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|00000000| 00 80 d0 41 52 54 20 c9 | d6 2e 20 c8 45 41 4c 54 |...ART .|.. .EALT|
|00000010| 48 20 c9 4e 53 55 52 41 | 4e 43 45 20 c3 52 45 44 |H .NSURA|NCE .RED|
|00000020| 49 54 0d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |IT.-----|--------|
|00000030| 2d 2d 2d 2d 2d 2d 2d 2d | 2d 2d 2d 2d 2d 2d 2d 2d |--------|--------|
|00000040| 2d 2d 2d 0d 0d 31 32 3a | 20 c5 4e 54 45 52 20 54 |---..12:| .NTER T|
|00000050| 48 45 20 54 4f 54 41 4c | 20 41 4d 4f 55 4e 54 20 |HE TOTAL| AMOUNT |
|00000060| 59 4f 55 20 50 41 49 44 | 0d 49 4e 20 31 39 39 31 |YOU PAID|.IN 1991|
|00000070| 20 46 4f 52 20 48 45 41 | 4c 54 48 20 49 4e 53 55 | FOR HEA|LTH INSU|
|00000080| 52 41 4e 43 45 20 54 48 | 41 54 0d 43 4f 56 45 52 |RANCE TH|AT.COVER|
|00000090| 45 44 20 41 54 20 4c 45 | 41 53 54 20 4f 4e 45 20 |ED AT LE|AST ONE |
|000000a0| 4f 46 20 59 4f 55 52 0d | 51 55 41 4c 49 46 59 49 |OF YOUR.|QUALIFYI|
|000000b0| 4e 47 20 43 48 49 4c 44 | 52 45 4e 2e 0d 0d 31 33 |NG CHILD|REN...13|
|000000c0| 3a 20 d5 53 45 20 54 48 | 45 20 41 4d 4f 55 4e 54 |: .SE TH|E AMOUNT|
|000000d0| 20 4f 4e 20 4c 49 4e 45 | 20 37 20 54 4f 20 4c 4f | ON LINE| 7 TO LO|
|000000e0| 4f 4b 0d 55 50 20 59 4f | 55 52 20 43 52 45 44 49 |OK.UP YO|UR CREDI|
|000000f0| 54 20 49 4e 20 d4 c1 c2 | cc c5 20 c2 20 28 50 2e |T IN ...|.. . (P.|
|00000100| 20 35 30 29 20 41 4e 44 | 0d 45 4e 54 45 52 20 54 | 50) AND|.ENTER T|
|00000110| 48 45 20 41 4d 4f 55 4e | 54 2e 0d 0d 31 34 3a 20 |HE AMOUN|T...14: |
|00000120| d4 48 49 53 20 49 53 20 | 54 48 45 20 53 4d 41 4c |.HIS IS |THE SMAL|
|00000130| 4c 45 52 20 4f 46 20 4c | 49 4e 45 53 20 31 32 0d |LER OF L|INES 12.|
|00000140| 41 4e 44 20 31 33 2e 0d | 0d 31 35 2f 31 36 3a 20 |AND 13..|.15/16: |
|00000150| c9 46 20 4c 49 4e 45 20 | 38 20 49 53 20 cc c5 d3 |.F LINE |8 IS ...|
|00000160| d3 20 54 48 41 4e 20 24 | 31 31 2c 32 35 30 2c 0d |. THAN $|11,250,.|
|00000170| 54 48 45 4e 20 45 4e 54 | 45 52 20 54 48 45 20 41 |THEN ENT|ER THE A|
|00000180| 4d 4f 55 4e 54 20 4f 4e | 20 4c 49 4e 45 20 31 34 |MOUNT ON| LINE 14|
|00000190| 20 4f 4e 0d 4c 49 4e 45 | 20 31 36 2e 20 20 cc 49 | ON.LINE| 16.  .I|
|000001a0| 4e 45 20 31 35 20 49 53 | 20 5a 45 52 4f 2e 0d 0d |NE 15 IS| ZERO...|
|000001b0| 31 35 2f 31 36 3a 20 c9 | 46 20 4c 49 4e 45 20 38 |15/16: .|F LINE 8|
|000001c0| 20 49 53 20 cd cf d2 c5 | 20 54 48 41 4e 20 24 31 | IS ....| THAN $1|
|000001d0| 31 2c 32 35 30 2c 0d 54 | 48 45 4e 20 55 53 45 20 |1,250,.T|HEN USE |
|000001e0| 54 48 45 20 41 4d 4f 55 | 4e 54 20 4f 4e 20 4c 49 |THE AMOU|NT ON LI|
|000001f0| 4e 45 20 38 20 54 4f 20 | 4c 4f 4f 4b 0d 55 50 20 |NE 8 TO |LOOK.UP |
|00000200| 59 4f 55 52 20 43 52 45 | 44 49 54 20 49 4e 20 d4 |YOUR CRE|DIT IN .|
|00000210| c1 c2 cc c5 20 c2 20 41 | 4e 44 20 45 4e 54 45 52 |.... . A|ND ENTER|
|00000220| 0d 4f 4e 20 4c 49 4e 45 | 20 31 35 2e 20 20 d4 48 |.ON LINE| 15.  .H|
|00000230| 45 4e 20 45 4e 54 45 52 | 20 54 48 45 20 53 4d 41 |EN ENTER| THE SMA|
|00000240| 4c 4c 45 52 0d 4f 46 20 | 4c 49 4e 45 53 20 31 34 |LLER.OF |LINES 14|
|00000250| 20 41 4e 44 20 31 35 20 | 4f 4e 20 4c 49 4e 45 20 | AND 15 |ON LINE |
|00000260| 31 36 2e 0d 0d 31 36 3a | 20 d4 48 49 53 20 49 53 |16...16:| .HIS IS|
|00000270| 20 59 4f 55 52 20 c8 c5 | c1 cc d4 c8 20 c9 ce d3 | YOUR ..|.... ...|
|00000280| d5 d2 c1 ce c3 c5 0d c3 | d2 c5 c4 c9 d4 2e 0d    |........|....... |
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