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MacOS 8.1

Win98

DOS

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+--------+-------------------------+-------------------------+--------+--------+
|00000000| 00 16 42 61 62 79 20 42 | 6f 6e 75 73 20 41 70 70 |..Baby B|onus App|
|00000010| 6c 69 63 61 74 69 6f 6e | 00 00 00 00 00 00 00 00 |lication|........|
|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 21 10 00 | 00 02 36 a1 f5 d6 14 a2 |.....!..|..6.....|
|00000060| 05 5e b9 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 44 bf 00 00 |........|....D...|
|00000080| 00 0c 00 02 00 00 00 30 | 00 00 16 d6 00 00 01 de |.......0|........|
|00000090| 00 00 14 02 00 00 14 04 | 00 00 20 6c 00 00 00 00 |........|.. l....|
|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 00 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 08 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 0d 00 03 |....@8..|........|
|00000160| 00 01 00 01 00 00 00 03 | 01 26 01 26 00 3c 00 38 |........|.&.&.<.8|
|00000170| 00 01 00 14 00 01 00 0a | 00 01 5f da 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 01 | 00 01 00 4d e5 4e 00 4d |........|...M.N.M|
|000001b0| e5 54 00 4a 75 e8 00 4a | 75 e8 00 00 00 00 00 00 |.T.Ju..J|u.......|
|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 90 |........|........|
|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 6a 00 38 |........|.....j.8|
|000002a0| 01 3c 00 a4 09 20 00 01 | 00 00 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 16 | 42 41 42 59 20 42 4f 4e |........|BABY BON|
|000002e0| 55 53 20 41 50 50 4c 49 | 43 41 54 49 4f 4e 00 00 |US APPLI|CATION..|
|000002f0| 00 16 00 01 00 00 00 00 | 00 0f 00 0c 00 14 01 00 |........|........|
|00000300| 00 0e 00 00 00 00 00 00 | 00 0d 00 00 00 cc 00 5c |........|.......\|
|00000310| 00 94 00 d0 00 fc 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000320| 00 02 00 07 00 00 00 56 | 00 5c 00 94 00 d0 00 fa |.......V|.\......|
|00000330| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00000340| 00 00 00 00 00 02 00 5c | 00 94 00 d0 00 fa 00 00 |.......\|........|
|00000350| 00 00 00 14 00 18 00 00 | 00 00 00 03 00 03 00 01 |........|........|
|00000360| 00 01 f0 00 00 00 00 16 | 00 01 00 00 00 00 00 18 |........|........|
|00000370| 00 12 00 14 00 00 00 18 | 00 00 00 00 00 00 00 07 |........|........|
|00000380| 00 00 00 56 00 a1 00 df | 00 ba 00 fc 00 01 00 00 |...V....|........|
|00000390| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|000003a0| 00 02 00 a1 00 df 00 ba | 00 fc 00 00 00 00 00 14 |........|........|
|000003b0| 00 04 00 00 00 00 00 03 | 00 03 00 01 00 01 a8 00 |........|........|
|000003c0| 00 00 00 16 00 01 00 00 | 00 00 00 05 00 04 00 14 |........|........|
|000003d0| 00 00 00 04 00 00 00 00 | 00 00 00 01 00 00 00 ac |........|........|
|000003e0| 00 b1 07 dc 01 41 09 20 | 00 01 00 00 00 00 00 15 |.....A. |........|
|000003f0| 00 00 00 0c 00 00 00 03 | 00 03 00 00 00 01 00 03 |........|........|
|00000400| 00 01 00 00 00 03 00 01 | ff ff ff ff ff ff ff ff |........|........|
|00000410| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00000420| ff ff ff ff ff ff 00 90 | 00 90 00 3c 00 34 00 00 |........|...<.4..|
|00000430| 00 f4 00 02 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000440| 00 00 00 00 00 00 00 02 | 00 b2 07 dd 00 ed 09 20 |........|....... |
|00000450| 01 01 01 01 00 14 00 0a | 00 80 00 00 00 03 00 03 |........|........|
|00000460| 00 01 00 0d 45 4d 50 4c | 4f 59 45 45 20 20 4e 4f |....EMPL|OYEE  NO|
