WPC  77WPC >?d}A?P?U@\?N]?Oϫ?Of?OcK?Ob?OQ?9M;=0t<$t^o"uZv7>!  (  (Untitled)3',, , ,   n3 ) 3    *    d +    d ,    d /0ghjklmnopqrstuvwxyz{|}~P2 * c:\inf42\forms\ad661.wpf c:\inf41\phuong\ad-661.wpfUS&& &&   >?df eh Terminal 1 ! d !  d      Terminal eb Arial " ! 2     d    Arial ev Times New Roman  ! 2 F  d    Times New Roman ? Ad A{?Pz jV c:\inf41\database\ AD661.DBFhistory   i%Name  ;   h NAME; i$SSN     h SSN i'FromDt     h FROMDT i%ToDt     h TODT i%Agcy     h AGCY i%Code     h CODE i%Page     h PAGE i'PageOf     h PAGEOF i(T_1[B1]     h T_1_B1_ i(T_1[C1]     h T_1_C1_ i(T_1[D1]  0   h T_1_D1_0 i(T_1[E1]     h T_1_E1_ i(T_1[F1]     h T_1_F1_ i(T_1[G1]     h T_1_G1_ i(T_1[H1]     h T_1_H1_ i(T_1[I1]     h T_1_I1_ i(T_1[J1]     h T_1_J1_  i(T_1[K1]     h T_1_K1_  i(T_1[L1]     h T_1_L1_  i(T_1[M1]     h T_1_M1_  i(T_1[N1]     h T_1_N1_  i(T_1[O1]     h T_1_O1_ i(T_1[P1]     h T_1_P1_ i(T_1[B2]     h T_1_B2_ i(T_1[C2]     h T_1_C2_ i(T_1[D2]  0   h T_1_D2_0 i(T_1[E2]     h T_1_E2_ i(T_1[F2]     h T_1_F2_ i(T_1[G2]     h T_1_G2_ i(T_1[H2]     h T_1_H2_ i(T_1[I2]     h T_1_I2_ i(T_1[J2]     h T_1_J2_ i(T_1[K2] !    h T_1_K2_ i(T_1[L2] "    h T_1_L2_ i(T_1[M2] #    h T_1_M2_ i(T_1[N2] $    h T_1_N2_ i(T_1[O2] %    h T_1_O2_ i(T_1[P2] &    h T_1_P2_ i(T_1[B3]! '    h T_1_B3_! i(T_1[C3]" (    h T_1_C3_" i(T_1[D3]# ) 0   h T_1_D3_#0 i(T_1[E3]$ *    h T_1_E3_$ i(T_1[F3]% +    h T_1_F3_% i(T_1[G3]& ,    h T_1_G3_& i(T_1[H3]' -    h T_1_H3_' i(T_1[I3]( .    h T_1_I3_( i(T_1[J3]) /    h T_1_J3_) i(T_1[K3]* 0    h T_1_K3_* i(T_1[L3]+ 1    h T_1_L3_+ i(T_1[M3], 2    h T_1_M3_, i(T_1[N3]- 3    h T_1_N3_- i(T_1[O3]. 4    h T_1_O3_. i(T_1[P3]/ 5    h T_1_P3_/ i(T_1[B4]1 6    h T_1_B4_1 i(T_1[C4]2 7    h T_1_C4_2 i(T_1[D4]3 8 0   h T_1_D4_30 i(T_1[E4]4 9    h T_1_E4_4 i(T_1[F4]5 :    h T_1_F4_5 i(T_1[G4]6 ;    h T_1_G4_6 i(T_1[H4]7 <    h T_1_H4_7 i(T_1[I4]8 =    h T_1_I4_8 i(T_1[J4]9 >    h T_1_J4_9 i(T_1[K4]: ?    h T_1_K4_: i(T_1[L4]; @    h T_1_L4_; i(T_1[M4]< A    h T_1_M4_< i(T_1[N4]= B    h T_1_N4_= i(T_1[O4]> C    h T_1_O4_> i(T_1[P4]? D    h T_1_P4_? i(T_1[B5]A E    h T_1_B5_A i(T_1[C5]B F    h T_1_C5_B i(T_1[D5]C G 0   h T_1_D5_C0 i(T_1[E5]D H    h T_1_E5_D i(T_1[F5]E I    h T_1_F5_E i(T_1[G5]F J    h T_1_G5_F i(T_1[H5]G K    h T_1_H5_G i(T_1[I5]H L    h T_1_I5_H i(T_1[J5]I M    h T_1_J5_I i(T_1[K5]J N    h T_1_K5_J i(T_1[L5]K O    h T_1_L5_K i(T_1[M5]L P    h T_1_M5_L i(T_1[N5]M Q    h T_1_N5_M i(T_1[O5]N R    h T_1_O5_N i(T_1[P5]O S    h T_1_P5_O i(T_1[B6]Q T    h T_1_B6_Q i(T_1[C6]R U    h T_1_C6_R i(T_1[D6]S V 0   h T_1_D6_S0 i(T_1[E6]T W    h T_1_E6_T i(T_1[F6]U X    h T_1_F6_U i(T_1[G6]V Y    h T_1_G6_V i(T_1[H6]W Z    h T_1_H6_W i(T_1[I6]X [    h T_1_I6_X i(T_1[J6]Y \    h T_1_J6_Y i(T_1[K6]Z ]    h