ࡱ> ` >objbj ҉NNN82G:r:"8,dZ9\9\9\9\9\9\9$<h>9%"%%98:Q+Q+Q+%lZ9Q+%Z9Q+Q+r4Tj,5 @SNQ(^4v6:0G:4%?(D%?55&%?5VR!Q+F" #99*^G:%%%%NN Personal Information: WCC Identification: Employee #  FORMTEXT       or Student #  FORMTEXT       Name:  FORMTEXT       Birth Date  FORMTEXT        Last Name First Name & Initial MM/DD/YYYYDriver's License #  FORMTEXT       State:  FORMTEXT    Class FORMTEXT       Codes  FORMTEXT      Are There restrictions on your driver's license?  FORMDROPDOWN . If YES Provide details :  FORMTEXT      Applicants must meet all of the following requirements before they can be approved to drive WCC vehicles or state leased vehicles whether pool vehicles or Enterprise Rental Cars:19 years of age or olderPossess a valid Virginia or a valid license from another state with less than 6 points and less than 3 moving violations within the last 3 yearsWytheville Community College will not accept Graduated, Probationary or Military driver's licenses. Drivers holding a license issued by a state other than Virginia must provide a current driver abstract, dated within 60 days of this application, from the issuing state. Failure to provide an out of state driver abstract will delay the approval process.Drivers of buses and 15 passenger vans must be 21 years or older, posses a valid Class 4, Class 2 or Class 1 driver's license, successfully complete a 15 passenger van training course.DEPARTMENT INFORMATION:Title:  FORMTEXT       Date Hired  FORMTEXT       E-mail:  FORMTEXT       Phone  FORMTEXT       Faculty or Administrative or Ancillary Unit::  FORMTEXT       Department or Division:  FORMTEXT       Phone  FORMTEXT       Immediate Supervisor:  FORMTEXT       E-Mail:  FORMTEXT       DEPARTMENT AUTHORIZATION: (Supervisor, Dean, VP or Fleet Manager)Name:  FORMTEXT       Title:  FORMTEXT       Phone  FORMTEXT       Signature: ________________________________ E-mail  FORMTEXT       WYTHEVILLE COMMUNITY COLLEGE AFFILIATION: ( Check all that apply)Faculty :  FORMCHECKBOX   FORMDROPDOWN Administrative :  FORMCHECKBOX   FORMDROPDOWN Classified Staff :  FORMCHECKBOX   FORMDROPDOWN Other: Please specify affiliation with WCC and state of Virginia  FORMTEXT        DRIVING HISTORY:Total years of driving  FORMTEXT    # of Collisions (Last 6 Years)  FORMTEXT    # of Violations (Last 3 yrs)  FORMTEXT    Total # Suspensions  FORMTEXT   Total # of Prohibitions  FORMTEXT    Provide details of above history. Include dates, locations, brief explanations of each collision (regardless of fault) violation ticket and suspension. FORMTEXT      Consent: By signing below, I consent to providing the personal information requested above to the named Faculty Ancillary and Department/Division, Facilities Management-Vehicle Pool, and Financial Services-Insurance and Risk .02rtvȸhM4M0jh(h+[5>*OJQJU\^J5jh(h9Z5>*OJQJU\^JmHnHu0jHh(h+[5>*OJQJU\^J!h(h+[5>*OJQJ\^J*jh(h+[5>*OJQJU\^Jh(h+[5OJQJ\^Jhvhy*5OJQJ\^Jh(hy*5OJQJ\^J&h(hy*5CJOJQJ\^JaJ&hvhy*5CJOJQJ\^JaJ02 ` gZM z $Ifgd( $Ifgd(@kd4$$Iflh$h% t644 la #$Ifgd(@kd$$Iflh$h% t644 la $Ifgd( l4o*OJQJU^Jh(h` OJQJ^J/jh(h9Z>*OJQJU^JmHnHu*j|h(hJx>*OJQJU^Jh(hJx>*OJQJ^J$jh(hJx>*OJQJU^Jhvh` OJQJ^Jh(hy*OJQJ^J!h(hy*5>*OJQJ\^J` b " $  G8 $Ifgd(Skd$$Iflh0$b t644 la $Ifgd( $Ifgd` Skdt$$Iflh0$b t644 la $ 4 6 J L N b d f p r ѳxjTx*OJQJU^JmHnHu*j0h(hJx>*OJQJU^Jh(hJx>*OJQJ^J$jh(hJx>*OJQJU^Jhvhy*>*OJQJ^Jhvhy*OJQJ^Jh(hlOJQJ^JhvhlOJQJ^J h(hJxCJOJQJ^JaJh(h` OJQJ^J hvh` CJOJQJ^JaJ h(h` CJOJQJ^JaJr t       ĖĖjĖ]L!jh(hOJQJU^Jh(hy*OJQJ^J*jh(h>*OJQJU^J*j*h(h>*OJQJU^J/jh(h9Z>*OJQJU^JmHnHu*jh(h>*OJQJU^J$jh(h>*OJQJU^Jh(hOJQJ^Jhvhy*OJQJ^Jh(h>*OJQJ^J    vg & Fx$Ifgd(@kd\$$Iflh$h% t644 la $Ifgd@kd$$Iflh$h% t644 la   t |dWB-BW)h(hy*B*CJOJQJ^JaJph)hvhy*B*CJOJQJ^JaJphh(hy*OJQJ^J/jh(h9Z>*OJQJU^JmHnHu*jh(h>*OJQJU^Jh(h>*OJQJ^J$jh(h>*OJQJU^Jhvhy*OJQJ^Jh(hOJQJ^Jh(h~POJQJ^J!jh(hOJQJU^J'jZh(h9ZOJQJU^J b pa & Fx$Ifgd(@kd$$Ifl$h% t644 la & F<$Ifgd(@kd$$Iflh$h% t644 la > ? a c { CD;<~ȳݳ|l\Ohvhy*OJQJ^Jh(hy*5OJQJ\^Jhvhy*5OJQJ\^J h(hy*CJOJQJ^JaJ!h(hUB*OJQJ^Jph)h(hUB*CJOJQJ^JaJph)hvhUB*CJOJQJ^JaJph)h(hy*B*CJOJQJ^JaJphh(hy*OJQJ^J)hvhy*B*CJOJQJ^JaJphb c r@kd|$$Iflh$h% t644 la & F$Ifgd(@kd4$$Iflh$h% t644 lav]  U% 10245}9K>[?k@$Ifgd(@kd $$Ifl$h% t644 la $Ifgd(@kd$$Iflh$h% t644 laRTpa #$Ifgd(@kd $$Iflh$h% t644 la #$Ifgd(@kdT$$Iflh$h% t644 la  $(*>@BLNPT|~ߤv`vSv=*j h(hY>*OJQJU^Jh(hy*OJQJ^J*j h(hY>*OJQJU^Jh(hY>*OJQJ^J$jh(hY>*OJQJU^Jh(hYOJQJ^Jhvhy*OJQJ^J/jh(h9Z>*OJQJU^JmHnHu*jh(h>*OJQJU^Jh(h>*OJQJ^J$jh(h>*OJQJU^JNPdfhrtvz߯ߊtߊ^*j h(hY>*OJQJU^J*j