ࡱ> E@ Wbjbj  vvvvvvvr r r r .!CV"X(((((.<1BBBBBBB$DRFZC]v6((66Cvv((bC';';';6 v(v(B';6B';x';;vv;(J" yr )6;; xC0C;LG?6LG;vvvv;LGv; \3v3T';&4Dj4\3\3\3CC d;  AIRCRAFT HULL LOSS REPORT Please fill out and return promptly to Northwest Insurance Group, Inc., 3301 NE Cornell Road, Suite R, Hillsboro, OR 97124 Phone: 800-693-7053 Fax: 503-640-6202 Insured FORMTEXT      Policy No. FORMTEXT      Address FORMTEXT      Telephone FORMTEXT       AIRCRAFT: FAA LICENSE NO.MANUFACTURERMODELSERIAL NO.YEARTIMEENGINE MAKETIME (L&R) FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       PILOT: Name FORMTEXT      Age FORMTEXT   Address FORMTEXT       PILOT CERTIFICATEPILOT RATINGSAERONAUTICAL EXPERIENCE (Hours)FAA Certificate No. FORMTEXT       FORMCHECKBOX  Airplane FORMCHECKBOX  Single EnginePilot Time in ThisLast 90 DaysTotal FORMCHECKBOX  Student FORMCHECKBOX  Airline Transport FORMCHECKBOX  Rotorcraft FORMCHECKBOX  Multi-EngineMake and Model FORMTEXT       FORMTEXT       FORMCHECKBOX  Private FORMCHECKBOX  Flight Instructor FORMCHECKBOX  Glider FORMCHECKBOX  Land  FORMCHECKBOX  SeaInstrument Pilot Time FORMTEXT       FORMTEXT       FORMCHECKBOX  Commercial FORMCHECKBOX  Lighter-Than-Air FORMCHECKBOX  InstrumentNight Pilot Time FORMTEXT       FORMTEXT      Type Rating FORMTEXT      Total Pilot Time FORMTEXT       F46 " $ . 0 F H \ ^ òÞòsò_òK'jhs9'hJ0OJQJU^J'jhs9'hJ0OJQJU^J'jths9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'jhs9'hJ0OJQJU^J!jhs9'hJ0OJQJU^Jhs9'hJ0OJQJ^Jhs9'hs9'CJOJQJhs9'hJ0CJ OJQJhs9'hJ0OJQJhs9'hs9'OJQJ46. 2 F n ~kkd$$Ifl\zl-$4 laz$If$a$$a$gds9'W^ ` j l p t ( * > @ B L N P R f h j t v x z ʻnT=T-jhs9'hJ05OJQJU\^J2jhs9'hJ05OJQJU\^JmHnHu-jLhs9'hJ05OJQJU\^J'jhs9'hJ05OJQJU\^J"hs9'hJ05CJOJQJ\^Jhs9'hJ05OJQJ\^Jhs9'hJ0CJOJQJ^Jhs9'hJ0OJQJ^J,jhs9'hJ0OJQJU^JmHnHu!jhs9'hJ0OJQJU^Jn p r t  & ~~~~~~~~ $$Ifa$ &dPkkd|$$Ifl\zl-$4 laz & ( P x  GAAAAAA$Ifkd($$IfHִ\ V_ n(-iS"-    4 Ha       . 0 2 ԺԪԪԺԪԪ|ԺԪԪeԺԪԪN-j hs9'hJ05OJQJU\^J-jhs9'hJ05OJQJU\^J-j hs9'hJ05OJQJU\^J-jhs9'hJ05OJQJU\^Jhs9'hJ05OJQJ\^J2jhs9'hJ05OJQJU\^JmHnHu'jhs9'hJ05OJQJU\^J-j4hs9'hJ05OJQJU\^J2 < > @ B V X Z d f j l «”}f-j hs9'hJ05OJQJU\^J-j hs9'hJ05OJQJU\^J-j hs9'hJ05OJQJU\^J-jhs9'hJ05OJQJU\^Jhs9'hJ05OJQJ\^J'jhs9'hJ05OJQJU\^J2jhs9'hJ05OJQJU\^JmHnHu! @ h j Akd$$IfHִ\ V_ n(-iS"-    4 Ha$If   " $ . 