<?xml version="1.0" encoding="UTF-8"?>
<alto xmlns="http://www.loc.gov/standards/alto/ns-v3#" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.loc.gov/standards/alto/ns-v3# http://www.loc.gov/alto/v3/alto-3-0.xsd">
<Description>
<MeasurementUnit>pixel</MeasurementUnit>
<sourceImageInformation>
<fileName>/tmp/tess_w4_uorrl_input.PNG</fileName>
</sourceImageInformation>
<OCRProcessing ID="OCR_0">
<ocrProcessingStep>
<processingSoftware>
<softwareName>tesseract 5.3.3</softwareName>
</processingSoftware>
</ocrProcessingStep>
</OCRProcessing>
</Description>
<Layout>
<Page WIDTH="3044" HEIGHT="1419" PHYSICAL_IMG_NR="0" ID="page_0">
<PrintSpace HPOS="0" VPOS="0" WIDTH="3044" HEIGHT="1419">
<Illustration ID="cblock_0" HPOS="0" VPOS="0" WIDTH="2957" HEIGHT="51"></Illustration>
<ComposedBlock ID="cblock_1" HPOS="37" VPOS="34" WIDTH="2144" HEIGHT="128">
<TextBlock ID="block_0" HPOS="37" VPOS="34" WIDTH="2144" HEIGHT="128">
<TextLine ID="line_0" HPOS="37" VPOS="34" WIDTH="2144" HEIGHT="72">
<String ID="string_0" HPOS="37" VPOS="34" WIDTH="21" HEIGHT="46" WC="0.30" CONTENT="&"/><SP WIDTH="61" VPOS="34" HPOS="58"/>
<String ID="string_1" HPOS="119" VPOS="35" WIDTH="46" HEIGHT="32" WC="0.0" CONTENT="fnd"/><SP WIDTH="671" VPOS="35" HPOS="165"/>
<String ID="string_2" HPOS="836" VPOS="53" WIDTH="347" HEIGHT="43" WC="0.91" CONTENT="PHYSICIANS"/><SP WIDTH="20" VPOS="53" HPOS="1183"/>
<String ID="string_3" HPOS="1203" VPOS="53" WIDTH="112" HEIGHT="43" WC="0.90" CONTENT="FOR"/><SP WIDTH="19" VPOS="53" HPOS="1315"/>
<String ID="string_4" HPOS="1334" VPOS="54" WIDTH="213" HEIGHT="43" WC="0.91" CONTENT="SOCIAL"/><SP WIDTH="21" VPOS="54" HPOS="1547"/>
<String ID="string_5" HPOS="1568" VPOS="55" WIDTH="472" HEIGHT="51" WC="0.91" CONTENT="RESPONSIBILITY,"/><SP WIDTH="23" VPOS="55" HPOS="2040"/>
<String ID="string_6" HPOS="2063" VPOS="56" WIDTH="118" HEIGHT="43" WC="0.92" CONTENT="INC."/>
</TextLine>
<TextLine ID="line_1" HPOS="1113" VPOS="118" WIDTH="792" HEIGHT="44">
<String ID="string_7" HPOS="1113" VPOS="118" WIDTH="374" HEIGHT="43" WC="0.91" CONTENT="MEMBERSHIP"/><SP WIDTH="20" VPOS="118" HPOS="1487"/>
<String ID="string_8" HPOS="1507" VPOS="119" WIDTH="398" HEIGHT="43" WC="0.90" CONTENT="APPLICATION"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_2" HPOS="157" VPOS="207" WIDTH="397" HEIGHT="46">
<TextBlock ID="block_1" HPOS="157" VPOS="207" WIDTH="397" HEIGHT="46">
<TextLine ID="line_2" HPOS="157" VPOS="207" WIDTH="397" HEIGHT="46">
<String ID="string_9" HPOS="157" VPOS="207" WIDTH="131" HEIGHT="41" WC="0.92" CONTENT="(Please"/><SP WIDTH="15" VPOS="207" HPOS="288"/>
<String ID="string_10" HPOS="303" VPOS="211" WIDTH="94" HEIGHT="41" WC="0.92" CONTENT="print"/><SP WIDTH="15" VPOS="211" HPOS="397"/>
<String ID="string_11" HPOS="412" VPOS="208" WIDTH="142" HEIGHT="45" WC="0.91" CONTENT="clearly)"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_3" HPOS="1769" VPOS="209" WIDTH="1093" HEIGHT="114">
<TextBlock ID="block_2" HPOS="1769" VPOS="209" WIDTH="1093" HEIGHT="114">
<TextLine ID="line_3" HPOS="2168" VPOS="209" WIDTH="291" HEIGHT="40">
<String ID="string_12" HPOS="2168" VPOS="209" WIDTH="164" HEIGHT="40" WC="0.90" CONTENT="Annual"/><SP WIDTH="18" VPOS="209" HPOS="2332"/>
<String ID="string_13" HPOS="2350" VPOS="211" WIDTH="109" HEIGHT="38" WC="0.90" CONTENT="Dues"/>
