Apple Reference & Presentation Library 8 (Internal Edition)

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MacBinary | 1990-06-24 | 18.8 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, Sat Jun 23 19:03:05 1990, modified Sat Jun 23 19:03:05 1990, creator 'KCFM', type 'STCK', 17942 bytes "Restart Extension Request" , at 0x4696 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 46 16 00 | 00 03 92 a2 a9 a5 a9 a2 |.....F..|........|
|00000060| a9 a5 a9 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 6a 01 00 00 |........|....j...|
|00000080| 00 0c 00 02 00 00 00 30 | 00 00 30 f4 00 00 01 de |.......0|..0.....|
|00000090| 00 00 2e e0 00 00 2e e2 | 00 00 45 18 00 00 00 00 |........|..E.....|
|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 00 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 82 | 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 f8 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 16 | 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 0e 42 45 4e 38 30 30 | 20 28 31 30 2f 39 30 29 |..BEN800| (10/90)|
|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 2a 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 fa 00 9c 01 a8 01 38 | 06 7c 00 01 00 00 ff ff |.......8|.|......|
|00000d50| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|00000d60| 00 9c 01 a8 01 38 06 7c | 00 00 00 00 00 14 00 0c |.....8.||........|
|00000d70| 00 01 00 00 00 01 00 01 | 00 03 00 a5 59 6f 75 20 |........|....You |
|00000d80| 6d 75 73 74 20 61 70 70 | 6c 79 20 66 6f 72 20 79 |must app|ly for y|
|00000d90| 6f 75 72 20 52 65 73 74 | 61 72 74 20 65 78 74 65 |our Rest|art exte|
|00000da0| 6e 73 69 6f 6e 20 62 65 | 66 6f 72 65 20 79 6f 75 |nsion be|fore you|
|00000db0| 72 20 6f 6e 65 2d 79 65 | 61 72 20 70 61 72 74 69 |r one-ye|ar parti|
|00000dc0| 63 69 70 61 74 69 6f 6e | 20 70 65 72 69 6f 64 20 |cipation| period |
|00000dd0| 65 6e 64 73 2e 20 20 4f | 6e 6c 79 20 6f 6e 65 20 |ends.  O|nly one |
|00000de0| 65 78 74 65 6e 73 69 6f | 6e 20 66 6f 72 20 65 69 |extensio|n for ei|
|00000df0| 74 68 65 72 20 62 75 73 | 69 6e 65 73 73 20 6f 72 |ther bus|iness or|
|00000e00| 20 70 65 72 73 6f 6e 61 | 6c 20 72 65 61 73 6f 6e | persona|l reason|
|00000e10| 73 20 6d 61 79 20 62 65 | 20 67 72 61 6e 74 65 64 |s may be| granted|
|00000e20| 2e 00 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |........|........|
|00000e30| 00 14 01 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00000e40| 00 ae 02 c8 00 70 03 04 | 04 30 00 01 00 01 00 00 |.....p..|.0......|
|00000e50| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 01 00 01 |........|........|
|00000e60| 00 02 00 00 00 00 00 00 | 00 01 00 00 00 00 00 00 |........|........|
|00000e70| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00000e80| ff ff ff ff ff ff ff ff | 02 54 01 24 00 24 00 24 |........|.T.$.$.$|
|00000e90| 00 00 01 04 00 0c 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00000ea0| 00 00 00 00 00 00 00 00 | 00 02 02 c8 00 70 03 05 |........|.....p..|
|00000eb0| 02 c4 01 01 81 80 00 14 | 00 0c 00 00 00 00 00 01 |........|........|
|00000ec0| 00 03 00 01 00 10 50 65 | 72 73 6f 6e 61 6c 20 52 |......Pe|rsonal R|
|00000ed0| 65 61 73 6f 6e 73 00 00 | 00 16 00 01 00 00 00 00 |easons..|........|
|00000ee0| 00 0c 00 09 00 14 00 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00000ef0| 00 07 00 00 00 68 02 84 | 03 ce 02 bb 05 c2 00 01 |.....h..|........|
|00000f00| 00 01 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|00000f10| 00 00 00 02 02 84 03 ce | 02 bb 05 c2 00 00 00 00 |........|........|
|00000f20| 00 14 00 0c 00 01 00 00 | 00 01 00 01 00 01 00 14 |........|........|
|00000f30| 52 65 61 73 6f 6e 20 66 | 6f 72 20 45 78 74 65 6e |Reason f|or Exten|
|00000f40| 73 69 6f 6e 00 00 00 16 | 00 01 00 00 00 00 00 0c |sion....|........|
|00000f50| 00 09 00 14 01 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|00000f60| 00 00 00 b8 03 20 00 70 | 03 5c 04 30 00 01 00 01 |..... .p|.\.0....|
|00000f70| 00 00 00 15 00 00 00 0c | 00 00 00 03 00 03 00 01 |........|........|
|00000f80| 00 01 00 02 00 00 00 00 | 00 00 00 01 00 00 00 00 |........|........|
|00000f90| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
|00000fa0| 00 00 ff ff ff ff ff ff | ff ff 02 54 01 24 00 28 |........|...T.$.(|
|00000fb0| 00 28 00 00 01 06 00 0d | 00 01 00 00 00 00 00 00 |.(......|........|
|00000fc0| 00 00 00 00 00 00 00 00 | 00 00 00 02 03 20 00 70 |........|..... .p|
|00000fd0| 03 5d 02 c4 01 01 81 80 | 00 14 00 0c 00 00 00 00 |.]......|........|
|00000fe0| 00 01 00 03 00 01 00 1a | 42 75 73 69 6e 65 73 73 |........|Business|
|00000ff0| 20 4f 70 65 72 61 74 69 | 6e 67 20 52 65 61 73 6f | Operati|ng Reaso|
|00001000| 6e 73 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |ns......|........|
|00001010| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00001020| 00 ae 03 88 00 70 04 30 | 09 20 00 01 00 00 00 00 |.....p.0|. ......|