0 2 4 H J L V X Z \ p r t ~ ԺԪԪԺԪԪ|ԺԪԪeԺԪԪN-jD hs9'hJ05OJQJU\^J-j hs9'hJ05OJQJU\^J-jX hs9'hJ05OJQJU\^J-j hs9'hJ05OJQJU\^Jhs9'hJ05OJQJ\^J2jhs9'hJ05OJQJU\^JmHnHu'jhs9'hJ05OJQJU\^J-jl hs9'hJ05OJQJU\^J 2 Z Akd $$IfHִ\ V_ n(-iS"-    4 Ha$If  "$&:<>HJLNb«”}f-j0hs9'hJ05OJQJU\^J-jhs9'hJ05OJQJU\^J-jDhs9'hJ05OJQJU\^J-j hs9'hJ05OJQJU\^Jhs9'hJ05OJQJ\^J'jhs9'hJ05OJQJU\^J2jhs9'hJ05OJQJU\^JmHnHu! $LtAkd~$$IfHִ\ V_ n(-iS"-    4 Ha$IfbdfprtvԺԪԪԺԪԪ|ԺԪԪeԺԪVhs9'hJ0CJOJQJ^J-jhs9'hJ05OJQJU\^J-jhs9'hJ05OJQJU\^J-jhs9'hJ05OJQJU\^Jhs9'hJ05OJQJ\^J2jhs9'hJ05OJQJU\^JmHnHu'jhs9'hJ05OJQJU\^J-jhs9'hJ05OJQJU\^J 2:\lZkd$$Iflֈ8:vrPl-* <64 laz$If &dP    "$.0:<PRTXZlnBDX}mZm$hs9'hJ056OJQJ\]^Jhs9'hJ05OJQJ\^J"hs9'hJ05CJ OJQJ\^J'jhs9'hJ0OJQJU^J'j hs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'jhs9'hJ0OJQJU^J!jhs9'hJ0OJQJU^Jhs9'hJ0OJQJ^JBj $0okd$$IfTHFH-f 0-6    4 HaT$If XZ\fhjl24PRThjڶڶڶڶڶڶzڶڶfڶڶRڶ'jFhs9'hJ0OJQJU^J'jhs9'hJ0OJQJU^J'j^hs9'hJ0OJQJU^J'jhs9'hJ0OJQJU^J'j$hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J,jhs9'hJ0OJQJU^JmHnHu!jhs9'hJ0OJQJU^J'jhs9'hJ0OJQJU^J02h.LtVPPPPPPP$Ifkd $$IfH֞Y$\)H-d=-64 Ha LNbdfprtv <ՖՖnZ'jhs9'hJ0OJQJU^J'jlhs9'hJ0OJQJU^J'jhs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'j.hs9'hJ0OJQJU^J'jhs9'hJ0OJQJU^J!jhs9'hJ0OJQJU^Jhs9'hJ0OJQJ^Jhs9'hs9'OJQJ^J!R 4VPPPPPPP$Ifkd$$IfH֞'$\)H-od=-64 Ha<>@RTprt  "$&0268TVXr͹ͥ͑zfzR'j hs9'hJ0OJQJU^J'j*hs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'jhs9'hJ0OJQJU^J'j>hs9'hJ0OJQJU^J'jhs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J!jhs9'hJ0OJQJU^J'jThs9'hJ0OJQJU^J 46rBjVPPPPPPP$Ifkd$$IfH֞'$\)H-od=-64 Hart024>@BDXZ\fhzf'jZ$hs9'hJ0OJQJU^J'j"hs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'j8"hs9'hJ0OJQJU^J'j!hs9'hJ0OJQJU^J'jL!hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J!jhs9'hJ0OJQJU^J!jlnp"JVPPPPPPP$Ifkd$#$$IfH֞'$\)H-od=-64 HaJJJJJ J$J4JfJhJJJJJJJJJJJJJJKKKڶڶڶڶ}ڶڶiڶڶUڶڶ'jh)hs9'hJ0OJQJU^J'j(hs9'hJ0OJQJU^J'j|(hs9'hJ0OJQJU^Jhs9'hJ0CJOJQJ^J'jF%hs9'hJ0OJQJU^JUhs9'hJ0OJQJ^J,jhs9'hJ0OJQJU^JmHnHu!jhs9'hJ0OJQJU^J'j$hs9'hJ0OJQJU^J!ORMTEXT      Medical Certif.  Class  FORMCHECKBOX  I  FORMCHECKBOX  II  FORMCHECKBOX IIIDate Issued FORMTEXT      Certif. Limitations: FORMTEXT       TYPE OF OPERATION: VFR:Day  FORMCHECKBOX Night  FORMCHECKBOX Private:Commercial:IFR:Day  FORMCHECKBOX Night  FORMCHECKBOX Pleasure  FORMCHECKBOX Business  FORMCHECKBOX Scheduled  FORMCHECKBOX Charter  FORMCHECKBOX Local  FORMCHECKBOX X-Country  FORMCHECKBOX Instruction Dual  FORMCHECKBOX Solo  