</TextLine>
<TextLine ID="line_4" HPOS="1769" VPOS="276" WIDTH="1093" HEIGHT="47">
<String ID="string_14" HPOS="1769" VPOS="277" WIDTH="10" HEIGHT="33" WC="0.79" CONTENT="I"/><SP WIDTH="24" VPOS="277" HPOS="1779"/>
<String ID="string_15" HPOS="1803" VPOS="276" WIDTH="87" HEIGHT="35" WC="0.92" CONTENT="wish"/><SP WIDTH="26" VPOS="276" HPOS="1890"/>
<String ID="string_16" HPOS="1916" VPOS="283" WIDTH="36" HEIGHT="28" WC="0.92" CONTENT="to"/><SP WIDTH="23" VPOS="283" HPOS="1952"/>
<String ID="string_17" HPOS="1975" VPOS="276" WIDTH="150" HEIGHT="36" WC="0.91" CONTENT="become"/><SP WIDTH="22" VPOS="276" HPOS="2125"/>
<String ID="string_18" HPOS="2147" VPOS="290" WIDTH="20" HEIGHT="22" WC="0.90" CONTENT="a"/><SP WIDTH="24" VPOS="290" HPOS="2167"/>
<String ID="string_19" HPOS="2191" VPOS="277" WIDTH="159" HEIGHT="35" WC="0.89" CONTENT="member"/><SP WIDTH="24" VPOS="277" HPOS="2350"/>
<String ID="string_20" HPOS="2374" VPOS="278" WIDTH="38" HEIGHT="34" WC="0.91" CONTENT="of"/><SP WIDTH="23" VPOS="278" HPOS="2412"/>
<String ID="string_21" HPOS="2435" VPOS="279" WIDTH="81" HEIGHT="34" WC="0.88" CONTENT="PSR"/><SP WIDTH="24" VPOS="279" HPOS="2516"/>
<String ID="string_22" HPOS="2540" VPOS="282" WIDTH="33" HEIGHT="31" WC="0.88" CONTENT="in"/><SP WIDTH="26" VPOS="282" HPOS="2573"/>
<String ID="string_23" HPOS="2599" VPOS="278" WIDTH="56" HEIGHT="36" WC="0.92" CONTENT="the"/><SP WIDTH="23" VPOS="278" HPOS="2655"/>
<String ID="string_24" HPOS="2678" VPOS="279" WIDTH="184" HEIGHT="44" WC="0.91" CONTENT="following"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<GraphicalElement ID="cblock_4" HPOS="314" VPOS="320" WIDTH="1357" HEIGHT="22"></GraphicalElement >
<GraphicalElement ID="cblock_5" HPOS="459" VPOS="408" WIDTH="1212" HEIGHT="18"></GraphicalElement >
<GraphicalElement ID="cblock_6" HPOS="168" VPOS="492" WIDTH="1501" HEIGHT="23"></GraphicalElement >
<GraphicalElement ID="cblock_7" HPOS="749" VPOS="583" WIDTH="920" HEIGHT="14"></GraphicalElement >
<GraphicalElement ID="cblock_8" HPOS="458" VPOS="666" WIDTH="1211" HEIGHT="18"></GraphicalElement >
<GraphicalElement ID="cblock_9" HPOS="166" VPOS="749" WIDTH="1502" HEIGHT="23"></GraphicalElement >
<GraphicalElement ID="cblock_10" HPOS="747" VPOS="840" WIDTH="920" HEIGHT="15"></GraphicalElement >
<GraphicalElement ID="cblock_11" HPOS="359" VPOS="923" WIDTH="1307" HEIGHT="19"></GraphicalElement >
<ComposedBlock ID="cblock_12" HPOS="150" VPOS="294" WIDTH="2625" HEIGHT="725">
<TextBlock ID="block_3" HPOS="150" VPOS="294" WIDTH="2625" HEIGHT="721">
<TextLine ID="line_5" HPOS="155" VPOS="294" WIDTH="116" HEIGHT="35">
<String ID="string_25" HPOS="155" VPOS="294" WIDTH="116" HEIGHT="35" WC="0.89" CONTENT="Name"/>
</TextLine>
<TextLine ID="line_6" HPOS="1768" VPOS="342" WIDTH="179" HEIGHT="37">
<String ID="string_26" HPOS="1768" VPOS="342" WIDTH="179" HEIGHT="37" WC="0.76" CONTENT="category:"/>
</TextLine>
<TextLine ID="line_7" HPOS="154" VPOS="379" WIDTH="2468" HEIGHT="60">
<String ID="string_27" HPOS="154" VPOS="379" WIDTH="119" HEIGHT="36" WC="0.72" CONTENT="Oftice"/><SP WIDTH="10" VPOS="379" HPOS="273"/>
<String ID="string_28" HPOS="283" VPOS="379" WIDTH="158" HEIGHT="36" WC="0.91" CONTENT="Address"/><SP WIDTH="1391" VPOS="379" HPOS="441"/>
