Apple Reference & Presentation Library 5 (Internal Edition)

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MacBinary | 1990-03-13 | 18.4 KB | [STCK/KCFM]
open in:
MacOS 8.1 extracted |
Win98 extracted |
DOS extracted
view JSON data |
view as text

This file was processed as: MacBinary (archive/macBinary).

You can browse this item here: Restart Extension Request
Confidence	Program	Detection	Match Type	Support
`10%`	dexvert	MacBinary `(archive/macBinary)`	fallback	Supported
`100%`	file	MacBinary II, inited, Mon Jan 8 12:05:05 1990, modified Tue Mar 13 11:21:16 1990, creator 'KCFM', type 'STCK', 17596 bytes "Restart Extension Request" , at 0x453c 914 bytes resource	default (weak)
`99%`	file	data	default
`100%`	TrID	MacBinary 2	default (weak)
`100%`	siegfried	fmt/1762 MacBinary (II)	default
`100%`	lsar	MacBinary	default
id metadata
key	value
macFileType	`[STCK]`
macFileCreator	`[KCFM]`
hex view
+--------+-------------------------+-------------------------+--------+--------+
|00000000| 00 19 52 65 73 74 61 72 | 74 20 45 78 74 65 6e 73 |..Restar|t Extens|
|00000010| 69 6f 6e 20 52 65 71 75 | 65 73 74 00 00 00 00 00 |ion Requ|est.....|
|00000020| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000030| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000040| 00 53 54 43 4b 4b 43 46 | 4d 01 00 00 00 00 00 00 |.STCKKCF|M.......|
|00000050| 00 00 00 00 00 44 bc 00 | 00 03 92 a1 ce 78 c1 a2 |.....D..|.....x..|
|00000060| 22 ce 7c 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |".|.....|........|
|00000070| 00 00 00 00 00 00 00 00 | 00 00 81 81 dc 29 00 00 |........|.....)..|
|00000080| 00 0c 00 02 00 00 00 30 | 00 00 2f 9a 00 00 01 de |.......0|../.....|
|00000090| 00 00 2d 86 00 00 2d 88 | 00 00 43 be 00 00 00 00 |..-...-.|..C.....|
|000000a0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000000b0| 09 90 0c 60 00 01 00 01 | 00 00 00 00 00 01 00 00 |...`....|........|
|000000c0| 00 00 00 00 00 03 00 01 | 00 01 00 03 00 00 00 48 |........|.......H|
|000000d0| 00 48 00 00 00 00 03 08 | 02 40 ff f8 ff ee 03 10 |.H......|.@......|
|000000e0| 02 52 03 47 05 28 03 fc | 00 02 00 00 00 48 00 48 |.R.G.(..|.....H.H|
|000000f0| 00 00 00 00 03 08 02 40 | 00 01 00 00 00 64 00 00 |.......@|.....d..|
|00000100| 00 01 00 01 01 01 00 00 | 00 01 27 0f 00 01 00 01 |........|..'.....|
|00000110| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 19 |........|........|
|00000120| 01 90 00 00 00 00 00 70 | 00 00 00 00 00 00 00 00 |.......p|........|
|00000130| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000140| 00 00 00 00 01 2f 00 01 | 00 06 00 06 40 38 00 00 |...../..|....@8..|
|00000150| 00 00 00 00 40 38 00 00 | 00 00 00 00 00 2e 00 05 |....@8..|........|
|00000160| 00 01 00 00 00 00 00 04 | 01 1e 01 1e 00 3c 00 30 |........|.....<.0|
|00000170| 00 01 00 14 00 01 00 0c | 00 00 00 3e 00 00 00 15 |........|...>....|
|00000180| 00 01 00 0c 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000190| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|000001a0| ff ff ff ff ff ff 00 02 | 00 01 00 51 47 8c 40 81 |........|...QG.@.|
|000001b0| 3c 2e 00 44 4c fc db 6d | b6 db 00 44 00 00 00 00 |<..DL..m|...D....|
|000001c0| 00 01 00 01 00 01 00 01 | 00 01 00 01 00 00 00 00 |........|........|
|000001d0| 00 00 00 01 00 00 00 00 | 00 00 00 00 00 00 00 6c |........|.......l|
|000001e0| 00 07 00 00 00 01 09 90 | 0c 60 00 20 00 48 0c 3d |........|.`. .H.=|
|000001f0| 09 45 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.E......|........|
|00000200| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000210| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000220| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000230| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000240| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000250| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00000260| 00 00 00 34 00 24 00 4c | 0b d0 09 44 00 01 00 01 |...4.$.L|...D....|
|00000270| 00 03 00 01 ff ff ff ff | ff ff ff ff 00 00 00 00 |........|........|
|00000280| 00 00 00 00 00 00 00 01 | 00 28 00 28 00 28 00 28 |........|.(.(.(.(|
|00000290| 00 00 00 00 00 00 00 00 | 00 07 00 00 00 70 00 38 |........|.....p.8|
|000002a0| 01 3c 00 a4 09 20 00 01 | 00 01 ff ff ff ff ff ff |.<... ..|........|
|000002b0| ff ff 00 01 00 00 00 00 | 00 00 00 02 00 38 01 3c |........|.....8.<|
|000002c0| 00 a4 09 20 00 00 00 00 | 00 14 00 0e 00 01 00 00 |... ....|........|
|000002d0| 00 03 00 03 00 01 00 1b | 52 45 53 54 41 52 54 20 |........|RESTART |
|000002e0| 20 45 58 54 45 4e 53 49 | 4f 4e 20 20 52 45 51 55 | EXTENSI|ON  REQU|
|000002f0| 45 53 54 7c 00 00 00 16 | 00 01 00 00 00 00 00 0f |EST|....|........|
|00000300| 00 0c 00 14 01 00 00 0e | 00 00 00 00 00 00 00 0d |........|........|
|00000310| 00 00 00 cc 00 5c 00 94 | 00 d0 00 fc 00 01 00 00 |.....\..|........|
|00000320| 00 00 00 00 00 00 00 02 | 00 07 00 00 00 56 00 5c |........|.....V.\|
|00000330| 00 94 00 d0 00 fa 00 01 | 00 00 ff ff ff ff ff ff |........|........|
|00000340| ff ff 00 01 00 00 00 00 | 00 00 00 02 00 5c 00 94 |........|.....\..|
|00000350| 00 d0 00 fa 00 00 00 00 | 00 14 00 18 00 00 00 00 |........|........|
|00000360| 00 03 00 03 00 01 00 01 | f0 00 00 00 00 16 00 01 |........|........|
|00000370| 00 00 00 00 00 18 00 12 | 00 14 00 00 00 18 00 00 |........|........|
|00000380| 00 00 00 00 00 07 00 00 | 00 56 00 a1 00 df 00 ba |........|.V......|
|00000390| 00 fc 00 01 00 00 ff ff | ff ff ff ff ff ff 00 01 |........|........|
|000003a0| 00 00 00 00 00 00 00 02 | 00 a1 00 df 00 ba 00 fc |........|........|
|000003b0| 00 00 00 00 00 14 00 04 | 00 00 00 00 00 03 00 03 |........|........|
|000003c0| 00 01 00 01 a8 00 00 00 | 00 16 00 01 00 00 00 00 |........|........|
|000003d0| 00 05 00 04 00 14 00 00 | 00 04 00 00 00 00 00 00 |........|........|
|000003e0| 00 01 00 00 00 ac 00 b1 | 07 dc 01 41 09 20 00 01 |........|...A. ..|
|000003f0| 00 01 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 03 |........|........|
|00000400| 00 00 00 01 00 03 00 01 | 00 00 00 03 00 01 ff ff |........|........|
|00000410| ff ff ff ff ff ff 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000420| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 90 00 90 |........|........|
|00000430| 00 3c 00 34 00 00 00 f4 | 00 02 00 01 00 00 00 00 |.<.4....|........|
|00000440| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 b2 |........|........|
|00000450| 07 dd 00 ed 09 20 01 01 | 01 01 00 14 00 0a 00 80 |..... ..|........|
|00000460| 00 00 00 03 00 03 00 01 | 00 0d 45 4d 50 4c 4f 59 |........|..EMPLOY|
|00000470| 45 45 20 20 4e 4f 2e ff | 00 00 00 16 00 01 00 00 |EE  NO..|........|
|00000480| 00 00 00 0c 00 09 00 14 | 00 00 00 0a 00 00 00 00 |........|........|
|00000490| 00 00 00 01 00 00 00 a2 | 00 b1 06 98 01 41 07 dc |........|.....A..|
|000004a0| 00 01 00 01 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|000004b0| 00 03 00 00 00 01 00 03 | 00 01 00 00 00 03 00 01 |........|........|
|000004c0| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|000004d0| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 88 |........|........|
|000004e0| 00 88 00 3c 00 38 00 00 | 00 f5 00 01 00 01 00 00 |...<.8..|........|
|000004f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00000500| 00 b2 06 99 00 ed 07 dc | 01 01 01 01 00 14 00 0a |........|........|
|00000510| 00 80 00 00 00 03 00 03 | 00 01 00 04 44 41 54 45 |........|....DATE|