T_1_K6_Z i(T_1[L6][ ^    h T_1_L6_[ i(T_1[M6]\ _    h T_1_M6_\ i(T_1[N6]] `    h T_1_N6_] i(T_1[O6]^ a    h T_1_O6_^ i(T_1[P6]_ b    h T_1_P6__ i(T_1[B7]a c    h T_1_B7_a i(T_1[C7]b d    h T_1_C7_b i(T_1[D7]c e 0   h T_1_D7_c0 i(T_1[E7]d f    h T_1_E7_d i(T_1[F7]e g    h T_1_F7_e i(T_1[G7]f h    h T_1_G7_f i(T_1[H7]g i    h T_1_H7_g i(T_1[I7]h j    h T_1_I7_h i(T_1[J7]i k    h T_1_J7_i i(T_1[K7]j l    h T_1_K7_j i(T_1[L7]k m    h T_1_L7_k i(T_1[M7]l n    h T_1_M7_l i(T_1[N7]m o    h T_1_N7_m i(T_1[O7]n p    h T_1_O7_n i(T_1[P7]o q    h T_1_P7_o i(T_1[B8]q r    h T_1_B8_q i(T_1[C8]r s    h T_1_C8_r i(T_1[D8]s t 0   h T_1_D8_s0 i(T_1[E8]t u    h T_1_E8_t i(T_1[F8]u v    h T_1_F8_u i(T_1[G8]v w    h T_1_G8_v i(T_1[H8]w x    h T_1_H8_w i(T_1[I8]x y    h T_1_I8_x i(T_1[J8]y z    h T_1_J8_y i(T_1[K8]z {    h T_1_K8_z i(T_1[L8]{ |    h T_1_L8_{ i(T_1[M8]| }    h T_1_M8_| i(T_1[N8]} ~    h T_1_N8_} i(T_1[O8]~     h T_1_O8_~ i(T_1[P8]     h T_1_P8_ i(T_1[B9]     h T_1_B9_ i(T_1[C9]     h T_1_C9_ i(T_1[D9]  0   h T_1_D9_0 i(T_1[E9]     h T_1_E9_ i(T_1[F9]     h T_1_F9_ i(T_1[G9]     h T_1_G9_ i(T_1[H9]     h T_1_H9_ i(T_1[I9]     h T_1_I9_ i(T_1[J9]     h T_1_J9_ i(T_1[K9]     h T_1_K9_ i(T_1[L9]     h T_1_L9_ i(T_1[M9]     h T_1_M9_ i(T_1[N9]     h T_1_N9_ i(T_1[O9]     h T_1_O9_ i(T_1[P9]     h T_1_P9_ i)T_1[B10]     h T_1_B10_ i)T_1[C10]     h T_1_C10_ i)T_1[D10]  0   h T_1_D10_0 i)T_1[E10]     h T_1_E10_ i)T_1[F10]     h T_1_F10_ i)T_1[G10]     h T_1_G10_ i)T_1[H10]     h T_1_H10_ i)T_1[I10]     h T_1_I10_ i)T_1[J10]     h T_1_J10_ i)T_1[K10]     h T_1_K10_ i)T_1[L10]     h T_1_L10_ i)T_1[M10]     h T_1_M10_ i)T_1[N10]     h T_1_N10_ i)T_1[O10]     h T_1_O10_ i)T_1[P10]     h T_1_P10_ i)T_1[B11]     h T_1_B11_ i)T_1[C11]     h T_1_C11_ i)T_1[D11]  0   h T_1_D11_0 i)T_1[E11]     h T_1_E11_ i)T_1[F11]     h T_1_F11_ i)T_1[G11]     h T_1_G11_ i)T_1[H11]     h T_1_H11_ i)T_1[I11]     h T_1_I11_ i)T_1[J11]     h T_1_J11_ i)T_1[K11]     h T_1_K11_ i)T_1[L11]     h T_1_L11_ i)T_1[M11]     h T_1_M11_ i)T_1[N11]     h T_1_N11_ i)T_1[O11]     h T_1_O11_ i)T_1[P11]     h T_1_P11_ i)T_1[B12]     h T_1_B12_ i)T_1[C12]     h T_1_C12_ i)T_1[D12]  0   h T_1_D12_0 i)T_1[E12]     h T_1_E12_ i)T_1[F12]     h T_1_F12_ i)T_1[G12]     h T_1_G12_ i)T_1[H12]     h T_1_H12_ i)T_1[I12]     h T_1_I12_ i)T_1[J12]     h T_1_J12_ i)T_1[K12]     h T_1_K12_ i)T_1[L12]     h T_1_L12_ i)T_1[M12]     h T_1_M12_ i)T_1[N12]     h T_1_N12_ i)T_1[O12]     h T_1_O12_ i)T_1[P12]     h T_1_P12_ i)T_1[B13]     h T_1_B13_ i)T_1[C13]     h T_1_C13_ i)T_1[D13]  0   h T_1_D13_0 i)T_1[E13]     h T_1_E13_ i)T_1[F13]     h T_1_F13_ i)T_1[G13]     h T_1_G13_ i)T_1[H13]     h T_1_H13_ i)T_1[I13]     h T_1_I13_ i)T_1[J13]     h T_1_J13_ i)T_1[K13]     h