FORMCHECKBOX Instruction Dual  FORMCHECKBOX Solo  FORMCHECKBOX  Others (Describe) FORMTEXT       WEATHER CONDITIONS: Ceiling FORMTEXT      Visibility FORMTEXT      Wind Direction FORMTEXT      Wind Velocity FORMTEXT      Clear  FORMCHECKBOX Cloudy  FORMCHECKBOX Rain  FORMCHECKBOX Snow  FORMCHECKBOX Sleet  FORMCHECKBOX Hail  FORMCHECKBOX Fog: Light  FORMCHECKBOX Heavy  FORMCHECKBOX  DATE AND LOCATION OF ACCIDENT: Date FORMTEXT      Hour FORMTEXT      City FORMTEXT      State FORMTEXT      Exact Location of Accident FORMTEXT       Description of Damage FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT      Estimated cost to repair:Aircraft FORMTEXT      Engine FORMTEXT      Where may aircraft be inspected FORMTEXT       STATEMENT: (describe accident in detail  Use reverse side if additional space is needed)  FORMTEXT       FORMTEXT       FORMTEXT       Signature ON REVERSE SIDE sketch diagram outlining Terrain and Course of Aircraft Prior To and at time of accident "J$J&J(J*J,J.J0J2JVPPPPPPP$Ifkd%$$IfH֞'$\)H-od=-64 Ha2J4JJK*K,KVK~KVPPPPPP$Ifkd'$$IfH֞'$\)H-od=-64 HaKKK&K(KVKXKlKnKpKzK|KKKKKKKKKKKLLLTLVLrLڶڶڶڶoڶڶ[ڶڶ'j,hs9'hJ0OJQJU^J'j ,hs9'hJ0OJQJU^Jhs9'hJ05OJQJ\^Jhs9'hJ0CJOJQJ^J'jT*hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J,jhs9'hJ0OJQJU^JmHnHu!jhs9'hJ0OJQJU^J'j)hs9'hJ0OJQJU^J~KKKKKKKL&Lg][[UUUL $$Ifa$$If &dPkd*$$IfHֈm,%H-9gX-64 Ha&L>L@LJLxLLLMTMMqkkkkkkk$Ifkd,$$Iflr82 HR l-  64 la $$Ifa$ rLtLvLLLLLLLLLLLLLMMM0M2MNMPMRMfMhMMMMMMMMMM͹ͥ͑}iU'j/1hs9'hJ0OJQJU^J'j/hs9'hJ0OJQJU^J'js/hs9'hJ0OJQJU^J'j.hs9'hJ0OJQJU^J'j.hs9'hJ0OJQJU^J'j.hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J!jhs9'hJ0OJQJU^J'j-hs9'hJ0OJQJU^J!MMMMFNvNNNTNNNNNN$Ifkd_0$$Ifl֞82 HR n(l-p64 laMMMMM"N$N@NBNDNRNTNpNrNtNNNNNNNNNNNNNOO.O0O2O}kW'j4hs9'hJ0OJQJU^J"hs9'hJ05CJOJQJ\^J'j}3hs9'hJ0OJQJU^J'j3hs9'hJ0OJQJU^J'j2hs9'hJ0OJQJU^J'j2hs9'hJ0OJQJU^J'j1hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J!jhs9'hJ0OJQJU^JNNNO@Oigaa$Ifkd3$$Iflֈ8HR n(l-p64 la2OOBOFOnO~OOOOOOOOOOOOOOPPPPP&P(PFPHP\P^P`PjPlP~PPP˼˘˄p\'j6hs9'hJ0OJQJU^J'jz6hs9'hJ0OJQJU^J'j6hs9'hJ0OJQJU^J'j5hs9'hJ0OJQJU^Jhs9'hJ05OJQJ\^Jhs9'hJ0CJOJQJ^Jhs9'hJ0OJQJ^J!jhs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu$@OBODOFOnO~OOOOP*PFPnP$If &dPGkd5$$Ifl0l-&64 la nPpPPPQ6QhQQGAAAAAA$Ifkdf7$$Iflִ f!'l-<f    4 