|00001030| 00 15 00 00 00 0c 00 00 | 00 01 00 01 00 00 00 01 |........|........|
|00001040| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00001050| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00001060| ff ff ff ff ff ff ff ff | 01 6c 01 24 00 2c 00 2c |........|.l.$.,.,|
|00001070| 00 00 01 07 00 0e 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001080| 00 00 00 00 00 00 00 00 | 00 02 03 88 00 70 04 31 |........|.....p.1|
|00001090| 01 dc 01 01 81 80 00 14 | 00 0c 00 00 00 00 00 01 |........|........|
|000010a0| 00 01 00 01 00 10 42 72 | 69 65 66 6c 79 20 65 78 |......Br|iefly ex|
|000010b0| 70 6c 61 69 6e 3a 00 00 | 00 16 00 01 00 00 00 00 |plain:..|........|
|000010c0| 00 0c 00 09 00 14 00 00 | 00 0c 00 00 00 00 00 00 |........|........|
|000010d0| 00 07 00 00 00 90 04 94 | 03 14 04 f0 06 7c 00 01 |........|.....|..|
|000010e0| 00 00 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|000010f0| 00 00 00 02 04 94 03 14 | 04 f0 06 7c 00 00 00 00 |........|...|....|
|00001100| 00 14 00 0c 00 01 00 00 | 00 01 00 03 00 01 00 27 |........|.......'|
|00001110| 52 65 71 75 69 72 65 64 | 20 53 69 67 6e 61 74 75 |Required| Signatu|
|00001120| 72 65 73 20 2d 20 50 65 | 72 73 6f 6e 61 6c 20 52 |res - Pe|rsonal R|
|00001130| 65 61 73 6f 6e 73 3a ff | 00 00 00 2a 00 02 00 00 |easons:.|...*....|
|00001140| 00 00 00 0c 00 09 00 14 | 01 00 00 0c 00 00 00 00 |........|........|
|00001150| 00 00 00 00 00 16 00 0d | 00 0a 00 14 03 00 00 0c |........|........|
|00001160| 00 00 00 00 00 00 00 07 | 00 00 00 90 05 f8 03 18 |........|........|
|00001170| 06 38 06 78 00 01 00 00 | ff ff ff ff ff ff ff ff |.8.x....|........|
|00001180| 00 01 00 00 00 00 00 00 | 00 02 05 f8 03 18 06 38 |........|.......8|
|00001190| 06 78 00 00 00 00 00 14 | 00 0c 00 01 00 00 00 01 |.x......|........|
|000011a0| 00 01 00 01 00 27 52 65 | 71 75 69 72 65 64 20 53 |.....'Re|quired S|
|000011b0| 69 67 6e 61 74 75 72 65 | 73 20 2d 20 42 75 73 69 |ignature|s - Busi|
|000011c0| 6e 65 73 73 20 52 65 61 | 73 6f 6e 73 3a ff 00 00 |ness Rea|sons:...|
|000011d0| 00 2a 00 02 00 00 00 00 | 00 0c 00 09 00 14 01 00 |.*......|........|
|000011e0| 00 0c 00 00 00 00 00 00 | 00 00 00 16 00 0d 00 0a |........|........|
|000011f0| 00 14 03 00 00 0c 00 00 | 00 00 00 00 00 07 00 00 |........|........|
|00001200| 00 68 07 60 03 e2 07 8c | 05 ae 00 01 00 01 ff ff |.h.`....|........|
|00001210| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|00001220| 07 60 03 e2 07 8c 05 ae | 00 00 00 00 00 14 00 0c |.`......|........|
|00001230| 00 01 00 00 00 01 00 01 | 00 01 00 13 52 65 73 74 |........|....Rest|
|00001240| 61 72 74 20 49 6e 66 6f | 72 6d 61 74 69 6f 6e f0 |art Info|rmation.|
|00001250| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00001260| 01 00 00 0c 00 00 00 00 | 00 00 00 07 00 00 00 82 |........|........|
|00001270| 08 4c 00 94 08 83 04 64 | 00 01 00 01 ff ff ff ff |.L.....d|........|
|00001280| ff ff ff ff 00 01 00 00 | 00 00 00 00 00 02 08 4c |........|.......L|
|00001290| 00 94 08 83 04 64 00 00 | 00 00 00 14 00 0c 00 00 |.....d..|........|
|000012a0| 00 00 00 01 00 01 00 01 | 00 2e 49 66 20 79 6f 75 |........|..If you|
|000012b0| 27 76 65 20 74 61 6b 65 | 6e 20 6c 65 61 76 65 73 |'ve take|n leaves|
|000012c0| 20 6f 66 20 61 62 73 65 | 6e 63 65 2c 20 67 69 76 | of abse|nce, giv|
|000012d0| 65 20 64 61 74 65 73 3a | 00 00 00 16 00 01 00 00 |e dates:|........|
|000012e0| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|000012f0| 00 00 00 07 00 00 00 94 | 09 48 00 94 09 7f 06 18 |........|.H......|
|00001300| 00 01 00 01 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00001310| 00 00 00 00 00 02 09 48 | 00 94 09 7f 06 18 00 00 |.......H|........|
|00001320| 00 00 00 14 00 0c 00 00 | 00 00 00 01 00 01 00 01 |........|........|
|00001330| 00 40 48 61 76 65 20 79 | 6f 75 20 65 76 65 72 20 |.@Have y|ou ever |
|00001340| 74 65 72 6d 69 6e 61 74 | 65 64 20 66 72 6f 6d 20 |terminat|ed from |
|00001350| 41 70 70 6c 65 3f 20 28 | 49 66 20 59 45 53 2c 20 |Apple? (|If YES, |
|00001360| 70 6c 65 61 73 65 20 67 | 69 76 65 20 64 61 74 65 |please g|ive date|
|00001370| 73 29 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |s)......|........|
|00001380| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00001390| 00 a2 09 38 05 ec 09 74 | 06 b0 00 01 00 01 00 00 |...8...t|........|
|000013a0| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 01 00 01 |........|........|
|000013b0| 00 04 00 00 00 00 00 00 | 00 01 00 00 00 00 00 00 |........|........|
|000013c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000013d0| ff ff ff ff ff ff ff ff | 00 60 00 60 00 28 00 28 |........|.`.`.(.(|
|000013e0| 00 00 01 09 00 15 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|000013f0| 00 00 00 00 00 00 00 00 | 00 02 09 38 06 50 09 75 |........|...8.P.u|