T_1_K13_ i)T_1[L13]     h T_1_L13_ i)T_1[M13]     h T_1_M13_ i)T_1[N13]     h T_1_N13_ i)T_1[O13]     h T_1_O13_ i)T_1[P13]     h T_1_P13_ i)T_1[B14]     h T_1_B14_ i)T_1[C14]     h T_1_C14_ i)T_1[D14]  0   h T_1_D14_0 i)T_1[E14]     h T_1_E14_ i)T_1[F14]     h T_1_F14_ i)T_1[G14]     h T_1_G14_ i)T_1[H14]     h T_1_H14_ i)T_1[I14]     h T_1_I14_ i)T_1[J14]     h T_1_J14_ i)T_1[K14]     h T_1_K14_ i)T_1[L14]     h T_1_L14_ i)T_1[M14]     h T_1_M14_ i)T_1[N14]     h T_1_N14_ i)T_1[O14]     h T_1_O14_ i)T_1[P14]     h T_1_P14_ i)T_1[B15]     h T_1_B15_ i)T_1[C15]     h T_1_C15_ i)T_1[D15]  0   h T_1_D15_0 i)T_1[E15]     h T_1_E15_ i)T_1[F15]     h T_1_F15_ i)T_1[G15]     h T_1_G15_ i)T_1[H15]     h T_1_H15_ i)T_1[I15]     h T_1_I15_ i)T_1[J15]     h T_1_J15_ i)T_1[K15]     h T_1_K15_ i)T_1[L15]     h T_1_L15_ i)T_1[M15]     h T_1_M15_ i)T_1[N15]     h T_1_N15_ i)T_1[O15]     h T_1_O15_ i)T_1[P15]     h T_1_P15_ i)T_1[B16]     h T_1_B16_ i)T_1[C16]     h T_1_C16_ i)T_1[D16]  0   h T_1_D16_0 i)T_1[E16]     h T_1_E16_ i)T_1[F16]     h T_1_F16_ i)T_1[G16]     h T_1_G16_ i)T_1[H16]     h T_1_H16_ i)T_1[I16]     h T_1_I16_ i)T_1[J16]     h T_1_J16_ i)T_1[K16]     h T_1_K16_ i)T_1[L16]     h T_1_L16_ i)T_1[M16]     h T_1_M16_ i)T_1[N16]     h T_1_N16_ i)T_1[O16]     h T_1_O16_ i)T_1[P16]     h T_1_P16_ i)T_1[B17]     h T_1_B17_ i)T_1[C17]     h T_1_C17_ i)T_1[D17]  0   h T_1_D17_0 i)T_1[E17]     h T_1_E17_ i)T_1[F17]     h T_1_F17_ i)T_1[G17]     h T_1_G17_ i)T_1[H17]     h T_1_H17_ i)T_1[I17]     h T_1_I17_ i)T_1[J17]      h T_1_J17_  i)T_1[K17]      h T_1_K17_  i)T_1[L17]      h T_1_L17_  i)T_1[M17]      h T_1_M17_  i)T_1[N17]      h T_1_N17_  i)T_1[O17]     h T_1_O17_ ??i)T_1[P17]     h T_1_P17_ i)T_1[B18]     h T_1_B18_ i)T_1[C18]      h T_1_C18_ i)T_1[D18]   0   h T_1_D18_0 i)T_1[E18]      h T_1_E18_ i)T_1[F18]      h T_1_F18_ i)T_1[G18]      h T_1_G18_ i)T_1[H18]     h T_1_H18_ i)T_1[I18]     h T_1_I18_ i)T_1[J18]     h T_1_J18_ i)T_1[K18]     h T_1_K18_ i)T_1[L18]     h T_1_L18_ i)T_1[M18]     h T_1_M18_ i)T_1[N18]     h T_1_N18_ i)T_1[O18]     h T_1_O18_ i)T_1[P18]     h T_1_P18_ i&Total     h TOTAL i%Sign  J   h SIGNJ i%Date     h DATE i&Phone     h PHONE i$Com      h COM  i$FTS      h FTS  i)SUBTOTAL     h SUBTOTAL ?q@de @?Nh& } A DOCUMENT IDENTIFICATION $ !"#                             P  <&     }h }& 1 CASHIER'S NAME (First, Middle Initial, Last) Name!"-./567$89:$;>?@ABCG                         P #      $      ' ;  Y@$.,! *  < && = &&     G SSN!"-./5'6789:;>?@ABCG                         P #      $      ' --  Y@$.,! *  < && = &&     , q& 2 CASHIER'S SOCIAL  q&  SECURITY NUMBER ' !"#      U                       P  &&     ~T q& 3. PERIOD COVERED 6  !"#                             P  &&     5RT^T FromDt!"