¨–@ ý €“@A ¬–@B Ж@ ý Ô–@B ø–@ ý ¤“@ ý ý z { { { { | | | | } } } E N O B E N O B E N O B ÷ ~ €[@ý ø ý @ ½ ù ~ À[@ý ú ý Í ½ û ~ \@ý ü ý { B ü–@B p—@ ý | B t—@B À—@ ý ½ } ~ ~ ~ ~ • • • • } B Ä—@B ü—@ ý E ý ~ N @\@ý O þ ý B @ ½ ~ B ˜@B t˜@ ý E ÿ ~ N €\@ý O ý B ½ • B x˜@B ì˜@ ý E × D l l N N N N N N N N N N * N " " N N " " N N N N N N N N N N N N N Ô • È ‚ Ô ƒ ~ € € € € • • • • ‚ ‚ ‚ ‚ ƒ ƒ N À\@ý O ý B ½ E ~ R ]@ý S ý D Í ½ E ~ N @]@ý O ý F Í ½ E N €]@ý O € B ð˜@B ™@ ý • D ™@D d™@ ý ‚ ~ B h™@B ´™@ ý ƒ B ¸™@B Ô™@ ý ý ƒ ƒ ? 7 E × ½ € ˆ < N N N > ¶ å š o q o q m k m ( ( ï 7 @ < d B ‹ ‹ d B o q o q o q k m k m ( i j i j i j i j g g ÿÿÿÿ D k m ( - k ( - 0 ì ` p • Ô x h € ˆ ¤ È à ä - Sheet1 - Worksheets È • ˜ ¸ À ˜ € ¬ $ 0 8 D Ì Ø ä ì ô E k t C o n t e n t I D 6 4 E k t C o n t e n t L a n g u a g e E k t F o l d e r I d 6 4 E k t Q u i c k L i n k E k t C o n t e n t T y p e E k t C o n t e n t S u b T y p e E k t F o l d e r N a m e E k t C m s P a t h E k t E x p i r y T y p e E k t D a t e C r e a t e d E k t D a t e M o d i f i e d E k t T a x C a t e g o r y E k t D i s a b l e d T a x C a t e g o r y E k t C m s S i z e E k t S e a r c h a ° Ÿ½ ! D o w n l o a d e Ð N u m b e r F i e T h r u D e s c r C o n s t a n t & R e g i o n C o d e N u m b e r X ( 1 n u m b e r C a r n e t w o r k a s s g r o u p / b e n e f 9 ( 1 0 ) E O B B a t c h D a t e M e & l t ; / p & g t b l e E k t E D e s c r i p t i o n Í A s s e t . a s p x ? i d = 8 5 8 9 9 8 3 1 3 5 @ êuÜñÎ @ ÐÁ wÜñÎ f & l t ; p & g t ; S h e e t 1 l d N a m e L e n g t h F r o m i p t i o n R e c o r d T y p e 9 ( 2 ) a m p ; q u o t ; 5 4 & a m p ; q u o t ; ( 1 ) X ( 1 0 ) V e n d o r 5 ) U s u a l l y p h a r m a c y N A B P r i e r N u m b e r P h a r m a c y o c i a t e d w i t h i t P a y m e n t B a t c h N u m b e r c y c l e n u m b e r P a y m e n t 9 ( 8 ) Y Y Y Y M M D D ; þÿ +,ù®0 p • È x P € ÕÍÕœ.“— X ˆ h £ ä - MHSA - Sheet1 Worksheets " # $ % & ' ( ) * + , / 0 1 2 3 4 5 6 7 8 9 : ; < = > ? A B C D E F G H I J K L M N O P Q R þÿÿÿT U V þÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ýÿÿÿþÿÿÿþÿÿÿS ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿR o o t E n t r y ÿÿÿÿÿÿÿÿ À F ÐŽF@ßñÎf À W o r k b o o k ÿÿÿÿÿÿÿÿÿÿÿÿ N¤ S u m m a r y I n f o r m a t i o n ( ÿÿÿ ÿ Œ D o c u m e n t S u m m a r y I n f o r m a t i o n 8 ÿÿÿÿÿÿÿÿÿÿÿÿ ø þÿÿÿ ! . @ ! " # $ % & þÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿ ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿþÿ à…ŸòùOh«‘ +'³Ù0 \ X x < ` „ • Excel @ 1 A P B M _ C o o C o o W e n d œ ¤ 0 ä Microsoft š"R”Î@ "Ô®‰ßÇ@ € »5R”Î p p e n d _ 2 0 _ D a t a S u b m S p e c s - F r m B H O N S C o n t 2 0 1 3 _ 1 5 k W e n d y k y þÿ ÕÍÕœ.“— +,ù®D ÕÍÕœ.“— +,ù®