<String ID="string_29" HPOS="1832" VPOS="393" WIDTH="175" HEIGHT="45" WC="0.5" CONTENT="$a0/year."/><SP WIDTH="37" VPOS="393" HPOS="2007"/>
<String ID="string_30" HPOS="2044" VPOS="424" WIDTH="4" HEIGHT="4" WC="0.47" CONTENT="."/><SP WIDTH="21" VPOS="424" HPOS="2048"/>
<String ID="string_31" HPOS="2069" VPOS="425" WIDTH="75" HEIGHT="3" WC="0.0" CONTENT="..."/><SP WIDTH="-21" VPOS="425" HPOS="2144"/>
<String ID="string_32" HPOS="2123" VPOS="389" WIDTH="23" HEIGHT="53" WC="0.0" CONTENT="."/><SP WIDTH="14" VPOS="389" HPOS="2146"/>
<String ID="string_33" HPOS="2160" VPOS="390" WIDTH="39" HEIGHT="39" WC="0.74" CONTENT="[J"/><SP WIDTH="28" VPOS="390" HPOS="2199"/>
<String ID="string_34" HPOS="2227" VPOS="396" WIDTH="193" HEIGHT="43" WC="0.92" CONTENT="Practicing"/><SP WIDTH="16" VPOS="396" HPOS="2420"/>
<String ID="string_35" HPOS="2436" VPOS="395" WIDTH="186" HEIGHT="44" WC="0.92" CONTENT="Physician"/>
</TextLine>
<TextLine ID="line_8" HPOS="2160" VPOS="449" WIDTH="206" HEIGHT="40">
<String ID="string_36" HPOS="2160" VPOS="449" WIDTH="39" HEIGHT="39" WC="0.75" CONTENT="[J"/><SP WIDTH="29" VPOS="449" HPOS="2199"/>
<String ID="string_37" HPOS="2228" VPOS="455" WIDTH="138" HEIGHT="34" WC="0.92" CONTENT="Dentist"/>
</TextLine>
<TextLine ID="line_9" HPOS="1857" VPOS="519" WIDTH="600" HEIGHT="41">
<String ID="string_38" HPOS="1857" VPOS="527" WIDTH="61" HEIGHT="31" WC="0.0" CONTENT="5/"/><SP WIDTH="-2" VPOS="527" HPOS="1918"/>
<String ID="string_39" HPOS="1916" VPOS="515" WIDTH="108" HEIGHT="59" WC="0.0" CONTENT="/year."/><SP WIDTH="21" VPOS="515" HPOS="2024"/>
<String ID="string_40" HPOS="2045" VPOS="554" WIDTH="3" HEIGHT="3" WC="0.65" CONTENT="."/><SP WIDTH="21" VPOS="554" HPOS="2048"/>
<String ID="string_41" HPOS="2069" VPOS="554" WIDTH="3" HEIGHT="3" WC="0.66" CONTENT="."/><SP WIDTH="21" VPOS="554" HPOS="2072"/>
<String ID="string_42" HPOS="2093" VPOS="554" WIDTH="52" HEIGHT="4" WC="0.47" CONTENT=";.."/><SP WIDTH="15" VPOS="554" HPOS="2145"/>
<String ID="string_43" HPOS="2160" VPOS="519" WIDTH="39" HEIGHT="39" WC="0.56" CONTENT="L1"/><SP WIDTH="28" VPOS="519" HPOS="2199"/>
<String ID="string_44" HPOS="2227" VPOS="525" WIDTH="33" HEIGHT="34" WC="0.56" CONTENT="H"/><SP WIDTH="106" VPOS="525" HPOS="2260"/>
<String ID="string_45" HPOS="2366" VPOS="524" WIDTH="91" HEIGHT="36" WC="0.92" CONTENT="Staff"/>
</TextLine>
<TextLine ID="line_10" HPOS="153" VPOS="523" WIDTH="2272" HEIGHT="78">
<String ID="string_46" HPOS="153" VPOS="551" WIDTH="119" HEIGHT="36" WC="0.79" CONTENT="Office"/><SP WIDTH="11" VPOS="551" HPOS="272"/>
<String ID="string_47" HPOS="283" VPOS="551" WIDTH="122" HEIGHT="36" WC="0.77" CONTENT="Phone"/><SP WIDTH="28" VPOS="551" HPOS="405"/>
<String ID="string_48" HPOS="433" VPOS="553" WIDTH="10" HEIGHT="39" WC="0.77" CONTENT="("/><SP WIDTH="249" VPOS="553" HPOS="443"/>
<String ID="string_49" HPOS="692" VPOS="553" WIDTH="9" HEIGHT="40" WC="0.86" CONTENT=")"/><SP WIDTH="1131" VPOS="553" HPOS="701"/>
<String ID="string_50" HPOS="1832" VPOS="523" WIDTH="176" HEIGHT="44" WC="0.2" CONTENT="o"/><SP WIDTH="256" VPOS="523" HPOS="2008"/>
<String ID="string_51" HPOS="2264" VPOS="537" WIDTH="161" HEIGHT="64" WC="0.0" CONTENT="ke"/>
</TextLine>
<TextLine ID="line_11" HPOS="1832" VPOS="589" WIDTH="733" HEIGHT="47">
<String ID="string_52" HPOS="1832" VPOS="592" WIDTH="21" HEIGHT="37" WC="0.37" CONTENT="D"/><SP WIDTH="26" VPOS="592" HPOS="1853"/>
