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lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:50.9pt;text-indent:-50.9pt;mso-ch=
ar-indent-count:
-4.0;line-height:150%;layout-grid-mode:char'><span style=3D'mso-bidi-font-s=
ize:
14.0pt;line-height:150%;font-family:"MS Mincho";mso-bidi-font-weight:bold'>=
&#12288;&#12288;&#12288;&#12539;
&#35079;&#24335;&#31807;&#35352;&#12391;&#35352;&#24115;&#12375;&#12390;&#1=
2356;&#12427;&#22580;&#21512;&#12399;&#12300;<span
lang=3DEN-US>55</span>&#19975;&#20870;&#8594;<span lang=3DEN-US>65</span>&#=
19975;&#20870;&#12301;&#12395;&#12289;&#12381;&#12428;&#20197;&#22806;&#123=
99;<span
lang=3DEN-US>10</span>&#19975;&#20870;&#12395;<span lang=3DEN-US><o:p></o:p=
></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:50.9pt;mso-para-margin-left:4.0gd;
line-height:150%;layout-grid-mode:char'><span style=3D'mso-bidi-font-size:1=
4.0pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-weight:bold'>&#65288=
;<span
lang=3DEN-US>45</span>&#19975;&#20870;&#25511;&#38500;&#12399;&#24259;&#274=
90;&#65289;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:8.0pt;mso-char-indent-count:.63;
line-height:150%;layout-grid-mode:char'><span style=3D'mso-bidi-font-size:1=
4.0pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-weight:bold'>&#65288=
;<span
lang=3DEN-US>2</span>&#65289;&#20844;&#30340;&#24180;&#37329;&#25511;&#3850=
0;&#38989;&#12398;&#25913;&#27491;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:46.15pt;mso-para-margin-left:.63g=
d;
text-indent:-38.15pt;mso-char-indent-count:-3.0;line-height:150%;layout-gri=
d-mode:
char'><span style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family=
:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12539; <span lang=3DEN-US>65</=
span>&#25165;&#20197;&#19978;&#12408;&#12398;&#19978;&#20055;&#12379;&#2551=
4;&#32622;&#12398;&#24259;&#27490;&#65288;&#26368;&#20302;&#20445;&#35388;&=
#38989;&#12399;<span
lang=3DEN-US>50</span>&#19975;&#20870;&#19978;&#20055;&#12379;&#12373;&#124=
28;&#12390;<span
lang=3DEN-US>120</span>&#19975;&#20870;<span lang=3DEN-US><o:p></o:p></span=
></span></p>

<p class=3DMsoNormal style=3D'margin-left:46.15pt;mso-para-margin-left:3.63=
gd;
text-indent:4.6pt;mso-char-indent-count:.36;line-height:150%;layout-grid-mo=
de:
char'><span style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family=
:"MS Mincho";
mso-bidi-font-weight:bold'>&#12395;&#25913;&#27491;&#65289;<span lang=3DEN-=
US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:46.15pt;mso-para-margin-left:.63g=
d;
text-indent:-38.15pt;mso-char-indent-count:-3.0;line-height:150%;layout-gri=
d-mode:
char'><span style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family=
:"MS Mincho";
mso-bidi-font-weight:bold'>&#65288;<span lang=3DEN-US>3</span>&#65289;&#327=
69;&#24180;&#32773;&#25511;&#38500;&#12398;&#24259;&#27490;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:53.9pt;mso-para-margin-left:.63gd;
text-indent:-45.9pt;mso-char-indent-count:-3.61;line-height:150%;layout-gri=
d-mode:
char'><span style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family=
:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12539; <span lang=3DEN-US>65</=
span>&#25165;&#20197;&#19978;&#12391;&#21512;&#35336;&#25152;&#24471;&#3732=
9;&#38989;&#12364;<span
lang=3DEN-US>1,000</span>&#19975;&#20870;&#20197;&#19979;&#12398;&#12418;&#=
12398;&#12395;&#23550;&#12377;&#12427;&#32769;&#24180;&#32773;&#25511;&#385=
00;&#65288;<span
lang=3DEN-US>50</span>&#19975;&#20870;&#65289;&#12364;&#24259;&#27490;&#123=
95;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:46.15pt;mso-para-margin-left:.63g=
d;
text-indent:-38.15pt;mso-char-indent-count:-3.0;line-height:150%;layout-gri=
d-mode:
char'><span style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family=
:"MS Mincho";
mso-bidi-font-weight:bold'>&#65288;<span lang=3DEN-US>4</span>&#65289;&#222=
69;&#27665;&#24180;&#37329;&#20445;&#38522;&#26009;&#12398;&#35388;&#26126;=
&#26360;&#28155;&#20184;&#32681;&#21209;&#20184;&#12369;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:46.15pt;mso-para-margin-left:.63g=
d;
text-indent:-38.15pt;mso-char-indent-count:-3.0;line-height:150%;layout-gri=
d-mode:
char'><span style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family=
:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12539; &#25903;&#25173;&#37329=
;&#38989;&#12434;&#35352;&#36617;&#12377;&#12427;&#12384;&#12369;&#12391;&#=
12424;&#12363;&#12387;&#12383;&#22269;&#27665;&#24180;&#37329;&#20445;&#385=
22;&#26009;&#12395;&#12363;&#12363;&#12427;&#31038;&#20250;&#20445;&#38522;=
&#26009;&#25511;&#38500;&#12399;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:46.15pt;mso-para-margin-left:3.63=
gd;
text-indent:6.35pt;mso-char-indent-count:.5;line-height:150%;layout-grid-mo=
de:
char'><span style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family=
:"MS Mincho";
mso-bidi-font-weight:bold'>&#35388;&#26126;&#26360;&#12398;&#28155;&#20184;=
&#12364;&#32681;&#21209;&#20184;&#12369;&#12395;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:46.15pt;mso-para-margin-left:3.63=
gd;
text-indent:6.35pt;mso-char-indent-count:.5;line-height:150%;layout-grid-mo=
de:
char'><span lang=3DEN-US style=3D'mso-bidi-font-size:14.0pt;line-height:150=
%;
font-family:"MS Mincho";mso-bidi-font-weight:bold'><o:p>&nbsp;</o:p></span>=
</p>

<p class=3DMsoNormal style=3D'margin-left:26.25pt;text-indent:-26.25pt;line=
-height:
150%;mso-list:l16 level1 lfo14;tab-stops:list 26.25pt;layout-grid-mode:char=
'><![if !supportLists]><span
lang=3DEN-US style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-famil=
y:"MS Gothic";
mso-bidi-font-family:"MS Gothic";mso-bidi-font-weight:bold'><span
style=3D'mso-list:Ignore'>&#9678;<span style=3D'font:7.0pt "Times New Roman=
"'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;
</span></span></span><![endif]><b><span style=3D'mso-bidi-font-size:14.0pt;
line-height:150%;font-family:"MS Mincho"'>&#28040;&#36027;&#31246;&#65288;<=
span
lang=3DEN-US>17</span>&#24180;&#20998;&#12424;&#12426;&#36969;&#29992;&#652=
89;<span
lang=3DEN-US><o:p></o:p></span></span></b></p>

<p class=3DMsoNormal style=3D'line-height:150%;layout-grid-mode:char'><span
style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#65288;<span lang=3DEN-US>1</span>&#652=
89;&#20013;&#23567;&#20107;&#26989;&#32773;&#12395;&#23550;&#12377;&#12427;=
&#29305;&#20363;&#25514;&#32622;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;layout-grid-mode:char'><span
style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12288;&#9312;&#12288;&#20813;&=
#31246;&#28857;&#21046;&#24230;&#12398;&#36969;&#29992;&#19978;&#38480;&#12=
398;&#24341;&#12365;&#19979;&#12370;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;layout-grid-mode:char'><span
style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12288;&#12288;&#12288;&#22522;=