|00000520| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00000530| 00 00 00 0a 00 00 00 00 | 00 00 00 01 00 00 00 a8 |........|........|
|00000540| 01 41 04 df 01 d1 05 de | 00 01 00 01 00 00 00 15 |.A......|........|
|00000550| 00 00 00 0c 00 00 00 03 | 00 03 00 00 00 01 00 03 |........|........|
|00000560| 00 01 00 00 00 03 00 01 | ff ff ff ff ff ff ff ff |........|........|
|00000570| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00000580| ff ff ff ff ff ff 00 90 | 00 90 00 3c 00 34 00 00 |........|...<.4..|
|00000590| 00 f6 00 06 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000005a0| 00 00 00 00 00 00 00 02 | 01 42 04 e0 01 7d 05 de |........|.B...}..|
|000005b0| 01 01 01 01 00 14 00 0a | 00 80 00 00 00 03 00 03 |........|........|
|000005c0| 00 01 00 0a 4d 41 49 4c | 20 20 53 54 4f 50 00 00 |....MAIL|  STOP..|
|000005d0| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|000005e0| 00 0a 00 00 00 00 00 00 | 00 01 00 00 00 a8 01 41 |........|.......A|
|000005f0| 07 dc 01 d1 09 20 00 01 | 00 01 00 00 00 15 00 20 |..... ..|....... |
|00000600| 00 0c 00 00 00 03 00 03 | 00 00 00 01 00 03 00 01 |........|........|
|00000610| 00 00 00 03 00 01 ff ff | ff ff ff ff ff ff 00 00 |........|........|
|00000620| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|00000630| ff ff ff ff 00 94 00 94 | 00 3c 00 38 00 00 00 f7 |........|.<.8....|
|00000640| 00 08 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000650| 00 00 00 00 00 02 01 42 | 07 dd 01 7d 09 20 01 01 |.......B|...}. ..|
|00000660| 01 01 00 14 00 0a 00 80 | 00 00 00 03 00 03 00 01 |........|........|
|00000670| 00 09 41 50 50 4c 45 4c | 49 4e 4b ff 00 00 00 16 |..APPLEL|INK.....|
|00000680| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0a |........|........|
|00000690| 00 00 00 00 00 00 00 01 | 00 00 00 ac 01 41 05 de |........|.....A..|
|000006a0| 01 d1 07 dc 00 01 00 01 | 00 00 00 15 00 00 00 0c |........|........|
|000006b0| 00 00 00 03 00 03 00 01 | 00 01 00 03 00 01 00 00 |........|........|
|000006c0| 00 03 00 01 ff ff ff ff | ff ff ff ff 00 00 00 00 |........|........|
|000006d0| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|000006e0| ff ff 00 90 00 90 00 3c | 00 34 00 00 00 f8 00 07 |.......<|.4......|
|000006f0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000700| 00 00 00 02 01 42 05 df | 01 7d 07 dc 01 01 01 01 |.....B..|.}......|
|00000710| 00 14 00 0a 00 80 00 00 | 00 03 00 03 00 01 00 0e |........|........|
|00000720| 54 45 4c 45 50 48 4f 4e | 45 20 20 4e 4f 2e 00 00 |TELEPHON|E  NO...|
|00000730| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00000740| 00 0a 00 00 00 00 00 00 | 00 01 00 00 00 a6 01 41 |........|.......A|
|00000750| 03 49 01 d1 04 14 00 01 | 00 01 00 00 00 15 00 00 |.I......|........|
|00000760| 00 0c 00 00 00 03 00 03 | 00 00 00 01 00 03 00 01 |........|........|
|00000770| 00 00 00 03 00 01 ff ff | ff ff ff ff ff ff 00 00 |........|........|
|00000780| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|00000790| ff ff ff ff 00 70 00 70 | 00 3c 00 34 00 00 00 f9 |.....p.p|.<.4....|
|000007a0| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000007b0| 00 00 00 00 00 02 01 42 | 03 4a 01 7d 04 14 01 01 |.......B|.J.}....|
|000007c0| 01 01 00 14 00 0a 00 80 | 00 00 00 03 00 03 00 01 |........|........|
|000007d0| 00 08 44 49 56 2e 20 4e | 4f 2e 00 00 00 16 00 01 |..DIV. N|O.......|
|000007e0| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|000007f0| 00 00 00 00 00 01 00 00 | 00 a8 01 41 04 14 01 d1 |........|...A....|
|00000800| 04 df 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00000810| 00 03 00 03 00 00 00 01 | 00 03 00 01 00 00 00 03 |........|........|
|00000820| 00 01 ff ff ff ff ff ff | ff ff 00 00 00 00 00 00 |........|........|
|00000830| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000840| 00 90 00 90 00 3c 00 34 | 00 00 00 fa 00 05 00 01 |.....<.4|........|
|00000850| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000860| 00 02 01 42 04 15 01 7d | 04 df 01 01 01 01 00 14 |...B...}|........|
|00000870| 00 0a 00 80 00 00 00 03 | 00 03 00 01 00 09 44 45 |........|......DE|
|00000880| 50 54 2e 20 4e 4f 2e ff | 00 00 00 16 00 01 00 00 |PT. NO..|........|
|00000890| 00 00 00 0c 00 09 00 14 | 00 00 00 0a 00 00 00 00 |........|........|
|000008a0| 00 00 00 01 00 00 00 ac | 01 41 00 70 01 d1 03 49 |........|.A.p...I|
|000008b0| 00 01 00 01 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|000008c0| 00 03 00 2a 00 01 00 03 | 00 01 00 00 00 03 00 01 |...*....|........|
|000008d0| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|000008e0| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 01 98 |........|........|
|000008f0| 01 98 00 3c 00 38 00 00 | 00 fb 00 03 00 01 00 00 |...<.8..|........|
|00000900| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00000910| 01 42 00 71 01 7d 03 49 | 01 01 01 01 00 14 00 0a |.B.q.}.I|........|
|00000920| 00 80 00 00 00 03 00 03 | 00 01 00 0e 45 4d 50 4c |........|....EMPL|
|00000930| 4f 59 45 45 20 20 4e 41 | 4d 45 00 00 00 16 00 01 |OYEE  NA|ME......|
|00000940| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|00000950| 00 00 00 00 00 02 00 00 | 00 22 00 b1 07 dc 00 ee |........|."......|
|00000960| 07 dc 00 01 00 01 00 03 | 00 00 00 00 00 00 00 00 |........|........|
|00000970| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 00 |........|........|
|00000980| 00 22 01 40 07 dc 01 7e | 07 dc 00 01 00 01 00 03 |.".@...~|........|
|00000990| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000009a0| 00 00 00 00 00 02 00 00 | 00 22 01 3e 05 de 01 7c |........|.".>...||
|000009b0| 05 de 00 01 00 01 00 03 | 00 00 00 00 00 00 00 00 |........|........|
|000009c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 00 |........|........|
|000009d0| 00 22 01 40 04 de 01 7e | 04 de 00 01 00 01 00 03 |.".@...~|........|
|000009e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000009f0| 00 00 00 00 00 02 00 00 | 00 22 01 3e 04 14 01 7c |........|.".>...||
|00000a00| 04 14 00 01 00 01 00 03 | 00 00 00 00 00 00 00 00 |........|........|
|00000a10| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 00 00 |........|........|
|00000a20| 00 22 01 3e 03 48 01 7c | 03 48 00 01 00 01 00 03 |.".>.H.||.H......|
|00000a30| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000a40| 00 00 00 00 00 07 00 00 | 00 68 0b f4 00 4c 0c 3c |........|.h...L.<|
|00000a50| 02 38 00 01 00 01 ff ff | ff ff ff ff ff ff 00 01 |.8......|........|
|00000a60| 00 00 00 00 00 00 00 02 | 0b f4 00 4c 0c 3c 02 38 |........|...L.<.8|
|00000a70| 00 00 00 00 00 14 00 0e | 00 20 00 00 00 01 00 03 |........|. ......|
|00000a80| 00 01 00 14 41 70 70 6c | 65 20 43 6f 6d 70 75 74 |....Appl|e Comput|
|00000a90| 65 72 2c 20 49 6e 63 2e | 00 00 00 16 00 01 00 00 |er, Inc.|........|
|00000aa0| 00 00 00 0f 00 0c 00 14 | 20 00 00 0e 00 00 00 00 |........| .......|
|00000ab0| 00 00 00 07 00 00 00 62 | 0c 0c 07 fc 0c 3c 09 44 |.......b|.....<.D|
|00000ac0| 00 01 00 01 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00000ad0| 00 00 00 00 00 02 0c 0c | 07 fc 0c 3c 09 44 00 00 |........|...<.D..|
|00000ae0| 00 00 00 14 00 0a 00 00 | 00 00 00 02 00 03 00 01 |........|........|
|00000af0| 00 0d 42 45 4e 38 30 30 | 20 28 33 2f 39 30 29 00 |..BEN800| (3/90).|
|00000b00| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00000b10| 00 00 00 0a 00 00 00 00 | 00 00 00 01 00 00 00 b4 |........|........|
|00000b20| 01 d1 00 70 02 61 05 10 | 00 01 00 01 00 00 00 15 |...p.a..|........|