laPPPPPPPPPPQQQQQ0Q2Q4QDQFQbQdQfQtQvQQQQQQQQQQ͹ͥ͑}iU'jE;hs9'hJ0OJQJU^J'j:hs9'hJ0OJQJU^J'jY:hs9'hJ0OJQJU^J'j9hs9'hJ0OJQJU^J'jm9hs9'hJ0OJQJU^J'j8hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J!jhs9'hJ0OJQJU^J'j8hs9'hJ0OJQJU^J!QQR R RRLRA755 &dPkd1<$$Iflִ ,f!'l-XK    4 la$IfQQRRR RRLRVRXRlRnRpRzR|RRRRRRRRRRRRRRRRRSᾮo['j=hs9'hJ0OJQJU^J'jn=hs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'j<hs9'hJ0OJQJU^Jhs9'hJ05OJQJ\^Jhs9'hJ0CJOJQJ^J'j;hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J!jhs9'hJ0OJQJU^JLRVR~RRRRRRS $$Ifa$$IfSSSSSNSPSdSfShSrStSxS|SSSSSSSSSSSSSSSSSTTT T"TڶڶڶڶڶڶkڶڶW'jBhs9'hJ0OJQJU^J'jAhs9'hJ0OJQJU^J'j@hs9'hJ0OJQJU^Jhs9'hJ0CJOJQJ^J'j?hs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J,jhs9'hJ0OJQJU^JmHnHu!jhs9'hJ0OJQJU^J'jZ>hs9'hJ0OJQJU^J"SSNSvSF@@$Ifkd>$$Iflִ $'l-pv !6    4 lavSxSzS|SSSSS_GkdJA$$Ifl0pl-$64 la$If &dPGkdd@$$Ifl0 l-D #64 laSS$T&TNTC[kd3C$$Ifll--064 la$If[kd0B$$Ifll--064 la"T&T(TT@TJTLTPTRTfThTjTtTvTTTTTTTTTT UUUUU`UbUvUxUzUUUU{g'jHGhs9'hJ0OJQJU^J'jFhs9'hJ0OJQJU^J'jEhs9'hJ0OJQJU^J'jDhs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'jChs9'hJ0OJQJU^J!jhs9'hJ0OJQJU^Jhs9'hJ0OJQJ^J$NTPTxTzTTTTTC[kdE$$Ifll--064 la$If[kd(D$$Ifll--064 laTU U`UUUy2GkdG$$Ifl0 l-` x!64 lakdF$$Iflr$ v ll- RG64 la$IfUUUDVlVnVV[kdH$$Ifll--064 la$If &dPUUUDVFVZV\V^VhVjVnVpVVVVVVVVVVVVVVVWWWWԯØԄØpØaThJ05OJQJ\^Jhs9'hJ0CJ OJQJ^J'jJhs9'hJ0OJQJU^J'j#Ihs9'hJ0OJQJU^J,jhs9'hJ0OJQJU^JmHnHu'j.Hhs9'hJ0OJQJU^J!jhs9'hJ0OJQJU^Jhs9'hJ0OJQJ^Jhs9'hJ05OJQJ\^Jhs9'hJ0CJOJQJ^JVVVVVC[kdJ$$Ifll--064 la$If[kdI$$Ifll--064 laVVVVVC[kdK$$Ifll--064 la$If[kd K$$Ifll--064 laVVVVVC[kdL$$Ifll--064 la$If[kd L$$Ifll--064 laVVVVVC[kdM$$Ifll--064 la$If[kd M$$Ifll--064 laVVVVVC[kdN$$Ifll--064 la$If[kdN$$Ifll--064 laVVVVVWWWLB &dPGkdO$$Ifl0l-64 la$If $$Ifa$[kdO$$Ifll--064 laWW$a$gds9'WWhJ0CJOJQJ^J/ =!h"h#h$h%tDText1tDText3$$Ifz!vh55$55#v#v$#v#v:V l55$55/ / 4aztDText2tDText4$$Ifz!vh55$55#v#v$#v#v:V l55$55/ / 4az"$$If!vh55555i5S55"#v#v#v#v#vi#vS#v#v":V H-55555i5S55"/  / / / 44 HtDText5tDText8vDText11vDText14vDText17vDText20vDText23vDText26$$If!vh55555i5S55"#v#v#v#v#vi#vS#v#v":V H-55555i5S55"/  / / 44 HtDText6tDText9vDText12vDText15vDText18vDText21vDText24vDText27$$If!vh55555i5S55"#v#v#v#v#vi#vS#v#v":V H-55555i5S55"/  / / 44 HtDText7vDText10vDText13vDText16vDText19vDText22vDText25vDText28$$If!vh55555i5S55"#v#v#v#v#vi#vS#v#v":V H-55555i5S55"/  / / 44 HvDText29vDText30vDText31$$Ifz!vh5*5 5<555#v*#v #v<#v#v#v:V l65*5 5<555/ / / 4az$$If!vh5f5 5#vf#v #v:V H0-65f5 5/ / 44 HTvDText32tDeCheck1tDeCheck2P$$If!vh55555d5=5#v#v#v#v#vd#v=#v:V H-655555d5=5/ / / /  / / / / / 44 HtDeCheck3tDeCheck4tDeCheck5tDeCheck6vDText33vDText34P$$If!vh5o5555d5=5#vo#v#v#v#vd#v=#v:V H-65o5555d5=5/  / /  / / / / / / 44 HtDeCheck7tDeCheck8tDeCheck9vDeCheck10vDeCheck11vDText38vDText434$$If!vh5o5555d5=5#vo#v#v#v#vd#v=#v:V H-65o5555d5=5/  / /  / / / / 44 HvDeCheck12vDeCheck13vDeCheck14vDText39vDText424$$If!vh5o5555d5=5#vo#v#v#v#vd#v=#v:V H-65o5555d5=5/  / /  / / / / 44 HvDText35vDText40vDText41B$$If!vh5o5555d5=5#vo#v#v#v#vd#v=#v:V H-65o5555d5=5/  / / / / / / / 44 Hz$$If!vh5o5555d5=5#vo#v#v#v#vd#v=#v:V H-65o5555d5=5/ / / / / / / / / / / / 44 HvDeCheck15vDeCheck16vDeCheck17vDText36vDText37?$$If!vh55955g5X5#v#v9#v#vg#vX#v:V H-655955g5X5/  / / / /  / / / / 44 HvDeCheck18vDeCheck19$$If!vh5555 5 #v#v#v#v #v :V l65555 5 4vDeCheck20vDeCheck21vDeCheck22vDeCheck23vDeCheck24vDeCheck25$$If!vh5555p555#v#v#v#vp#v#v#v:V l65555p5554vDeCheck26vDeCheck27vDeCheck30vDeCheck31vDeCheck32vDeCheck33$$If!vh555p555#v#v#vp#v#v#v:V l6555p5554vDText44n$$If!vh55&#v#v&:V l655&/ 4vDText45vDText46vDText47vDText48$$If!vh5<5555555f#v<#v#v#v#v#v#v#vf:V l5<5555555f/ / / / 4vDeCheck34vDeCheck35vDeCheck36vDeCheck37vDeCheck38vDeCheck39vDeCheck40vDeCheck41$$If!vh5X555555K5#vX#v#v#v#vK#v:V l5X5555K54vDText52vDText51vDText50vDText49$$If!vh5555p5v5 5!5#v#v#v#vp#vv#v #v!#v:V l65555p5v5 5!5/ / / / 4vDText53n$$If!vh5D 5##vD #v#:V l65D 5#/ 4vDText54n$$If!vh55$#v#v$:V l655$/ 4vDText55$$If!vh5-#v-:V l065-/ 4vDText56}$$If!vh5-#v-:V l065-4vDText57}$$If!vh5-#v-:V l065-4vDText58}$$If!vh5-#v-:V l065-4vDText59vDText60$$If!vh5 5R55G5#v #vR#v#vG#v:V l65 5R55G5/ / 4vDText61n$$If!vh5` 5x!#v` #vx!:V l65` 5x!/ 4vDText62}$$If!vh5-#v-:V l065-4vDText63}$$If!vh5-#v-:V l065-4vDText64}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4}$$If!vh5-#v-:V l065-4`$$If!vh55#v:V l65/ 48@8 Normal_HmH sH tH DA@D Default Paragraph FontVi@V  Table Normal :V 44 la (k@(No List F>@F Title$a$5>*CJOJQJ\^J #789:DTagrw|  45I]q&:Nbvwxy  !5Qr&:NOj9]{|u  %<Uq# ; ` x y z   # 7 8 Q k     & + ? D X ] q w   ' ( < = W ` t { " 6 7 K L ` a b c d e f g h i j k l m n o p q r s t ~  000p0000 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 00 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 00 0 0 000p z0z0 4^ 2 bX<rKrLM2OPQS"TUWW  "$.1358:<@DLn &  04j"J2J~K&LMN@OnPQLRSvSSNTTUVVVVVVWW !