SUITABLE FOR CHARACTERS OF ANY RACE OR CLASS (INCLUDING MULTICLASS CHARACTERS)

________________________________________________________________________
CHARACTER NAME

______________________________________________________________________________________________
PLAYER NAME

____________________________________________________________________________________
CLASS AND LEVEL
__________________
ALIGNMENT

_________________________________________________ ________________
RELIGION/PATRON DEITY
HEIGHT

ABILITY SCORES
TOTAL

BASE SCORE +
RACIAL MOD.

_______________
WEIGHT

ENHANCEMENT
BONUSES

MISC.
BONUSES

MISC.
PENALTIES

DEX ___________ = ________ + ______________ + _____________ - __________________

TOTAL

BASE SCORE +
RACIAL MOD.

ENHANCEMENT
BONUSES

MISC.
BONUSES

MISC.
PENALTIES

CON ___________ = ________ + ______________ + _____________ - __________________

CONSTITUTION

TOTAL

BASE SCORE +
RACIAL MOD.

ENHANCEMENT
BONUSES

MISC.
BONUSES

MISC.
PENALTIES

INT ___________ = ________ + ______________ + _____________ - __________________

TOTAL

BASE SCORE +
RACIAL MOD.

ENHANCEMENT
BONUSES

MISC.
BONUSES

MISC.
PENALTIES

TOTAL

BASE SCORE +
RACIAL MOD.

ATTACK BONUS

RANGE INCREMENT

TYPE

ENHANCEMENT
BONUSES

MISC.
BONUSES

CONSTITUTION
MODIFIER

TOTAL

BASE SCORE +
RACIAL MOD.

ENHANCEMENT
BONUSES

MISC.
BONUSES

MISC.
PENALTIES

CRITICAL

HIT POINT MAXIMUM

NOTES/AMMUNITION

ATTACK BONUS

DAMAGE

CRITICAL

________________________________________________ _________________ __________________________________

TYPE

NOTES/AMMUNITION

_______________________________________________ ______________________________________________ _______________________ __________

INTELLIGENCE
MODIFIER

WEAPON

ATTACK BONUS

DAMAGE

CRITICAL

________________________________________________ _________________ __________________________________

RANGE INCREMENT
WISDOM
MODIFIER

MISC.
PENALTIES

CHA ___________ = ________ + ______________ + _____________ - __________________

DAMAGE

HIT DICE

_______________________________________________ ______________________________________________ _______________________ __________

WEAPON

TYPE

NOTES/AMMUNITION

_______________________________________________ ______________________________________________ _______________________ __________

WEAPON

CHARISMA

HIT POINTS

________________________________________________ _________________ __________________________________

DEXTERITY
MODIFIER

WIS ___________ = ________ + ______________ + _____________ - __________________

WISDOM

___________________
GENDER

____________________________________________________________
LOOKS

_______________________________________________ ______________________________________________ _______________________ __________

RANGE INCREMENT

INTELLIGENCE

__________
SIZE

BASE ATTACK BONUS _________________________________________

STRENGTH
MODIFIER

WEAPON

DEXTERITY

______________________________
RACE/TEMPLATE

COMBAT OPTIONS

STR ___________ = ________ + ______________ + _____________ - __________________

STRENGTH

_____________
ECL

ATTACK BONUS

DAMAGE

CRITICAL

________________________________________________ _________________ __________________________________

CHARISMA
MODIFIER

RANGE INCREMENT

TYPE

NOTES/AMMUNITION

SPEED _______________________________________________________________________ INITIATIVE MODIFIER __________________________

GRAPPLE MODIFIER

__________ = ___________ + __________ + __________ + __________

TOTAL

BASE ATTACK
BONUS

STRENGTH
MODIFER

SIZE
MODIFIER

MISC.
MODIFIER

SAVING THROWS
BASE
SAVE

TOTAL

FORTITUDE

ABILITY
MODIFIER

MAGIC
MODIFIER

MISC.
MODIFIER

CONDITIONAL MODIFIERS

TEMPORARY
MODIFIER

(CONSTITUTION)

REFLEX
(DEXTERITY)

WILL
(WISDOM)

ARMOR CLASS
AC __________ = 10+ _____________________ + __________ + _________ + __________ + __________ + __________ + __________________________________
TOTAL