|00000b30| 00 00 00 0c 00 00 00 03 | 00 03 00 00 00 01 00 03 |........|........|
|00000b40| 00 01 00 00 00 03 00 01 | ff ff ff ff ff ff ff ff |........|........|
|00000b50| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00000b60| ff ff ff ff ff ff 01 98 | 01 98 00 3c 00 38 00 00 |........|...<.8..|
|00000b70| 01 00 00 09 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000b80| 00 00 00 00 00 00 00 02 | 01 d2 00 71 02 0d 05 10 |........|...q....|
|00000b90| 01 01 01 01 00 14 00 0a | 00 80 00 00 00 03 00 03 |........|........|
|00000ba0| 00 01 00 15 45 4d 50 4c | 4f 59 45 45 20 57 4f 52 |....EMPL|OYEE WOR|
|00000bb0| 4b 20 41 44 44 52 45 53 | 53 07 00 00 00 16 00 01 |K ADDRES|S.......|
|00000bc0| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|00000bd0| 00 00 00 00 00 01 00 00 | 00 b2 01 d1 05 10 02 61 |........|.......a|
|00000be0| 07 18 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00000bf0| 00 03 00 03 00 00 00 01 | 00 03 00 01 00 00 00 03 |........|........|
|00000c00| 00 01 ff ff ff ff ff ff | ff ff 00 00 00 00 00 00 |........|........|
|00000c10| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000c20| 01 98 01 98 00 3c 00 38 | 00 00 01 01 00 0a 00 01 |.....<.8|........|
|00000c30| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000c40| 00 02 01 d2 05 11 02 0d | 07 18 01 01 01 01 00 14 |........|........|
|00000c50| 00 0a 00 80 00 00 00 03 | 00 03 00 01 00 14 52 45 |........|......RE|
|00000c60| 53 54 41 52 54 20 45 4c | 49 47 2e 20 50 45 52 49 |START EL|IG. PERI|
|00000c70| 4f 44 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |OD......|........|
|00000c80| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00000c90| 00 aa 01 d1 07 18 02 61 | 09 20 00 01 00 01 00 00 |.......a|. ......|
|00000ca0| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 00 00 01 |........|........|
|00000cb0| 00 03 00 01 00 00 00 03 | 00 01 ff ff ff ff ff ff |........|........|
|00000cc0| ff ff 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00000cd0| ff ff ff ff ff ff ff ff | 01 98 01 98 00 3c 00 38 |........|.....<.8|
|00000ce0| 00 00 01 03 00 0b 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00000cf0| 00 00 00 00 00 00 00 00 | 00 02 01 d2 07 19 02 0d |........|........|
|00000d00| 09 20 01 01 01 01 00 14 | 00 0a 00 80 00 00 00 03 |. ......|........|
|00000d10| 00 03 00 01 00 0c 44 41 | 54 45 20 4f 46 20 48 49 |......DA|TE OF HI|
|00000d20| 52 45 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |RE......|........|
|00000d30| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 07 00 00 |........|........|
|00000d40| 00 ac 00 bc 01 90 01 2c | 06 5c 00 01 00 01 ff ff |.......,|.\......|
|00000d50| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|00000d60| 00 bc 01 90 01 2c 06 5c | 00 00 00 00 00 14 00 0c |.....,.\|........|
|00000d70| 00 01 00 00 00 01 00 01 | 00 02 00 57 43 6f 6d 70 |........|...WComp|
|00000d80| 6c 65 74 65 20 74 68 69 | 73 20 61 70 70 6c 69 63 |lete thi|s applic|
|00000d90| 61 74 69 6f 6e 20 74 6f | 20 72 65 71 75 65 73 74 |ation to| request|
|00000da0| 20 61 6e 20 65 78 74 65 | 6e 73 69 6f 6e 20 6f 66 | an exte|nsion of|
|00000db0| 20 79 6f 75 72 20 52 65 | 73 74 61 72 74 20 70 61 | your Re|start pa|
|00000dc0| 72 74 69 63 69 70 61 74 | 69 6f 6e 20 70 65 72 69 |rticipat|ion peri|
|00000dd0| 6f 64 2e 1e 00 00 00 16 | 00 01 00 00 00 00 00 0c |od......|........|
|00000de0| 00 09 00 14 01 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|00000df0| 00 00 00 ae 02 c8 00 70 | 03 04 04 30 00 01 00 01 |.......p|...0....|
|00000e00| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 01 |........|........|
|00000e10| 00 01 00 02 00 00 00 00 | 00 00 00 01 00 00 00 00 |........|........|
|00000e20| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00000e30| 00 00 ff ff ff ff ff ff | ff ff 02 54 01 24 00 24 |........|...T.$.$|
|00000e40| 00 24 00 00 01 04 00 0c | 00 01 00 00 00 00 00 00 |.$......|........|
|00000e50| 00 00 00 00 00 00 00 00 | 00 00 00 02 02 c8 00 70 |........|.......p|
|00000e60| 03 05 02 c4 01 01 81 80 | 00 14 00 0c 00 00 00 00 |........|........|
|00000e70| 00 01 00 03 00 01 00 10 | 50 65 72 73 6f 6e 61 6c |........|Personal|
|00000e80| 20 52 65 61 73 6f 6e 73 | 00 00 00 16 00 01 00 00 | Reasons|........|
|00000e90| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|00000ea0| 00 00 00 07 00 00 00 68 | 02 84 03 ce 02 bb 05 c2 |.......h|........|
|00000eb0| 00 01 00 01 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00000ec0| 00 00 00 00 00 02 02 84 | 03 ce 02 bb 05 c2 00 00 |........|........|
|00000ed0| 00 00 00 14 00 0c 00 01 | 00 00 00 01 00 01 00 01 |........|........|
|00000ee0| 00 14 52 65 61 73 6f 6e | 20 66 6f 72 20 45 78 74 |..Reason| for Ext|
|00000ef0| 65 6e 73 69 6f 6e 00 00 | 00 16 00 01 00 00 00 00 |ension..|........|
|00000f00| 00 0c 00 09 00 14 01 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00000f10| 00 01 00 00 00 b8 03 20 | 00 70 03 5c 04 30 00 01 |....... |.p.\.0..|
|00000f20| 00 01 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 03 |........|........|
|00000f30| 00 01 00 01 00 02 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00000f40| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000f50| 00 03 00 00 ff ff ff ff | ff ff ff ff 02 54 01 24 |........|.....T.$|
|00000f60| 00 28 00 28 00 00 01 06 | 00 0d 00 01 00 00 00 00 |.(.(....|........|
|00000f70| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 03 20 |........|....... |
|00000f80| 00 70 03 5d 02 c4 01 01 | 81 80 00 14 00 0c 00 00 |.p.]....|........|
|00000f90| 00 00 00 01 00 03 00 01 | 00 1a 42 75 73 69 6e 65 |........|..Busine|
|00000fa0| 73 73 20 4f 70 65 72 61 | 74 69 6e 67 20 52 65 61 |ss Opera|ting Rea|
|00000fb0| 73 6f 6e 73 00 00 00 16 | 00 01 00 00 00 00 00 0c |sons....|........|
|00000fc0| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|00000fd0| 00 00 00 ae 03 88 00 70 | 04 60 09 20 00 01 00 01 |.......p|.`. ....|
|00000fe0| 00 00 00 15 00 00 00 0c | 00 00 00 01 00 01 00 00 |........|........|
|00000ff0| 00 01 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00001000| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00001010| 00 00 ff ff ff ff ff ff | ff ff 01 6c 01 24 00 2c |........|...l.$.,|
|00001020| 00 2c 00 00 01 07 00 0e | 00 01 00 00 00 00 00 00 |.,......|........|
|00001030| 00 00 00 00 00 00 00 00 | 00 00 00 02 03 88 00 70 |........|.......p|
|00001040| 04 61 01 dc 01 01 81 80 | 00 14 00 0c 00 00 00 00 |.a......|........|
|00001050| 00 01 00 01 00 01 00 10 | 42 72 69 65 66 6c 79 20 |........|Briefly |
|00001060| 65 78 70 6c 61 69 6e 3a | 00 00 00 16 00 01 00 00 |explain:|........|
|00001070| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|00001080| 00 00 00 07 00 00 00 90 | 04 44 03 14 04 a0 06 7c |........|.D.....||
|00001090| 00 01 00 01 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|000010a0| 00 00 00 00 00 02 04 44 | 03 14 04 a0 06 7c 00 00 |.......D|.....|..|
|000010b0| 00 00 00 14 00 0c 00 01 | 00 00 00 01 00 03 00 01 |........|........|
|000010c0| 00 27 52 65 71 75 69 72 | 65 64 20 53 69 67 6e 61 |.'Requir|ed Signa|
|000010d0| 74 75 72 65 73 20 2d 20 | 50 65 72 73 6f 6e 61 6c |tures - |Personal|
|000010e0| 20 52 65 61 73 6f 6e 73 | 3a ff 00 00 00 2a 00 02 | Reasons|:....*..|
|000010f0| 00 00 00 00 00 0c 00 09 | 00 14 01 00 00 0c 00 00 |........|........|
|00001100| 00 00 00 00 00 00 00 16 | 00 0d 00 0a 00 14 03 00 |........|........|