|00001400| 06 b1 01 00 81 81 00 14 | 00 0c 00 01 00 00 00 03 |........|........|
|00001410| 00 03 00 01 00 03 59 65 | 73 00 00 00 00 16 00 01 |......Ye|s.......|
|00001420| 00 00 00 00 00 0c 00 09 | 00 14 01 00 00 0c 00 00 |........|........|
|00001430| 00 00 00 00 00 01 00 00 | 00 a0 09 38 07 04 09 74 |........|...8...t|
|00001440| 07 c8 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00001450| 00 03 00 03 00 01 00 01 | 00 04 00 00 00 00 00 00 |........|........|
|00001460| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001470| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00001480| 00 60 00 60 00 28 00 28 | 00 00 01 0a 00 16 00 01 |.`.`.(.(|........|
|00001490| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000014a0| 00 02 09 38 07 68 09 75 | 07 c9 01 00 81 81 00 14 |...8.h.u|........|
|000014b0| 00 0c 00 01 00 00 00 03 | 00 03 00 01 00 02 4e 6f |........|......No|
|000014c0| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|000014d0| 01 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 a4 |........|........|
|000014e0| 08 c4 00 94 09 0c 02 24 | 00 01 00 01 00 00 00 15 |.......$|........|
|000014f0| 00 00 00 0c 00 00 00 03 | 00 02 00 00 00 01 00 02 |........|........|
|00001500| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001510| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|00001520| ff ff ff ff ff ff 00 80 | 01 24 00 34 00 34 00 00 |........|.$.4.4..|
|00001530| 01 0b 00 11 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001540| 00 00 00 00 00 00 00 02 | 08 c4 00 94 09 0d 01 14 |........|........|
|00001550| 01 01 81 80 00 14 00 0c | 00 00 00 00 00 01 00 02 |........|........|
|00001560| 00 01 00 05 46 72 6f 6d | 3a 96 00 00 00 16 00 01 |....From|:.......|
|00001570| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0c 00 00 |........|........|
|00001580| 00 00 00 00 00 01 00 00 | 00 a2 08 c4 02 3c 09 10 |........|.....<..|
|00001590| 03 e4 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|000015a0| 00 01 00 02 00 00 00 01 | 00 02 00 00 00 00 00 04 |........|........|
|000015b0| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000015c0| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|000015d0| 00 4c 01 24 00 38 00 38 | 00 00 01 0c 00 12 00 01 |.L.$.8.8|........|
|000015e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000015f0| 00 02 08 c4 02 3c 09 11 | 02 88 01 01 81 80 00 14 |.....<..|........|
|00001600| 00 0c 00 00 00 00 00 01 | 00 02 00 01 00 03 54 6f |........|......To|
|00001610| 3a f0 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |:.......|........|
|00001620| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00001630| 00 a4 08 c4 05 d0 09 0c | 07 60 00 01 00 01 00 00 |........|.`......|
|00001640| 00 15 00 00 00 0c 00 00 | 00 03 00 02 00 00 00 01 |........|........|
|00001650| 00 02 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00001660| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00001670| ff ff ff ff ff ff ff ff | 00 80 01 24 00 34 00 34 |........|...$.4.4|
|00001680| 00 00 01 10 00 13 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001690| 00 00 00 00 00 00 00 00 | 00 02 08 c4 05 d0 09 0d |........|........|
|000016a0| 06 50 01 01 81 80 00 14 | 00 0c 00 00 00 00 00 01 |.P......|........|
|000016b0| 00 02 00 01 00 05 46 72 | 6f 6d 3a 0c 00 00 00 16 |......Fr|om:.....|
|000016c0| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0c |........|........|
|000016d0| 00 00 00 00 00 00 00 01 | 00 00 00 a2 08 c4 07 78 |........|.......x|
|000016e0| 09 10 09 20 00 01 00 01 | 00 00 00 15 00 00 00 0c |... ....|........|
|000016f0| 00 00 00 03 00 02 00 00 | 00 01 00 02 00 00 00 00 |........|........|
|00001700| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001710| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00001720| ff ff 00 50 01 24 00 38 | 00 38 00 00 01 11 00 14 |...P.$.8|.8......|
|00001730| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001740| 00 00 00 02 08 c4 07 78 | 09 11 07 c8 01 01 81 80 |.......x|........|
|00001750| 00 14 00 0c 00 00 00 00 | 00 01 00 02 00 01 00 03 |........|........|
|00001760| 54 6f 3a f0 00 00 00 16 | 00 01 00 00 00 00 00 0c |To:.....|........|
|00001770| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 07 |........|........|
|00001780| 00 00 00 6a 08 94 00 94 | 08 cb 02 d4 00 01 00 01 |...j....|........|
|00001790| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|000017a0| 00 02 08 94 00 94 08 cb | 02 d4 00 00 00 00 00 14 |........|........|
|000017b0| 00 0c 00 01 00 00 00 01 | 00 01 00 01 00 15 50 65 |........|......Pe|
|000017c0| 72 73 6f 6e 61 6c 2f 45 | 64 75 63 61 74 69 6f 6e |rsonal/E|ducation|
|000017d0| 61 6c 3a 13 00 00 00 16 | 00 01 00 00 00 00 00 0c |al:.....|........|
|000017e0| 00 09 00 14 01 00 00 0c | 00 00 00 00 00 00 00 07 |........|........|