h(hY>*OJQJU^Jh(hy*OJQJ^J/jh(h9Z>*OJQJU^JmHnHu*j@ h(hY>*OJQJU^Jh(hYOJQJ^Jhvhy*OJQJ^Jh(hY>*OJQJ^J$jh(hY>*OJQJU^Jxzrc _#$Ifgd(@kdt $$Iflh$h% t644 la #$Ifgd(@kd $$Iflh$h% t644 la  NPdfhrtvůӗŊ}j\Fjj\}j\*j h(h1>*OJQJU^Jh(h1>*OJQJ^J$jh(h1>*OJQJU^Jhvhy*OJQJ^Jh(hy*OJQJ^J/jh(h9Z>*OJQJU^JmHnHu*j2 h(hY>*OJQJU^Jh(hY>*OJQJ^J$jh(hY>*OJQJU^Jh(hYOJQJ^JhvhYOJQJ^Jpg $IfgdY@kd $$Iflh$h% t644 la #$Ifgd(@kd $$Iflh$h% t644 la:>LNPdfhrtv׿ױyfXBffXfX*jh(hU>*OJQJU^Jh(hU>*OJQJ^J$jh(hU>*OJQJU^Jhvhy*>*OJQJ^Jhvhy*OJQJ^Jhvhy*5OJQJ\^Jh(hy*OJQJ^Jh(h1>*OJQJ^J/jh(h9Z>*OJQJU^JmHnHu$jh(h1>*OJQJU^J*jf h(h1>*OJQJU^J<>vf #$Ifgd(@kdl$$Iflh$h% t644 la $IfgdY@kd$$$Iflh$h% t644 la@BRThjlvxz~׿ױױ׿ױtױ^׿ױNh(hy*5OJQJ\^J*j^h(hU>*OJQJU^Jh(hlOJQJ^Jh(hy*OJQJ^J*jh(hU>*OJQJU^Jhvhy*OJQJ^Jh(hU>*OJQJ^J/jh(h9Z>*OJQJU^JmHnHu$jh(hU>*OJQJU^J*j*h(hU>*OJQJU^J|~pW  U% 10245}9K>[?k@$Ifgd(@kd$$Iflh$h% t644 la &#$Ifgd(@kd$$Ifl[$h% t644 laffY $Ifgd(@kdd$$Iflh$h% t644 la  U% 10245}9K>[?k@$Ifgd(@kd$$Iflh$h% t644 la:<>@BD`bdhɤ㗄v`L㗄v'jh(h9ZOJQJU^J*j h(h9Z>*OJQJU^Jh(hl>*OJQJ^J$jh(hl>*OJQJU^Jh(hnlOJQJ^J'jh(h9ZOJQJU^J!jh(hlOJQJU^Jh(hlOJQJ^Jh(hy*OJQJ^Jhvhy*OJQJ^Jhvhy*5OJQJ\^JfhFHv6@kd$$Iflh$h% t644 la@kd,$$Iflh$h% t644 la $Ifgdnl@kd$$Iflh$h% t644 la "$@BDHʽ~pZʽpD*jh(hl>*OJQJU^J*jh(h9Z>*OJQJU^Jh(hl>*OJQJ^Jh(hnlOJQJ^J'jth(h9ZOJQJU^J!jh(hlOJQJU^Jh(hlOJQJ^Jhvhy*OJQJ^Jh(hy*OJQJ^J$jh(hl>*OJQJU^J*jh(h9Z>*OJQJU^J"&XZnpƹ{jSA'2jnh(h>*CJOJQJU^JaJ#h(h>*CJOJQJ^JaJ,jh(h>*CJOJQJU^JaJ hvhy*CJOJQJ^JaJhvhy*5OJQJ\^Jh(h` OJQJ^Jh(h` 5OJQJ\^Jh` h(hZOJQJ^Jh(hy*OJQJ^Jh(hl>*OJQJ^J$jh(hl>*OJQJU^J/jh(h9Z>*OJQJU^JmHnHuHYW@kd$$Iflh$h% t644 la  U% 10245}9K>[?k@$Ifgd(@kdN$$Iflh$h% t644 la 6$$Ifgd($&f] $Ifgd@kd&$$Iflh$h% t644 la  U% 10245}9K>[?k@$Ifgd(@kd$$Iflh$h% t644 laprvxz|~0248:dfz黪m骙S2jZh(h>*CJOJQJU^JaJ2jh(h>*CJOJQJU^JaJ#h(h>*CJOJQJ^JaJ h(hCJOJQJ^JaJ hvhy*CJOJQJ^JaJ#hvhy*>*CJOJQJ^JaJ7jh(h9Z>*CJOJQJU^JaJmHnHu,jh(h>*CJOJQJU^JaJz|~*,.8:ϳϦσiϳϕXXσ>ϳ2jh(h>*CJOJQJU^JaJ h(hy*CJOJQJ^JaJ2jh(h>*CJOJQJU^JaJ#h(h>*CJOJQJ^JaJ hvhy*CJOJQJ^JaJh(hy*OJQJ^J7jh(h9Z>*CJOJQJU^JaJmHnHu,jh(h>*CJOJQJU^JaJ2jh(h>*CJOJQJU^JaJ<v6@kdL$$Iflh$h% t644 la@kd$$Iflh$h% t644 la $Ifgd@kdF$$Iflh$h% t644 la:<>Pbddze|eee6fgghhviivjxjjjjjkkkȷܷܷܷܵȷܷܷܷܓtbt#h(h( 5CJOJQJ^JaJ#hvh( 5CJOJQJ^JaJh(h` OJQJ^J h(h` CJOJQJ^JaJ h(hnlCJOJQJ^JaJU hvhy*CJOJQJ^JaJ&hvhy*5CJOJQJ\^JaJ h(hy*CJOJQJ^JaJ#h(hy*>*CJOJQJ^JaJ<>eeeejv6@kd$$Iflh$h% t644 la@kdR$$Iflh$h% t644 la $Ifgd@kd $$Ifl$h% t644 laManagement with respect to determining driving privileges for State leased, Enterprise Rental, and Wytheville Community College owned vehicles. Certain personal information may be made available to Wytheville Community College under appropriate legislative authority. For Further information contact, Denise Hudson, Business Office Manager 276-223-4780 or Crystal Cregger, Vice President of Financial and Administrative Services 276-223-4762, or Zendell Harmon, Fleet Management Officer 276-223-4895.Authorization and Acknowledgement: I hereby authorize Wytheville Community College to obtain a copy of my Motor Vehicle Driver Abstract(Record) at any time while I am required to operate a Wytheville Community College owned, rented, or leased vehicle during the course of my employment, or while volunteering, or collaborating on projects with Wytheville Community College. The information provided in this document has been accurately and truthfully stated. Failure to disclose and/or provide the information requested could result in termination of Wytheville Community College driving privileges.Signature __________________________________Date  FORMTEXT       I have submitted my out of state Driver Abstract (Record) with this Document  FORMDROPDOWN       FILENAME \* MERGEFORMAT WCC Driver Consent Form.doc (contd.) Page  PAGE \* MERGEFORMAT 2 of  NUMPAGES \* MERGEFORMAT 2 WYTHEVILLE COMMUNITY COLLEGE 1000 East Main Street % Wytheville, VA 24382 APPLICATION FOR DRIVING PRIVILEGES CONSENT TO OBTAIN DRIVER ABSTRACT Your Signature is required at the bottom of Page 2 Forward signed original to the ATO Office SS09102008 jjjjjk8k`S a$Ifgd(Ukd*$$Iflh0.$ t644 la $Ifgd@kd$$Iflh$h% t644 lakk$k&k(k2k4k6k8k:k@kkklӸӆyl[D2#h(hnl>*CJOJQJ^JaJ,jh(hnl>*CJOJQJU^JaJ hvh( CJOJQJ^JaJh2h2OJQJ^Jh(h( OJQJ^J&h(h( 5>*CJOJQJ^JaJ:jh(h9Z5>*CJOJQJU^JaJmHnHu5jh(hnl5>*CJOJQJU^JaJ&h(hnl5>*CJOJQJ^JaJ/jh(hnl5>*CJOJQJU^JaJ 8k:kk@kllJA $IfgdnlUkdf$$Iflh0$b t644 la $IfgdUkd$$Iflh0$~ t644 lallll l lllllll l$l&l\l^lllllllϾq^QqMChq'CJOJQJhq'hq'6CJOJQJaJ$hq'6CJOJQJaJmHnHuhT1hq'6CJOJQJaJ(jhT1hq'6CJOJQJUaJhD<jhD<Uhn0hU({CJOJQJaJh(h( OJQJ^J