|00001110| 00 0c 00 00 00 00 00 00 | 00 07 00 00 00 90 05 e4 |........|........|
|00001120| 03 18 06 24 06 78 00 01 | 00 01 ff ff ff ff ff ff |...$.x..|........|
|00001130| ff ff 00 01 00 00 00 00 | 00 00 00 02 05 e4 03 18 |........|........|
|00001140| 06 24 06 78 00 00 00 00 | 00 14 00 0c 00 01 00 00 |.$.x....|........|
|00001150| 00 01 00 01 00 01 00 27 | 52 65 71 75 69 72 65 64 |.......'|Required|
|00001160| 20 53 69 67 6e 61 74 75 | 72 65 73 20 2d 20 42 75 | Signatu|res - Bu|
|00001170| 73 69 6e 65 73 73 20 52 | 65 61 73 6f 6e 73 3a ff |siness R|easons:.|
|00001180| 00 00 00 2a 00 02 00 00 | 00 00 00 0c 00 09 00 14 |...*....|........|
|00001190| 01 00 00 0c 00 00 00 00 | 00 00 00 00 00 16 00 0d |........|........|
|000011a0| 00 0a 00 14 03 00 00 0c | 00 00 00 00 00 00 00 07 |........|........|
|000011b0| 00 00 00 68 07 60 03 e2 | 07 8c 05 ae 00 01 00 01 |...h.`..|........|
|000011c0| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|000011d0| 00 02 07 60 03 e2 07 8c | 05 ae 00 00 00 00 00 14 |...`....|........|
|000011e0| 00 0c 00 01 00 00 00 01 | 00 01 00 01 00 13 52 65 |........|......Re|
|000011f0| 73 74 61 72 74 20 49 6e | 66 6f 72 6d 61 74 69 6f |start In|formatio|
|00001200| 6e 15 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |n.......|........|
|00001210| 00 14 01 00 00 0c 00 00 | 00 00 00 00 00 07 00 00 |........|........|
|00001220| 00 82 08 4c 00 94 08 83 | 04 64 00 01 00 01 ff ff |...L....|.d......|
|00001230| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|00001240| 08 4c 00 94 08 83 04 64 | 00 00 00 00 00 14 00 0c |.L.....d|........|
|00001250| 00 00 00 00 00 01 00 01 | 00 01 00 2e 49 66 20 79 |........|....If y|
|00001260| 6f 75 27 76 65 20 74 61 | 6b 65 6e 20 6c 65 61 76 |ou've ta|ken leav|
|00001270| 65 73 20 6f 66 20 61 62 | 73 65 6e 63 65 2c 20 67 |es of ab|sence, g|
|00001280| 69 76 65 20 64 61 74 65 | 73 3a 00 00 00 16 00 01 |ive date|s:......|
|00001290| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0c 00 00 |........|........|
|000012a0| 00 00 00 00 00 07 00 00 | 00 94 09 48 00 94 09 7f |........|...H....|
|000012b0| 06 18 00 01 00 01 ff ff | ff ff ff ff ff ff 00 01 |........|........|
|000012c0| 00 00 00 00 00 00 00 02 | 09 48 00 94 09 7f 06 18 |........|.H......|
|000012d0| 00 00 00 00 00 14 00 0c | 00 00 00 00 00 01 00 01 |........|........|
|000012e0| 00 01 00 40 48 61 76 65 | 20 79 6f 75 20 65 76 65 |...@Have| you eve|
|000012f0| 72 20 74 65 72 6d 69 6e | 61 74 65 64 20 66 72 6f |r termin|ated fro|
|00001300| 6d 20 41 70 70 6c 65 3f | 20 28 49 66 20 59 45 53 |m Apple?| (If YES|
|00001310| 2c 20 70 6c 65 61 73 65 | 20 67 69 76 65 20 64 61 |, please| give da|
|00001320| 74 65 73 29 00 00 00 16 | 00 01 00 00 00 00 00 0c |tes)....|........|
|00001330| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|00001340| 00 00 00 a2 09 38 05 ec | 09 74 06 b0 00 01 00 01 |.....8..|.t......|
|00001350| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 01 |........|........|
|00001360| 00 01 00 04 00 00 00 00 | 00 00 00 01 00 00 00 00 |........|........|
|00001370| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00001380| 00 00 ff ff ff ff ff ff | ff ff 00 60 00 60 00 28 |........|...`.`.(|
|00001390| 00 28 00 00 01 09 00 15 | 00 01 00 00 00 00 00 00 |.(......|........|
|000013a0| 00 00 00 00 00 00 00 00 | 00 00 00 02 09 38 06 50 |........|.....8.P|
|000013b0| 09 75 06 b1 01 00 81 81 | 00 14 00 0c 00 01 00 00 |.u......|........|
|000013c0| 00 03 00 03 00 01 00 03 | 59 65 73 00 00 00 00 16 |........|Yes.....|
|000013d0| 00 01 00 00 00 00 00 0c | 00 09 00 14 01 00 00 0c |........|........|
|000013e0| 00 00 00 00 00 00 00 01 | 00 00 00 a0 09 38 07 04 |........|.....8..|
|000013f0| 09 74 07 c8 00 01 00 01 | 00 00 00 15 00 00 00 0c |.t......|........|
|00001400| 00 00 00 03 00 03 00 01 | 00 01 00 04 00 00 00 00 |........|........|
|00001410| 00 00 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001420| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00001430| ff ff 00 60 00 60 00 28 | 00 28 00 00 01 0a 00 16 |...`.`.(|.(......|
|00001440| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001450| 00 00 00 02 09 38 07 68 | 09 75 07 c9 01 00 81 81 |.....8.h|.u......|
|00001460| 00 14 00 0c 00 01 00 00 | 00 03 00 03 00 01 00 02 |........|........|
|00001470| 4e 6f 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |No......|........|
|00001480| 00 14 01 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00001490| 00 a4 08 c4 00 94 09 0c | 02 24 00 01 00 01 00 00 |........|.$......|
|000014a0| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 00 00 01 |........|........|
|000014b0| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|000014c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000014d0| ff ff ff ff ff ff ff ff | 00 80 01 24 00 34 00 34 |........|...$.4.4|
|000014e0| 00 00 01 0b 00 11 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|000014f0| 00 00 00 00 00 00 00 00 | 00 02 08 c4 00 94 09 0d |........|........|
|00001500| 01 14 01 01 81 80 00 14 | 00 0c 00 00 00 00 00 01 |........|........|
|00001510| 00 02 00 01 00 05 46 72 | 6f 6d 3a 6e 00 00 00 16 |......Fr|om:n....|
|00001520| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0c |........|........|
|00001530| 00 00 00 00 00 00 00 01 | 00 00 00 a2 08 c4 02 3c |........|.......<|
|00001540| 09 10 03 e4 00 01 00 01 | 00 00 00 15 00 00 00 0c |........|........|
|00001550| 00 00 00 01 00 02 00 00 | 00 01 00 02 00 00 00 00 |........|........|
|00001560| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001570| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00001580| ff ff 00 4c 01 24 00 38 | 00 38 00 00 01 0c 00 12 |...L.$.8|.8......|
|00001590| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000015a0| 00 00 00 02 08 c4 02 3c | 09 11 02 88 01 01 81 80 |.......<|........|
|000015b0| 00 14 00 0c 00 00 00 00 | 00 01 00 02 00 01 00 03 |........|........|
|000015c0| 54 6f 3a 58 00 00 00 16 | 00 01 00 00 00 00 00 0c |To:X....|........|
|000015d0| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|000015e0| 00 00 00 a4 08 c4 05 d0 | 09 0c 07 60 00 01 00 01 |........|...`....|
|000015f0| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 02 00 00 |........|........|
|00001600| 00 01 00 02 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00001610| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00001620| 00 00 ff ff ff ff ff ff | ff ff 00 80 01 24 00 34 |........|.....$.4|
|00001630| 00 34 00 00 01 10 00 13 | 00 01 00 00 00 00 00 00 |.4......|........|
|00001640| 00 00 00 00 00 00 00 00 | 00 00 00 02 08 c4 05 d0 |........|........|
|00001650| 09 0d 06 50 01 01 81 80 | 00 14 00 0c 00 00 00 00 |...P....|........|
|00001660| 00 01 00 02 00 01 00 05 | 46 72 6f 6d 3a 75 00 00 |........|From:u..|
|00001670| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00001680| 00 0c 00 00 00 00 00 00 | 00 01 00 00 00 a2 08 c4 |........|........|
|00001690| 07 78 09 10 09 20 00 01 | 00 01 00 00 00 15 00 00 |.x... ..|........|
|000016a0| 00 0c 00 00 00 03 00 02 | 00 00 00 01 00 02 00 00 |........|........|
|000016b0| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000016c0| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|000016d0| ff ff ff ff 00 50 01 24 | 00 38 00 38 00 00 01 11 |.....P.$|.8.8....|
|000016e0| 00 14 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000016f0| 00 00 00 00 00 02 08 c4 | 07 78 09 11 07 c8 01 01 |........|.x......|
