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<!--85-->
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=<X-FC-ITEM DATA[Charset]>">
<title><X-FC-ITEM DATA[Name]></title>
<style type="text/css">
<!--
<!--#include virtual="/.templates/GlobalStyles.inc"-->
-->
</style>
</head>
<body bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT="#FFFFFF" RGB>" leftmargin="0" topmargin="0" marginwidth="0" marginheight="0">
<form action="<X-FC-OBJURL SLASH>FormEdit"><!--#set var="NavPosition" value="<X-FC-FIELD PREFS.5513 DEFAULT=2 NUMBER>"--><!--#if expr="$NavPosition==2"--><!--#set var="TABLEWIDTH" value="100%"--><!--#else--><!--#set var="TABLEWIDTH" value="<X-FC-FIELD PREFS.5720 DEFAULT="100%" STRING>"--><!--#endif--><!--#if expr="!$NavPosition==2 && <X-FC-FIELD PREFS.5707 LENGTH>"-->
<table width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td align="center"><a href="<X-FC-FIELD PREFS.5709 STRING>"><img src="/Images/<X-FC-FIELD PREFS.5707 STRING>" alt="<X-FC-FIELD PREFS.5708 STRING>" vspace="10" border="0"></a></td>
</tr>
</table><!--#endif--><!--#if expr="$NavPosition==0"-->
<!--#include virtual="/.templates/toolbars/NavPermissions.inc"--><!--#elif expr="$NavPosition==2"-->
<!--#include virtual="/.templates/toolbars/NavPermissionsSide.inc"--><!--#elif expr="$NavPosition==3"-->
<!--#include virtual="/.templates/toolbars/NavPermissionsText.inc"--><!--#endif-->
<table bgcolor="<X-FC-FIELD PREFS.5601 DEFAULT="#C0C0C0" RGB>" width="<!--#echo var="TABLEWIDTH"-->" cellpadding="0" cellspacing="0" border="0">
<tr>
<td bgcolor="<X-FC-FIELD PREFS.5600 DEFAULT="#FFFFFF" RGB>"><img src="/images/pixel.gif" width="1" height="1" border="0"></td>
</tr>
<tr>
<td><table bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>" cellpadding="2" cellspacing="0" border="0">
<tr>
<td> </td>
<td><img src="/Icons/<X-FC-ITEM DATA[Icon]>" alt="<X-FC-ITEM DATA[Name]>" width="32" height="32" border="0"></td>
<td id="title1" nowrap><X-FC-ITEM DATA[Name]></td>
<td width="100%"> </td><!--#if expr="<X-FC-PERMISSIONS Edit> || <X-FC-PERMISSIONS Write> && @indexOf(`<X-FC-OBJURL>`, '/FormEdit')==-1"-->
<td><input type="submit" value="<X-FC-FIELD LANG.7530.3 STRING>"></td><!--#endif-->
<td> </td>
</tr>
</table></td>
</tr>
<tr>
<td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT="#999999" RGB>" cellpadding="0" cellspacing="0" border="0">
<tr>
<td nowrap><font id="heading1" size="4"> <X-FC-FIELD LANG.85.4100.25 STRING></font></td>
<td width="100%"> </td>
</tr>
</table></td>
</tr>
<tr>
<td><img src="/images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
<td><table cellpadding="2" cellspacing="0" border="0">
<tr>
<td> </td>
<td id="plain"><X-FC-FIELD LANG.85.1037.9 STRING></td>
</tr>
</table></td>
</tr>
<tr>
<td><table cellpadding="2" cellspacing="0" border="0">
<tr>
<td rowspan="4"> </td>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4015.9 STRING></td>
<td> </td>
<td rowspan="4"> </td>
<td id="plain" width="145"><X-FC-FIELD LANG.85.4016.9 STRING></td>
</tr>
<tr>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4017.9 STRING></td>
<td id="plain" nowrap><X-FC-FIELD 1514 STRING></td>
<td id="plain" width="145"><X-FC-FIELD LANG.85.1039.9 STRING></td>
</tr>