<String ID="string_53" HPOS="1879" VPOS="597" WIDTH="130" HEIGHT="39" WC="0.0" CONTENT="Shyent."/><SP WIDTH="12" VPOS="597" HPOS="2009"/>
<String ID="string_54" HPOS="2021" VPOS="623" WIDTH="123" HEIGHT="4" WC="0.22" CONTENT="."/><SP WIDTH="16" VPOS="623" HPOS="2144"/>
<String ID="string_55" HPOS="2160" VPOS="589" WIDTH="39" HEIGHT="38" WC="0.17" CONTENT="["/><SP WIDTH="-10" VPOS="589" HPOS="2199"/>
<String ID="string_56" HPOS="2189" VPOS="585" WIDTH="20" HEIGHT="57" WC="0.17" CONTENT="]"/><SP WIDTH="18" VPOS="585" HPOS="2209"/>
<String ID="string_57" HPOS="2227" VPOS="593" WIDTH="153" HEIGHT="35" WC="0.89" CONTENT="Medical"/><SP WIDTH="18" VPOS="593" HPOS="2380"/>
<String ID="string_58" HPOS="2398" VPOS="594" WIDTH="167" HEIGHT="35" WC="0.93" CONTENT="Students"/>
</TextLine>
<TextLine ID="line_12" HPOS="153" VPOS="637" WIDTH="2387" HEIGHT="50">
<String ID="string_59" HPOS="153" VPOS="638" WIDTH="119" HEIGHT="34" WC="0.91" CONTENT="Home"/><SP WIDTH="10" VPOS="638" HPOS="272"/>
<String ID="string_60" HPOS="282" VPOS="637" WIDTH="158" HEIGHT="36" WC="0.91" CONTENT="Address"/><SP WIDTH="1720" VPOS="637" HPOS="440"/>
<String ID="string_61" HPOS="2160" VPOS="647" WIDTH="39" HEIGHT="39" WC="0.10" CONTENT="["/><SP WIDTH="-15" VPOS="647" HPOS="2199"/>
<String ID="string_62" HPOS="2184" VPOS="643" WIDTH="25" HEIGHT="57" WC="0.10" CONTENT="]"/><SP WIDTH="18" VPOS="643" HPOS="2209"/>
<String ID="string_63" HPOS="2227" VPOS="652" WIDTH="129" HEIGHT="35" WC="0.92" CONTENT="Dental"/><SP WIDTH="17" VPOS="652" HPOS="2356"/>
<String ID="string_64" HPOS="2373" VPOS="652" WIDTH="167" HEIGHT="35" WC="0.92" CONTENT="Students"/>
</TextLine>
<TextLine ID="line_13" HPOS="2160" VPOS="707" WIDTH="615" HEIGHT="40">
<String ID="string_65" HPOS="2160" VPOS="707" WIDTH="38" HEIGHT="38" WC="0.43" CONTENT="(]"/><SP WIDTH="29" VPOS="707" HPOS="2198"/>
<String ID="string_66" HPOS="2227" VPOS="711" WIDTH="150" HEIGHT="35" WC="0.90" CONTENT="Student"/><SP WIDTH="15" VPOS="711" HPOS="2377"/>
<String ID="string_67" HPOS="2392" VPOS="713" WIDTH="185" HEIGHT="34" WC="0.92" CONTENT="Associate"/><SP WIDTH="16" VPOS="713" HPOS="2577"/>
<String ID="string_68" HPOS="2593" VPOS="712" WIDTH="182" HEIGHT="35" WC="0.91" CONTENT="Members"/>
</TextLine>
<TextLine ID="line_14" HPOS="1831" VPOS="776" WIDTH="777" HEIGHT="48">
<String ID="string_69" HPOS="1831" VPOS="780" WIDTH="176" HEIGHT="44" WC="0.0" CONTENT="So0fvear."/><SP WIDTH="13" VPOS="780" HPOS="2007"/>
<String ID="string_70" HPOS="2020" VPOS="811" WIDTH="124" HEIGHT="4" WC="0.7" CONTENT="..."/><SP WIDTH="15" VPOS="811" HPOS="2144"/>
<String ID="string_71" HPOS="2159" VPOS="776" WIDTH="39" HEIGHT="39" WC="0.65" CONTENT="[J"/><SP WIDTH="27" VPOS="776" HPOS="2198"/>
<String ID="string_72" HPOS="2225" VPOS="782" WIDTH="185" HEIGHT="34" WC="0.92" CONTENT="Associate"/><SP WIDTH="17" VPOS="782" HPOS="2410"/>
<String ID="string_73" HPOS="2427" VPOS="781" WIDTH="181" HEIGHT="36" WC="0.88" CONTENT="Members"/>
</TextLine>
<TextLine ID="line_15" HPOS="152" VPOS="808" WIDTH="252" HEIGHT="37">
<String ID="string_74" HPOS="152" VPOS="809" WIDTH="33" HEIGHT="34" WC="0.90" CONTENT="H"/><SP WIDTH="96" VPOS="809" HPOS="185"/>
<String ID="string_75" HPOS="281" VPOS="808" WIDTH="123" HEIGHT="37" WC="0.90" CONTENT="Phone"/>