|00001700| 81 80 00 14 00 0c 00 00 | 00 00 00 01 00 02 00 01 |........|........|
|00001710| 00 03 54 6f 3a ff 00 00 | 00 16 00 01 00 00 00 00 |..To:...|........|
|00001720| 00 0c 00 09 00 14 00 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00001730| 00 07 00 00 00 6a 08 94 | 00 94 08 cb 02 d4 00 01 |.....j..|........|
|00001740| 00 01 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|00001750| 00 00 00 02 08 94 00 94 | 08 cb 02 d4 00 00 00 00 |........|........|
|00001760| 00 14 00 0c 00 01 00 00 | 00 01 00 01 00 01 00 15 |........|........|
|00001770| 50 65 72 73 6f 6e 61 6c | 2f 45 64 75 63 61 74 69 |Personal|/Educati|
|00001780| 6f 6e 61 6c 3a ab 00 00 | 00 16 00 01 00 00 00 00 |onal:...|........|
|00001790| 00 0c 00 09 00 14 01 00 | 00 0c 00 00 00 00 00 00 |........|........|
|000017a0| 00 07 00 00 00 66 08 94 | 05 c8 08 cb 07 b0 00 01 |.....f..|........|
|000017b0| 00 01 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|000017c0| 00 00 00 02 08 94 05 c8 | 08 cb 07 b0 00 00 00 00 |........|........|
|000017d0| 00 14 00 0c 00 01 00 00 | 00 01 00 01 00 01 00 12 |........|........|
|000017e0| 4d 65 64 69 63 61 6c 2f | 50 72 65 67 6e 61 6e 63 |Medical/|Pregnanc|
|000017f0| 79 3a 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |y:......|........|
|00001800| 00 14 01 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00001810| 00 b2 09 94 00 94 09 d0 | 03 94 00 01 00 01 00 00 |........|........|
|00001820| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 00 00 01 |........|........|
|00001830| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00001840| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00001850| ff ff ff ff ff ff ff ff | 01 b8 01 24 00 28 00 28 |........|...$.(.(|
|00001860| 00 00 01 14 00 17 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001870| 00 00 00 00 00 00 00 00 | 00 02 09 94 00 94 09 d1 |........|........|
|00001880| 02 4c 01 01 81 80 00 14 | 00 0c 00 01 00 00 00 03 |.L......|........|
|00001890| 00 02 00 01 00 13 44 61 | 74 65 20 6f 66 20 54 65 |......Da|te of Te|
|000018a0| 72 6d 69 6e 61 74 69 6f | 6e 00 00 00 00 16 00 01 |rminatio|n.......|
|000018b0| 00 00 00 00 00 0c 00 09 | 00 14 01 00 00 0c 00 00 |........|........|
|000018c0| 00 00 00 00 00 01 00 00 | 00 aa 09 90 05 d0 09 d0 |........|........|
|000018d0| 08 30 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |.0......|........|
|000018e0| 00 03 00 02 00 00 00 01 | 00 02 00 00 00 00 00 04 |........|........|
|000018f0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001900| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00001910| 01 14 01 24 00 2c 00 2c | 00 00 01 15 00 18 00 01 |...$.,.,|........|
|00001920| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001930| 00 02 09 90 05 d0 09 d1 | 06 e4 01 01 81 80 00 14 |........|........|
|00001940| 00 0c 00 01 00 00 00 01 | 00 02 00 01 00 0b 52 65 |........|......Re|
|00001950| 68 69 72 65 20 44 61 74 | 65 00 00 00 00 16 00 01 |hire Dat|e.......|
|00001960| 00 00 00 00 00 0c 00 09 | 00 14 01 00 00 0c 00 00 |........|........|
|00001970| 00 00 00 00 00 07 00 00 | 00 90 0a 04 00 94 0a 3b |........|.......;|
|00001980| 05 e0 00 01 00 01 ff ff | ff ff ff ff ff ff 00 01 |........|........|
|00001990| 00 00 00 00 00 00 00 02 | 0a 04 00 94 0a 3b 05 e0 |........|.....;..|
|000019a0| 00 00 00 00 00 14 00 0c | 00 00 00 00 00 01 00 01 |........|........|
|000019b0| 00 01 00 3b 48 61 73 20 | 79 6f 75 72 20 65 6d 70 |...;Has |your emp|
|000019c0| 6c 6f 79 6d 65 6e 74 20 | 69 6e 63 6c 75 64 65 64 |loyment |included|
|000019d0| 20 61 73 73 69 67 6e 6d | 65 6e 74 73 20 6f 75 74 | assignm|ents out|
|000019e0| 73 69 64 65 20 6f 66 20 | 74 68 65 20 55 53 3f 0c |side of |the US?.|
|000019f0| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00001a00| 00 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 a2 |........|........|
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|00001a20| 00 00 00 0c 00 00 00 03 | 00 03 00 01 00 01 00 04 |........|........|
|00001a30| 00 00 00 00 00 00 00 01 | 00 00 00 00 00 00 00 00 |........|........|
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|00001a50| ff ff ff ff ff ff 00 60 | 00 60 00 28 00 28 00 00 |.......`|.`.(.(..|
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|00001a70| 00 00 00 00 00 00 00 02 | 09 ff 06 54 0a 3c 06 b5 |........|...T.<..|
|00001a80| 01 00 81 81 00 14 00 0c | 00 01 00 00 00 03 00 03 |........|........|
|00001a90| 00 01 00 03 59 65 73 00 | 00 00 00 16 00 01 00 00 |....Yes.|........|
|00001aa0| 00 00 00 0c 00 09 00 14 | 01 00 00 0c 00 00 00 00 |........|........|
|00001ab0| 00 00 00 01 00 00 00 a0 | 09 ff 07 04 0a 3b 07 c8 |........|.....;..|
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|00001ad0| 00 03 00 01 00 01 00 04 | 00 00 00 00 00 00 00 01 |........|........|
|00001ae0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001af0| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 60 |........|.......`|
|00001b00| 00 60 00 28 00 28 00 00 | 01 17 00 1a 00 01 00 00 |.`.(.(..|........|
|00001b10| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00001b20| 09 ff 07 68 0a 3c 07 c9 | 01 00 81 81 00 14 00 0c |...h.<..|........|
|00001b30| 00 01 00 00 00 03 00 03 | 00 01 00 02 4e 6f 00 00 |........|....No..|
|00001b40| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 01 00 |........|........|
|00001b50| 00 0c 00 00 00 00 00 00 | 00 01 00 00 00 a4 07 e8 |........|........|
|00001b60| 00 94 08 38 02 20 00 01 | 00 01 00 00 00 15 00 00 |...8. ..|........|
|00001b70| 00 0c 00 00 00 03 00 02 | 00 00 00 01 00 02 00 00 |........|........|
|00001b80| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001b90| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|00001ba0| ff ff ff ff 00 80 01 24 | 00 38 00 38 00 00 01 19 |.......$|.8.8....|
|00001bb0| 00 0f 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001bc0| 00 00 00 00 00 02 07 e8 | 00 94 08 39 01 14 01 01 |........|...9....|
|00001bd0| 81 80 00 14 00 0c 00 00 | 00 00 00 01 00 02 00 01 |........|........|
|00001be0| 00 05 46 72 6f 6d 3a df | 00 00 00 16 00 01 00 00 |..From:.|........|
|00001bf0| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|00001c00| 00 00 00 01 00 00 00 a2 | 07 e8 02 3c 08 34 03 e4 |........|...<.4..|
|00001c10| 00 01 00 01 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00001c20| 00 02 00 00 00 01 00 02 | 00 00 00 00 00 04 00 01 |........|........|
|00001c30| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001c40| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 50 |........|.......P|
|00001c50| 01 24 00 38 00 38 00 00 | 01 1a 00 10 00 01 00 00 |.$.8.8..|........|
|00001c60| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00001c70| 07 e8 02 3c 08 35 02 8c | 01 01 81 80 00 14 00 0c |...<.5..|........|
|00001c80| 00 00 00 00 00 01 00 02 | 00 01 00 03 54 6f 3a 0a |........|....To:.|
|00001c90| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00001ca0| 00 00 00 0c 00 00 00 00 | 00 00 00 07 00 00 00 6c |........|.......l|
|00001cb0| 07 b4 00 94 07 f3 03 60 | 00 01 00 01 ff ff ff ff |.......`|........|
|00001cc0| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 07 b4 |........|........|
|00001cd0| 00 94 07 f3 03 60 00 00 | 00 00 00 14 00 0c 00 01 |.....`..|........|
|00001ce0| 00 00 00 01 00 01 00 01 | 00 18 45 78 74 65 6e 64 |........|..Extend|
|00001cf0| 65 64 20 52 65 73 74 61 | 72 74 20 50 65 72 69 6f |ed Resta|rt Perio|
