{{header}}

{{include ../../xfa_catalog_1_0.fragment}}
{{include ../../xfa_object_2_0.fragment}}
{{include ../../xfa_preamble_3_0.fragment}}
{{include ../../xfa_config_4_0.fragment}}

{{object 5 0}}
<<
  {{streamlen}}
>>
stream
<template xmlns="http://www.xfa.org/schema/xfa-template/3.3/">
  <subform name="form1" layout="tb" locale="en_US" restoreState="auto">
    <pageSet>
      <pageArea name="Page1" id="Page1">
        <contentArea x="18pt" y="18pt" w="612pt" h="792pt"/>
        <medium stock="default" short="612pt" long="792pt"/>
      </pageArea>
    </pageSet>
    <subform w="576pt" h="756pt" name="Page1">
      <field name="ImageField1" w="250pt" h="250pt">
        <value>
          <image contentType="image/tiff">SUkqAAQDAAB4nO3SMQEAMAyAsPo33brYDhIFHOxAxf4OgGfcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ2OAxGIP8F4nO3SMQEAMAyAsPo33brYDhIFHOxAxf4OgGfcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ2OAxGIP8F4nO3SMQEAMAyAsPo33brYDhIFHOxAxf4OgGfcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ2OAxGIP8F4nO3SMQEAMAyAsPo33brYDhIFHOxAxf4OgGfcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjrcTofb6XA7HW6nw+10uJ0Ot9PhdjoO69g5xxIA/gAEAAEAAAAAAAAAAAEDAAEAAAD6AAAAAQEDAAEAAAD6AAAAAgEDAAMAAADyAwAAAwEDAAEAAAAIAAAABgEDAAEAAAACAAAADQECAEIAAAAYBAAADgECABIAAABaBAAAEQEEAAQAAAAIBAAAEgEDAAEAAAABAAAAFQEDAAEAAAADAAAAFgEDAAEAAABAAAAAFwEEAAQAAAD4AwAAGgEFAAEAAADiAwAAGwEFAAEAAADqAwAAHAEDAAEAAAABAAAAKAEDAAEAAAACAAAAPQEDAAEAAAACAAAAAAAAAEgAAAABAAAASAAAAAEAAAAIAAgACADDAAAAwwAAAMMAAACzAAAACAAAAMsAAACOAQAAUQIAAC91c3IvbG9jYWwvZ29vZ2xlL2hvbWUvcmhhcnJpc29uL1BpY3R1cmVzL1JlZF9TcXVhcmVfZGVmbGF0ZS50aWZmAENyZWF0ZWQgd2l0aCBHSU1QAA==</image>
        </value>
        <border>
          <edge thickness="0.254mm"/>
          <corner thickness="0.254mm"/>
        </border>
      </field>
    </subform>
  </subform>
</template>

endstream
endobj

{{include ../../xfa_locale_6_0.fragment}}
{{include ../../xfa_postamble_7_0.fragment}}

{{xref}}
{{trailer}}
{{startxref}}
%%EOF