&#28310;&#26399;&#38291;&#65288;&#21069;&#12293;&#24180;&#65309;&#65320;<sp=
an
lang=3DEN-US>15</span>&#24180;&#20998;&#65289;&#12398;&#35506;&#31246;&#227=
70;&#19978;&#39640;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;layout-grid-mode:char'><span
style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12288;&#12288;&#12288;&#12288;=
&#12288;<span
lang=3DEN-US>3,000</span>&#19975;&#20870;&#20197;&#19979;&#12288;&#8594;&#1=
2288;<span
lang=3DEN-US>1,000</span>&#19975;&#20870;&#20197;&#19979;<span lang=3DEN-US=
><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;layout-grid-mode:char'><span
style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12288;&#9313;&#12288;&#31777;&=
#26131;&#35506;&#31246;&#21046;&#24230;&#36969;&#29992;&#19978;&#38480;&#12=
398;&#24341;&#12365;&#19979;&#12370;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;layout-grid-mode:char'><span
style=3D'mso-bidi-font-size:14.0pt;line-height:150%;font-family:"MS Mincho";
mso-bidi-font-weight:bold'>&#12288;&#12288;&#12288;&#12288;&#12288;&#12288;=
&#12288;&#12288;&#12288;<span
lang=3DEN-US>2</span>&#20740;&#20870;&#20197;&#19979;&#12288;&#8594;&#12288=
;<span
lang=3DEN-US>5,000</span>&#19975;&#20870;&#20197;&#19979;<span lang=3DEN-US=
><o:p></o:p></span></span></p>

<b><span lang=3DEN-US style=3D'font-size:20.0pt;font-family:"MS Gothic";mso=
-bidi-font-family:
"Times New Roman";letter-spacing:-1.0pt;mso-font-kerning:1.0pt;mso-ansi-lan=
guage:
EN-US;mso-fareast-language:JA;mso-bidi-language:AR-SA'><br clear=3Dall
style=3D'page-break-before:always'>
</span></b>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><span
style=3D'font-size:20.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Mincho"=
'>&#12302;<span
lang=3DEN-US>1</span>&#65303;&#24180;&#20998;&#30906;&#23450;&#30003;&#2157=
8;&#12398;&#30452;&#21069;&#23550;&#31574;&#12303;</span></b><b><span
lang=3DEN-US style=3D'font-size:10.5pt;font-family:"MS Mincho"'><o:p></o:p>=
</span></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;mso-line-hei=
ght-alt:
0pt'><b><span lang=3DEN-US style=3D'font-size:10.5pt;font-family:"MS Mincho=
"'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><b><span style=3D'fo=
nt-size:
15.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Mincho"'>&#9678;&#19981;&#=
21205;&#29987;&#25152;&#24471;&#12398;&#35336;&#31639;&#12399;&#12393;&#123=
98;&#12424;&#12358;&#12395;&#34892;&#12358;&#12398;&#12363;<span
lang=3DEN-US><o:p></o:p></span></span></b></p>

<p class=3DMsoNormal><b><span style=3D'font-family:"MS Mincho"'>&#12288;</s=
pan></b><span
style=3D'font-family:"MS Mincho"'>&#19981;&#21205;&#29987;&#12398;&#36024;&=
#20184;&#12395;&#12424;&#12427;&#25152;&#24471;&#12399;&#12289;&#21407;&#21=
063;&#12392;&#12375;&#12390;&#12300;
&#19981;&#21205;&#29987;&#25152;&#24471; &#12301;&#12392;&#12394;&#12427;<s=
pan
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#6529=
7;&#65289;&#35215;&#27169;&#12391;&#30064;&#12394;&#12427;&#36035;&#36024;&=
#20303;&#23429;&#32076;&#21942;&#12398;&#31246;&#21209;&#19978;&#12398;&#21=
462;&#12426;&#25201;&#12356;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:28.5pt'><span style=3D'font-famil=
y:"MS Mincho"'>&#9312;
&#20107;&#26989;&#30340;&#35215;&#27169;&#12398;&#21028;&#23450;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:25.95pt;mso-para-margin-left:2.04=
gd;
text-indent:12.7pt;mso-char-indent-count:1.0'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'>(</span><span style=3D'font-family:"MS Mi=
ncho"'>&#12452;<span
lang=3DEN-US>) </span>&#24314;&#29289;&#12398;&#36024;&#20184;&#12364;&#201=
07;&#26989;&#12392;&#12375;&#12390;&#34892;&#12431;&#12428;&#12390;&#12356;=
&#12427;&#12363;&#12393;&#12358;&#12363;&#12398;&#21028;&#23450;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:35.25pt;text-indent:28.25pt;mso-c=
har-indent-count:
2.22'><span style=3D'font-family:"MS Mincho"'>&#65345;<span lang=3DEN-US>.<=
span
style=3D'mso-spacerun:yes'>&nbsp; </span></span>&#36024;&#38291;&#12539;&#3=
6035;&#36024;&#20303;&#23429;&#12289;&#36024;&#19982;&#12391;&#12365;&#1242=
7;&#29420;&#31435;&#12375;&#12383;&#23460;&#25968;&#12364;&#12362;&#12362;&=
#12416;&#12397;&#65297;&#65296;&#23460;&#20197;&#19978;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:35.25pt;text-indent:28.25pt;mso-c=
har-indent-count:
2.22'><span style=3D'font-family:"MS Mincho"'>&#65346;<span lang=3DEN-US>. =
<span
style=3D'mso-spacerun:yes'>&nbsp;</span></span>&#29420;&#31435;&#23478;&#23=
627;&#12288;&#8658;&#12288;&#12362;&#12362;&#12416;&#12397;&#65301;&#26847;=
&#20197;&#19978;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:25.95pt;mso-para-margin-left:2.04=
gd;
text-indent:12.7pt;mso-char-indent-count:1.0'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'>(</span><span style=3D'font-family:"MS Mi=
ncho"'>&#12525;<span
lang=3DEN-US>) </span>&#22303;&#22320;&#12398;&#36024;&#20184;&#12364;&#201=
07;&#26989;&#12392;&#12375;&#12390;&#34892;&#12431;&#12428;&#12390;&#12356;=
&#12427;&#12363;&#12393;&#12358;&#12363;&#12398;&#21028;&#23450;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:62.3pt;mso-para-margin-left:4.9gd;
text-indent:.1pt'><span style=3D'font-family:"MS Mincho"'>&#65345;<span
lang=3DEN-US>. </span>&#36024;&#23460;&#65297;&#23460;&#12362;&#12424;&#124=
03;&#36024;&#22320;&#65297;&#20214;&#24403;&#12426;&#12289;&#12381;&#12428;=
&#12382;&#12428;&#12398;&#24179;&#22343;&#30340;&#36035;&#36024;&#26009;&#1=
2398;&#27604;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:63.6pt;mso-char-indent-count:5.0'=
><span
style=3D'font-family:"MS Mincho"'>&#65346;<span lang=3DEN-US>. </span>&#360=
24;&#23460;&#65297;&#23460;&#12362;&#12424;&#12403;&#36024;&#22320;&#65297;=
&#20214;&#24403;&#12383;&#12426;&#12398;&#32173;&#25345;&#12539;&#31649;&#2=
9702;&#12362;&#12424;&#12403;&#22320;&#20195;&#31561;&#12398;&#20661;&#2717=
7;&#31649;&#29702;&#12395;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:91.05pt;mso-char-indent-count:7.1=
6'><span
style=3D'font-family:"MS Mincho"'>&#35201;&#12377;&#12427;&#25163;&#38291;&=
#12420;&#31649;&#29702;&#12398;&#31243;&#24230;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:82.95pt;mso-para-margin-left:2.52=
gd;
text-indent:-50.9pt;mso-char-indent-count:-4.0'><span style=3D'font-family:=
"MS Mincho"'>&#12288;&#12288;&#12288;&#12288;&#12288;&#8251;&#22303;&#22320=
;&#12398;&#36024;&#20184;&#20214;&#25968;&#65301;&#20214;&#12364;&#36024;&#=
23460;&#65297;&#20214;&#12395;&#30456;&#24403;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:35.25pt'><span style=3D'font-fami=
ly:"MS Mincho"'>&#12288;&#12288;&#12288;&#12288;&#12288;&#12288;&#8658;&#20=
363;&#12360;&#12400;&#12289;&#39376;&#36554;&#22580;&#65301;&#65296;&#21488=
;&#20998;&#12391;&#12354;&#12428;&#12400;&#65301;&#65296;&divide;&#65301;&#=