ARMOR
BONUS

TOUCH AC _______________

SHIELD
BONUS

DEX
MODIFIER

SIZE
MODIFIER

NATURAL
ARMOR

DEFLECTION
MODIFIER

MISCELLANEOUS
MODIFIERS

FLAT-FOOTED AC _________________

ARMOR WORN

MAX DEX

ARMOR CHECK PENALTY

WEIGHT

SHIELD CARRIED

MAX DEX

ARMOR CHECK PENALTY

WEIGHT

RAGE
________________ ________________
RAGES/DAY

DURATION

________________ _______________
STR/CON
BONUS

WILL SAVE
BONUS

______________
AC PENALTY

RAGES USED
ROUNDS ELAPSED _____________________________

SPECIAL DEFENSES
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________
__________________________

EXPERIENCE
POINTS

GEAR
POSSESSIONS ON PERSON
ITEM

LOCATION

WEIGHT

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

POSSESSIONS NOT ON PERSON

ITEM

LOCATION

WEIGHT

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

__________________________________________________________________

_________________________________________

_______________________

MAGIC ITEMS WORN

CARRYING
CAPACITY
LIGHT
LOAD:_____________________
MEDIUM
LOAD:_____________________
HEAVY
LOAD:______________________

____________________________________________________________________________________
HEAD (HEADBAND, HAT, HELMET, OR PHYLACTERY)

____________________________________________________________________________________
HANDS (GLOVES OR GAUNTLETS)

____________________________________________________________________________________
EYES (EYE LENSES OR GOGGLES)

____________________________________________________________________________________
ARMS/WRISTS (BRACERS OR BRACELETS)

____________________________________________________________________________________
NECK (AMULET, BROOCH, MEDALLION, PERIAPT, OR SCARAB)

____________________________________________________________________________________
BODY (ROBE OR SUIT OF ARMOR)

____________________________________________________________________________________
SHOULDERS (CLOAK, CAPE, OR MANTLE)

____________________________________________________________________________________
TORSO (VEST, VESTMENT, OR SHIRT)

____________________________________________________________________________________
RING #1

____________________________________________________________________________________
WAIST (BELT OR GIRDLE)

____________________________________________________________________________________
RING #2

____________________________________________________________________________________
FEET (BOOTS, SHOES, OR SLIPPERS)

MONEY

SPECIALTY

MAGIC
= 6 + _________
SPELL SAVE __________
BASE DC
ABILITY MOD

SPELL SLOTS ______________ TOTAL ___________ UNSPENT

= __________ + ___________ + _______

DRAIN BONUS + _________
TOTAL
FORTITUDE

CASTER LEVEL

MISC.

CONTROL BONUS + _________ = ___________ + __________ + _______

MISC.
TOTAL

CASTER LEVEL

SPECIALTY SCHOOL (WIZARD ONLY)

___________________________ __________________________________________________________ __________________________________________________________
SPECIALTY SCHOOL (+2 BONUS ON SPELLCRAFT
CHECKS TO LEARN SPELLS FROM THIS
CHOSEN SCHOOL)

DRAIN CHECK PENALTY

ABILITY MOD

PROHIBITED SCHOOL

PROHIBITED SCHOOL

DOMAINS (CLERIC ONLY)

CONDITIONAL MODIFIERS

______________________ __________________________________________________________

OPTIONS

DOMAIN NAME

DRAIN

+5 Drain and Control,

Makes spells nature known
+5 Drain and Control,
Incantation
+2 Save DC, Full Round Action
+5 Drain and Control,
Investment
Lethal Damage
of Body
+1 Drain and Control
Investment
Per 100 Experience spent
of Mind
Bonus Drain and Control
Ritual
Based on additional time used to cast
Bonus
Drain and Control
Foci
+2 if Foci, Dependant on cost if Expendable

Invocation

DRAIN DC

Less than 20
20-24
25-29
30-34
35-39
40-44
45-49
50-54

GRANTED POWER

______________________ __________________________________________________________

DRAIN

DRAIN DC

1d4
1d6
1d8
1d10
2d6
2d8
2d10
4d6

55-59
60-64
65-69
70-74
75-79
80-84
85-89
90 or more

DRAIN

4d8
4d10
8d6
8d8
8d10
16d6
16d8
16d10

DOMAIN NAME

GRANTED POWER

TURN/REBUKE UNDEAD
TIMES PER DAY

TURNING CHECK

TURNING DAMAGE

___________________________ __________________________________________________________ __________________________________________________________

