| xxxxxxxxxx | xxxxxxxxxxxxx | xxxxxxxxxxxx * | xxxxxxxxxxxxxxxx | xxxxxxxxxxx/xxxxxxx | xxxxx | xxxx | xxxxxxxxxxxx/xxxxxxx | xxxxxxxx |
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| xxxxxx xxxxxxxxxxxx xxxxx (xxxxx) xxx.(xxx) | xxx xxxxxxx xxxxxxxxxxxxxxx | xxxxxxxxx | xxxxxxxxx | xx/xx/xxxx | xx,xxx | x.xx | xxxx | xxxx |
| xxxxxx xxxxxxxxxxxx xxxxx (xxxxx) xxx.(xxx) | xxx xxxxxxx xxxxxxxxxxxxxxx | xxxxxxx/xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx (xxxxxx xxxxxxxxxxxxxxx) | xxxxxxxxx | xx/xx/xxxx | x,xxx | x.xx | xxxx | xxxx |
| xxx-xxxxx xxxxxxxxxxxxxx (xxxxxxxxx) xxxxx (xxxxx) xxx.(xxxx) | xxx xxxx xxxx xxxx | xxxxxxxxx | xxxxxxxxx | xx/xx/xxxx | xxx,xxx | x.xx | xxxx | xxxx |
| xxxxxxxxxxxxxxx xxxxx (xxxxx) xxx.(xx) | xxx xxxxxxxx xxxxxxxxx | xxxxxxxxx | xxxxxxxxx | xx/xx/xxxx | xx,xxx | x.xx | xxxx | xxxx |
| xxx xxxxxxxxxxxx xxxxx xxxxx (xxxxx) xxx.(xxxx) | xxx xxxxxxx xxxxxxxxxxxxxxx | xxxxxxxxx | xxxxxxxxx | xx/xx/xxxx | xx,xxx | x.xx | xxxx | xxxx |
| xxxx xxxxxxxxxx xxxxxxxxxxxx xxxxx (xxxxx) xxx.(xxxx) | xxx xxxxxxxxx xxxxxxxxxxxxxxx | xxxxxxxxx | xxxxxxxxx | xx/xx/xxxx | xx,xxx | x.xx | xxxx | xxxx |
| xxxx xxxxxxxxxx xxxxxxxxxxxx xxxxx (xxxxx) xxx.(xxxx) | xxx xxxxxxxxx xxxxxxxxxxxxxxx | xxxxxxxxx | xxxxxxxxx | xx/xx/xxxx | xx,xxx | x.xx | xxxx | xxxx |
| xxxx xxxxxxxxxx xxxxxxxxxxxx xxxxx (xxxxx) xxx.(xxxx) | xxx xxxxxxxxx xxxxxxxxxxxxxxx | xxxxxxxxx | xxxxxxxxx | xx/xx/xxxx | xx,xxx | x.xx | xxxx | xxxx |
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