65309;&#36024;&#23460;&#65297;&#65296;&#23460;&#12395;&#30456;&#24403;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:35.25pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span style=3D'font-=
family:
"MS Mincho"'>&#12288;&#65298;&#65289;&#36035;&#36024;&#20303;&#23429;&#3207=
6;&#21942;&#12364;&#12300;
&#20107;&#26989;&#30340;&#35215;&#27169; &#12301;&#12363;&#21542;&#12363;&#=
12391;&#21462;&#12426;&#25201;&#12356;&#12364;&#30064;&#12394;&#12427;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<table class=3DMsoNormalTable border=3D1 cellspacing=3D0 cellpadding=3D0 al=
ign=3Dleft
 width=3D684 style=3D'width:512.95pt;border-collapse:collapse;border:none;
 mso-border-alt:solid windowtext .5pt;mso-table-lspace:7.1pt;margin-left:4.=
85pt;
 mso-table-rspace:7.1pt;margin-right:4.85pt;mso-table-anchor-vertical:parag=
raph;
 mso-table-anchor-horizontal:margin;mso-table-left:left;mso-table-top:9.95p=
t;
 mso-padding-alt:0mm 4.95pt 0mm 4.95pt;mso-border-insideh:.5pt solid window=
text;
 mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
  <td width=3D159 valign=3Dtop style=3D'width:119.25pt;border:solid windowt=
ext 1.0pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;mso-elemen=
t:frame;
  mso-element-frame-hspace:7.1pt;mso-element-wrap:around;mso-element-anchor=
-vertical:
  paragraph;mso-element-anchor-horizontal:margin;mso-element-top:9.95pt;
  mso-height-rule:exactly'><span style=3D'font-size:11.0pt;mso-bidi-font-si=
ze:
  12.0pt;font-family:"MS Mincho"'>&#38917;&#12288;&#12288;&#12288;&#30446;<=
span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
  <td width=3D356 valign=3Dtop style=3D'width:266.7pt;border:solid windowte=
xt 1.0pt;
  border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:
  solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt'>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center;mso-elemen=
t:frame;
  mso-element-frame-hspace:7.1pt;mso-element-wrap:around;mso-element-anchor=
-vertical:
  paragraph;mso-element-anchor-horizontal:margin;mso-element-top:9.95pt;
  mso-height-rule:exactly'><span style=3D'font-size:11.0pt;mso-bidi-font-si=
ze:
  12.0pt;font-family:"MS Mincho"'>&#20107;&#12288;&#12288;&#12288;&#12288;&=
#26989;&#12288;&#12288;&#12288;&#12288;&#30340;&#12288;&#12288;&#12288;&#12=
288;&#35215;&#12288;&#12288;&#12288;&#12288;&#27169;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
  <td width=3D169 valign=3Dtop style=3D'width:127.0pt;border:solid windowte=
xt 1.0pt;
  border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:
  solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt'>
  <p class=3DMsoNormal style=3D'text-align:justify;text-justify:distribute-=
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0;&#35215;&#27169;<span
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olid windowtext .5pt;
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7.1pt;
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o"'>&#30333;&#33394;&#20107;&#26989;&#23554;&#24467;&#32773;&#25511;&#38500=
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7.1pt;
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o"'>&#9679;&#27425;&#12398;&#37329;&#38989;&#12434;&#19981;&#21205;&#29987;=
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an
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n;
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11.0pt;
  mso-bidi-font-size:12.0pt;font-family:"MS Mincho"'>&#38738;&#33394;&#3000=
3;&#21578;&#32773;&#8594;&#23478;&#26063;&#24467;&#26989;&#21729;&#12395;&#=
25903;&#25173;&#12358;&#36969;&#27491;&#32102;&#19982;&#38989;<span
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n;
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11.0pt;
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3;&#21578;&#32773;&#8594;&#37197;&#20598;&#32773;&#12399;&#26368;&#39640;&#=
65304;&#65302;&#19975;&#20870;<span
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03;
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n;
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11.0pt;
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2;&#23478;&#26063;&#12399;&#26368;&#39640;&#65301;&#65296;&#19975;&#20870;<=
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r-left:
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.0pt;
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text .5pt;
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ext 1.0pt;
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olid windowtext .5pt;
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7.1pt;
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o"'>&#38738;&#33394;&#30003;&#21578;&#29305;&#21029;&#25511;&#38500;&#12398=
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r-left:
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  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt'>
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7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
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o"'>&#9679;&#27491;&#35215;&#12398;&#31807;&#35352;&#12398;&#21407;&#21063;=
<span
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500;<span
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7.1pt;
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o"'><o:p>&nbsp;</o:p></span></p>
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r-left:
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.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt'>
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7.1pt;
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ext 1.0pt;
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olid windowtext .5pt;
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7.1pt;
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o"'>&#9679;&#20840;&#38989;&#24517;&#35201;&#32076;&#36027;&#12392;&#12394;=
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n;
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11.0pt;
  mso-bidi-font-size:12.0pt;font-family:"MS Mincho"'>&#36196;&#23383;&#1239=
2;&#12394;&#12387;&#12383;&#22580;&#21512;&#12289;&#20182;&#12398;&#25152;&=
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r-left:
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.0pt;
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text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt'>
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7.1pt;
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o"'>&#19981;&#21205;&#29987;&#25152;&#24471;&#12434;&#38480;&#24230;&#12392=
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7.1pt;
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o"'>&#24517;&#35201;&#32076;&#36027;&#12395;&#31639;&#20837;<span
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7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
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o"'>(</span><span