|000017f0| 00 00 00 66 08 94 05 c8 | 08 cb 07 b0 00 01 00 01 |...f....|........|
|00001800| ff ff ff ff ff ff ff ff | 00 01 00 00 00 00 00 00 |........|........|
|00001810| 00 02 08 94 05 c8 08 cb | 07 b0 00 00 00 00 00 14 |........|........|
|00001820| 00 0c 00 01 00 00 00 01 | 00 01 00 01 00 12 4d 65 |........|......Me|
|00001830| 64 69 63 61 6c 2f 50 72 | 65 67 6e 61 6e 63 79 3a |dical/Pr|egnancy:|
|00001840| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00001850| 01 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 b2 |........|........|
|00001860| 09 94 00 94 09 d0 03 94 | 00 01 00 01 00 00 00 15 |........|........|
|00001870| 00 00 00 0c 00 00 00 03 | 00 03 00 00 00 01 00 02 |........|........|
|00001880| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00001890| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|000018a0| ff ff ff ff ff ff 01 b8 | 01 24 00 28 00 28 00 00 |........|.$.(.(..|
|000018b0| 01 14 00 17 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000018c0| 00 00 00 00 00 00 00 02 | 09 94 00 94 09 d1 02 4c |........|.......L|
|000018d0| 01 01 81 80 00 14 00 0c | 00 01 00 00 00 03 00 02 |........|........|
|000018e0| 00 01 00 13 44 61 74 65 | 20 6f 66 20 54 65 72 6d |....Date| of Term|
|000018f0| 69 6e 61 74 69 6f 6e 3c | 00 00 00 16 00 01 00 00 |ination<|........|
|00001900| 00 00 00 0c 00 09 00 14 | 01 00 00 0c 00 00 00 00 |........|........|
|00001910| 00 00 00 01 00 00 00 aa | 09 90 05 d0 09 d0 08 30 |........|.......0|
|00001920| 00 01 00 01 00 00 00 15 | 00 00 00 0c 00 00 00 03 |........|........|
|00001930| 00 02 00 00 00 01 00 02 | 00 00 00 00 00 04 00 01 |........|........|
|00001940| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001950| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 01 14 |........|........|
|00001960| 01 24 00 2c 00 2c 00 00 | 01 15 00 18 00 01 00 00 |.$.,.,..|........|
|00001970| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00001980| 09 90 05 d0 09 d1 06 e4 | 01 01 81 80 00 14 00 0c |........|........|
|00001990| 00 01 00 00 00 01 00 02 | 00 01 00 0b 52 65 68 69 |........|....Rehi|
|000019a0| 72 65 20 44 61 74 65 f0 | 00 00 00 16 00 01 00 00 |re Date.|........|
|000019b0| 00 00 00 0c 00 09 00 14 | 01 00 00 0c 00 00 00 00 |........|........|
|000019c0| 00 00 00 07 00 00 00 90 | 0a 04 00 94 0a 3b 05 e0 |........|.....;..|
|000019d0| 00 01 00 01 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|000019e0| 00 00 00 00 00 02 0a 04 | 00 94 0a 3b 05 e0 00 00 |........|...;....|
|000019f0| 00 00 00 14 00 0c 00 00 | 00 00 00 01 00 01 00 01 |........|........|
|00001a00| 00 3b 48 61 73 20 79 6f | 75 72 20 65 6d 70 6c 6f |.;Has yo|ur emplo|
|00001a10| 79 6d 65 6e 74 20 69 6e | 63 6c 75 64 65 64 20 61 |yment in|cluded a|
|00001a20| 73 73 69 67 6e 6d 65 6e | 74 73 20 6f 75 74 73 69 |ssignmen|ts outsi|
|00001a30| 64 65 20 6f 66 20 74 68 | 65 20 55 53 3f 0c 00 00 |de of th|e US?...|
|00001a40| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00001a50| 00 0c 00 00 00 00 00 00 | 00 01 00 00 00 a2 09 ff |........|........|
|00001a60| 05 f0 0a 3b 06 b4 00 01 | 00 01 00 00 00 15 00 00 |...;....|........|
|00001a70| 00 0c 00 00 00 03 00 03 | 00 01 00 01 00 04 00 00 |........|........|
|00001a80| 00 00 00 00 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001a90| 00 00 00 00 00 00 00 00 | 00 03 00 00 ff ff ff ff |........|........|
|00001aa0| ff ff ff ff 00 60 00 60 | 00 28 00 28 00 00 01 16 |.....`.`|.(.(....|
|00001ab0| 00 19 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001ac0| 00 00 00 00 00 02 09 ff | 06 54 0a 3c 06 b5 01 00 |........|.T.<....|
|00001ad0| 81 81 00 14 00 0c 00 01 | 00 00 00 03 00 03 00 01 |........|........|
|00001ae0| 00 03 59 65 73 00 00 00 | 00 16 00 01 00 00 00 00 |..Yes...|........|
|00001af0| 00 0c 00 09 00 14 01 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00001b00| 00 01 00 00 00 a0 09 ff | 07 04 0a 3b 07 c8 00 01 |........|...;....|
|00001b10| 00 01 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 03 |........|........|
|00001b20| 00 01 00 01 00 04 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|00001b30| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001b40| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 60 00 60 |........|.....`.`|
|00001b50| 00 28 00 28 00 00 01 17 | 00 1a 00 01 00 00 00 00 |.(.(....|........|
|00001b60| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 09 ff |........|........|
|00001b70| 07 68 0a 3c 07 c9 01 00 | 81 81 00 14 00 0c 00 01 |.h.<....|........|
|00001b80| 00 00 00 03 00 03 00 01 | 00 02 4e 6f 00 00 00 16 |........|..No....|
|00001b90| 00 01 00 00 00 00 00 0c | 00 09 00 14 01 00 00 0c |........|........|
|00001ba0| 00 00 00 00 00 00 00 01 | 00 00 00 a4 07 e8 00 94 |........|........|
|00001bb0| 08 38 02 20 00 01 00 01 | 00 00 00 15 00 00 00 0c |.8. ....|........|
|00001bc0| 00 00 00 03 00 02 00 00 | 00 01 00 02 00 00 00 00 |........|........|