h(h( CJOJQJ^JaJ,jh(hnl>*CJOJQJU^JaJ2jh(h9Z>*CJOJQJU^JaJl l lllllll"l$lll4m6m$a$gdT1gd0$a$gdT1xgd( UkdW$$Iflh0$b t644 lallllllll,m.m0m2m4m6m8mzmmmm\n^n񼸥}l}T?)hq'5B* CJOJQJ\^JaJph"4/hvhq'5B* CJOJQJ\^JaJph"4!h%Yghq'B* OJQJ^Jph"4!h%Yghq'B* OJQJ^Jph"4,h%Yghq'5B* CJ$OJQJ^JaJ$ph"4%jh%Yghq'CJ$OJQJUaJ$hq'hT1hq'CJOJQJhq'CJOJQJmHnHuh*jCJOJQJmHnHuhq'CJOJQJjhq'CJOJQJU6mm^nnoo0o2o4o6o8o:oohn0hU({CJOJQJaJh0hD<hZhq'CJ OJQJhq'h^hq'OJQJ^Jhvhq'OJQJ^Jh1hq'5OJQJ^J#hvhq'5CJOJQJ^JaJ oxgd( @ 0 0&P1/R :pT1/ =!"#$%@ nb`XPNG  IHDRasRGBgAMA a cHRMz&u0`:pQ< pHYsiTS6PLTE+++999HHHVVVrrrddd IDATxrH `ewkvXilI-LGeC઱DgEtYDg^5\ԉyulNtDDܜՉ<:ї<:=:ї<:gV'Rs'V'rD_nNt@D_aNt@D_cT/Bty%uX_RY=:ך˕p Ge":yQ'zsS'c]@ M*D4ϥNtsH[WYUDG\D2O ѵ:]<:͉NtAϢN;܉^N"hf<ܷ76룇0':y,QCGcI6z$sR!} I(|s Án| #}"NSU.K}Cl#]3kit]>Qw@wH|=>|;e0'%ϭTҟ/-yOn-K,[1WOnknɆ橲Y.-L)Ƿ.!ɭrtD>4ˆ~v+k:]@W\zG_iBSX芮~vmc~+0٭npz+nŏ5ÃKog7s靛SH27}:7cM4n&M(o. ~6i#@smu=Y#h:FAČi"m/h>w*fa95?,ݠG3SoA?l4Бzan~_}я1[R|$QK4SNsC³]R|o:5_Ns *ތzr GSh ݣ)κME0\_uDw93N0i(KS'Cy$՗7NtE'ͭi2):cDɍ-ço8~qiJ=R Nh|QM^,in ЏZ3:5Owwet,>4_]Mh'6~Ģ+i~U/:4Od5{ͫkau߬ ToC̏_oϕ`<5D_F/L/HIENDB`F$$If!vh5h%#vh%:V lh t65h%vDText27vDText28F$$If!vh5h%#vh%:V lh t65h%tDText1DText2M/d/yyyy\$$If!vh5b5 #vb#v :V lh t65b5 \$$If!vh5b5 #vb#v :V lh t65b5 tDText3DState UPPERCASEtDText4tDText5F$$If!vh5h%#vh%:V lh t65h%Df Dropdown1NOYEStDText6F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V l t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V l t65h%F$$If!vh5h%#vh%:V lh t65h%tDText7tDText8F$$If!vh5h%#vh%:V lh t65h%tDText9vDText10F$$If!vh5h%#vh%:V lh t65h%vDText11F$$If!vh5h%#vh%:V lh t65h%vDText12vDText10F$$If!vh5h%#vh%:V lh t65h%vDText13vDText14F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%vDText15vDText16vDText17F$$If!vh5h%#vh%:V l[ t65h%vDText18F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%tDeCheck1Df Dropdown2 Full Time Part TimeF$$If!vh5h%#vh%:V lh t65h%tDeCheck2Df Dropdown3 Full Time Part TimeF$$If!vh5h%#vh%:V lh t65h%tDeCheck3Df Dropdown4 Full Time Part TimeF$$If!vh5h%#vh%:V lh t65h%vDText19F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%vDText20vDText21vDText22vDText23F$$If!vh5h%#vh%:V lh t65h%vDText24F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%vDText25F$$If!vh5h%#vh%:V l