|00000470| 2e db 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |........|........|
|00000480| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00000490| 00 a2 00 b1 06 98 01 41 | 07 dc 00 01 00 00 00 00 |.......A|........|
|000004a0| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 00 00 01 |........|........|
|000004b0| 00 03 00 01 00 00 00 03 | 00 01 ff ff ff ff ff ff |........|........|
|000004c0| ff ff 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000004d0| ff ff ff ff ff ff ff ff | 00 88 00 88 00 3c 00 38 |........|.....<.8|
|000004e0| 00 00 00 f5 00 01 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|000004f0| 00 00 00 00 00 00 00 00 | 00 02 00 b2 06 99 00 ed |........|........|
|00000500| 07 dc 01 01 01 01 00 14 | 00 0a 00 80 00 00 00 03 |........|........|
|00000510| 00 03 00 01 00 04 44 41 | 54 45 00 00 00 16 00 01 |......DA|TE......|
|00000520| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|00000530| 00 00 00 00 00 01 00 00 | 00 a8 01 41 04 df 01 d1 |........|...A....|
|00000540| 05 de 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00000550| 00 03 00 03 00 00 00 01 | 00 03 00 01 00 00 00 03 |........|........|
|00000560| 00 01 ff ff ff ff ff ff | ff ff 00 00 00 00 00 00 |........|........|
|00000570| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000580| 00 90 00 90 00 3c 00 34 | 00 00 00 f6 00 06 00 01 |.....<.4|........|
|00000590| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000005a0| 00 02 01 42 04 e0 01 7d | 05 de 01 01 01 01 00 14 |...B...}|........|
|000005b0| 00 0a 00 80 00 00 00 03 | 00 03 00 01 00 0a 4d 41 |........|......MA|
|000005c0| 49 4c 20 20 53 54 4f 50 | 00 00 00 16 00 01 00 00 |IL  STOP|........|
|000005d0| 00 00 00 0c 00 09 00 14 | 00 00 00 0a 00 00 00 00 |........|........|
|000005e0| 00 00 00 01 00 00 00 a8 | 01 41 07 dc 01 d1 09 20 |........|.A..... |
|000005f0| 00 01 00 00 00 00 00 15 | 00 20 00 0c 00 00 00 03 |........|. ......|
|00000600| 00 03 00 00 00 01 00 03 | 00 01 00 00 00 03 00 01 |........|........|
|00000610| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|00000620| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 94 |........|........|
|00000630| 00 94 00 3c 00 38 00 00 | 00 f7 00 08 00 01 00 00 |...<.8..|........|
|00000640| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00000650| 01 42 07 dd 01 7d 09 20 | 01 01 01 01 00 14 00 0a |.B...}. |........|
|00000660| 00 80 00 00 00 03 00 03 | 00 01 00 09 41 50 50 4c |........|....APPL|
|00000670| 45 4c 49 4e 4b 6d 00 00 | 00 16 00 01 00 00 00 00 |ELINKm..|........|
|00000680| 00 0c 00 09 00 14 00 00 | 00 0a 00 00 00 00 00 00 |........|........|
|00000690| 00 01 00 00 00 ac 01 41 | 05 de 01 d1 07 dc 00 01 |.......A|........|
|000006a0| 00 00 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 03 |........|........|
|000006b0| 00 01 00 01 00 03 00 01 | 00 00 00 03 00 01 ff ff |........|........|
|000006c0| ff ff ff ff ff ff 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000006d0| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 90 00 90 |........|........|
|000006e0| 00 3c 00 34 00 00 00 f8 | 00 07 00 01 00 00 00 00 |.<.4....|........|
|000006f0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 01 42 |........|.......B|
|00000700| 05 df 01 7d 07 dc 01 01 | 01 01 00 14 00 0a 00 80 |...}....|........|
|00000710| 00 00 00 03 00 03 00 01 | 00 0e 54 45 4c 45 50 48 |........|..TELEPH|
|00000720| 4f 4e 45 20 20 4e 4f 2e | 00 00 00 16 00 01 00 00 |ONE  NO.|........|
|00000730| 00 00 00 0c 00 09 00 14 | 00 00 00 0a 00 00 00 00 |........|........|
|00000740| 00 00 00 01 00 00 00 a6 | 01 41 03 49 01 d1 04 14 |........|.A.I....|