|00001bd0| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001be0| 00 00 00 00 00 00 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00001bf0| ff ff 00 80 01 24 00 38 | 00 38 00 00 01 19 00 0f |.....$.8|.8......|
|00001c00| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001c10| 00 00 00 02 07 e8 00 94 | 08 39 01 14 01 01 81 80 |........|.9......|
|00001c20| 00 14 00 0c 00 00 00 00 | 00 01 00 02 00 01 00 05 |........|........|
|00001c30| 46 72 6f 6d 3a 3f 00 00 | 00 16 00 01 00 00 00 00 |From:?..|........|
|00001c40| 00 0c 00 09 00 14 00 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00001c50| 00 01 00 00 00 a2 07 e8 | 02 3c 08 34 03 e4 00 01 |........|.<.4....|
|00001c60| 00 01 00 00 00 15 00 00 | 00 0c 00 00 00 03 00 02 |........|........|
|00001c70| 00 00 00 01 00 02 00 00 | 00 00 00 04 00 01 00 00 |........|........|
|00001c80| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001c90| 00 03 00 00 ff ff ff ff | ff ff ff ff 00 50 01 24 |........|.....P.$|
|00001ca0| 00 38 00 38 00 00 01 1a | 00 10 00 01 00 00 00 00 |.8.8....|........|
|00001cb0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 02 07 e8 |........|........|
|00001cc0| 02 3c 08 35 02 8c 01 01 | 81 80 00 14 00 0c 00 00 |.<.5....|........|
|00001cd0| 00 00 00 01 00 02 00 01 | 00 03 54 6f 3a 3c 00 00 |........|..To:<..|
|00001ce0| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00001cf0| 00 0c 00 00 00 00 00 00 | 00 07 00 00 00 6c 07 b4 |........|.....l..|
|00001d00| 00 94 07 f3 03 60 00 01 | 00 01 ff ff ff ff ff ff |.....`..|........|
|00001d10| ff ff 00 01 00 00 00 00 | 00 00 00 02 07 b4 00 94 |........|........|
|00001d20| 07 f3 03 60 00 00 00 00 | 00 14 00 0c 00 01 00 00 |...`....|........|
|00001d30| 00 01 00 01 00 01 00 18 | 45 78 74 65 6e 64 65 64 |........|Extended|
|00001d40| 20 52 65 73 74 61 72 74 | 20 50 65 72 69 6f 64 3a | Restart| Period:|
|00001d50| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00001d60| 01 00 00 0c 00 00 00 00 | 00 00 00 03 00 00 00 34 |........|.......4|
|00001d70| 0a 5c 00 64 0b 70 09 28 | 00 01 00 01 00 03 00 00 |.\.d.p.(|........|
|00001d80| ff ff ff ff ff ff ff ff | 00 00 80 00 00 00 08 00 |........|........|
|00001d90| 00 00 00 01 00 28 00 28 | 00 28 00 28 00 00 00 00 |.....(.(|.(.(....|
|00001da0| 00 00 00 00 00 07 00 00 | 00 66 0a 74 00 60 0a ab |........|.f.t.`..|
|00001db0| 02 68 00 01 00 01 ff ff | ff ff ff ff ff ff 00 01 |.h......|........|
|00001dc0| 00 00 00 00 00 00 00 02 | 0a 74 00 60 0a ab 02 68 |........|.t.`...h|
|00001dd0| 00 00 00 00 00 14 00 0c | 00 03 00 00 00 01 00 01 |........|........|
|00001de0| 00 01 00 12 42 45 4e 45 | 46 49 54 53 20 55 53 45 |....BENE|FITS USE|
|00001df0| 20 4f 4e 4c 59 3a 00 00 | 00 16 00 01 00 00 00 00 | ONLY:..|........|
|00001e00| 00 0c 00 09 00 14 03 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00001e10| 00 02 00 00 00 22 01 cc | 05 10 02 0a 05 10 00 01 |....."..|........|
|00001e20| 00 01 00 03 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001e30| 00 00 00 00 00 00 00 00 | 00 02 00 00 00 22 01 cc |........|....."..|
|00001e40| 07 18 02 0a 07 18 00 01 | 00 01 00 03 00 00 00 00 |........|........|
|00001e50| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00001e60| 00 07 00 00 00 82 0b a0 | 03 00 0b cf 06 4c 00 01 |........|.....L..|
|00001e70| 00 01 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|00001e80| 00 00 00 02 0b a0 03 00 | 0b cf 06 4c 00 00 00 00 |........|...L....|
|00001e90| 00 14 00 0c 00 00 00 00 | 00 01 00 01 00 01 00 2e |........|........|
|00001ea0| 46 6f 6c 64 20 74 6f 20 | 74 68 69 73 20 6c 69 6e |Fold to |this lin|
|00001eb0| 65 20 61 6e 64 20 70 75 | 74 20 69 6e 20 6d 61 69 |e and pu|t in mai|
|00001ec0| 6c 20 64 69 73 74 72 69 | 62 75 74 69 6f 6e 00 00 |l distri|bution..|
|00001ed0| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00001ee0| 00 0c 00 00 00 00 00 00 | 00 07 00 00 00 6e 0b e4 |........|.....n..|
|00001ef0| 03 10 0c 30 06 3c 00 01 | 00 01 ff ff ff ff ff ff |...0.<..|........|
|00001f00| ff ff 00 01 00 00 00 00 | 00 00 00 02 0b e4 03 10 |........|........|
|00001f10| 0c 30 06 3c 00 00 00 00 | 00 14 00 12 00 01 00 00 |.0.<....|........|
|00001f20| 00 01 00 01 00 01 00 1a | 42 65 6e 65 66 69 74 73 |........|Benefits|
|00001f30| 20 2d 20 4d 61 69 6c 20 | 53 74 6f 70 20 2d 20 33 | - Mail |Stop - 3|
|00001f40| 39 46 00 00 00 16 00 01 | 00 00 00 00 00 13 00 0e |9F......|........|
|00001f50| 00 14 01 00 00 12 00 00 | 00 00 00 00 00 07 00 00 |........|........|
|00001f60| 00 6e 02 d0 03 dc 02 ff | 06 1c 00 01 00 01 ff ff |.n......|........|
|00001f70| ff ff ff ff ff ff 00 01 | 00 00 00 00 00 00 00 02 |........|........|
|00001f80| 02 d0 03 dc 02 ff 06 1c | 00 00 00 00 00 14 00 0c |........|........|
|00001f90| 00 00 00 00 00 01 00 01 | 00 01 00 1a 28 55 70 20 |........|....(Up |