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o"'>&#12510;&#12452;&#12490;&#12473;&#20998;&#12399;&#20999;&#12426;&#25448=
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<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span style=3D'font-=
family:
"MS Mincho"'>&#65299;&#65289;&#19981;&#21205;&#29987;&#25152;&#24471;&#1239=
5;&#12399;&#12393;&#12435;&#12394;&#12418;&#12398;&#12364;&#21547;&#12414;&=
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<table class=3DMsoNormalTable border=3D1 cellspacing=3D0 cellpadding=3D0 al=
ign=3Dleft
 width=3D684 style=3D'width:512.95pt;border-collapse:collapse;border:none;
 mso-border-alt:solid windowtext .5pt;mso-table-lspace:7.1pt;margin-left:4.=
85pt;
 mso-table-rspace:7.1pt;margin-right:4.85pt;mso-table-anchor-vertical:parag=
raph;
 mso-table-anchor-horizontal:margin;mso-table-left:left;mso-table-top:27.35=
pt;
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text;
 mso-border-insidev:.5pt solid windowtext'>
 <tr style=3D'mso-yfti-irow:0;mso-yfti-firstrow:yes'>
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  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt'>
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7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span lang=3DEN-US
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'><o:p>&nbsp;</o:p></span></p>
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xt 1.0pt;
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7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
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o"'>&#19981;&#12288;&#12288;&#21205;&#12288;&#12288;&#29987;&#12288;&#12288=
;&#25152;&#12288;&#12288;&#24471;&#12288;&#12288;&#12398;&#12288;&#12288;&#=
31684;&#12288;&#12288;&#22258;<span
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ext 1.0pt;
  border-left:none;mso-border-left-alt:solid windowtext .5pt;mso-border-alt:
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t:frame;
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  mso-height-rule:exactly'><span style=3D'font-size:11.0pt;mso-bidi-font-si=
ze:
  12.0pt;font-family:"MS Mincho"'>&#20855;&#12288;&#12288;&#12288;&#12288;&=
#20307;&#12288;&#12288;&#12288;&#12288;&#20363;<span
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 </tr>
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 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0mm 4.95pt 0mm 4.95pt;height:27.05pt'>
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7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#9312;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
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  <td width=3D322 valign=3Dtop style=3D'width:241.4pt;border-top:none;borde=
r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt;
  height:27.05pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#19981;&#21205;&#29987;&#12398;&#36024;&#20184;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
  <td width=3D330 valign=3Dtop style=3D'width:247.65pt;border-top:none;bord=
er-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt;
  height:27.05pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#22320;&#20195;&#12289;&#23478;&#36035;&#12289;&#38928;&#12426;&#20445=
;&#35388;&#37329;&#12398;&#36820;&#36996;&#19981;&#35201;&#37096;&#20998;&#=
12289;&#26356;&#26032;&#26009;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:2;height:37.8pt'>
  <td width=3D32 valign=3Dtop style=3D'width:23.9pt;border:solid windowtext=
 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0mm 4.95pt 0mm 4.95pt;height:37.8pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#9313;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
  <td width=3D322 valign=3Dtop style=3D'width:241.4pt;border-top:none;borde=
r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt;
  height:37.8pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#19981;&#21205;&#29987;&#12398;&#19978;&#12395;&#23384;&#12377;&#12427=
;&#27177;&#21033;&#12398;&#36024;&#20184;&#12369;&#35373;&#23450;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
  <td width=3D330 valign=3Dtop style=3D'width:247.65pt;border-top:none;bord=
er-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt;
  height:37.8pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#22320;&#19978;&#27177;&#12289;&#27704;&#23567;&#20316;&#27177;&#12289=
;&#20511;&#22320;&#27177;&#12394;&#12393;&#12398;&#36024;&#20184;&#12369;&#=
12289;&#35373;&#23450;&#12395;&#12424;&#12427;&#21454;&#20837;<span
  lang=3DEN-US>(</span>&#27177;&#21033;&#37329;&#21454;&#20837;&#31561;<span
  lang=3DEN-US>)<o:p></o:p></span></span></p>
  </td>
 </tr>
 <tr style=3D'mso-yfti-irow:3;mso-yfti-lastrow:yes;height:27.15pt'>
  <td width=3D32 valign=3Dtop style=3D'width:23.9pt;border:solid windowtext=
 1.0pt;
  border-top:none;mso-border-top-alt:solid windowtext .5pt;mso-border-alt:s=
olid windowtext .5pt;
  padding:0mm 4.95pt 0mm 4.95pt;height:27.15pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#9314;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
  <td width=3D322 valign=3Dtop style=3D'width:241.4pt;border-top:none;borde=
r-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt;
  height:27.15pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#33337;&#33334;<span
  lang=3DEN-US>(</span>&#32207;&#12488;&#12531;&#25968;<span lang=3DEN-US>2=
0</span>&#12488;&#12531;&#20197;&#19978;<span
  lang=3DEN-US>)</span>&#12420;&#33322;&#31354;&#27231;&#12398;&#36024;&#20=
184;&#12369;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
  <td width=3D330 valign=3Dtop style=3D'width:247.65pt;border-top:none;bord=
er-left:
  none;border-bottom:solid windowtext 1.0pt;border-right:solid windowtext 1=
.0pt;
  mso-border-top-alt:solid windowtext .5pt;mso-border-left-alt:solid window=
text .5pt;
  mso-border-alt:solid windowtext .5pt;padding:0mm 4.95pt 0mm 4.95pt;
  height:27.15pt'>
  <p class=3DMsoNormal style=3D'mso-element:frame;mso-element-frame-hspace:=
7.1pt;
  mso-element-wrap:around;mso-element-anchor-vertical:paragraph;mso-element=
-anchor-horizontal:
  margin;mso-element-top:27.35pt;mso-height-rule:exactly'><span
  style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Minch=
o"'>&#35064;&#29992;&#33337;&#22865;&#32004;&#31561;&#12395;&#12424;&#12427=
;&#21454;&#20837;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:15.0pt;mso-bidi-font-size:=
12.0pt;
font-family:"MS Mincho"'>&#9678;&#38738;&#33394;&#30003;&#21578;&#12392;&#3=
0333;&#33394;&#30003;&#21578;<span
lang=3DEN-US><o:p></o:p></span></span></b></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#6529=
7;&#65289;&#38738;&#33394;&#30003;&#21578;&#12398;&#12513;&#12522;&#12483;&=
#12488;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9312; &#38738;&#33394;&#30003;&#21578;&=
#65288;&#29305;&#21029;&#65289;&#25511;&#38500;&#65381;&#65381;&#65381;<span
lang=3DEN-US>10</span>&#19975;&#20870;&#65288;<span lang=3DEN-US>65</span>&=