|00001d00| 64 3a 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |d:......|........|
|00001d10| 00 14 01 00 00 0c 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00001d20| 00 34 0a 5c 00 64 0b 70 | 09 28 00 01 00 01 00 03 |.4.\.d.p|.(......|
|00001d30| 00 00 ff ff ff ff ff ff | ff ff 00 00 80 00 00 00 |........|........|
|00001d40| 08 00 00 00 00 01 00 28 | 00 28 00 28 00 28 00 00 |.......(|.(.(.(..|
|00001d50| 00 00 00 00 00 00 00 07 | 00 00 00 66 0a 74 00 60 |........|...f.t.`|
|00001d60| 0a ab 02 68 00 01 00 01 | ff ff ff ff ff ff ff ff |...h....|........|
|00001d70| 00 01 00 00 00 00 00 00 | 00 02 0a 74 00 60 0a ab |........|...t.`..|
|00001d80| 02 68 00 00 00 00 00 14 | 00 0c 00 03 00 00 00 01 |.h......|........|
|00001d90| 00 01 00 01 00 12 42 45 | 4e 45 46 49 54 53 20 55 |......BE|NEFITS U|
|00001da0| 53 45 20 4f 4e 4c 59 3a | 00 00 00 16 00 01 00 00 |SE ONLY:|........|
|00001db0| 00 00 00 0c 00 09 00 14 | 03 00 00 0c 00 00 00 00 |........|........|
|00001dc0| 00 00 00 02 00 00 00 22 | 01 cc 05 10 02 0a 05 10 |......."|........|
|00001dd0| 00 01 00 01 00 03 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001de0| 00 00 00 00 00 00 00 00 | 00 00 00 02 00 00 00 22 |........|......."|
|00001df0| 01 cc 07 18 02 0a 07 18 | 00 01 00 01 00 03 00 00 |........|........|
|00001e00| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001e10| 00 00 00 07 00 00 00 82 | 0b a0 03 00 0b cf 06 4c |........|.......L|
|00001e20| 00 01 00 01 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00001e30| 00 00 00 00 00 02 0b a0 | 03 00 0b cf 06 4c 00 00 |........|.....L..|
|00001e40| 00 00 00 14 00 0c 00 00 | 00 00 00 01 00 01 00 01 |........|........|
|00001e50| 00 2e 46 6f 6c 64 20 74 | 6f 20 74 68 69 73 20 6c |..Fold t|o this l|
|00001e60| 69 6e 65 20 61 6e 64 20 | 70 75 74 20 69 6e 20 6d |ine and |put in m|
|00001e70| 61 69 6c 20 64 69 73 74 | 72 69 62 75 74 69 6f 6e |ail dist|ribution|
|00001e80| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00001e90| 00 00 00 0c 00 00 00 00 | 00 00 00 07 00 00 00 6e |........|.......n|
|00001ea0| 0b e4 03 10 0c 30 06 3c | 00 01 00 01 ff ff ff ff |.....0.<|........|
|00001eb0| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 0b e4 |........|........|
|00001ec0| 03 10 0c 30 06 3c 00 00 | 00 00 00 14 00 12 00 01 |...0.<..|........|
|00001ed0| 00 00 00 01 00 01 00 01 | 00 1a 42 65 6e 65 66 69 |........|..Benefi|
|00001ee0| 74 73 20 2d 20 4d 61 69 | 6c 20 53 74 6f 70 20 2d |ts - Mai|l Stop -|
|00001ef0| 20 33 39 46 00 00 00 16 | 00 01 00 00 00 00 00 13 | 39F....|........|
|00001f00| 00 0e 00 14 01 00 00 12 | 00 00 00 00 00 00 00 07 |........|........|
|00001f10| 00 00 00 6e 02 d0 03 dc | 02 ff 06 1c 00 01 00 01 |...n....|........|
|00001f20| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00001f30| 00 02 02 d0 03 dc 02 ff | 06 1c 00 00 00 00 00 14 |........|........|
|00001f40| 00 0c 00 00 00 00 00 01 | 00 01 00 01 00 1a 28 55 |........|......(U|
|00001f50| 70 20 74 6f 20 73 69 78 | 20 6d 6f 6e 74 68 73 20 |p to six| months |
|00001f60| 6d 61 78 69 6d 75 6d 29 | 00 00 00 16 00 01 00 00 |maximum)|........|
|00001f70| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|00001f80| 00 00 00 07 00 00 00 72 | 03 2c 03 dc 03 5b 06 64 |.......r|.,...[.d|
|00001f90| 00 01 00 01 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00001fa0| 00 00 00 00 00 02 03 2c | 03 dc 03 5b 06 64 00 00 |.......,|...[.d..|
|00001fb0| 00 00 00 14 00 0c 00 00 | 00 00 00 01 00 01 00 01 |........|........|
|00001fc0| 00 1d 28 55 70 20 74 6f | 20 74 77 65 6c 76 65 20 |..(Up to| twelve |
|00001fd0| 6d 6f 6e 74 68 73 20 6d | 61 78 69 6d 75 6d 29 58 |months m|aximum)X|
|00001fe0| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00001ff0| 00 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 b0 |........|........|
|00002000| 04 e8 00 70 05 54 03 10 | 00 01 00 01 00 00 00 15 |...p.T..|........|
|00002010| 00 00 00 0c 00 00 00 01 | 00 01 00 2a 00 01 00 05 |........|...*....|
|00002020| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00002030| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00002040| ff ff ff ff ff ff 01 1c | 01 1c 00 3c 00 30 00 00 |........|...<.0..|
|00002050| 01 1b 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002060| 00 00 00 00 00 00 00 02 | 05 24 00 70 05 55 03 11 |........|.$.p.U..|
|00002070| 00 01 81 81 00 14 00 0c | 00 00 00 00 00 01 00 02 |........|........|
|00002080| 00 01 00 12 45 6d 70 6c | 6f 79 65 65 20 53 69 67 |....Empl|oyee Sig|
|00002090| 6e 61 74 75 72 65 00 00 | 00 16 00 01 00 00 00 00 |nature..|........|
|000020a0| 00 0c 00 09 00 14 00 00 | 00 0c 00 00 00 00 00 00 |........|........|
|000020b0| 00 01 00 00 00 a2 04 e8 | 03 48 05 54 04 04 00 01 |........|.H.T....|
|000020c0| 00 01 00 00 00 15 00 00 | 00 0c 00 00 00 01 00 01 |........|........|
|000020d0| 00 00 00 01 00 05 00 00 | 00 00 00 04 00 01 00 00 |........|........|
|000020e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000020f0| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 5c 00 5c |........|.....\.\|
|00002100| 00 3c 00 30 00 00 01 1c | 00 00 00 00 00 00 00 00 |.<.0....|........|
|00002110| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 05 24 |........|.......$|
|00002120| 03 48 05 55 04 05 00 01 | 81 81 00 14 00 0c 00 00 |.H.U....|........|
|00002130| 00 00 00 03 00 03 00 01 | 00 04 44 61 74 65 00 00 |........|..Date..|
|00002140| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00002150| 00 0c 00 00 00 00 00 00 | 00 01 00 00 00 bc 04 e8 |........|........|
|00002160| 05 14 05 54 08 2c 00 01 | 00 01 00 00 00 15 00 00 |...T.,..|........|
|00002170| 00 0c 00 00 00 01 00 01 | 00 2a 00 01 00 05 00 00 |........|.*......|
|00002180| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002190| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|000021a0| ff ff ff ff 01 1c 01 1c | 00 3c 00 30 00 00 01 1d |........|.<.0....|
|000021b0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000021c0| 00 00 00 00 00 02 05 24 | 05 14 05 55 08 2d 00 01 |.......$|...U.-..|
|000021d0| 81 81 00 14 00 0c 00 00 | 00 00 00 01 00 02 00 01 |........|........|
|000021e0| 00 1d 56 50 20 6f 66 20 | 4f 70 73 20 2f 20 47 65 |..VP of |Ops / Ge|
|000021f0| 6e 20 4d 67 72 20 53 69 | 67 6e 61 74 75 72 65 58 |n Mgr Si|gnatureX|
|00002200| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00002210| 00 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 a2 |........|........|
|00002220| 04 e8 08 64 05 54 09 20 | 00 01 00 01 00 00 00 15 |...d.T. |........|
|00002230| 00 00 00 0c 00 00 00 03 | 00 03 00 00 00 01 00 05 |........|........|
|00002240| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00002250| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00002260| ff ff ff ff ff ff 00 5c | 00 5c 00 3c 00 30 00 00 |.......\|.\.<.0..|
|00002270| 01 1e 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002280| 00 00 00 00 00 00 00 02 | 05 24 08 64 05 55 09 21 |........|.$.d.U.!|
|00002290| 00 01 81 81 00 14 00 0c | 00 00 00 00 00 03 00 03 |........|........|
|000022a0| 00 01 00 04 44 61 74 65 | 00 00 00 16 00 01 00 00 |....Date|........|
|000022b0| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|000022c0| 00 00 00 01 00 00 00 bc | 05 6c 00 70 05 d8 03 10 |........|.l.p....|
|000022d0| 00 01 00 01 00 00 00 15 | 00 00 00 0c 00 00 00 01 |........|........|
|000022e0| 00 01 00 2a 00 01 00 05 | 00 00 00 00 00 04 00 01 |...*....|........|