#,-/024679;=>?ABCEFGHIJKW #/5   ,25AGIU[]ioq} $&28:FLNZ`bnt!-35EQa&28:FLO_jz+9I]m 3CIY`p*:CS_o{ ! ) 9 N ^ f v   # / 5 ? O Y i q  + 7 = D P V ] i o w    % ( 4 : ` l r { " . 4 7 C I L X ^ FTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTG$G$G$G$G$G$FTFTG$G$G$G$G$FTFTG$G$G$FTFTFTFTFTG$G$G$FTFTG$G$G$G$G$G$G$G$G$G$G$G$G$G$FTFTFTFTFTG$G$G$G$G$G$G$G$FTFTFTFTFTFTFTFTFTFTFTFTFTFTFTFTgText1Text3Text2Text4Text5Text8Text11Text14Text17Text20Text23Text26Text6Text9Text12Text15Text18Text21Text24Text27Text7Text10Text13Text16Text19Text22Text25Text28Text29Text30Text31Text32Check1Check2Check3Check4Check5Check6Text33Text34Check7Check8Check9Check10Check11Text38Text43Check12Check13Check14Text39Text42Text35Text40Text41Check15Check16Check17Text36Text37Check18Check19Check20Check21Check22Check23Check24Check25Check26Check27Check30Check31Check32Check33Text44Text45Text46Text47Text48Check34Check35Check36Check37Check38Check39Check40Check41Text50Text52Text51Text49Text53Text54Text55Text56Text57Text58Text59Text60Text61Text62Text63Text64$ !6J^r';Oc"6R';Pk:^4Ja+D`| * O g  $ @ Z r ' , E x  ) a | # 8 M   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVYWXZ[\]^_`abcdef6 3H\p%9Mau4Fb9M`{,JnDZq ;Tp" : _ w  6 P j  > W p  & ; s 5 J _ *Q @*Q  *Q 4*Q oA*Q nA*Q |A*Q <}A*Q ," cc  ww 9*urn:schemas-microsoft-com:office:smarttagsplace8*urn:schemas-microsoft-com:office:smarttagsCity;*urn:schemas-microsoft-com:office:smarttagsaddress9*urn:schemas-microsoft-com:office:smarttagsState>*urn:schemas-microsoft-com:office:smarttags PostalCode:*urn:schemas-microsoft-com:office:smarttagsStreet   3 #6   35HI\]pq%&9:MNabu!4&9:M]|  *;CT_p{ " ) : N _ f w z    # 6 ? P Y j q  + > D W ] p q w   & ( ; ` s t z { " 5 7 J L _ t  mrogersmrogersmrogersmrogersmrogersmrogers G* s9'J0#78DTagrw|  45I]q&:Nbvw  !5Qr&:NOj9]{|u  %<Uq# ; ` x y z   # 7 8 Q k   & + ? D X ] q w   ' ( < = W ` t { " 6 7 K L ` a b c d e f g h i j k l m n o p q r s t ~  @vX @@ @ @@@@JUnknownGz Times New Roman5Symbol3& z ArialA& Arial Narrow"hmoX  24d W3H(?J0HULL LOSS REPORTmrogers Oh+'0 ( D P \ ht|HULL LOSS REPORTdULLmrogersrogrogHULL+LOSS+REPORT.dot1 LL3LLMicrosoft Word 10.0@Ik@.]o'@x@z y ՜.+,0 hp  GeneralCologne ReO  HULL LOSS REPORT Title  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuwxyz{|}~Root Entry F yData NO1TablevLGWordDocumentSummaryInformation(DocumentSummaryInformation8CompObjj  FMicrosoft Word Document MSWordDocWord.Document.89q