#19975;&#20870;&#65306;&#35079;&#24335;&#31807;&#35352;&#23550;&#24540;&#12=
398;&#22580;&#21512;&#65289;&#25511;&#38500;&#12364;&#12354;&#12427;&#12290=
;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'tab-stops:207.0pt'><span style=3D'font-family=
:"MS Mincho"'>&#12288;&#12288;&#9313;
</span><span style=3D'font-family:"MS Mincho";mso-font-kerning:0pt'>&#27424=
;&#25613;&#37329;&#12398;&#32368;&#36234;&#25511;&#38500;&#12288;&#12288;</=
span><span
style=3D'font-family:"MS Mincho"'>&#65381;&#65381;&#65381;&#20107;&#26989;&=
#12391;&#36196;&#23383;&#12364;&#30330;&#29983;&#12375;&#12383;&#22580;&#21=
512;&#12289;&#32716;&#24180;&#20197;&#38477;<span
lang=3DEN-US>3</span>&#24180;&#38291;&#12398;&#40658;&#23383;&#12392;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:190.8pt;mso-char-indent-count:15.=
0;
tab-stops:207.0pt'><span style=3D'font-family:"MS Mincho"'>&#30456;&#27578;=
&#12391;&#12365;&#12427;&#12290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'tab-stops:162.0pt'><span style=3D'font-family=
:"MS Mincho"'>&#12288;&#12288;&#9314;
&#38738;&#33394;&#23554;&#24467;&#32773;&#12288;&#12288;&#12288;&#12288;&#1=
2288;&#65381;&#65381;&#65381;&#23478;&#26063;&#24467;&#26989;&#21729;&#1239=
5;&#23550;&#12375;&#12390;&#32102;&#26009;&#12434;&#25903;&#25173;&#12360;&=
#12427;&#12290;&#65288;&#35201;&#23626;&#20986;&#65289;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:190.8pt;mso-char-indent-count:15.=
0;
tab-stops:162.0pt'><span style=3D'font-family:"MS Mincho"'>&#37197;&#20598;=
&#32773;&#12539;&#21516;&#23621;&#12398;&#35242;&#26063;&#12408;&#25903;&#2=
5173;&#12358;&#32102;&#26009;&#12399;&#12289;&#38738;&#33394;&#23554;&#2446=
7;&#32773;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:190.8pt;mso-char-indent-count:15.=
0;
tab-stops:162.0pt'><span style=3D'font-family:"MS Mincho"'>&#12392;&#12375;=
&#12390;&#23626;&#12369;&#20986;&#12394;&#12369;&#12428;&#12400;&#12394;&#1=
2425;&#12394;&#12356;&#12290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#6529=
8;&#65289;&#20107;&#21209;&#20966;&#29702;&#19978;&#12398;&#36949;&#12356;<=
span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9312; &#19968;&#23450;&#12398;&#35201;&=
#20214;&#12434;&#28288;&#12383;&#12377;&#24115;&#31807;&#26360;&#39006;&#12=
398;&#20633;&#12360;&#20184;&#12369;&#32681;&#21209;&#12290;&#8658;&#12288;=
&#35201;&#20445;&#31649;&#65288;<span
lang=3DEN-US>7</span>&#24180;&#38291;&#65289;<span lang=3DEN-US><o:p></o:p>=
</span></span></p>

<p class=3DMsoNormal style=3D'tab-stops:207.0pt'><span style=3D'font-family=
:"MS Mincho"'>&#12288;&#12288;&#9313;
&#31246;&#21209;&#35519;&#26619;&#12399;&#12289;&#24115;&#31807;&#26360;&#3=
9006;&#12434;&#12418;&#12392;&#12395;&#34892;&#12431;&#12428;&#12427;&#1229=
0;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#6529=
9;&#65289;&#25215;&#35469;&#30003;&#35531;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9312;&#19981;&#21205;&#29987;&#25152;&#=
24471;&#12289;&#20107;&#26989;&#25152;&#24471;&#12289;&#23665;&#26519;&#251=
52;&#24471;&#12398;&#12354;&#12427;&#12418;&#12398;&#12364;&#23550;&#35937;=
&#12290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9313;&#36969;&#29992;&#24180;&#12398;&#=
65299;&#26376;<span
lang=3DEN-US>1</span>&#65301;&#26085;&#12414;&#12391;&#12395;&#25215;&#3546=
9;&#30003;&#35531;&#26360;&#12434;&#25552;&#20986;&#12290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9314;&#38738;&#33394;&#23554;&#24467;&#=
32773;&#12399;&#12289;&#23554;&#24467;&#32773;&#21517;&#31561;&#12392;&#321=
02;&#19982;&#38989;&#12434;&#35352;&#36617;&#12290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#6530=
0;&#65289;&#38738;&#33394;&#23554;&#24467;&#32773;&#32102;&#19982;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9312;&#27770;&#12417;&#12425;&#12428;&#=
12383;&#26085;&#12395;&#32102;&#26009;&#12434;&#25903;&#25173;&#12358;&#122=
90;&#8594;&#12288;&#26410;&#25173;&#12399;&#35469;&#12417;&#12425;&#12428;&=
#12394;&#12356;&#12290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9313;&#23626;&#20986;&#12395;&#35352;&#=
36617;&#12375;&#12383;&#37329;&#38989;&#12289;&#23455;&#25903;&#25173;&#389=
89;&#12289;&#23550;&#20385;&#30456;&#24403;&#38989;&#12398;&#12358;&#12385;=
&#12391;&#26368;&#12418;&#23569;&#12394;&#12356;&#37329;&#38989;&#12290;<sp=
an
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9734;&#20107;&#20363;&#12424;&#12426;&#=
65306;&#12385;&#12423;&#12387;&#12392;&#12375;&#12383;&#31572;&#24321;&#123=
64;&#12467;&#12527;&#12452;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><span style=3D'mso-tab-count=
:3'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
; </span>Ex.</span><span
style=3D'font-family:"MS Mincho"'>&#31246;&#21209;&#32626;&#21729;&#12395;&=
#12399;&#35009;&#37327;&#27177;&#12364;&#12354;&#12427;&#12383;&#12417;&#12=
289;&#25285;&#24403;&#32773;&#12395;&#12424;&#12426;&#35299;&#37320;&#12398=
;&#36949;&#12356;&#12364;&#12354;&#12427;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:12.7pt;mso-char-indent-count:1.0'=
><span
style=3D'font-family:"MS Mincho"'>&#65301;&#65289;&#30333;&#33394;&#30003;&=
#21578;&#32773;&#12398;&#20107;&#26989;&#23554;&#24467;&#32773;&#25511;&#38=
500;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><span style=3D'font-=
family:
"MS Mincho"'>&#12288;&#12288;&#12288; &#37197;&#20598;&#32773;&#12399;&#263=
68;&#39640;&#65304;&#65302;&#19975;&#20870;&#12289;&#12381;&#12398;&#20182;=
&#23478;&#26063;&#12399;&#26368;&#39640;&#65301;&#65296;&#19975;&#20870;&#1=
2398;&#25511;&#38500;&#12290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'mso-line-height-alt:0pt'><b><span lang=3DEN-US
style=3D'font-size:15.0pt;mso-bidi-font-size:12.0pt;font-family:"MS Mincho"=
'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoNormal><b><span style=3D'font-size:15.0pt;mso-bidi-font-size:=
12.0pt;
font-family:"MS Mincho"'>&#9678;&#24517;&#35201;&#32076;&#36027;&#12392;&#1=
2394;&#12427;&#12418;&#12398;<span
lang=3DEN-US><o:p></o:p></span></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:68.2pt;mso-para-margin-left:3.36g=
d;
text-indent:-25.45pt;mso-char-indent-count:-2.0'><span style=3D'font-family=
:"MS Mincho"'>&#32207;&#21454;&#20837;&#37329;&#38989;&#12434;&#24471;&#124=
27;&#12383;&#12417;&#12395;&#30452;&#25509;&#35201;&#12375;&#12383;&#36027;=
&#29992;&#12398;&#38989;&#12362;&#12424;&#12403;&#12381;&#12398;&#24180;&#1=
2395;&#29983;&#12376;&#12383;&#31649;&#29702;&#36027;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:68.2pt;mso-para-margin-left:3.36g=
d;
text-indent:-25.45pt;mso-char-indent-count:-2.0'><span style=3D'font-family=
:"MS Mincho"'>&#12381;&#12398;&#20182;&#26989;&#21209;&#19978;&#12398;&#360=
27;&#29992;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:88.9pt;mso-para-marg=
in-left:
3.05gd;text-align:left;text-indent:-50.1pt;mso-char-indent-count:-3.94;