-./5667 89: ;>?@ABCG                         P #      $      '   Y@$.,! *  < && = &&    4@HASVALUE (FromDt) and #UPDATONLY    FromDt  ~      9@datevalue (@datetext (FromDt, "%2-%1-%5"))   FromDt   %2-%1-%5  "  #  6@VALUE (@DATETEXT (FromDt,"%5"))<=29   FromDt   %5  "  x         v@SETVALUE (FromDt, @DATEVALUE (@CONCAT (@DATETEXT (FromDt,"%2-%1"),"-20",@DATETEXT (FromDt,"%5"))),TRUE)   FromDt   FromDt   %2-%1  "   -20   FromDt   %5  "      #       6R^ ToDt!"-./5D67 89: ;>?@ABCG                         P #      $      '   Y@$.,! *  < && = &&    2@HASVALUE (ToDt) and #UPDATONLY    ToDt  ~      7@datevalue (@datetext (ToDt, "%2-%1-%5"))   ToDt   %2-%1-%5  "  #  4@VALUE (@DATETEXT (ToDt,"%5"))<=29   ToDt   %5  "  x         p@SETVALUE (ToDt, @DATEVALUE (@CONCAT (@DATETEXT (ToDt,"%2-%1"),"-20",@DATETEXT (ToDt,"%5"))),TRUE)   ToDt   ToDt   %2-%1  "   -20   ToDt   %5  "      #        V        P    H%8 Agcy!"- ./5P67 89:;>?@ABCG                         P #      $      ' --  Y@$.,! *  < && = &&     %8,  q& 4 AGENCY  q&  NAME P  !"#      U                       P  &&     H)8 Code!"- ./5Y67 89:;>?@ABCG                         P #      $      ' --  Y@$.,! *  < && = &&     )8,  q& 5 AGENCY  q&  CODE Y  !"#      U                       P  &&     s,.  q& 6 PAGE b !"#                             P  &&    0,., Page!"-./5b6789:;>?@ABCG                         P #      $      '    @$.,! *  < && = &&     h/T, q&2 OF e !"#                             P  &&    20, PageOf! "-./5g6789:;>?@ABCG                         P #      $      '    @$.,! *  < && = &&     , }& UNITED STATES DEPARTMENT OF AGRICULTURE  &o   CASHIER SUB -- VOUCHER REGISTER  'C !"#      n                       P  &&    h0 } B SUB -- VOUCHER CLASSIFICATION h !"#                             P  <&      V h04!       P    hx  q& 1  q&N SUB-  q& VOUCHER  q& NUMBER  !"#                             P  &&`    dxXX q& 2  q&o DATE   !"#                             P  &&    nd, q& MO    !"#                             P  &&     o, q& DAY   !"#                             P         xX q&: 3  q&w VENDOR'S NAME   !"#                             P  &&     VH!       P    x }& 4 ACCOUNTING CLASSIFICATION 0, !"#                             P  &&    o@, q SCS . !"#                             P   $     n, qf FS .  !"#                             P   $     @h d< FIN  d PROJ 0 !"#      K                       P  &&     ph  d APRN 0  !"#      P                       P  &&    $@h! dU CLS  d# CODE 3 !"#      K                       P       @" d STATE  da CHARG'D 6 !"#      K                       P        @# d STATE  dg WORKED < !"#      K                       P       p@$ d AREA A !"#      K                       P       !@% de FIELD  de OFFC G !"