<tr>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4018.9 STRING></td>
<td id="plain" nowrap><X-FC-FIELD 1515 STRING></td>
<td id="plain" width="145"><X-FC-FIELD LANG.85.1040.9 STRING></td>
</tr>
<tr>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4021.9 STRING></td>
<td id="plain" nowrap><X-FC-FIELD 1517 DEFAULT=0 NUMBER></td>
<td id="plain" width="145"><X-FC-FIELD LANG.85.1041.9 STRING></td>
</tr>
</table></td>
</tr>
<tr>
<td><table cellpadding="2" cellspacing="0" border="0">
<tr>
<td rowspan="3"> </td>
<td id="bold" colspan="6" nowrap><X-FC-FIELD LANG.85.1042.9 STRING></td>
</tr>
<tr>
<td rowspan="2"> </td>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4019.9 STRING></td>
<td id="plain" align="right" nowrap><X-FC-FIELD 1519 DEFAULT=0 NUMBER></td>
<td id="plain" nowrap><X-FC-FIELD LANG.85.1043.9 STRING></td>
<td rowspan="2"> </td>
<td id="plain" width="145"><X-FC-FIELD LANG.85.1044.9 STRING></td>
</tr>
<tr>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4023.9 STRING></td>
<td id="plain" align="right" nowrap><X-FC-FIELD 1520 DEFAULT=0 NUMBER></td>
<td> </td>
<td id="plain" width="145"><X-FC-FIELD LANG.85.1045.9 STRING></td>
</tr>
</table></td>
</tr>
<tr>
<td><img src="/images/pixel.gif" width="1" height="5" border="0"></td>
</tr>
<tr>
<td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>"><img src="/Images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
<tr>
<td><table bgcolor="<X-FC-FIELD PREFS.5604 DEFAULT="#999999" RGB>" cellpadding="0" cellspacing="0" border="0">
<tr>
<td nowrap><font id="heading1" size="4"> <X-FC-FIELD LANG.85.4101.25 STRING></font></td>
<td width="100%"> </td>
</tr>
</table></td>
</tr>
<tr>
<td><img src="/images/pixel.gif" width="1" height="5" border="0"></td>
</tr>
<tr>
<td><table cellpadding="2" cellspacing="0" border="0">
<tr>
<td> </td>
<td id="plain"><X-FC-FIELD LANG.85.1004.9 STRING></td>
</tr>
</table></td>
</tr>
<tr>
<td><table cellpadding="2" cellspacing="0" border="0">
<tr>
<td rowspan="2"> </td>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4020.9 STRING></td>
<td id="plain" align="right" nowrap><X-FC-FIELD 1516 DEFAULT=0 NUMBER></td>
<td id="plain" nowrap><X-FC-FIELD LANG.85.1005.9 STRING></td>
</tr>
<tr>
<td id="plain" nowrap><X-FC-FIELD LANG.85.4022.9 STRING></td>
<td id="plain" align="right" nowrap><X-FC-FIELD 1518 DEFAULT=0 NUMBER></td>
<td id="plain" nowrap><X-FC-FIELD LANG.85.1006.9 STRING></td>
</tr>
</table></td>
</tr>
<tr>
<td><img src="/images/pixel.gif" width="1" height="5" border="0"></td>
</tr>
<tr>
<td bgcolor="<X-FC-FIELD PREFS.5603 DEFAULT="#555555" RGB>"><img src="/images/pixel.gif" width="1" height="3" border="0"></td>
</tr>
</table><!--#if expr="$NavPosition==2"-->
</td>
</tr>
</table><!--#elif expr="$NavPosition==1"-->
<!--#include virtual="/.templates/toolbars/NavPermissions.inc"--><!--#elif expr="$NavPosition==4"-->
<!--#include virtual="/.templates/toolbars/NavPermissionsText.inc"--><!--#endif-->
</form><!--#if expr="$SRVR_ERR_FCPCODE"-->
<script language="JavaScript">
alert("<!--#echo var="SRVR_ERR_FCPREASON"--> [<!--#echo var="SRVR_ERR_FCPCODE"-->]");
</script><!--#endif-->
</body>
</html>
</body>
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