|00001fa0| 74 6f 20 73 69 78 20 6d | 6f 6e 74 68 73 20 6d 61 |to six m|onths ma|
|00001fb0| 78 69 6d 75 6d 29 00 00 | 00 16 00 01 00 00 00 00 |ximum)..|........|
|00001fc0| 00 0c 00 09 00 14 00 00 | 00 0c 00 00 00 00 00 00 |........|........|
|00001fd0| 00 07 00 00 00 72 03 2c | 03 dc 03 5b 06 64 00 01 |.....r.,|...[.d..|
|00001fe0| 00 01 ff ff ff ff ff ff | ff ff 00 01 00 00 00 00 |........|........|
|00001ff0| 00 00 00 02 03 2c 03 dc | 03 5b 06 64 00 00 00 00 |.....,..|.[.d....|
|00002000| 00 14 00 0c 00 00 00 00 | 00 01 00 01 00 01 00 1d |........|........|
|00002010| 28 55 70 20 74 6f 20 74 | 77 65 6c 76 65 20 6d 6f |(Up to t|welve mo|
|00002020| 6e 74 68 73 20 6d 61 78 | 69 6d 75 6d 29 5b 00 00 |nths max|imum)[..|
|00002030| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
|00002040| 00 0c 00 00 00 00 00 00 | 00 01 00 00 00 b0 04 fc |........|........|
|00002050| 00 70 05 68 03 10 00 01 | 00 00 00 00 00 15 00 00 |.p.h....|........|
|00002060| 00 0c 00 00 00 01 00 01 | 00 2a 00 01 00 05 00 00 |........|.*......|
|00002070| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
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|000021a0| 00 00 00 00 00 00 00 01 | 00 00 00 bc 04 fc 05 14 |........|........|
|000021b0| 05 68 08 2c 00 01 00 00 | 00 00 00 15 00 00 00 0c |.h.,....|........|
|000021c0| 00 00 00 01 00 01 00 2a | 00 01 00 05 00 00 00 00 |.......*|........|
|000021d0| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
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|00002230| 56 50 20 6f 66 20 4f 70 | 73 20 2f 20 47 65 6e 20 |VP of Op|s / Gen |
|00002240| 4d 67 72 20 53 69 67 6e | 61 74 75 72 65 5b 00 00 |Mgr Sign|ature[..|
|00002250| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 00 00 |........|........|
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|00002380| 00 70 05 ed 03 11 00 01 | 81 81 00 14 00 0c 00 00 |.p......|........|
|00002390| 00 00 00 01 00 02 00 01 | 00 1d 46 69 72 73 74 20 |........|..First |
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|000023b0| 67 6e 61 74 75 72 65 5b | 00 00 00 16 00 01 00 00 |gnature[|........|
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|000023d0| 00 00 00 01 00 00 00 a2 | 05 80 03 48 05 ec 04 04 |........|...H....|
|000023e0| 00 01 00 00 00 00 00 15 | 00 00 00 0c 00 00 00 01 |........|........|
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|00002430| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|00002440| 05 bc 03 48 05 ed 04 05 | 00 01 81 81 00 14 00 0c |...H....|........|
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|00002460| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
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|00002490| 00 00 00 0c 00 00 00 01 | 00 01 00 2a 00 01 00 05 |........|...*....|
|000024a0| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|000024b0| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
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|000024e0| 00 00 00 00 00 00 00 02 | 05 bc 05 14 05 ed 08 2d |........|.......-|
|000024f0| 00 01 81 81 00 14 00 0c | 00 00 00 00 00 01 00 02 |........|........|
|00002500| 00 01 00 1d 42 65 6e 65 | 66 69 74 73 20 44 65 70 |....Bene|fits Dep|
|00002510| 61 72 74 6d 65 6e 74 20 | 53 69 67 6e 61 74 75 72 |artment |Signatur|
|00002520| 65 5b 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |e[......|........|
|00002530| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
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|00002550| 00 15 00 00 00 0c 00 00 | 00 03 00 03 00 00 00 01 |........|........|
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|000025c0| 00 03 00 01 00 04 44 61 | 74 65 00 00 00 16 00 01 |......Da|te......|
|000025d0| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0c 00 00 |........|........|
|000025e0| 00 00 00 00 00 01 00 00 | 00 b0 06 48 00 70 06 b4 |........|...H.p..|
|000025f0| 03 10 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00002600| 00 01 00 01 00 2a 00 01 | 00 05 00 00 00 00 00 04 |.....*..|........|
|00002610| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002620| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00002630| 01 1c 01 1c 00 3c 00 30 | 00 00 01 23 00 00 00 00 |.....<.0|...#....|
|00002640| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002650| 00 02 06 84 00 70 06 b5 | 03 11 00 01 81 81 00 14 |.....p..|........|
|00002660| 00 0c 00 00 00 00 00 01 | 00 02 00 01 00 12 45 6d |........|......Em|
|00002670| 70 6c 6f 79 65 65 20 53 | 69 67 6e 61 74 75 72 65 |ployee S|ignature|
|00002680| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00002690| 00 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 a2 |........|........|
|000026a0| 06 48 03 48 06 b4 04 04 | 00 01 00 01 00 00 00 15 |.H.H....|........|
|000026b0| 00 00 00 0c 00 00 00 01 | 00 01 00 00 00 01 00 05 |........|........|
