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  </span>&#65297;&#12539;&#65298;&#20301;&#65412;&#65392;&#65413;&#65426;&#=
65437;&#65412;&#65297;&#65298;&#65306;&#65299;&#65296;&#65374;<span
  lang=3DEN-US><o:p></o:p></span></span></p>
  </td>
 </tr>
</table>

<p class=3DMsoNormal><span style=3D'font-family:"MS PGothic"'>&#35430;&#215=
12;&#26041;&#27861;&#65306;&#65302;&#12466;&#12540;&#12512;&#20808;&#21462;=
&#65288;&#12494;&#12540;&#12450;&#12489;&#12496;&#12531;&#12486;&#12540;&#1=
2472;&#65289;<span
lang=3DEN-US><br>
</span>&#21442; &#21152; &#26009;&#65306;&#65297;&#12481;&#12540;&#12512;&#=
12288;<span
lang=3DEN-US>5,000</span>&#20870;&#65288;&#31246;&#36796;&#65289;<span
lang=3DEN-US><br>
</span>&#21463;&#20184;&#26399;&#26085;&#65306;&#21463;&#20184;&#20013;&#65=
288;&#23450;&#21729;&#12395;&#12394;&#12426;&#27425;&#31532;&#12294;&#20999=
;&#65289;<span
lang=3DEN-US><br>
</span>&#21463;&#20184;&#26178;&#38291;&#65306;&#65297;&#65296;&#65306;&#65=
296;&#65296;&#65374;&#65297;&#65302;&#65306;&#65296;&#65296;&#12398;&#38291=
;&#12288;&#8251;<span
lang=3DEN-US>16</span>&#26178;&#20197;&#38477;&#12399;&#65434;&#65391;&#654=
05;&#65437;&#12398;&#28858;&#12289;</span><span
style=3D'font-family:"MS PGothic";mso-bidi-font-family:"MS Mincho"'>&#32331=
;&#12364;&#12426;&#38627;&#12367;&#12394;&#12426;&#12414;&#12377;&#12290;</=
span><span
lang=3DEN-US style=3D'font-family:"MS PGothic"'><br>
</span><span style=3D'font-family:"MS PGothic"'>&#30003; &#36796; &#20808;&=
#65306;&#12354;&#12369;&#12412;&#12398;&#12486;&#12491;&#12473;&#12463;&#12=
521;&#12502;&#12288;&#38651;&#35441;&#12391;&#12398;&#30003;&#12375;&#36796=
;&#12415;&#12392;&#12394;&#12426;&#12414;&#12377;&#12290;&#8251;&#65318;&#6=
5313;&#65336;&#19981;&#21487;<span
lang=3DEN-US><br>
</span>&#8251;&#30003;&#12375;&#36796;&#12415;&#24460;&#12398;&#12461;&#125=
15;&#12531;&#12475;&#12523;&#12399;&#20986;&#26469;&#12414;&#12379;&#12435;=
&#12290;&#12513;&#12531;&#12496;&#12540;&#12398;&#22793;&#26356;&#12399;&#2=
1487;&#12290;<span
lang=3DEN-US><br>
</span>&#8251;&#21442;&#21152;&#32773;&#12364;&#23569;&#12394;&#12356;&#225=
80;&#21512;&#12399;&#12289;&#20013;&#27490;&#12395;&#12394;&#12426;&#12414;=
&#12377;&#12398;&#12391;&#12372;&#20102;&#25215;&#19979;&#12373;&#12356;&#1=
2290;<span
lang=3DEN-US><o:p></o:p></span></span></p>

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