济宁市换发《药品经营许可证》(零售)公示公告(第151)

发布作者：审批中心     发布时间：

<span id="conten"> <p> </p> <div style="line-height: 30pt" align="center"><b><span style="font-size: 14pt">济宁市换发《药品经营许可证》(零售)公示公告(第151)</span></b></div> <div style="layout-grid-mode: char; text-indent: 32pt; line-height: 28.9pt"> </div> <div style="layout-grid-mode: char; text-indent: 32pt; line-height: 28.9pt"><span style="font-size: 16pt">根据《中华人民共和国药品管理法》及其实施条例及《药品经营许可证管理办法》规定，依照《济宁市药品经营许可证（零售、零售连锁）申办程序》规定，经济宁市中区食品药品监督管理局、邹城市食品药品监督管理局、微山县食品药品监督管理局组织验收、审查，以下四家零售企业符合规定，拟予换发《药品经营许可证》，现予以公示，公示期</span><span style="font-size: 16pt">10</span><span style="font-size: 16pt">天，自</span><span style="font-size: 16pt">2010</span><span style="font-size: 16pt">年07月21日始至</span><span style="font-size: 16pt">2010</span><span style="font-size: 16pt">年</span><span style="font-size: 16pt">07</span><span style="font-size: 16pt">月30日止。请社会各界予以监督。</span></div> <div style="layout-grid-mode: char; text-indent: 21pt; line-height: 28.9pt"> </div> <div style="layout-grid-mode: char; text-indent: 21pt">济宁市食品药品监督管理局监督电话：<span>2363655<span>          </span></span></div> <div style="layout-grid-mode: char; text-indent: 21pt">通信地址：济宁市红星路<span>1号<span>                        </span>邮编：272019</span></div> <div style="text-indent: 21pt; line-height: 15pt"> </div> <div style="text-indent: 32pt; line-height: 15pt"><span style="font-size: 16pt">特此公告。</span></div> <div style="text-indent: 216pt; line-height: 15pt"><span style="font-size: 16pt">济宁市食品药品监督管理局</span></div> <div><span style="font-size: 16pt">                             </span><span style="font-size: 16pt">二<a name="OLE_LINK1">○</a>一○年七月二十一日 </span></div> <div> </div> <div> </div> <div align="center"> <table cellspacing="0" cellpadding="0" border="0" style="border-collapse: collapse"> <tbody> <tr style="height: 16.5pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: black 1pt solid; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业名称</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: black 1pt solid; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">济宁市市中区德林堂药店</span></div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">注册地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">济宁市中区柳行东街公建4号楼2号房</span></div> </td> </tr> <tr style="height: 13.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">仓库地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">    /</span></div> </td> </tr> <tr style="height: 14.35pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">法定代表人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">    /</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">质量负责人</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div>马海峰</div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业负责人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">马海峰</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">驻店药师</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div>李延荣</div> </td> </tr> <tr style="height: 19.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营方式</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">零售</span></div> </td> <td width="35" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营范围</span></div> </td> <td width="179" colspan="2" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">经营处方药与非处方药：中成药、中药饮片、化学药制剂、抗生素、生化药品、生物制品（除疫苗）***</span></div> </td> </tr> <tr style="height: 18.25pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查时间</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">组织验收部门</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查人员</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 19pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt" align="center"> </div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="35" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="179" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 16.5pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业名称</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">邹城市弘奇药店</span></div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">注册地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">邹城市唐村镇杨庄村</span></div> </td> </tr> <tr style="height: 13.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">仓库地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">    /</span></div> </td> </tr> <tr style="height: 14.35pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">法定代表人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black"> /</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">质量负责人</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div>陈凡阳</div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业负责人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">陈凡阳</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">驻店药师</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div>陈凡阳</div> </td> </tr> <tr style="height: 19.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营方式</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">零售</span></div> </td> <td width="35" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营范围</span></div> </td> <td width="179" colspan="2" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">经营处方药与非处方药：中成药、化学药制剂、抗生素、生化药品、生物制品（除疫苗）***</span></div> </td> </tr> <tr style="height: 18.25pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查时间</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">组织验收部门</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查人员</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 19pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt" align="center"> </div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="35" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="179" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> </tbody> </table> </div> <div> </div> <div align="center"> <table cellspacing="0" cellpadding="0" border="0" style="border-collapse: collapse"> <tbody> <tr style="height: 16.5pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: black 1pt solid; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业名称</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: black 1pt solid; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">邹城市康福源大药店</span></div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">注册地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">邹城市峄山路南首</span></div> </td> </tr> <tr style="height: 13.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">仓库地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">    /</span></div> </td> </tr> <tr style="height: 14.35pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">法定代表人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">    /</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">质量负责人</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div>刘文凤</div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业负责人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">东野建民</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">驻店药师</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div>刘文凤</div> </td> </tr> <tr style="height: 19.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营方式</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">零售</span></div> </td> <td width="35" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营范围</span></div> </td> <td width="179" colspan="2" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">经营处方药与非处方药：中成药、化学药制剂、抗生素、生化药品、生物制品（除疫苗）***</span></div> </td> </tr> <tr style="height: 18.25pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查时间</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">组织验收部门</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查人员</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 19pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt" align="center"> </div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="35" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="179" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> </tbody> </table> </div> <div><span>    </span></div> <div align="center"> <table cellspacing="0" cellpadding="0" border="0" style="border-collapse: collapse"> <tbody> <tr style="height: 16.5pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: black 1pt solid; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业名称</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: black 1pt solid; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 16.5pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">微山县马坡乡朱集大光明药店</span></div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">注册地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">微山县马坡乡朱集村东西大街路北</span></div> </td> </tr> <tr style="height: 13.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">仓库地址</span></div> </td> <td valign="top" width="403" colspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 302.3pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 13.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">    /</span></div> </td> </tr> <tr style="height: 14.35pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">法定代表人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">    /</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">质量负责人</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 14.35pt"> <div>曹胜珍</div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">企业负责人</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">曹胜珍</span></div> </td> <td valign="top" width="94" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">驻店药师</span></div> </td> <td valign="top" width="120" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 89.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div>张新华</div> </td> </tr> <tr style="height: 19.75pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营方式</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">零售</span></div> </td> <td width="35" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black">经营范围</span></div> </td> <td width="179" colspan="2" rowspan="4" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19.75pt"> <div style="background: white; line-height: 15pt"><span style="background: white; color: black">经营处方药与非处方药：中成药、化学药制剂、抗生素、生化药品、生物制品（除疫苗）***</span></div> </td> </tr> <tr style="height: 18.25pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查时间</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18.25pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">组织验收部门</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 18pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt" align="center"><span style="background: white; color: black; letter-spacing: -1pt">现场检查人员</span></div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 18pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> <tr style="height: 19pt"> <td valign="top" width="94" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: black 1pt solid; width: 70.8pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt" align="center"> </div> </td> <td valign="top" width="189" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 141.7pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="35" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 26.55pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> <td valign="top" width="179" colspan="2" style="border-right: black 1pt solid; padding-right: 5.4pt; border-top: #f0f0f0; padding-left: 5.4pt; background: white; padding-bottom: 0cm; border-left: #f0f0f0; width: 134.05pt; padding-top: 0cm; border-bottom: black 1pt solid; height: 19pt"> <div style="background: white; line-height: 15pt"> </div> </td> </tr> </tbody> </table> </div> <div> </div> <div> </div></span>