</TextLine>
<TextLine ID="line_16" HPOS="189" VPOS="810" WIDTH="2518" HEIGHT="77">
<String ID="string_76" HPOS="189" VPOS="822" WIDTH="82" HEIGHT="22" WC="0.18" CONTENT="s"/><SP WIDTH="65" VPOS="822" HPOS="271"/>
<String ID="string_77" HPOS="336" VPOS="810" WIDTH="105" HEIGHT="39" WC="0.0" CONTENT="sl"/><SP WIDTH="249" VPOS="810" HPOS="441"/>
<String ID="string_78" HPOS="690" VPOS="811" WIDTH="9" HEIGHT="39" WC="0.79" CONTENT=")"/><SP WIDTH="1132" VPOS="811" HPOS="699"/>
<String ID="string_79" HPOS="1831" VPOS="849" WIDTH="22" HEIGHT="38" WC="0.83" CONTENT="$"/><SP WIDTH="306" VPOS="849" HPOS="1853"/>
<String ID="string_80" HPOS="2159" VPOS="846" WIDTH="39" HEIGHT="38" WC="0.37" CONTENT="(]"/><SP WIDTH="28" VPOS="846" HPOS="2198"/>
<String ID="string_81" HPOS="2226" VPOS="850" WIDTH="209" HEIGHT="36" WC="0.92" CONTENT="Additional"/><SP WIDTH="17" VPOS="850" HPOS="2435"/>
<String ID="string_82" HPOS="2452" VPOS="851" WIDTH="255" HEIGHT="36" WC="0.90" CONTENT="Contribution"/>
</TextLine>
<TextLine ID="line_17" HPOS="151" VPOS="894" WIDTH="200" HEIGHT="36">
<String ID="string_83" HPOS="151" VPOS="894" WIDTH="200" HEIGHT="36" WC="0.62" CONTENT="Affiliation"/>
</TextLine>
<TextLine ID="line_18" HPOS="150" VPOS="964" WIDTH="2611" HEIGHT="55">
<String ID="string_84" HPOS="150" VPOS="964" WIDTH="88" HEIGHT="55" WC="0.92" CONTENT="Title"/><SP WIDTH="1529" VPOS="964" HPOS="238"/>
<String ID="string_85" HPOS="1767" VPOS="972" WIDTH="83" HEIGHT="32" WC="0.91" CONTENT="Send"/><SP WIDTH="19" VPOS="972" HPOS="1850"/>
<String ID="string_86" HPOS="1869" VPOS="972" WIDTH="59" HEIGHT="32" WC="0.91" CONTENT="this"/><SP WIDTH="15" VPOS="972" HPOS="1928"/>
<String ID="string_87" HPOS="1943" VPOS="972" WIDTH="198" HEIGHT="40" WC="0.91" CONTENT="application"/><SP WIDTH="16" VPOS="972" HPOS="2141"/>
<String ID="string_88" HPOS="2157" VPOS="973" WIDTH="64" HEIGHT="31" WC="0.88" CONTENT="and"/><SP WIDTH="16" VPOS="973" HPOS="2221"/>
<String ID="string_89" HPOS="2237" VPOS="985" WIDTH="84" HEIGHT="27" WC="0.93" CONTENT="your"/><SP WIDTH="16" VPOS="985" HPOS="2321"/>
<String ID="string_90" HPOS="2337" VPOS="973" WIDTH="250" HEIGHT="32" WC="0.89" CONTENT="tax-deductible"/><SP WIDTH="15" VPOS="973" HPOS="2587"/>
<String ID="string_91" HPOS="2602" VPOS="973" WIDTH="98" HEIGHT="32" WC="0.92" CONTENT="check"/><SP WIDTH="18" VPOS="973" HPOS="2700"/>
<String ID="string_92" HPOS="2718" VPOS="980" WIDTH="43" HEIGHT="25" WC="0.91" CONTENT="to:"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<GraphicalElement ID="cblock_13" HPOS="262" VPOS="1007" WIDTH="1404" HEIGHT="21"></GraphicalElement >
<ComposedBlock ID="cblock_14" HPOS="151" VPOS="1041" WIDTH="721" HEIGHT="48">
<TextBlock ID="block_4" HPOS="151" VPOS="1041" WIDTH="721" HEIGHT="48">
<TextLine ID="line_19" HPOS="151" VPOS="1041" WIDTH="721" HEIGHT="48">
<String ID="string_93" HPOS="151" VPOS="1045" WIDTH="11" HEIGHT="34" WC="0.75" CONTENT="I"/><SP WIDTH="16" VPOS="1045" HPOS="162"/>
<String ID="string_94" HPOS="178" VPOS="1044" WIDTH="115" HEIGHT="45" WC="0.92" CONTENT="prefer"/><SP WIDTH="16" VPOS="1044" HPOS="293"/>
<String ID="string_95" HPOS="309" VPOS="1052" WIDTH="37" HEIGHT="27" WC="0.93" CONTENT="to"/><SP WIDTH="16" VPOS="1052" HPOS="346"/>