|00000750| 00 01 00 00 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00000760| 00 03 00 00 00 01 00 03 | 00 01 00 00 00 03 00 01 |........|........|
|00000770| ff ff ff ff ff ff ff ff | 00 00 00 00 00 00 00 00 |........|........|
|00000780| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 00 70 |........|.......p|
|00000790| 00 70 00 3c 00 34 00 00 | 00 f9 00 04 00 01 00 00 |.p.<.4..|........|
|000007a0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|000007b0| 01 42 03 4a 01 7d 04 14 | 01 01 01 01 00 14 00 0a |.B.J.}..|........|
|000007c0| 00 80 00 00 00 03 00 03 | 00 01 00 08 44 49 56 2e |........|....DIV.|
|000007d0| 20 4e 4f 2e 00 00 00 16 | 00 01 00 00 00 00 00 0c | NO.....|........|
|000007e0| 00 09 00 14 00 00 00 0a | 00 00 00 00 00 00 00 01 |........|........|
|000007f0| 00 00 00 a8 01 41 04 14 | 01 d1 04 df 00 01 00 00 |.....A..|........|
|00000800| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 00 |........|........|
|00000810| 00 01 00 03 00 01 00 00 | 00 03 00 01 ff ff ff ff |........|........|
|00000820| ff ff ff ff 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00000830| 00 00 ff ff ff ff ff ff | ff ff 00 90 00 90 00 3c |........|.......<|
|00000840| 00 34 00 00 00 fa 00 05 | 00 01 00 00 00 00 00 00 |.4......|........|
|00000850| 00 00 00 00 00 00 00 00 | 00 00 00 02 01 42 04 15 |........|.....B..|
|00000860| 01 7d 04 df 01 01 01 01 | 00 14 00 0a 00 80 00 00 |.}......|........|
|00000870| 00 03 00 03 00 01 00 09 | 44 45 50 54 2e 20 4e 4f |........|DEPT. NO|
|00000880| 2e 6d 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |.m......|........|
|00000890| 00 14 00 00 00 0a 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|000008a0| 00 ac 01 41 00 70 01 d1 | 03 49 00 01 00 00 00 00 |...A.p..|.I......|
|000008b0| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 2a 00 01 |........|.....*..|
|000008c0| 00 03 00 01 00 00 00 03 | 00 01 ff ff ff ff ff ff |........|........|
|000008d0| ff ff 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000008e0| ff ff ff ff ff ff ff ff | 01 98 01 98 00 3c 00 38 |........|.....<.8|
|000008f0| 00 00 00 fb 00 03 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00000900| 00 00 00 00 00 00 00 00 | 00 02 01 42 00 71 01 7d |........|...B.q.}|
|00000910| 03 49 01 01 01 01 00 14 | 00 0a 00 80 00 00 00 03 |.I......|........|
|00000920| 00 03 00 01 00 0e 45 4d | 50 4c 4f 59 45 45 20 20 |......EM|PLOYEE  |
|00000930| 4e 41 4d 45 00 00 00 16 | 00 01 00 00 00 00 00 0c |NAME....|........|
|00000940| 00 09 00 14 00 00 00 0a | 00 00 00 00 00 00 00 02 |........|........|
|00000950| 00 00 00 22 00 b1 07 dc | 00 ee 07 dc 00 01 00 00 |..."....|........|
|00000960| 00 03 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000970| 00 00 00 00 00 00 00 02 | 00 00 00 22 01 40 07 dc |........|...".@..|
|00000980| 01 7e 07 dc 00 01 00 00 | 00 03 00 00 00 00 00 00 |.~......|........|
|00000990| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|000009a0| 00 00 00 22 01 3e 05 de | 01 7c 05 de 00 01 00 00 |...".>..|.|......|
|000009b0| 00 03 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000009c0| 00 00 00 00 00 00 00 02 | 00 00 00 22 01 40 04 de |........|...".@..|
|000009d0| 01 7e 04 de 00 01 00 00 | 00 03 00 00 00 00 00 00 |.~......|........|
|000009e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|000009f0| 00 00 00 22 01 3e 04 14 | 01 7c 04 14 00 01 00 00 |...".>..|.|......|
|00000a00| 00 03 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000a10| 00 00 00 00 00 00 00 02 | 00 00 00 22 01 3e 03 48 |........|...".>.H|
