 <tr style='mso-yfti-irow:10;height:14.4pt'>
  <td width=97 style='width:72.45pt;border-top:none;border-left:solid #BFBFBF 1.0pt;
  border-bottom:none;border-right:solid #BFBFBF 1.0pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:white;padding:0cm 5.75pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=MsoNormal align=right style='text-align:right'><span lang=ES-TRAD
02^T^  style='mso-ansi-language:ES-TRAD;mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
  <td width=319 colspan=4 style='width:239.35pt;border:none;border-right:solid #BFBFBF 1.0pt;
  mso-border-left-alt:solid #BFBFBF .5pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:white;padding:0cm 5.75pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=MsoNormal><span lang=ES-TRAD style='mso-ansi-language:ES-TRAD;
00^T^  mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
  <td width=103 colspan=3 style='width:77.45pt;border:none;border-right:solid #BFBFBF 1.0pt;
  mso-border-left-alt:solid #BFBFBF .5pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:white;padding:0cm 10.8pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=Amount><span lang=ES-TRAD style='mso-ansi-language:ES-TRAD;
04^N^  mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
  <td width=105 colspan=2 style='width:78.75pt;border:none;border-right:solid #BFBFBF 1.0pt;
  mso-border-left-alt:solid #BFBFBF .5pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:white;padding:0cm 5.75pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=Amount><span lang=ES-TRAD style='mso-ansi-language:ES-TRAD;
05^N^  mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
 </tr>
 <tr style='mso-yfti-irow:11;height:14.4pt'>
  <td width=97 style='width:72.45pt;border-top:none;border-left:solid #BFBFBF 1.0pt;
  border-bottom:none;border-right:solid #BFBFBF 1.0pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:#F2F2F2;padding:0cm 5.75pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=MsoNormal align=right style='text-align:right'><span lang=ES-TRAD
02^T^  style='mso-ansi-language:ES-TRAD;mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
  <td width=319 colspan=4 style='width:239.35pt;border:none;border-right:solid #BFBFBF 1.0pt;
  mso-border-left-alt:solid #BFBFBF .5pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:#F2F2F2;padding:0cm 5.75pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=MsoNormal><span lang=ES-TRAD style='mso-ansi-language:ES-TRAD;
00^T^  mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
  <td width=103 colspan=3 style='width:77.45pt;border:none;border-right:solid #BFBFBF 1.0pt;
  mso-border-left-alt:solid #BFBFBF .5pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:#F2F2F2;padding:0cm 10.8pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=Amount><span lang=ES-TRAD style='mso-ansi-language:ES-TRAD;
04^N^  mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
  <td width=105 colspan=2 style='width:78.75pt;border:none;border-right:solid #BFBFBF 1.0pt;
  mso-border-left-alt:solid #BFBFBF .5pt;mso-border-left-alt:solid #BFBFBF .5pt;
  mso-border-right-alt:solid #BFBFBF .5pt;background:#F2F2F2;padding:0cm 5.75pt 0cm 5.75pt;
  height:14.4pt'>
  <p class=Amount><span lang=ES-TRAD style='mso-ansi-language:ES-TRAD;
05^N^  mso-no-proof:yes'>%s<o:p></o:p></span></p>
  </td>
 </tr>