<String ID="string_96" HPOS="362" VPOS="1048" WIDTH="133" HEIGHT="32" WC="0.92" CONTENT="receive"/><SP WIDTH="16" VPOS="1048" HPOS="495"/>
<String ID="string_97" HPOS="511" VPOS="1044" WIDTH="82" HEIGHT="36" WC="0.92" CONTENT="mail"/><SP WIDTH="16" VPOS="1044" HPOS="593"/>
<String ID="string_98" HPOS="609" VPOS="1052" WIDTH="35" HEIGHT="29" WC="0.75" CONTENT="at"/><SP WIDTH="56" VPOS="1052" HPOS="644"/>
<String ID="string_99" HPOS="700" VPOS="1041" WIDTH="39" HEIGHT="39" WC="0.59" CONTENT="[]"/><SP WIDTH="28" VPOS="1041" HPOS="739"/>
<String ID="string_100" HPOS="767" VPOS="1045" WIDTH="105" HEIGHT="36" WC="0.91" CONTENT="office"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_15" HPOS="174" VPOS="1149" WIDTH="774" HEIGHT="173">
<TextBlock ID="block_5" HPOS="174" VPOS="1149" WIDTH="774" HEIGHT="173">
<TextLine ID="line_20" HPOS="286" VPOS="1149" WIDTH="589" HEIGHT="45">
<String ID="string_101" HPOS="286" VPOS="1149" WIDTH="99" HEIGHT="41" WC="0.59" CONTENT="e"/><SP WIDTH="145" VPOS="1149" HPOS="385"/>
<String ID="string_102" HPOS="530" VPOS="1152" WIDTH="97" HEIGHT="40" WC="0.10" CONTENT="&"/><SP WIDTH="154" VPOS="1152" HPOS="627"/>
<String ID="string_103" HPOS="781" VPOS="1154" WIDTH="94" HEIGHT="40" WC="0.20" CONTENT="ns"/>
</TextLine>
<TextLine ID="line_21" HPOS="174" VPOS="1195" WIDTH="774" HEIGHT="127">
<String ID="string_104" HPOS="174" VPOS="1195" WIDTH="120" HEIGHT="99" WC="0.65" CONTENT="sc["/><SP WIDTH="32" VPOS="1195" HPOS="294"/>
<String ID="string_105" HPOS="326" VPOS="1195" WIDTH="84" HEIGHT="99" WC="0.52" CONTENT="1]"/><SP WIDTH="347" VPOS="1195" HPOS="410"/>
<String ID="string_106" HPOS="757" VPOS="1202" WIDTH="191" HEIGHT="120" WC="0.69" CONTENT="[DN"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_16" HPOS="975" VPOS="1042" WIDTH="335" HEIGHT="40">
<TextBlock ID="block_6" HPOS="975" VPOS="1042" WIDTH="335" HEIGHT="40">
<TextLine ID="line_22" HPOS="975" VPOS="1042" WIDTH="335" HEIGHT="40">
<String ID="string_107" HPOS="975" VPOS="1042" WIDTH="40" HEIGHT="39" WC="0.29" CONTENT="(]"/><SP WIDTH="28" VPOS="1042" HPOS="1015"/>
<String ID="string_108" HPOS="1043" VPOS="1046" WIDTH="107" HEIGHT="36" WC="0.91" CONTENT="home"/><SP WIDTH="16" VPOS="1046" HPOS="1150"/>
<String ID="string_109" HPOS="1166" VPOS="1046" WIDTH="144" HEIGHT="36" WC="0.92" CONTENT="address"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_17" HPOS="1020" VPOS="1150" WIDTH="376" HEIGHT="40">
<TextBlock ID="block_7" HPOS="1020" VPOS="1150" WIDTH="376" HEIGHT="40">
<TextLine ID="line_23" HPOS="1020" VPOS="1150" WIDTH="376" HEIGHT="40">
<String ID="string_110" HPOS="1020" VPOS="1150" WIDTH="376" HEIGHT="40" WC="0.0" CONTENT="MMDDXYY"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<GraphicalElement ID="cblock_18" HPOS="1004" VPOS="1200" WIDTH="414" HEIGHT="9"></GraphicalElement >
<ComposedBlock ID="cblock_19" HPOS="1003" VPOS="1206" WIDTH="7" HEIGHT="63">
<TextBlock ID="block_8" HPOS="1003" VPOS="1206" WIDTH="7" HEIGHT="63">
<TextLine ID="line_24" HPOS="1003" VPOS="1206" WIDTH="7" HEIGHT="63">
<String ID="string_111" HPOS="1003" VPOS="1206" WIDTH="7" HEIGHT="63" WC="0.86" CONTENT="I"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_20" HPOS="1409" VPOS="1206" WIDTH="10" HEIGHT="63">
<TextBlock ID="block_9" HPOS="1409" VPOS="1206" WIDTH="10" HEIGHT="63">
<TextLine ID="line_25" HPOS="1409" VPOS="1206" WIDTH="10" HEIGHT="63">