|00000a20| 01 7c 03 48 00 01 00 00 | 00 03 00 00 00 00 00 00 |.|.H....|........|
|00000a30| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 07 |........|........|
|00000a40| 00 00 00 68 0b f4 00 4c | 0c 3c 02 38 00 01 00 01 |...h...L|.<.8....|
|00000a50| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00000a60| 00 02 0b f4 00 4c 0c 3c | 02 38 00 00 00 00 00 14 |.....L.<|.8......|
|00000a70| 00 0e 00 20 00 00 00 01 | 00 03 00 01 00 14 41 70 |... ....|......Ap|
|00000a80| 70 6c 65 20 43 6f 6d 70 | 75 74 65 72 2c 20 49 6e |ple Comp|uter, In|
|00000a90| 63 2e 00 00 00 16 00 01 | 00 00 00 00 00 0f 00 0c |c.......|........|
|00000aa0| 00 14 20 00 00 0e 00 00 | 00 00 00 00 00 07 00 00 |.. .....|........|
|00000ab0| 00 62 0b f4 08 1c 0c 3c | 09 44 00 01 00 00 ff ff |.b.....<|.D......|
|00000ac0| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|00000ad0| 0b f4 08 1c 0c 3c 09 44 | 00 00 00 00 00 14 00 0a |.....<.D|........|
|00000ae0| 00 00 00 00 00 02 00 03 | 00 01 00 0d 42 45 4e 34 |........|....BEN4|
|00000af0| 30 30 20 28 32 2f 39 30 | 29 6d 00 00 00 16 00 01 |00 (2/90|)m......|
|00000b00| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|00000b10| 00 00 00 00 00 01 00 00 | 00 aa 01 d1 04 df 02 60 |........|.......`|
|00000b20| 07 84 00 01 00 00 00 00 | 00 15 00 20 00 0c 00 00 |........|... ....|
|00000b30| 00 03 00 03 00 2a 00 01 | 00 03 00 01 00 00 00 03 |.....*..|........|
|00000b40| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000b50| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000b60| 00 80 00 80 00 3c 00 38 | 00 00 01 03 00 0a 00 01 |.....<.8|........|
|00000b70| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000b80| 00 02 01 d2 04 e0 02 0d | 07 84 01 01 01 01 00 14 |........|........|
|00000b90| 00 0a 00 00 00 00 00 03 | 00 03 00 01 00 0c 4e 41 |........|......NA|
|00000ba0| 4d 45 20 4f 46 20 42 41 | 42 59 00 00 00 16 00 01 |ME OF BA|BY......|
|00000bb0| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0a 00 00 |........|........|
|00000bc0| 00 00 00 00 00 01 00 00 | 00 b0 01 d1 07 84 02 60 |........|.......`|
|00000bd0| 09 20 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |. ......|........|
|00000be0| 00 03 00 03 00 00 00 01 | 00 03 00 01 00 00 00 03 |........|........|
|00000bf0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000c00| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000c10| 01 88 01 88 00 3c 00 38 | 00 00 01 04 00 0b 00 01 |.....<.8|........|
|00000c20| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000c30| 00 02 01 d2 07 85 02 0d | 09 20 01 01 01 01 00 14 |........|. ......|
|00000c40| 00 0a 00 00 00 00 00 03 | 00 03 00 01 00 11 42 41 |........|......BA|
|00000c50| 42 59 27 53 20 42 49 52 | 54 48 20 44 41 54 45 db |BY'S BIR|TH DATE.|
|00000c60| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00000c70| 00 00 00 0a 00 00 00 00 | 00 00 00 07 00 00 01 74 |........|.......t|
|00000c80| 03 80 01 5a 05 b0 08 1b | 00 01 00 00 ff ff ff ff |...Z....|........|
|00000c90| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 03 80 |........|........|
|00000ca0| 01 5a 05 b0 08 1b 00 00 | 00 00 00 14 00 0e 00 00 |.Z......|........|
|00000cb0| 00 00 00 01 00 02 00 08 | 01 1f 50 6c 65 61 73 65 |........|..Please|
|00000cc0| 20 61 74 74 61 63 68 20 | 74 6f 20 74 68 69 73 20 | attach |to this |
|00000cd0| 66 6f 72 6d 20 61 20 63 | 6f 70 79 20 6f 66 20 61 |form a c|opy of a|
|00000ce0| 20 63 65 72 66 69 66 69 | 63 61 74 65 20 66 6f 72 | cerfifi|cate for|
|00000cf0| 20 74 68 65 20 62 69 72 | 74 68 20 6f 66 20 74 68 | the bir|th of th|