|000022f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002300| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 01 1c |........|........|
|00002310| 01 1c 00 3c 00 30 00 00 | 01 1f 00 00 00 00 00 00 |...<.0..|........|
|00002320| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00002330| 05 a8 00 70 05 d9 03 11 | 00 01 81 81 00 14 00 0c |...p....|........|
|00002340| 00 00 00 00 00 01 00 02 | 00 01 00 1d 46 69 72 73 |........|....Firs|
|00002350| 74 20 4c 65 76 65 6c 20 | 4d 61 6e 61 67 65 72 20 |t Level |Manager |
|00002360| 53 69 67 6e 61 74 75 72 | 65 58 00 00 00 16 00 01 |Signatur|eX......|
|00002370| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0c 00 00 |........|........|
|00002380| 00 00 00 00 00 01 00 00 | 00 a2 05 6c 03 48 05 d8 |........|...l.H..|
|00002390| 04 04 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|000023a0| 00 01 00 01 00 00 00 01 | 00 05 00 00 00 00 00 04 |........|........|
|000023b0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000023c0| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|000023d0| 00 5c 00 5c 00 3c 00 30 | 00 00 01 20 00 00 00 00 |.\.\.<.0|... ....|
|000023e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000023f0| 00 02 05 a8 03 48 05 d9 | 04 05 00 01 81 81 00 14 |.....H..|........|
|00002400| 00 0c 00 00 00 00 00 03 | 00 03 00 01 00 04 44 61 |........|......Da|
|00002410| 74 65 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |te......|........|
|00002420| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002430| 00 bc 05 6c 05 14 05 d8 | 08 2c 00 01 00 01 00 00 |...l....|.,......|
|00002440| 00 15 00 00 00 0c 00 00 | 00 01 00 01 00 2a 00 01 |........|.....*..|
|00002450| 00 05 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002460| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00002470| ff ff ff ff ff ff ff ff | 01 1c 01 1c 00 3c 00 30 |........|.....<.0|
|00002480| 00 00 01 21 00 00 00 00 | 00 00 00 00 00 00 00 00 |...!....|........|
|00002490| 00 00 00 00 00 00 00 00 | 00 02 05 a8 05 14 05 d9 |........|........|
|000024a0| 08 2d 00 01 81 81 00 14 | 00 0c 00 00 00 00 00 01 |.-......|........|
|000024b0| 00 02 00 01 00 1d 42 65 | 6e 65 66 69 74 73 20 44 |......Be|nefits D|
|000024c0| 65 70 61 72 74 6d 65 6e | 74 20 53 69 67 6e 61 74 |epartmen|t Signat|
|000024d0| 75 72 65 58 00 00 00 16 | 00 01 00 00 00 00 00 0c |ureX....|........|
|000024e0| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|000024f0| 00 00 00 a2 05 6c 08 64 | 05 d8 09 20 00 01 00 01 |.....l.d|... ....|
|00002500| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 00 |........|........|
|00002510| 00 01 00 05 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00002520| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00002530| 00 00 ff ff ff ff ff ff | ff ff 00 5c 00 5c 00 3c |........|...\.\.<|
|00002540| 00 30 00 00 01 22 00 00 | 00 00 00 00 00 00 00 00 |.0..."..|........|
|00002550| 00 00 00 00 00 00 00 00 | 00 00 00 02 05 a8 08 64 |........|.......d|
|00002560| 05 d9 09 21 00 01 81 81 | 00 14 00 0c 00 00 00 00 |...!....|........|
|00002570| 00 03 00 03 00 01 00 04 | 44 61 74 65 00 00 00 16 |........|Date....|
|00002580| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0c |........|........|
|00002590| 00 00 00 00 00 00 00 01 | 00 00 00 b0 06 48 00 70 |........|.....H.p|
|000025a0| 06 b4 03 10 00 01 00 01 | 00 00 00 15 00 00 00 0c |........|........|
|000025b0| 00 00 00 01 00 01 00 2a | 00 01 00 05 00 00 00 00 |.......*|........|
|000025c0| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000025d0| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|000025e0| ff ff 01 1c 01 1c 00 3c | 00 30 00 00 01 23 00 00 |.......<|.0...#..|
|000025f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002600| 00 00 00 02 06 84 00 70 | 06 b5 03 11 00 01 81 81 |.......p|........|
|00002610| 00 14 00 0c 00 00 00 00 | 00 01 00 02 00 01 00 12 |........|........|
|00002620| 45 6d 70 6c 6f 79 65 65 | 20 53 69 67 6e 61 74 75 |Employee| Signatu|
|00002630| 72 65 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |re......|........|
|00002640| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002650| 00 a2 06 48 03 48 06 b4 | 04 04 00 01 00 01 00 00 |...H.H..|........|
|00002660| 00 15 00 00 00 0c 00 00 | 00 01 00 01 00 00 00 01 |........|........|
|00002670| 00 05 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002680| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00002690| ff ff ff ff ff ff ff ff | 00 5c 00 5c 00 3c 00 30 |........|.\.\.<.0|
|000026a0| 00 00 01 24 00 00 00 00 | 00 00 00 00 00 00 00 00 |...$....|........|
|000026b0| 00 00 00 00 00 00 00 00 | 00 02 06 84 03 48 06 b5 |........|.....H..|
|000026c0| 04 05 00 01 81 81 00 14 | 00 0c 00 00 00 00 00 03 |........|........|
|000026d0| 00 03 00 01 00 04 44 61 | 74 65 00 00 00 16 00 01 |......Da|te......|
|000026e0| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0c 00 00 |........|........|
|000026f0| 00 00 00 00 00 01 00 00 | 00 bc 06 48 05 14 06 b4 |........|...H....|
|00002700| 08 2c 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |.,......|........|
|00002710| 00 01 00 01 00 2a 00 01 | 00 05 00 00 00 00 00 04 |.....*..|........|
|00002720| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002730| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00002740| 01 1c 01 1c 00 3c 00 30 | 00 00 01 25 00 00 00 00 |.....<.0|...%....|
|00002750| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002760| 00 02 06 84 05 14 06 b5 | 08 2d 00 01 81 81 00 14 |........|.-......|
|00002770| 00 0c 00 00 00 00 00 01 | 00 02 00 01 00 1d 56 50 |........|......VP|
|00002780| 20 6f 66 20 4f 70 73 20 | 2f 20 47 65 6e 20 4d 67 | of Ops |/ Gen Mg|
|00002790| 72 20 53 69 67 6e 61 74 | 75 72 65 58 00 00 00 16 |r Signat|ureX....|
|000027a0| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0c |........|........|
|000027b0| 00 00 00 00 00 00 00 01 | 00 00 00 a2 06 48 08 64 |........|.....H.d|
|000027c0| 06 b4 09 20 00 01 00 01 | 00 00 00 15 00 00 00 0c |... ....|........|
|000027d0| 00 00 00 03 00 03 00 00 | 00 01 00 05 00 00 00 00 |........|........|
|000027e0| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000027f0| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00002800| ff ff 00 5c 00 5c 00 3c | 00 30 00 00 01 26 00 00 |...\.\.<|.0...&..|
|00002810| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002820| 00 00 00 02 06 84 08 64 | 06 b5 09 21 00 01 81 81 |.......d|...!....|
|00002830| 00 14 00 0c 00 00 00 00 | 00 03 00 03 00 01 00 04 |........|........|
|00002840| 44 61 74 65 00 00 00 16 | 00 01 00 00 00 00 00 0c |Date....|........|
|00002850| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|00002860| 00 00 00 b2 06 cc 00 70 | 07 38 03 10 00 01 00 01 |.......p|.8......|
|00002870| 00 00 00 15 00 00 00 0c | 00 00 00 01 00 01 00 2a |........|.......*|
|00002880| 00 01 00 05 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|00002890| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|000028a0| 00 00 ff ff ff ff ff ff | ff ff 01 1c 01 1c 00 3c |........|.......<|
|000028b0| 00 30 00 00 01 27 00 00 | 00 00 00 00 00 00 00 00 |.0...'..|........|
|000028c0| 00 00 00 00 00 00 00 00 | 00 00 00 02 07 08 00 70 |........|.......p|
|000028d0| 07 39 03 11 00 01 81 81 | 00 14 00 0c 00 00 00 00 |.9......|........|
|000028e0| 00 01 00 02 00 01 00 14 | 48 52 20 4c 69 61 69 73 |........|HR Liais|
|000028f0| 6f 6e 20 53 69 67 6e 61 | 74 75 72 65 00 00 00 16 |on Signa|ture....|