<String ID="string_112" HPOS="1409" VPOS="1206" WIDTH="10" HEIGHT="63" WC="0.69" CONTENT="]"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<GraphicalElement ID="cblock_21" HPOS="1004" VPOS="1265" WIDTH="414" HEIGHT="10"></GraphicalElement >
<GraphicalElement ID="cblock_22" HPOS="1006" VPOS="1297" WIDTH="415" HEIGHT="9"></GraphicalElement >
<ComposedBlock ID="cblock_23" HPOS="958" VPOS="1283" WIDTH="55" HEIGHT="82">
<TextBlock ID="block_10" HPOS="958" VPOS="1283" WIDTH="55" HEIGHT="82">
<TextLine ID="line_26" HPOS="958" VPOS="1283" WIDTH="55" HEIGHT="82">
<String ID="string_113" HPOS="958" VPOS="1283" WIDTH="55" HEIGHT="82" WC="0.0" CONTENT="%"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_24" HPOS="1066" VPOS="1206" WIDTH="83" HEIGHT="159">
<TextBlock ID="block_11" HPOS="1066" VPOS="1206" WIDTH="83" HEIGHT="159">
<TextLine ID="line_27" HPOS="1066" VPOS="1206" WIDTH="81" HEIGHT="63">
<String ID="string_114" HPOS="1066" VPOS="1206" WIDTH="81" HEIGHT="63" WC="0.14" CONTENT="i"/>
</TextLine>
<TextLine ID="line_28" HPOS="1071" VPOS="1303" WIDTH="78" HEIGHT="62">
<String ID="string_115" HPOS="1071" VPOS="1303" WIDTH="78" HEIGHT="62" WC="0.47" CONTENT="."/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_25" HPOS="1205" VPOS="1206" WIDTH="17" HEIGHT="160">
<TextBlock ID="block_12" HPOS="1205" VPOS="1206" WIDTH="17" HEIGHT="160">
<TextLine ID="line_29" HPOS="1205" VPOS="1206" WIDTH="17" HEIGHT="160">
<String ID="string_116" HPOS="1205" VPOS="1206" WIDTH="17" HEIGHT="160" WC="0.0" CONTENT="—"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_26" HPOS="1270" VPOS="1206" WIDTH="86" HEIGHT="160">
<TextBlock ID="block_13" HPOS="1270" VPOS="1206" WIDTH="86" HEIGHT="160">
<TextLine ID="line_30" HPOS="1272" VPOS="1206" WIDTH="82" HEIGHT="63">
<String ID="string_117" HPOS="1272" VPOS="1206" WIDTH="82" HEIGHT="63" WC="0.52" CONTENT="&"/>
</TextLine>
<TextLine ID="line_31" HPOS="1270" VPOS="1303" WIDTH="86" HEIGHT="63">
<String ID="string_118" HPOS="1270" VPOS="1303" WIDTH="86" HEIGHT="63" WC="0.24" CONTENT="i"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<GraphicalElement ID="cblock_27" HPOS="1006" VPOS="1363" WIDTH="414" HEIGHT="9"></GraphicalElement >
<ComposedBlock ID="cblock_28" HPOS="1767" VPOS="1026" WIDTH="1093" HEIGHT="88">
<TextBlock ID="block_14" HPOS="1767" VPOS="1026" WIDTH="1093" HEIGHT="88">
<TextLine ID="line_32" HPOS="1767" VPOS="1026" WIDTH="1093" HEIGHT="36">
<String ID="string_119" HPOS="1767" VPOS="1026" WIDTH="83" HEIGHT="34" WC="0.93" CONTENT="PSR,"/><SP WIDTH="18" VPOS="1026" HPOS="1850"/>
<String ID="string_120" HPOS="1868" VPOS="1026" WIDTH="81" HEIGHT="31" WC="0.91" CONTENT="P.O."/><SP WIDTH="17" VPOS="1026" HPOS="1949"/>
<String ID="string_121" HPOS="1966" VPOS="1027" WIDTH="65" HEIGHT="30" WC="0.90" CONTENT="Box"/><SP WIDTH="15" VPOS="1027" HPOS="2031"/>
<String ID="string_122" HPOS="2046" VPOS="1030" WIDTH="68" HEIGHT="31" WC="0.95" CONTENT="144,"/><SP WIDTH="16" VPOS="1030" HPOS="2114"/>
<String ID="string_123" HPOS="2130" VPOS="1030" WIDTH="39" HEIGHT="28" WC="0.93" CONTENT="56"/><SP WIDTH="12" VPOS="1030" HPOS="2169"/>
<String ID="string_124" HPOS="2181" VPOS="1027" WIDTH="41" HEIGHT="31" WC="0.90" CONTENT="N."/><SP WIDTH="16" VPOS="1027" HPOS="2222"/>