|00000d00| 65 20 6e 65 77 65 73 74 | 20 0d 6d 65 6d 62 65 72 |e newest| .member|
|00000d10| 20 6f 66 20 79 6f 75 72 | 20 66 61 6d 69 6c 79 2e | of your| family.|
|00000d20| 20 20 49 74 20 63 61 6e | 20 62 65 20 61 20 63 6f |  It can| be a co|
|00000d30| 70 79 20 6f 66 3a 0d 0d | 41 2e 20 56 65 72 69 66 |py of:..|A. Verif|
|00000d40| 69 63 61 74 69 6f 6e 20 | 6f 66 20 4c 69 76 65 20 |ication |of Live |
|00000d50| 42 69 72 74 68 0d 42 2e | 20 20 54 68 65 20 41 63 |Birth.B.|  The Ac|
|00000d60| 74 75 61 6c 20 42 69 72 | 74 68 20 43 65 72 74 69 |tual Bir|th Certi|
|00000d70| 66 69 63 61 74 65 0d 43 | 2e 20 20 46 6f 6f 74 20 |ficate.C|.  Foot |
|00000d80| 50 72 69 6e 74 73 20 77 | 69 74 68 20 74 68 65 20 |Prints w|ith the |
|00000d90| 61 70 70 72 6f 70 72 69 | 61 74 65 20 69 6e 66 6f |appropri|ate info|
|00000da0| 72 6d 61 74 69 6f 6e 28 | 6f 66 66 69 63 69 61 6c |rmation(|official|
|00000db0| 20 64 6f 63 75 6d 65 6e | 74 20 70 72 6f 76 69 64 | documen|t provid|
|00000dc0| 65 64 20 09 09 09 09 09 | 09 09 62 79 20 68 6f 73 |ed .....|..by hos|
|00000dd0| 70 69 74 61 6c 29 2e 0d | 0d c4 00 00 00 16 00 01 |pital)..|........|
|00000de0| 00 00 00 00 00 0f 00 0c | 00 14 00 00 00 0e 00 00 |........|........|
|00000df0| 00 00 00 00 00 01 00 00 | 00 ac 01 d1 00 70 02 60 |........|.....p.`|
|00000e00| 04 df 00 01 00 00 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00000e10| 00 03 00 03 00 00 00 01 | 00 03 00 01 00 00 00 03 |........|........|
|00000e20| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000e30| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00000e40| 01 98 01 98 00 3c 00 38 | 00 00 01 05 00 09 00 01 |.....<.8|........|
|00000e50| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00000e60| 00 02 01 d2 00 71 02 0d | 04 df 01 01 01 01 00 14 |.....q..|........|
|00000e70| 00 0a 00 00 00 00 00 03 | 00 03 00 01 00 0e 41 50 |........|......AP|
|00000e80| 50 4c 45 20 4c 4f 43 41 | 54 49 4f 4e 00 00 00 16 |PLE LOCA|TION....|
|00000e90| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0a |........|........|
|00000ea0| 00 00 00 00 00 00 00 07 | 00 00 00 f8 09 04 01 2c |........|.......,|
|00000eb0| 09 e8 08 68 00 01 00 00 | ff ff ff ff ff ff ff ff |...h....|........|
|00000ec0| 00 01 00 00 00 00 00 00 | 00 02 09 04 01 2c 09 e8 |........|.....,..|
|00000ed0| 08 68 00 00 00 00 00 14 | 00 0e 00 01 00 00 00 01 |.h......|........|
|00000ee0| 00 01 00 03 00 a3 2a 20 | 44 6f 6e 27 74 20 66 6f |......* |Don't fo|
|00000ef0| 72 67 65 74 20 74 6f 20 | 63 6f 6d 70 6c 65 74 65 |rget to |complete|
|00000f00| 20 61 20 43 68 61 6e 67 | 65 20 6f 66 20 46 61 6d | a Chang|e of Fam|
|00000f10| 69 6c 79 20 53 74 61 74 | 75 73 20 46 6f 72 6d 20 |ily Stat|us Form |
|00000f20| 66 6f 72 20 79 6f 75 72 | 20 4d 65 64 69 63 61 6c |for your| Medical|
|00000f30| 20 61 6e 64 20 43 75 73 | 74 6f 6d 20 43 6f 76 65 | and Cus|tom Cove|
|00000f40| 72 61 67 65 20 41 63 63 | 6f 75 6e 74 73 20 20 69 |rage Acc|ounts  i|
|00000f50| 66 20 61 70 70 6c 69 63 | 61 62 6c 65 2e 20 20 54 |f applic|able.  T|
|00000f60| 68 69 73 20 6d 75 73 74 | 20 62 65 20 64 6f 6e 65 |his must| be done|
|00000f70| 20 77 69 74 68 69 6e 20 | 33 30 20 64 61 79 73 20 | within |30 days |
|00000f80| 6f 66 20 62 69 72 74 68 | 2e 00 00 00 00 16 00 01 |of birth|........|
|00000f90| 00 00 00 00 00 0f 00 0c | 00 14 01 00 00 0e 00 00 |........|........|
|00000fa0| 00 00 00 00 00 01 00 00 | 00 aa 02 60 00 70 02 f8 |........|...`.p..|
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+--------+-------------------------+-------------------------+--------+--------+