#      K                       P       d#@X& dO FIPS CTY  d CODE K !"#      K                       P       z%@' d PROJECT NUMBER P  !"#      P                       P       \+x ( q&" 4  q&` OBJECT  q& CLASS \ !"#                             P  &&`    ,.x ) q& 5  q& AMOUNT b !"#                             P  &&`    n$h* dO ST 3  !"#      P                       P  &&    s(+ ds ACCOUNT 6   !"#      P                       P  &&    t, d; FUNCTION A  !"#      P                       P  &&    ?3?O!- dw SUB-  d? FUNCT G  !"#      K                       P       d#X. d SUB-  d UNIT K  !"#      K                       P       z%/ d PROJECT NUMBER P   !"#      P                       P       m0 }& A 0  !"#      P                       P  &&     m(1 }&B B 6   !"#      P                       P  &&     m2 }& C A   !"#      P                       P  &&     m%4 }&~ E P   !"#      P                       P  &&     h0T 1 T_1# $( ),- .h/"012456789                                    P ! "?$%&')*                       Y@$.,!  ( &&  3 &&    A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     A     ?    ?H    ?X    ?    ?    ?(     ?    ?    ?X    ?    ?X    ?    ?h    ?h    ?h    ?    > q&\ 1"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&H    *("$% &')*                       Y@$.,!  ( &&H    3"$%&')*                      Y@$.,!  ( &&H    3"$%&')*                      Y@$.,!  ( &&H    *X" $%&')*                      Y@$.,!  ( &&H    3 " $%&')*                      Y@$.,!  ( &&H    3X " $%&')*                      Y@$.,!  ( &&H    3 " $%&')*                      Y@$.,!  ( &&H    3h " $%&')*                      Y@$.,!  ( &&H    3h "$%&')*                      Y@$.,!  ( &&H    3h"$%&')*                      Y@$.,!  ( &&H    ,"$%&')*                        $.,!  ( &H    > q&\ 2"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ," $%&')*                        $.,!  ( &    > q&\ 3 "!$%&')*                        Y@$.,!  (      *H!""$%&')*                       Y@$.,!  ( &&    3X""#$%&')*                       Y@$., !  ( &&    *#"$$%&')*                    0  Y@$.,!  ( &&    *$"%$%&')*                      Y@$.,!  ( &&    *(%"&$% &')*                       Y@$.,!  ( &&    3&"'$%&')*                      Y@$.,!  ( &&    3'"($%&')*                      Y@$.,!  ( &&    *X(")$%&')*                      Y@$.,!  ( &&    3)"*$%&')*                      Y@$.,!  ( &&    3X*"+$%&')*                      Y@$.,!  ( &&    ??O3+",$%&')*                      Y@$.,!  ( &&    3h,"-$%&')*                      Y@$.,!  ( &&    3h-".$%&')*                      Y@$.,!  ( &&    3h."/$%&')*                      Y@$.,!  ( &&    ,/"0$%&')*                        $.,!  ( &    > q&\ 40"1$%&')*                        Y@$.,!  (      *H1"2$%&')*                       Y@$.,!  ( &&    3X2"3$%&')*                       Y@$., !  ( &&    *3"4$%&')*                    0  Y@$.,!  ( &&    *4"5$%&')*                      Y@$.,!  ( &&    *(5"6$% &')*                       Y@$.,!  ( &&    36"7$%&')*                      Y@$.,!  ( &&    37"8$%&')*                      Y@$.,!  ( &&    *X8"9$%&')*                      Y@$.,!  ( &&    39":$%&')*                      Y@$.,!  ( &&    3X:";$%&')*                      Y@$.,!  ( &&    3;"<$%&')*                      Y@$.,!  ( &&    3h<"=$%&')*                      Y@$.,!  ( &&    3h=">$%&')*                      Y@$.,!  ( &&    3h>"?$%&')*                      Y@$.,!  ( &&    ,?"@$%&')*                        $.,!  ( &    > q&\ 5@"A$%&')*                        Y@$.,!  (      *HA"B$%&')*                       Y@$.,!  ( &&    3XB"C$%&')*                       Y@$., !  ( &&    *C"D$%&')*                    0  Y@$.,!  ( &&    *D"E$%&')*                      Y@$.,!  ( &&    *(E"F$% &')*                       Y@$.,!  ( &&    3F"G$%&')*                      Y@$.,!  ( &&    3G"H$%&')*                      Y@$.,!  ( &&    *XH"I$%&')*                      Y@$.,!  ( &&    3I"J$%&')*                      Y@$.,!  ( &&    3XJ"K$%&')*                      Y@$.,!  ( &&    3K"L$%&')*                      Y@$.,!  ( &&    3hL"M$%&')*                      Y@$.,!  ( &&    3hM"N$%&')*                      Y@$.,!  ( &&    3hN"O$%&')*                      Y@$.,!  ( &&    ,O"P$%&')*                        $.,!  ( &    > q&\ 6P"Q$%&')*                        Y@$.,!  (      *HQ"R$%&')*                       Y@$.,!  ( &&    3XR"S$%&')*                       Y@$., !  ( &&    *S"T$%&')*                    0  Y@$.,!  ( &&    *T"U$%&')*                      Y@$.,!  ( &&    *(U"V$% &')*                       Y@$.,!  ( &&    3V"W$%&')*                      Y@$.,!  ( &&    3W"X$%&')*                      Y@$.,!  ( &&    *XX"Y$%&')*                      Y@$.,!  ( &&    3Y"Z$%&')*                      Y@$.,!  ( &&    3XZ"[$%&')*                      Y@$.,!  ( &&    3["\$%&')*                      Y@$.,!  ( &&    3h\"]$%&')*                      Y@$.,!  ( &&    3h]"^$%&')*                      Y@$.,!  ( &&    3h^"_$%&')*                      Y@$.,!  ( &&    ,_"`$%&')*                        $.,!  ( &    > q&\ 7`"a$%&')*                        Y@$.,!  (      *Ha"b$%&')*                       Y@$.,!  ( &&    3Xb"c$%&')*                       Y@$., !  ( &&    *c"d$%&')*                    0  Y@$.,!  ( &&    *d"e$%&')*                      Y@$.,!  ( &&    *(e"f$% &')*                       Y@$.,!  ( &&    3f"g$%&')*                      Y@$.,!  ( &&    3g"h$%&')*                      Y@$.,!  ( &&    ??O*Xh"i$%&')*                      Y@$.,!  ( &&    3i"j$%&')*                      Y@$.,!  ( &&    3Xj"k$%&')*                      Y@$.,!  ( &&    3k"l$%&')*                      Y@$.,!  ( &&    3hl"m$%&')*                      Y@$.,!  ( &&    3hm"n$%&')*                      Y@$.,!  ( &&    3hn"o$%&')*                      Y@$.,!  ( &&    ,o"p$%&')*                        $.,!  ( &    > q&\ 8p"q$%&')*                        Y@$.,!  (      *Hq"r$%&')*                       Y@$.,!  ( &&    3Xr"s$%&')*                       Y@$., !  ( &&    *s"t$%&')*                    0  Y@$.,!  ( &&    *t"u$%&')*                      Y@$.,!  ( &&    *(u"v$% &')*                       Y@$.,!  ( &&    3v"w$%&')*                      Y@$.,!  ( &&    3w"x$%&')*                      Y@$.,!  ( &&    *Xx"y$%&')*                      Y@$.,!  ( &&    3y"z$%&')*                      Y@$.,!  ( &&    3Xz"{$%&')*                      Y@$.,!  ( &&    3{"|$%&')*                      Y@$.,!  ( &&    3h|"}$%&')*                      Y@$.,!  ( &&    3h}"~$%&')*                      Y@$.,!  ( &&    3h~"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    > q&\ 9"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 10"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 11"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    ??O*("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 12"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 13"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 14"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 15"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( && ??O   3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 16"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 17"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X" $%&')*                      Y@$.,!  ( &&    3 " $%&')*                      Y@$.,!  ( &&    3X " $%&')*                      Y@$.,!  ( &&    3 " $%&')*                      Y@$.,!  ( &&    3h " $%&')*                      Y@$.,!  ( &&    3h "$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    ,"$%&')*                        $.,!  ( &    ? q& 18"$%&')*                        Y@$.,!  (      *H"$%&')*                       Y@$.,!  ( &&    3X"$%&')*                       Y@$., !  ( &&    *"$%&')*                    0  Y@$.,!  ( &&    *"$%&')*                      Y@$.,!  ( &&    *("$% &')*                       Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    *X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3X"$%&')*                      Y@$.,!  ( &&    3"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( &&    3h"$%&')*                      Y@$.,!  ( && ?b?9   ," $%&')*                        $.,!  ( &     Vf& !      P     V! "      P     V& #      P     V) $      P     V) %      P     V, &      P     V0L '      P    i81fx( d" 2 i  !"