t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%F$$If!vh5h%#vh%:V lh t65h%a$$If!vh55#v#v:V lh t655vDText26a$$If!vh5~5 #v~#v :V lh t65~5 a$$If!vh55b#v#vb:V lh t655bDf Dropdown5YESNOa$$If!vh55b#v#vb:V lh t655b666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666668@8 Normal_HmH sH tH N@N  Heading 1$$h@&a$5CJOJQJDA@D Default Paragraph FontVi@V 0 Table Normal :V 44 la (k( 0No List 0U0  Hyperlink>*B*HBH  Body Textd 8 CJOJQJ4@4 0Header  !4 @"4 Footer  !H2H 00 Balloon TextCJOJQJ^JaJ@A@ 00 Char CharCJOJQJ^JaJ.OQ. 00 Char Char1jcj (  Table Grid7:V0]]qrbc45z{\]ABqr8 9 : ; = > ? P Q   . / @Z[\]^XY JKVWXYZ[^0 0 @0@0@0@0@0@0@0@0@0@0@0@0 0@0 0@0 0y00@ 0@ 0 @0 @ 0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0@0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 @0 0y00 y00y00 y00y00 y00y00 y00@0y00 @0y00@0@0@0@0y00@0y00y00 y0y0y0y0 PP r pz:kll^n>o!#&(),-/9;=?`  b fH<j8kl6mo "$%'*+.08:<>@*urn:schemas-microsoft-com:office:smarttags PostalCode l9:MN[\ox&9EU\ov2exex[\no# 6 j z  + _yEX 48W WXXYY[^WX^:M\ox&9EU\ov2exex[\no# 6 j z  + EX48WW^WX^TY0,b5v!~_g:2o?tvDhhh^h`.h88^8`.hL^`L.h  ^ `.h  ^ `.hxLx^x`L.hHH^H`.h^`.hL^`L.h)h^h`5B* CJOJQJaJo(phhH*h8^8`OJQJ^Jo(hHoh^`OJQJo(hHh ^ `OJQJo(hHh ^ `OJQJ^Jo(hHohx^x`OJQJo(hHhH^H`OJQJo(hHh^`OJQJ^Jo(hHoh^`OJQJo(hH^`B*CJo(ph. ^`hH. pL^p`LhH. @ ^@ `hH. ^`hH. L^`LhH. ^`hH. ^`hH. PL^P`LhH.h ^`hH.h ^`hH.h pL^p`LhH.h @ ^@ `hH.h ^`hH.h L^`LhH.h ^`hH.h ^`hH.h PL^P`LhH.TYo?t:25v!         ȇj        l                 BBW Qm('~T13t` ( +Hx y*D<^ Hu7JyM+[%Yg*jnlvU({)TUZlf!0^ ~P2q'1Jx(Yn0OY9Zqrbc45z{\]ABqr8 9 : ; = > ? P Q   . / @Z[\]^^@ GLb<GG| ]PP P@PPPPPPPbUnknownGz Times New Roman5Symbol3& z Arial7K@Cambria7&{ @Calibri5& zaTahoma?5 z Courier New;Wingdings"1hRfRf:LDD#d4da9 2QHP $P( *Wytheville Community CollegeShivaji SamantaShivaji Samanta    Oh+'0( @L l x   Wytheville Community CollegeShivaji SamantaWCC Driver Consent Form.dotShivaji Samanta2Microsoft Office Word@@,[`@~ S@~ SD՜.+,0  hp   Wytheville Community College Wytheville Community College Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDFGHIJKLMNOPQRSTVWXYZ[\]^_`abcdefghijklmnopqrstvwxyz{|~Root Entry F0SData E1TableUA?WordDocument҉SummaryInformation(uDocumentSummaryInformation8}CompObjq  FMicrosoft Office Word Document MSWordDocWord.Document.89q