|000026c0| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|000026d0| 00 00 00 00 00 00 00 00 | 00 00 00 03 00 00 ff ff |........|........|
|000026e0| ff ff ff ff ff ff 00 5c | 00 5c 00 3c 00 30 00 00 |.......\|.\.<.0..|
|000026f0| 01 24 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.$......|........|
|00002700| 00 00 00 00 00 00 00 02 | 06 84 03 48 06 b5 04 05 |........|...H....|
|00002710| 00 01 81 81 00 14 00 0c | 00 00 00 00 00 03 00 03 |........|........|
|00002720| 00 01 00 04 44 61 74 65 | 00 00 00 16 00 01 00 00 |....Date|........|
|00002730| 00 00 00 0c 00 09 00 14 | 00 00 00 0c 00 00 00 00 |........|........|
|00002740| 00 00 00 01 00 00 00 bc | 06 48 05 14 06 b4 08 2c |........|.H.....,|
|00002750| 00 01 00 01 00 00 00 15 | 00 00 00 0c 00 00 00 01 |........|........|
|00002760| 00 01 00 2a 00 01 00 05 | 00 00 00 00 00 04 00 01 |...*....|........|
|00002770| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002780| 00 00 00 03 00 00 ff ff | ff ff ff ff ff ff 01 1c |........|........|
|00002790| 01 1c 00 3c 00 30 00 00 | 01 25 00 00 00 00 00 00 |...<.0..|.%......|
|000027a0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 02 |........|........|
|000027b0| 06 84 05 14 06 b5 08 2d | 00 01 81 81 00 14 00 0c |.......-|........|
|000027c0| 00 00 00 00 00 01 00 02 | 00 01 00 1d 56 50 20 6f |........|....VP o|
|000027d0| 66 20 4f 70 73 20 2f 20 | 47 65 6e 20 4d 67 72 20 |f Ops / |Gen Mgr |
|000027e0| 53 69 67 6e 61 74 75 72 | 65 5b 00 00 00 16 00 01 |Signatur|e[......|
|000027f0| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0c 00 00 |........|........|
|00002800| 00 00 00 00 00 01 00 00 | 00 a2 06 48 08 64 06 b4 |........|...H.d..|
|00002810| 09 20 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |. ......|........|
|00002820| 00 03 00 03 00 00 00 01 | 00 05 00 00 00 00 00 04 |........|........|
|00002830| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002840| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
|00002850| 00 5c 00 5c 00 3c 00 30 | 00 00 01 26 00 00 00 00 |.\.\.<.0|...&....|
|00002860| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002870| 00 02 06 84 08 64 06 b5 | 09 21 00 01 81 81 00 14 |.....d..|.!......|
|00002880| 00 0c 00 00 00 00 00 03 | 00 03 00 01 00 04 44 61 |........|......Da|
|00002890| 74 65 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |te......|........|
|000028a0| 00 14 00 00 00 0c 00 00 | 00 00 00 00 00 01 00 00 |........|........|
|000028b0| 00 b2 06 cc 00 70 07 38 | 03 10 00 01 00 01 00 00 |.....p.8|........|
|000028c0| 00 15 00 00 00 0c 00 00 | 00 01 00 01 00 2a 00 01 |........|.....*..|
|000028d0| 00 05 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|000028e0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|000028f0| ff ff ff ff ff ff ff ff | 01 1c 01 1c 00 3c 00 30 |........|.....<.0|
|00002900| 00 00 01 27 00 00 00 00 | 00 00 00 00 00 00 00 00 |...'....|........|
|00002910| 00 00 00 00 00 00 00 00 | 00 02 07 08 00 70 07 39 |........|.....p.9|
|00002920| 03 11 00 01 81 81 00 14 | 00 0c 00 00 00 00 00 01 |........|........|
|00002930| 00 02 00 01 00 14 48 52 | 20 4c 69 61 69 73 6f 6e |......HR| Liaison|
|00002940| 20 53 69 67 6e 61 74 75 | 72 65 00 00 00 16 00 01 | Signatu|re......|
|00002950| 00 00 00 00 00 0c 00 09 | 00 14 00 00 00 0c 00 00 |........|........|
|00002960| 00 00 00 00 00 01 00 00 | 00 a2 06 cc 03 48 07 38 |........|.....H.8|
|00002970| 04 04 00 01 00 01 00 00 | 00 15 00 00 00 0c 00 00 |........|........|
|00002980| 00 01 00 01 00 00 00 01 | 00 05 00 00 00 00 00 04 |........|........|
|00002990| 00 01 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000029a0| 00 00 00 00 00 03 00 00 | ff ff ff ff ff ff ff ff |........|........|
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|000029c0| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|000029d0| 00 02 07 08 03 48 07 39 | 04 05 00 01 81 81 00 14 |.....H.9|........|
|000029e0| 00 0c 00 00 00 00 00 03 | 00 03 00 01 00 04 44 61 |........|......Da|
|000029f0| 74 65 00 00 00 16 00 01 | 00 00 00 00 00 0c 00 09 |te......|........|
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|00002a10| 00 bc 06 cc 05 14 07 38 | 08 2c 00 01 00 01 00 00 |.......8|.,......|
|00002a20| 00 15 00 00 00 0c 00 00 | 00 01 00 01 00 2a 00 01 |........|.....*..|
|00002a30| 00 05 00 00 00 00 00 04 | 00 01 00 00 00 00 00 00 |........|........|
|00002a40| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 03 00 00 |........|........|
|00002a50| ff ff ff ff ff ff ff ff | 01 1c 01 1c 00 3c 00 30 |........|.....<.0|
|00002a60| 00 00 01 29 00 00 00 00 | 00 00 00 00 00 00 00 00 |...)....|........|
|00002a70| 00 00 00 00 00 00 00 00 | 00 02 07 08 05 14 07 39 |........|.......9|
|00002a80| 08 2d 00 01 81 81 00 14 | 00 0c 00 00 00 00 00 01 |.-......|........|
|00002a90| 00 02 00 01 00 1d 42 65 | 6e 65 66 69 74 73 20 44 |......Be|nefits D|