tab-stops:71.6pt'><span style=3D'font-family:"MS Mincho"'>&#12288;&#12288;<=
/span><span
lang=3DZH-TW style=3D'font-family:"MS Mincho";mso-fareast-language:ZH-TW'>&=
#8658;&#12288;&#19981;&#21205;&#29987;&#21462;&#24471;&#31246;&#12289;&#303=
31;&#37682;&#20813;&#35377;&#31246;&#12289;&#22266;&#23450;&#36039;&#29987;=
&#31246;&#12289;&#21360;&#32025;&#31246;&#12289;&#20107;&#26989;&#31246;&#1=
2289;&#25613;&#23475;&#20445;&#38522;&#26009;</span><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:88.9pt;mso-para-marg=
in-left:
6.99gd;text-align:left;tab-stops:71.6pt'><span lang=3DZH-TW style=3D'font-f=
amily:
"MS Mincho";mso-fareast-language:ZH-TW'>&#31649;&#29702;&#36027;&#12289;&#2=
8187;&#20385;&#20767;&#21364;&#36027;&#12289;&#20462;&#32341;&#36027;&#3156=
1;</span><span
lang=3DEN-US style=3D'font-family:"MS Mincho";mso-fareast-language:ZH-TW'><=
o:p></o:p></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:15.0pt;mso-bidi-font-size:=
12.0pt;
font-family:"MS Mincho"'>&#9678;&#24517;&#35201;&#32076;&#36027;&#12392;&#1=
2394;&#12425;&#12394;&#12356;&#12418;&#12398;<span
lang=3DEN-US><o:p></o:p></span></span></b></p>

<p class=3DMsoNormal style=3D'margin-left:42.75pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'>(</span><span style=3D'font-family:"MS Mi=
ncho"'>&#65297;<span
lang=3DEN-US>)</span>&#29983;&#35336;&#12434;&#19968;&#12395;&#12377;&#1242=
7;&#35242;&#26063;&#12395;&#25903;&#25173;&#12358;&#22320;&#20195;&#12289;&=
#23478;&#36035;&#12289;&#20511;&#20837;&#37329;&#21033;&#24687;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:42.75pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'>(</span><span style=3D'font-family:"MS Mi=
ncho"'>&#65298;<span
lang=3DEN-US>)</span>&#23478;&#20107;&#19978;&#12398;&#32076;&#36027;&#1236=
2;&#12424;&#12403;&#23478;&#20107;&#38306;&#36899;&#36027;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:42.75pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'>(</span><span style=3D'font-family:"MS Mi=
ncho"'>&#65299;<span
lang=3DEN-US>)</span></span><span lang=3DZH-CN style=3D'font-family:"MS Min=
cho";
mso-fareast-language:ZH-CN'>&#25152;&#24471;&#31246;&#12289;&#37117;&#36947=
;&#24220;&#30476;&#27665;&#31246;&#12289;&#24066;&#30010;&#26449;&#27665;&#=
31246;&#12289;&#21033;&#23376;&#31246;&#12289;&#24310;&#28382;&#31246;</spa=
n><span
lang=3DEN-US style=3D'font-family:"MS Mincho";mso-fareast-language:ZH-CN'><=
o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'margin-left:42.75pt'><span lang=3DEN-US
style=3D'font-family:"MS Mincho"'>(</span><span style=3D'font-family:"MS Mi=
ncho"'>&#65300;<span
lang=3DEN-US>)</span>&#32624;&#37329;&#31561;<span lang=3DEN-US><o:p></o:p>=
</span></span></p>

<p class=3DMsoNormal><b><span style=3D'font-size:15.0pt;mso-bidi-font-size:=
12.0pt;
font-family:"MS Mincho"'>&#9678;&#28187;&#20385;&#20767;&#21364;<span
lang=3DEN-US><o:p></o:p></span></span></b></p>

<p class=3DMsoNormal style=3D'line-height:20.0pt'><span style=3D'font-famil=
y:"MS Mincho"'>&#12288;&#65297;&#65289;&#28187;&#20385;&#20767;&#21364;&#36=
039;&#29987;&#12288;&#8658;&#12288;&#28187;&#20385;&#20767;&#21364;&#36027;=
&#12391;&#20966;&#29702;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:25.0pt'><span style=3D'font-famil=
y:"MS Mincho"'>&#12288;&#12288;&#9734;&#28187;&#20385;&#20767;&#21364;&#123=
92;&#12356;&#12358;&#27010;&#24565;&#12399;&#12289;&#23558;&#26469;&#12398;=
&#21454;&#20837;&#12434;&#24471;&#12427;&#12383;&#12417;&#12398;&#21069;&#2=
5173;&#12356;&#12392;&#12356;&#12358;&#12418;&#12398;&#8594;&#25925;&#12395=
;&#37197;&#20998;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0;
line-height:25.0pt'><span style=3D'font-family:"MS Mincho"'>&#9312; &#24314=
;&#29289;&#21450;&#12403;&#12381;&#12398;&#38468;&#23646;&#35373;&#20633;&#=
65288;&#20919;&#26262;&#25151;&#35373;&#20633;&#31561;&#65289;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#1228=
8;&#9313;
&#27083;&#31689;&#29289;&#65288;&#12489;&#12483;&#12463;&#65381;&#27211;&#3=
1561;&#12289;&#22303;&#22320;&#12395;&#23450;&#30528;&#12377;&#12427;&#2230=
3;&#26408;&#35373;&#20633;&#21448;&#12399;&#24037;&#20316;&#29289;&#12434;&=
#12356;&#12358;&#65289;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#1228=
8;&#9314;
&#27231;&#26800;&#21450;&#12403;&#35013;&#32622;<span lang=3DEN-US><o:p></o=
:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#1228=
8;&#9315;
&#33337;&#33334;<span lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#1228=
8;&#9316;
&#33322;&#31354;&#27231;<span lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#1228=
8;&#9317;
&#36554;&#20001;&#21450;&#12403;&#36939;&#25644;&#20855;<span lang=3DEN-US>=
<o:p></o:p></span></span></p>

<p class=3DMsoNormal><span style=3D'font-family:"MS Mincho"'>&#12288;&#1228=
8;&#9318;
&#24037;&#20855;&#65381;&#22120;&#20855;&#21450;&#12403;&#20633;&#21697;&#6=
5288;&#35251;&#36062;&#29992;&#65381;&#33288;&#34892;&#29992;&#12381;&#1239=
8;&#20182;</span><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho"'>&#12371;&#12428=
;&#12425;&#12395;</span><span
style=3D'font-family:"MS Mincho"'>&#28310;&#12378;&#12427;&#29992;&#12395;&=
#20379;&#12377;&#12427;&#29983;&#29289;&#12434;&#21547;&#12416;&#65289;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'font-family:"MS Mincho"'>&#9319; &#27425;&#12395;&#25522;&#12370;&=
#12427;&#29983;&#29289;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:38.15pt;mso-char-indent-count:3.0=
'><span
style=3D'font-family:"MS Mincho"'>&#65288;&#12452;&#65289;&#29275;&#12539;&=
#39340;&#12539;&#35930;&#12539;&#32191;&#32650;&#12539;&#12420;&#12366;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:38.15pt;mso-char-indent-count:3.0=
'><span
style=3D'font-family:"MS Mincho"'>&#65288;&#12525;&#65289;&#26577;&#27224;&=
#27193;&#12539;&#12426;&#12435;&#12372;&#27193;&#12539;&#12406;&#12393;&#12=
358;&#27193;&#12539;&#12394;&#12375;&#27193;&#31561;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:38.15pt;mso-char-indent-count:3.0=
'><span
style=3D'font-family:"MS Mincho"'>&#65288;&#12495;&#65289;&#33590;&#27193;&=
#12539;&#12458;&#12522;&#12540;&#12502;&#27193;&#12539;&#12388;&#12400;&#12=
365;&#27193;&#31561;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:38.15pt;mso-char-indent-count:3.0=
'><span
lang=3DEN-US style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:25.0pt'><span style=3D'font-size:=
15.0pt;
mso-bidi-font-size:12.0pt;font-family:"MS Mincho";mso-bidi-font-weight:bold=
'>&#12288;</span><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho";mso-bidi-font-we=
ight:
bold'>&#65298;&#65289;&#28187;&#20385;&#20767;&#21364;&#12398;&#23550;&#359=
37;&#12392;&#12373;&#12428;&#12394;&#12356;&#36039;&#29987;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:25.0pt'><span style=3D'mso-bidi-f=
ont-size:
14.0pt;font-family:"MS Mincho";mso-bidi-font-weight:bold'>&#12288;&#12288;&=
#9312;