3 + CHA MODIFIER
(+4 WITH EXTRA TURNING FEAT)

1d20 + CHA MODIFIER

2d6 + CLERIC LEVEL +

CHA MODIFIER

SPELLS KNOWN/FAVORED
SPELL

SLOTS

DRAIN DC

SAVE DC

RANGE

DURATION

EFFECT

Pg.

___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________

___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
____________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________

CAMPAIGN ___________________________________________________________________

CS?

SKILLS
SKILL NAME

APPRAISE
BALANCE*
BLUFF
CLIMB*
CONCENTRATION
CRAFT ( ___________________________)
CRAFT ( ___________________________)
CRAFT ( ___________________________)
DECIPHER SCRIPT
DIPLOMACY
DISABLE DEVICE
DISGUISE
ESCAPE ARTIST*
FORGERY
GATHER INFORMATION
HANDLE A NIMAL
HEAL
INTIMIDATE
JUMP*
K NOWLEDGE (ARCANA)
K NOWLEDGE (ARCH/ENG)
K NOWLEDGE (DUNGEONEERING)
K NOWLEDGE (GEOGRAPHY)
K NOWLEDGE (HISTORY)
K NOWLEDGE (LOCAL)
K NOWLEDGE (NATURE)
K NOWLEDGE (NOBILITY/ROYALTY)
K NOWLEDGE (THE PLANES)
K NOWLEDGE (RELIGION)
K NOWLEDGE ( ________________________ )
LISTEN
OPEN LOCK
PERFORM (ACT)
PERFORM (COMEDY)
PERFORM (DANCE)
PERFORM (KEYBOARD)
PERFORM (ORATORY)
PERFORM (PERCUSSION)
PERFORM (STRING INSTRUMENT)
PERFORM (WIND INSTRUMENT)
PERFORM (SING)
PERFORM ( ________________________)
PROFESSION ( ________________________ )
PROFESSION ( ________________________ )
R IDE
SEARCH
SENSE MOTIVE
SLEIGHT OF HAND*
SPELLCRAFT
SPOT
SURVIVAL
SNEAK *
SWIM*
TUMBLE*
USE MAGIC DEVICE
USE ROPE

RACIAL TRAITS/CLASS FEATURES

KEY
ABILITY

SKILL
MODIFER

RANKS

ABILITY
MODIFER

MISC.
MODIFER

INT ______________________ = _____________________ + ______________________+ ______________________

DEX ______________________ = _____________________ + ______________________+ ______________________
CHA ______________________ = _____________________ + ______________________+ ______________________
STR ______________________ = _____________________ + ______________________+ ______________________
CON ______________________ = _____________________ + ______________________+ ______________________
INT ______________________ = _____________________ + ______________________+ _______________________
INT ______________________ = _____________________ + ______________________+ _______________________
INT ______________________ = _____________________ + ______________________+ _______________________
INT ______________________ = ______________________ + ______________________+ _______________________
CHA ______________________ = ______________________ + ______________________+ _______________________
INT ______________________ = ______________________ + ______________________+ _______________________
CHA ______________________ = ______________________ + ______________________+ _______________________
DEX ______________________ = ______________________ + ______________________+ _______________________
INT ______________________ = ______________________ + ______________________+ _______________________
CHA ______________________ = ______________________ + _____________________ + ________________________
CHA ______________________ = ______________________ + _____________________ + ________________________
WIS ______________________ = ______________________ + _____________________ + ________________________
CHA ______________________ = ______________________ + _____________________ + ________________________
STR ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + ______________________+________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
INT ______________________ = ______________________ + _____________________ + ________________________
WIS _______________________ = _____________________ + ____________________ + _______________________
DEX _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = _____________________ + ____________________ + _______________________
CHA _______________________ = ______________________+ ____________________ + _______________________
WIS _______________________ = _____________________+ ____________________ + _______________________
WIS _______________________ = _____________________+ ____________________ + _______________________
DEX _______________________ = ______________________ + ___________________ + __________
INT _______________________ = ______________________ + ___________________ + __________
WIS _______________________ = ______________________ + ___________________ + __________
DEX _______________________ = ______________________ + ___________________ + __________
INT _______________________ = ______________________ + ___________________ + __________
WIS _______________________ = ______________________ + ___________________ + __________
WIS _______________________ = ______________________ + ___________________ + __________
STR ______________________ = ______________________ + _____________________ + ________________________
STR _______________________ = ______________________ + ___________________ + __________
DEX _______________________ = ______________________ + ___________________ + __________
CHA _______________________ = ______________________ + ___________________ + __________
DEX _______________________ = ______________________ + ___________________ + __________