|00002aa0| 65 70 61 72 74 6d 65 6e | 74 20 53 69 67 6e 61 74 |epartmen|t Signat|
|00002ab0| 75 72 65 5b 00 00 00 16 | 00 01 00 00 00 00 00 0c |ure[....|........|
|00002ac0| 00 09 00 14 00 00 00 0c | 00 00 00 00 00 00 00 01 |........|........|
|00002ad0| 00 00 00 a2 06 cc 08 64 | 07 38 09 20 00 01 00 01 |.......d|.8. ....|
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|00002b00| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 03 |........|........|
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|00002b30| 00 00 00 00 00 00 00 00 | 00 00 00 02 07 08 08 64 |........|.......d|
|00002b40| 07 39 09 21 00 01 81 81 | 00 14 00 0c 00 00 00 00 |.9.!....|........|
|00002b50| 00 03 00 03 00 01 00 04 | 44 61 74 65 00 00 00 16 |........|Date....|
|00002b60| 00 01 00 00 00 00 00 0c | 00 09 00 14 00 00 00 0c |........|........|
|00002b70| 00 00 00 00 00 00 00 01 | 00 00 00 bc 0b 00 05 90 |........|........|
|00002b80| 0b 6c 08 dc 00 01 00 01 | 00 00 00 15 00 00 00 0c |.l......|........|
|00002b90| 00 00 00 01 00 01 00 00 | 00 01 00 05 00 00 00 00 |........|........|
|00002ba0| 00 04 00 01 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002bb0| 00 00 00 00 00 03 00 03 | 00 00 ff ff ff ff ff ff |........|........|
|00002bc0| ff ff 01 1c 01 1c 00 3c | 00 30 00 00 01 2b 00 00 |.......<|.0...+..|
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|00002be0| 00 00 00 02 0b 3c 05 90 | 0b 6d 08 dd 00 01 81 81 |.....<..|.m......|
|00002bf0| 00 14 00 0c 00 01 00 00 | 00 03 00 03 00 01 00 1d |........|........|
|00002c00| 45 78 74 65 6e 64 65 64 | 20 50 61 72 74 69 63 69 |Extended| Partici|
|00002c10| 70 61 74 69 6f 6e 20 50 | 65 72 69 6f 64 5b 00 00 |pation P|eriod[..|
|00002c20| 00 16 00 01 00 00 00 00 | 00 0c 00 09 00 14 01 00 |........|........|
|00002c30| 00 0c 00 00 00 00 00 00 | 00 01 00 00 00 bc 0a 7c |........|.......||
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|00002c60| 00 00 00 04 00 01 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002c70| 00 00 00 00 00 00 00 03 | 00 03 00 00 ff ff ff ff |........|........|
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|00002c90| 00 00 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002ca0| 00 00 00 00 00 02 0a b8 | 05 8c 0a e9 08 d9 00 01 |........|........|
|00002cb0| 81 81 00 14 00 0c 00 01 | 00 00 00 03 00 03 00 01 |........|........|
|00002cc0| 00 1d 4f 72 69 67 69 6e | 61 6c 20 50 61 72 74 69 |..Origin|al Parti|
|00002cd0| 63 69 70 61 74 69 6f 6e | 20 50 65 72 69 6f 64 5b |cipation| Period[|
|00002ce0| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00002cf0| 01 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 aa |........|........|
|00002d00| 0a d4 00 c4 0b 40 03 90 | 00 01 00 01 00 00 00 15 |.....@..|........|
|00002d10| 00 00 00 0c 00 00 00 01 | 00 01 00 2a 00 01 00 05 |........|...*....|
|00002d20| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00002d30| 00 00 00 00 00 00 00 00 | 00 03 00 03 00 00 ff ff |........|........|
|00002d40| ff ff ff ff ff ff 01 1c | 01 1c 00 3c 00 30 00 00 |........|...<.0..|
|00002d50| 01 2d 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |.-......|........|
|00002d60| 00 00 00 00 00 00 00 02 | 0b 10 00 c4 0b 41 03 91 |........|.....A..|
|00002d70| 00 01 81 81 00 14 00 0c | 00 01 00 00 00 01 00 02 |........|........|
|00002d80| 00 01 00 0b 41 70 70 72 | 6f 76 65 64 20 42 79 f0 |....Appr|oved By.|
|00002d90| 00 00 00 16 00 01 00 00 | 00 00 00 0c 00 09 00 14 |........|........|
|00002da0| 01 00 00 0c 00 00 00 00 | 00 00 00 01 00 00 00 a2 |........|........|
|00002db0| 0a d4 04 00 0b 40 05 10 | 00 01 00 01 00 00 00 15 |.....@..|........|
|00002dc0| 00 00 00 0c 00 00 00 01 | 00 01 00 00 00 01 00 05 |........|........|
|00002dd0| 00 00 00 00 00 04 00 01 | 00 00 00 00 00 00 00 00 |........|........|
|00002de0| 00 00 00 00 00 00 00 00 | 00 03 00 03 00 00 ff ff |........|........|
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|00002e00| 01 2e 00 00 00 00 00 00 | 00 00 00 00 00 00 00 00 |........|........|
|00002e10| 00 00 00 00 00 00 00 02 | 0b 10 04 00 0b 41 05 11 |........|.....A..|
|00002e20| 00 01 81 81 00 14 00 0c | 00 01 00 00 00 01 00 02 |........|........|
|00002e30| 00 01 00 04 44 61 74 65 | 00 00 00 16 00 01 00 00 |....Date|........|
|00002e40| 00 00 00 0c 00 09 00 14 | 01 00 00 0c 00 00 00 00 |........|........|
|00002e50| 00 00 00 07 00 00 01 06 | 04 44 00 74 04 a3 09 24 |........|.D.t...$|
|00002e60| 00 01 00 00 ff ff ff ff | ff ff ff ff 00 01 00 00 |........|........|
|00002e70| 00 00 00 00 00 02 04 44 | 00 74 04 a3 09 24 00 00 |.......D|.t...$..|
|00002e80| 00 00 00 14 00 0c 00 00 | 00 00 00 01 00 01 00 02 |........|........|
|00002e90| 00 b2 49 20 75 6e 64 65 | 72 73 74 61 6e 64 20 74 |..I unde|rstand t|
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+--------+-------------------------+-------------------------+--------+--------+