|00002900| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0c |........|........|
|00002910| 00 00 00 00 00 00 00 01 | 00 00 00 a2 06 cc 03 48 |........|.......H|
|00002920| 07 38 04 04 00 01 00 01 | 00 00 00 15 00 00 00 0c |.8......|........|
|00002930| 00 00 00 01 00 01 00 00 | 00 01 00 05 00 00 00 00 |........|........|
|00002940| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002950| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00002960| ff ff 00 5c 00 5c 00 3c | 00 30 00 00 01 28 00 00 |...\.\.<|.0...(..|
|00002970| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002980| 00 00 00 02 07 08 03 48 | 07 39 04 05 00 01 81 81 |.......H|.9......|
|00002990| 00 14 00 0c 00 00 00 00 | 00 03 00 03 00 01 00 04 |........|........|
|000029a0| 44 61 74 65 00 00 00 16 | 00 01 00 00 00 00 00 0c |Date....|........|
|000029b0| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|000029c0| 00 00 00 bc 06 cc 05 14 | 07 38 08 2c 00 01 00 01 |........|.8.,....|
|000029d0| 00 00 00 15 00 00 00 0c | 00 00 00 01 00 01 00 2a |........|.......*|
|000029e0| 00 01 00 05 00 00 00 00 | 00 04 00 01 00 00 00 00 |........|........|
|000029f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00002a00| 00 00 ff ff ff ff ff ff | ff ff 01 1c 01 1c 00 3c |........|.......<|
|00002a10| 00 30 00 00 01 29 00 00 | 00 00 00 00 00 00 00 00 |.0...)..|........|
|00002a20| 00 00 00 00 00 00 00 00 | 00 00 00 02 07 08 05 14 |........|........|
|00002a30| 07 39 08 2d 00 01 81 81 | 00 14 00 0c 00 00 00 00 |.9.-....|........|
|00002a40| 00 01 00 02 00 01 00 1d | 42 65 6e 65 66 69 74 73 |........|Benefits|
|00002a50| 20 44 65 70 61 72 74 6d | 65 6e 74 20 53 69 67 6e | Departm|ent Sign|
|00002a60| 61 74 75 72 65 58 00 00 | 00 16 00 01 00 00 00 00 |atureX..|........|
|00002a70| 00 0c 00 09 00 14 00 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00002a80| 00 01 00 00 00 a2 06 cc | 08 64 07 38 09 20 00 01 |........|.d.8. ..|
|00002a90| 00 01 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 03 |........|........|
|00002aa0| 00 00 00 01 00 05 00 00 | 00 00 00 04 00 01 00 00 |........|........|
|00002ab0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002ac0| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 5c 00 5c |........|.....\.\|
|00002ad0| 00 3c 00 30 00 00 01 2a | 00 00 00 00 00 00 00 00 |.<.0...*|........|
|00002ae0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 07 08 |........|........|
|00002af0| 08 64 07 39 09 21 00 01 | 81 81 00 14 00 0c 00 00 |.d.9.!..|........|
|00002b00| 00 00 00 03 00 03 00 01 | 00 04 44 61 74 65 00 00 |........|..Date..|
|00002b10| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00002b20| 00 0c 00 00 00 00 00 00 | 00 01 00 00 00 bc 0b 00 |........|........|
|00002b30| 05 90 0b 6c 08 dc 00 01 | 00 01 00 00 00 15 00 00 |...l....|........|
|00002b40| 00 0c 00 00 00 01 00 01 | 00 00 00 01 00 05 00 00 |........|........|
|00002b50| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002b60| 00 00 00 00 00 00 00 03 | 00 03 00 00 ff ff ff ff |........|........|
|00002b70| ff ff ff ff 01 1c 01 1c | 00 3c 00 30 00 00 01 2b |........|.<.0...+|
|00002b80| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002b90| 00 00 00 00 00 02 0b 3c | 05 90 0b 6d 08 dd 00 01 |.......<|...m....|
|00002ba0| 81 81 00 14 00 0c 00 01 | 00 00 00 03 00 03 00 01 |........|........|
|00002bb0| 00 1d 45 78 74 65 6e 64 | 65 64 20 50 61 72 74 69 |..Extend|ed Parti|
|00002bc0| 63 69 70 61 74 69 6f 6e | 20 50 65 72 69 6f 64 58 |cipation| PeriodX|
|00002bd0| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00002be0| 01 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 bc |........|........|
|00002bf0| 0a 7c 05 8c 0a e8 08 d8 | 00 01 00 01 00 00 00 15 |.|......|........|
|00002c00| 00 00 00 0c 00 00 00 01 | 00 01 00 00 00 01 00 05 |........|........|
|00002c10| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00002c20| 00 00 00 00 00 00 00 00 | 00 03 00 03 00 00 ff ff |........|........|
|00002c30| ff ff ff ff ff ff 01 1c | 01 1c 00 3c 00 30 00 00 |........|...<.0..|
|00002c40| 01 2c 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.,......|........|
|00002c50| 00 00 00 00 00 00 00 02 | 0a b8 05 8c 0a e9 08 d9 |........|........|
|00002c60| 00 01 81 81 00 14 00 0c | 00 01 00 00 00 03 00 03 |........|........|
|00002c70| 00 01 00 1d 4f 72 69 67 | 69 6e 61 6c 20 50 61 72 |....Orig|inal Par|
|00002c80| 74 69 63 69 70 61 74 69 | 6f 6e 20 50 65 72 69 6f |ticipati|on Perio|
|00002c90| 64 58 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |dX......|........|
|00002ca0| 00 14 01 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002cb0| 00 aa 0a d4 00 c4 0b 40 | 03 90 00 01 00 01 00 00 |.......@|........|
|00002cc0| 00 15 00 00 00 0c 00 00 | 00 01 00 01 00 2a 00 01 |........|.....*..|
|00002cd0| 00 05 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002ce0| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 03 00 00 |........|........|
|00002cf0| ff ff ff ff ff ff ff ff | 01 1c 01 1c 00 3c 00 30 |........|.....<.0|
|00002d00| 00 00 01 2d 00 00 00 00 | 00 00 00 00 00 00 00 00 |...-....|........|
|00002d10| 00 00 00 00 00 00 00 00 | 00 02 0b 10 00 c4 0b 41 |........|.......A|
|00002d20| 03 91 00 01 81 81 00 14 | 00 0c 00 01 00 00 00 01 |........|........|
|00002d30| 00 02 00 01 00 0b 41 70 | 70 72 6f 76 65 64 20 42 |......Ap|proved B|
|00002d40| 79 0c 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |y.......|........|
|00002d50| 00 14 01 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00002d60| 00 a2 0a d4 04 00 0b 40 | 05 10 00 01 00 01 00 00 |.......@|........|
|00002d70| 00 15 00 00 00 0c 00 00 | 00 01 00 01 00 00 00 01 |........|........|
|00002d80| 00 05 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002d90| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 03 00 00 |........|........|
|00002da0| ff ff ff ff ff ff ff ff | 00 88 00 88 00 3c 00 30 |........|.....<.0|
|00002db0| 00 00 01 2e 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002dc0| 00 00 00 00 00 00 00 00 | 00 02 0b 10 04 00 0b 41 |........|.......A|
|00002dd0| 05 11 00 01 81 81 00 14 | 00 0c 00 01 00 00 00 01 |........|........|
|00002de0| 00 02 00 01 00 04 44 61 | 74 65 00 00 00 16 00 01 |......Da|te......|
|00002df0| 00 00 00 00 00 0c 00 09 | 00 14 01 00 00 0c 00 00 |........|........|
|00002e00| 00 00 00 00 00 00 00 00 | 00 03 00 00 00 34 00 10 |........|.....4..|
|00002e10| 00 10 0c 50 09 80 00 01 | 00 00 00 03 00 01 ff ff |...P....|........|
|00002e20| ff ff ff ff ff ff 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002e30| 00 01 00 28 00 28 00 28 | 00 28 00 00 00 00 00 00 |...(.(.(|.(......|
|00002e40| 00 00 00 07 00 00 00 6e | 00 40 00 83 00 ac 05 7d |.......n|.@.....}|
|00002e50| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002e60| 00 00 00 00 00 02 00 40 | 00 83 00 ac 05 7d 00 00 |.......@|.....}..|
|00002e70| 00 00 00 14 00 0e 00 01 | 00 00 00 03 00 03 00 01 |........|........|
|00002e80| 00 19 52 45 53 54 41 52 | 54 20 45 58 54 45 4e 53 |..RESTAR|T EXTENS|
|00002e90| 49 4f 4e 20 52 45 51 55 | 45 53 54 51 00 00 00 16 |ION REQU|ESTQ....|
|00002ea0| 00 01 00 00 00 00 00 0f | 00 0c 00 14 01 00 00 0e |........|........|
|00002eb0| 00 00 00 00 00 00 00 07 | 00 00 00 a2 01 6c 00 10 |........|.....l..|
|00002ec0| 01 d8 09 80 00 01 00 00 | ff ff ff ff ff ff ff ff |........|........|
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+--------+-------------------------+-------------------------+--------+--------+