Skills in italics are psionics-related.

Mark this box with an X if the skill is a class skill for the character.
Denotes a skill that can be used untrained.
* Armor cleck penalty, if any, applies. (Double penalty for Swim.)

_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________

_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________

FEATS
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________

_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________

LANGUAGES
Initial languages = Common + automatic languages + Int bonus

_______________________________________
_______________________________________
_______________________________________
_______________________________________

_______________________________________
_______________________________________
_______________________________________
_______________________________________

SKILL SYNERGIES
5+ RANKS IN ...

GIVES A +2 BONUS ON . . .

Bluff

Knowledge (dungeon)
Knowledge (geography)
Knowledge (history)
Knowledge (local)
Knowledge (nature)
Knowledge (nbl/royal)
Knowledge (the planes)
Knowledge (religion)
Search
Sense Motive
Spellcraft
Survival
Tumble
Use Magic Device

Diplomacy, Intimidate, and Sleight of Hand checks;

Disguise checks to act in character
Autohypnosis checks
Related Appraise checks
Use Magic Device checks involving scrolls
Use Rope checks involving bindings
Ride checks and wild empathy checks
Tumble checks
Spellcraft checks
Search checks involving secret doors and
similar compartments
Survival checks when underground
Survival checks to avoid getting lost and avoid hazards
Bardic knowledge checks (class feature)
Gather Information checks
Survival checks in aboveground natural environments
Diplomacy checks
Survival checks when on other planes
Checks to turn or rebuke undead
Survival checks when following tracks
Diplomacy checks
Use Magic Device checks involving scrolls
Knowledge (nature) checks
Balance and Jump checks
Spellcraft checks to decipher scrolls

Use Rope

Climb and Escape Artist checks involving ropes

Concentration
Craft
Decipher Script
Escape Artist
Handle Animal
Jump
Knowledge (arcane)
Knowledge (arch/eng)

ANIMAL COMPANION, FAMILIAR, OR PSICRYSTAL

NAME ___________________________________________________________________ CREATURE TYPE _______________________________________________________________________

STR

DEX

CON

INT

WIS

CHA INITIATIVE _________________

HIT POINTS

SPEED ________________________

AC __________ = 10 + _________ +_________ + __________ + __________

TOTAL

DEX
MODIFIER

SIZE
MODIFIER

NATURAL
ARMOR

SAVING THROWS

ATTACKS

FORTITUDE (CON)

______________

______________

WEAPON

ATTACK BONUS

______________

______________

WEAPON

ATTACK BONUS

______________

______________

WEAPON

ATTACK BONUS

REFLEX (DEX)
WILL (WIS)

TOUCH AC ____________________________ FLAT-FOOTED AC ______________________________

MISC.
MODIFIERS

______________
DAMAGE

______________
DAMAGE

______________
DAMAGE

_____________
CRITICAL

GR APPLE MODIFIER ________________________________

_____________
CRITICAL

PERSONALITY ________________________________________

_____________
CRITICAL

SKILLS

FEATS

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

SPECIAL ABILITIES

TRICKS

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

___________________________________________________________________________+ __________

_____________________________________________________________

_____________________________________________________

SPELLS KNOWN/FAVORED
SPELL

SLOTS

DRAIN DC

( CONTINUED)

SAVE DC

RANGE

DURATION

EFFECT

Pg.

___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________

___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________
___________________________________________ _________ ______________ ______________ ________________ ___________________________________ ____________________________________________________________________________________ __________