&#23569;&#38989;&#12398;&#28187;&#20385;&#20767;&#21364;&#36039;&#29987;&#1=
2288;&#8658;&#12288;&#28040;&#32791;&#21697;&#36027;&#31561;&#12398;&#32076=
;&#36027;&#12391;&#20966;&#29702;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:20.0pt'><span style=3D'mso-bidi-f=
ont-size:
14.0pt;font-family:"MS Mincho";mso-bidi-font-weight:bold'>&#12288;&#12288;&=
#12288;&#12288;&#20351;&#29992;&#21487;&#33021;&#26399;&#38291;&#12364;&#65=
297;&#24180;&#26410;&#28288;&#12398;&#12418;&#12398;&#21448;&#12399;&#21462=
;&#24471;&#20385;&#38989;&#12364;<span
lang=3DEN-US>10</span>&#19975;&#20870;&#26410;&#28288;&#12398;&#12418;&#123=
98;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'line-height:25.0pt'><span style=3D'mso-bidi-f=
ont-size:
14.0pt;font-family:"MS Mincho";mso-bidi-font-weight:bold'>&#12288;&#12288;&=
#9313;
&#28187;&#32791;&#12375;&#12394;&#12356;&#36039;&#29987;&#12288;&#8658;&#12=
288;&#32076;&#36027;&#20966;&#29702;&#12391;&#12365;&#12394;&#12356;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho";mso-bidi-font-we=
ight:
bold'>&#65288;&#12452;&#65289;&#22303;&#22320;&#21450;&#12403;&#22303;&#223=
20;&#12398;&#19978;&#12395;&#23384;&#12377;&#12427;&#27177;&#21033;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:25.45pt;mso-char-indent-count:2.0=
'><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho";mso-bidi-font-we=
ight:
bold'>&#65288;&#12525;&#65289;&#38651;&#35441;&#21152;&#20837;&#27177;&#652=
88;&#25658;&#24111;&#38651;&#35441;&#12539;&#33258;&#21205;&#36554;&#38651;=
&#35441;&#12398;&#21033;&#29992;&#27177;&#12434;&#38500;&#12367;&#65289;<sp=
an
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:63.6pt;mso-para-margin-left:2.0gd;
text-indent:-38.15pt;mso-char-indent-count:-3.0'><span style=3D'mso-bidi-fo=
nt-size:
14.0pt;font-family:"MS Mincho";mso-bidi-font-weight:bold'>&#65288;&#12495;&=
#65289;&#26360;&#30011;&#12539;&#39592;&#33891;&#31561;&#65288;&#35079;&#35=
069;&#12398;&#12424;&#12358;&#12394;&#12418;&#12398;&#12391;&#12289;&#21336=
;&#12395;&#35013;&#39166;&#30446;&#30340;&#12384;&#12369;&#12395;&#20351;&#=
29992;&#12373;&#12428;&#12427;&#12418;&#12398;&#12434;&#38500;&#12367;&#652=
89;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:50.9pt;mso-char-indent-count:4.0'=
><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho";mso-bidi-font-we=
ight:
bold'>&#65288;&#8251;&#27880;&#65289;&#27425;&#12398;&#12424;&#12358;&#1239=
4;&#12418;&#12398;&#12399;&#26360;&#30011;&#12539;&#39592;&#33891;&#12395;&=
#35442;&#24403;&#12377;&#12427;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'margin-left:78.6pt;mso-para-margin-left:4.18g=
d;
text-indent:-25.45pt;mso-char-indent-count:-2.0'><span style=3D'mso-bidi-fo=
nt-size:
14.0pt;font-family:"MS Mincho";mso-bidi-font-weight:bold'>&#65345;<span
lang=3DEN-US>. </span>&#21476;&#32654;&#34899;&#21697;&#12539;&#21476;&#259=
91;&#26360;&#12539;&#20986;&#22303;&#21697;&#12539;&#36986;&#29289;&#31561;=
&#12398;&#12424;&#12358;&#12395;&#12289;&#27508;&#21490;&#30340;&#20385;&#2=
0516;&#21448;&#12399;&#24076;&#23569;&#20385;&#20516;&#12434;&#26377;&#1237=
5;&#12289;&#20195;&#26367;&#24615;&#12398;&#12394;&#12356;&#12418;&#12398;<=
span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal style=3D'text-indent:52.55pt;mso-char-indent-count:4.1=
3'><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho";mso-bidi-font-we=
ight:
bold'>&#65346;<span lang=3DEN-US>. </span>&#32654;&#34899;&#38306;&#20418;&=
#12398;&#24180;&#37969;&#31561;&#12395;&#30331;&#37682;&#12373;&#12428;&#12=
390;&#12356;&#12427;&#20316;&#32773;&#12398;&#35069;&#20316;&#12395;&#20418=
;&#12427;&#26360;&#30011;&#12539;&#24427;&#21051;&#12539;&#24037;&#33464;&#=
21697;&#31561;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:63.6pt;mso-para-marg=
in-left:
1.0gd;text-align:left;text-indent:-50.9pt;mso-char-indent-count:-4.0;
line-height:20.0pt'><span style=3D'mso-bidi-font-size:14.0pt;font-family:"M=
S Mincho"'>&#12288;&#12288;&#12288;&#8251;&#12394;&#12362;&#12289;&#21462;&=
#24471;&#20385;&#38989;&#12364;<span
lang=3DEN-US>1</span>&#28857;<span lang=3DEN-US>20</span>&#19975;&#20870;&#=
65288;&#32117;&#30011;&#12395;&#12354;&#12387;&#12390;&#12399;&#12289;&#214=
95;<span
lang=3DEN-US>2</span>&#19975;&#20870;&#65289;&#26410;&#28288;&#12391;&#1235=
4;&#12427;&#12418;&#12398;&#12395;&#12388;&#12356;&#12390;&#12399;&#12289;&=
#28187;&#20385;&#20767;&#21364;&#36039;&#29987;&#12392;&#12375;&#12390;&#21=
462;&#12426;&#25201;&#12358;&#12371;&#12392;&#12364;&#12391;&#12365;&#12427=
;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:63.6pt;mso-para-marg=
in-left:
1.0gd;text-align:left;text-indent:-50.9pt;mso-char-indent-count:-4.0;
line-height:25.0pt'><span style=3D'mso-bidi-font-size:14.0pt;font-family:"M=
S Mincho"'>&#12288;&#9314;
&#26842;&#21368;&#36039;&#29987;&#21450;&#12403;&#24314;&#35373;&#21448;&#1=
2399;&#35069;&#20316;&#20013;&#12398;&#36039;&#29987;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:63.6pt;mso-para-marg=
in-left:
1.0gd;text-align:left;text-indent:-50.9pt;mso-char-indent-count:-4.0'><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho"'>&#12288;&#65288=
;&#12452;&#65289;&#36009;&#22770;&#12377;&#12427;&#30446;&#30340;&#12391;&#=
20445;&#26377;&#12377;&#12427;&#12418;&#12398;&#12288;&#8658;&#12288;&#2684=
2;&#21368;&#36039;&#29987;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:63.6pt;mso-para-marg=
in-left:
1.0gd;text-align:left;text-indent:-50.9pt;mso-char-indent-count:-4.0'><span
style=3D'mso-bidi-font-size:14.0pt;font-family:"MS Mincho"'>&#12288;&#65288=
;&#12525;&#65289;&#24314;&#35373;&#21448;&#12399;&#35069;&#20316;&#20013;&#=
12398;&#36039;&#29987;&#65288;&#12381;&#12398;&#23436;&#25104;&#37096;&#209=
98;&#12434;&#26989;&#21209;&#12398;&#29992;&#12395;&#20379;&#12375;&#12390;=
&#12356;&#12427;&#22580;&#21512;&#12399;&#12289;&#12381;&#12398;&#26989;&#2=
1209;&#12398;&#29992;&#12395;&#20379;&#12375;&#12390;&#12356;&#12427;&#3709=
6;&#20998;&#12434;&#38500;&#12367;&#65289;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left'><span style=3D'=
font-family:
"MS Mincho"'>&#12296; &#19968;&#25324;&#20767;&#21364;&#36039;&#29987;&#123=
98;&#24517;&#35201;&#32076;&#36027;&#31639;&#20837;&#12398;&#29305;&#20363;
&#12297;<span lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;line-height:25.0=
pt'><span
style=3D'font-family:"MS Mincho"'>&#12288;&#65288;&#12452;&#65289;&#21462;&=
#24471;&#20385;&#38989;&#12364;<span
lang=3DEN-US>20</span>&#19975;&#20870;&#26410;&#28288;&#12391;&#12354;&#124=
27;&#12418;&#12398;&#12399;<span
lang=3DEN-US>3</span>&#24180;&#38291;&#12391;&#22343;&#31561;&#20767;&#2136=
4;&#12391;&#12365;&#12427;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left'><span style=3D'=
font-family:
"MS Mincho"'>&#12288;&#12288;&#12288;&#12288;<span lang=3DEN-US>3</span>&#2=
4180;&#38291;&#22343;&#31561;&#20767;&#21364;&#12288;&#12288;&#12288;<span