#                             P       i/fx) d" 5 e  !"#                             P       i<-fx* d" 2 `  !"#                             P       i+fx+ d" 2 ]  !"#                             P       il*fx, d" 2 Z  !"#                             P       i@)fx- d" 1 X  !"#                             P       i'fx. d" 4 T  !"#                             P       i%fx/ d" 1 Q  !"#                             P       md#X3 }& D K  !"#      P                       P  &&     iT$fx0 d" 4 M  !"#                             P       i8"fx1 d" 3 I  !"#                             P       ifx2 d" 5 D  !"#                             P       jf3 dE 10 ;  !"#                             P       ifx4 d" 5 3  !"#                             P       L\+#X &5 TOTAL XTotal! "-5./5\6-789:;>?@ABCG                         P #      $      '    $.,! *  < && = &     *@SUM (t_1[p1..p18],SUBTOTAL)  T_1   SUBTOTAL    k  |h#)6 } C AUTHORIZATION -Y !"#                             P  <&     NhT$T q& 1 SIGNATURET Sign! "-7./56.7-89:-;>?@ABCG                         P #      $      ' J  Y@$.,! *  < && = &&     KT$ q& 2 DATE Date! "-8./506.789:;>?@ABCG                         P #      $      '   Y@$.,! *  < && = &&     2@HASVALUE (Date) and #UPDATONLY    Date  ~      7@datevalue (@datetext (Date, "%2-%1-%5"))   Date   %2-%1-%5  "  #  4@VALUE (@DATETEXT (Date,"%5"))<=29   Date   %5  "  x         o@SETVALUE (Date,@DATEVALUE (@CONCAT (@DATETEXT (Date,"%2-%1"),"-20",@DATETEXT (Date,"%5"))),TRUE)   Date   Date   %2-%1  "   -20   Date   %5  "      #       T$ 9 }& 3 PHONE (Area Code and Number) A. !"#                             P  &&    F$ Phone!"-:./5A6/7 89:;>?@ABCG                         P #      $      ' () -  Y@$.,! *  < && = &&     %$8 }&  Commercial   Com#;$%O&/' ()+,-.                             P   !  *   1    2      3      @RESETOBJ (FTS)   FTS    )$X }&  FTS   FTS#<$%W&/'()+,-.                             P   !  * <  1    2      3      @RESETOBJ (Com)   Com    {,%= q& FORM AD -- 661 (7/75) _0  !"#                             P  &&    h% > d This form was electronically produced by Elite Federal Forms, Inc. 0 !"#                             P  &&    yT,@ q&   q&Z FROM 6  !"#      U                       P  &&     w,A q&   q&| TO D  !"#      U                       P  &&     x|), }& Enter Total from Other Pages Here: SUBTOTAL!"-!./5X6789:;>?@ABCEG                         P #      $      '    $.,! *  < && = &&     ?u=0def g h i j =J<$defg <^o elite10.DLL IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. elite10.COM IVALID FILLER This form was Designed by Elite Federal Forms and requires the Elite/Novell Filler! Call 410-647-9691 for more information. WPIN$ELITE10FunctionSet,4.1 ^=ZNyj-@Z