<String ID="string_125" HPOS="2238" VPOS="1027" WIDTH="125" HEIGHT="31" WC="0.91" CONTENT="Beacon"/><SP WIDTH="14" VPOS="1027" HPOS="2363"/>
<String ID="string_126" HPOS="2377" VPOS="1027" WIDTH="57" HEIGHT="35" WC="0.91" CONTENT="St.,"/><SP WIDTH="16" VPOS="1027" HPOS="2434"/>
<String ID="string_127" HPOS="2450" VPOS="1028" WIDTH="212" HEIGHT="34" WC="0.91" CONTENT="Watertown,"/><SP WIDTH="16" VPOS="1028" HPOS="2662"/>
<String ID="string_128" HPOS="2678" VPOS="1028" WIDTH="69" HEIGHT="31" WC="0.92" CONTENT="MA"/><SP WIDTH="12" VPOS="1028" HPOS="2747"/>
<String ID="string_129" HPOS="2759" VPOS="1030" WIDTH="101" HEIGHT="29" WC="0.96" CONTENT="02172"/>
</TextLine>
<TextLine ID="line_33" HPOS="1767" VPOS="1079" WIDTH="399" HEIGHT="35">
<String ID="string_130" HPOS="1767" VPOS="1079" WIDTH="120" HEIGHT="32" WC="0.91" CONTENT="Phone:"/><SP WIDTH="21" VPOS="1079" HPOS="1887"/>
<String ID="string_131" HPOS="1908" VPOS="1080" WIDTH="84" HEIGHT="34" WC="0.91" CONTENT="(617)"/><SP WIDTH="16" VPOS="1080" HPOS="1992"/>
<String ID="string_132" HPOS="2008" VPOS="1083" WIDTH="158" HEIGHT="29" WC="0.91" CONTENT="924-3468"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_29" HPOS="1727" VPOS="1153" WIDTH="345" HEIGHT="42">
<TextBlock ID="block_15" HPOS="1727" VPOS="1153" WIDTH="345" HEIGHT="42">
<TextLine ID="line_34" HPOS="1727" VPOS="1153" WIDTH="345" HEIGHT="42">
<String ID="string_133" HPOS="1727" VPOS="1153" WIDTH="92" HEIGHT="39" WC="0.95" CONTENT="AP"/><SP WIDTH="151" VPOS="1153" HPOS="1819"/>
<String ID="string_134" HPOS="1970" VPOS="1155" WIDTH="102" HEIGHT="40" WC="0.91" CONTENT="USE"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<ComposedBlock ID="cblock_30" HPOS="1702" VPOS="1204" WIDTH="387" HEIGHT="165">
<TextBlock ID="block_16" HPOS="1702" VPOS="1204" WIDTH="387" HEIGHT="165">
<TextLine ID="line_35" HPOS="1702" VPOS="1204" WIDTH="385" HEIGHT="69">
<String ID="string_135" HPOS="1702" VPOS="1204" WIDTH="385" HEIGHT="69" WC="0.26" CONTENT="Tk"/><SP WIDTH="-228" VPOS="1204" HPOS="2087"/>
<String ID="string_136" HPOS="1859" VPOS="1200" WIDTH="50" HEIGHT="97" WC="0.0" CONTENT="T"/><SP WIDTH="55" VPOS="1200" HPOS="1909"/>
<String ID="string_137" HPOS="1964" VPOS="1200" WIDTH="34" HEIGHT="97" WC="0.46" CONTENT="T"/>
</TextLine>
<TextLine ID="line_36" HPOS="1704" VPOS="1305" WIDTH="385" HEIGHT="64">
<String ID="string_138" HPOS="1704" VPOS="1305" WIDTH="385" HEIGHT="64" WC="0.0" CONTENT="BB"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<GraphicalElement ID="cblock_31" HPOS="1702" VPOS="1268" WIDTH="384" HEIGHT="9"></GraphicalElement >
<GraphicalElement ID="cblock_32" HPOS="1705" VPOS="1300" WIDTH="384" HEIGHT="8"></GraphicalElement >
<ComposedBlock ID="cblock_33" HPOS="1525" VPOS="1206" WIDTH="73" HEIGHT="165">
<TextBlock ID="block_17" HPOS="1525" VPOS="1206" WIDTH="73" HEIGHT="165">
<TextLine ID="line_37" HPOS="1525" VPOS="1206" WIDTH="73" HEIGHT="165">
<String ID="string_139" HPOS="1525" VPOS="1206" WIDTH="73" HEIGHT="165" WC="0.47" CONTENT=">]"/><SP WIDTH="-77" VPOS="1206" HPOS="1598"/>
<String ID="string_140" HPOS="1521" VPOS="1203" WIDTH="103" HEIGHT="69" WC="0.22" CONTENT="[>]"/>
</TextLine>
</TextBlock>
</ComposedBlock>
<GraphicalElement ID="cblock_34" HPOS="1704" VPOS="1366" WIDTH="384" HEIGHT="8"></GraphicalElement >
</PrintSpace>
</Page>
</Layout>
</alto>