lang=3DEN-US>1</span>&#24180;&#30446;&#12288;&#12288;<span lang=3DEN-US>1/3=
<o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;text-indent:176.=
15pt;
mso-char-indent-count:13.85'><span lang=3DEN-US style=3D'font-family:"MS Mi=
ncho"'>2</span><span
style=3D'font-family:"MS Mincho"'>&#24180;&#30446;&#12288;&#12288;<span
lang=3DEN-US>1/3<o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;text-indent:176.=
15pt;
mso-char-indent-count:13.85'><span lang=3DEN-US style=3D'font-family:"MS Mi=
ncho"'>3</span><span
style=3D'font-family:"MS Mincho"'>&#24180;&#30446;&#12288;&#12288;<span
lang=3DEN-US>1/3<o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;line-height:25.0=
pt'><span
style=3D'font-family:"MS Mincho"'>&#12288;&#65288;&#12525;&#65289;&#29305;&=
#20363;&#36969;&#29992;&#12434;&#21463;&#12369;&#12427;&#12383;&#12417;&#12=
398;&#25163;&#32154;&#12365;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left'><span style=3D'=
font-family:
"MS Mincho"'>&#12288;&#12288;&#12288;&#12288;&#30906;&#23450;&#30003;&#2157=
8;&#26360;&#12395;&#26126;&#32048;&#26360;&#28155;&#20184;&#12364;&#24517;&=
#35201;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left'><span lang=3DEN=
-US
style=3D'font-family:"MS Mincho"'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left'><span style=3D'=
font-family:
"MS Mincho"'>&#12296; &#20013;&#23567;&#20225;&#26989;&#32773;&#12398;&#235=
69;&#38989;&#28187;&#20385;&#20767;&#21364;&#36039;&#29987;&#12398;&#24517;=
&#35201;&#32076;&#36027;&#31639;&#20837;&#12398;&#29305;&#20363;
&#12297;<span lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;line-height:25.0=
pt'><span
style=3D'font-family:"MS Mincho"'>&#12288;&#65288;&#12452;&#65289;&#21462;&=
#24471;&#20385;&#38989;&#12364;<span
lang=3DEN-US>30</span>&#19975;&#20870;&#26410;&#28288;&#12391;&#12354;&#124=
27;&#12418;&#12398;<span
lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:43.5pt;text-align:le=
ft;
text-indent:-18.0pt;mso-list:l13 level1 lfo17;tab-stops:list 43.5pt'><![if =
!supportLists]><span
lang=3DEN-US style=3D'font-family:"MS Mincho";mso-bidi-font-family:"MS Minc=
ho"'><span
style=3D'mso-list:Ignore'>&#8251;<span style=3D'font:7.0pt "Times New Roman=
"'>&nbsp;&nbsp;&nbsp;
</span></span></span><![endif]><span style=3D'font-family:"MS Mincho"'>&#24=
179;&#25104;<span
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;mso-para-mar=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
text-indent:-25.45pt;mso-char-indent-count:-2.0;line-height:25.0pt'><span
style=3D'font-family:"MS Mincho"'>&#12288;&#9312; &#23626;&#20986;&#12395;&=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:43.5pt;text-align:le=
ft;
text-indent:-18.0pt;mso-list:l13 level1 lfo17;tab-stops:list 43.5pt'><![if =
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50;&#38989;&#27861;&#12398;&#12415;<span
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:43.5pt;text-align:le=
ft'><span
style=3D'font-family:"MS Mincho"'>&#12381;&#12428;&#20197;&#21069;&#12398;&=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:43.5pt;text-align:le=
ft'><span
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<p class=3DMsoNormal align=3Dleft style=3D'text-align:left'><span style=3D'=
font-family:
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N-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;line-height:25.0=
pt'><span
style=3D'font-family:"MS Mincho"'>&#12288;&#9312; &#36092;&#20837;&#36039;&=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
text-indent:-25.45pt;mso-char-indent-count:-2.0'><span style=3D'font-family=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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7;&#12434;&#26989;&#21209;&#12398;&#29992;&#12395;&#20379;&#12377;&#12427;&=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
text-indent:-25.45pt;mso-char-indent-count:-2.0;line-height:30.0pt'><span
style=3D'font-family:"MS Mincho"'>&#12296; </span><span style=3D'mso-bidi-f=
ont-size:
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style=3D'font-family:"MS Mincho"'> &#12297;<span lang=3DEN-US><o:p></o:p></=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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&#12539;&#12539;&#12539;&#12381;&#12398;&#21462;&#24471;&#20385;&#38989;&#1=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:50.85pt;mso-para-mar=
gin-left:
1.0gd;text-align:left;text-indent:-38.15pt;mso-char-indent-count:-3.0;
line-height:25.0pt'><span style=3D'font-family:"MS Mincho"'>&#65288;&#12452=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:50.9pt;mso-para-marg=
in-left:
4.0gd;text-align:left'><span style=3D'font-family:"MS Mincho"'>&#12398;&#24=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:50.85pt;mso-para-mar=
gin-left:
1.0gd;text-align:left;text-indent:-38.15pt;mso-char-indent-count:-3.0'><span
style=3D'font-family:"MS Mincho"'>&#65288;&#12525;&#65289;&#37444;&#39592;&=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:43.5pt;text-align:le=
ft;
text-indent:-18.0pt;mso-list:l13 level1 lfo17;tab-stops:list 43.5pt'><![if =
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lang=3DEN-US>95</span>&#65285;&#12395;&#36948;&#12375;&#12383;&#24460;&#122=
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83;&#37329;&#38989;&#12434;&#24517;&#35201;&#32076;&#36027;&#12395;&#31639;=
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lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;text-indent:12.7=
pt;
mso-char-indent-count:1.0'><span style=3D'font-family:"MS Mincho"'>&#65288;=
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<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;text-indent:12.7=
pt;
mso-char-indent-count:1.0'><span style=3D'font-family:"MS Mincho"'>&#12288;=
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<p class=3DMsoNormal align=3Dleft style=3D'text-align:left;text-indent:12.7=
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mso-char-indent-count:1.0'><span lang=3DEN-US style=3D'font-family:"MS Minc=
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<p class=3DMsoNormal align=3Dleft style=3D'text-align:left'><span style=3D'=
font-family:
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
text-indent:-25.45pt;mso-char-indent-count:-2.0;line-height:25.0pt'><span
style=3D'font-family:"MS Mincho"'>&#12288;&#65288;&#12452;&#65289;&#27861;&=
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lang=3DEN-US><o:p></o:p></span></span></p>

<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal align=3Dleft style=3D'margin-left:25.45pt;text-align:l=
eft;
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<p class=3DMsoNormal style=3D'margin-left:44.65pt;tab-stops:72.0pt'><span
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12.0pt;
font-family:"MS Mincho"'>&#9678;&#20462;&#32341;&#36027;<span lang=3DEN-US>=
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