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+ | <includeonly>{{{1}}} | ||
+ | {|style="border-collapse:collapse; background:none; width:100%;" border={{#if:{{{Border|}}}|"1"|"0"}}|-style="height:3pt" | ||
+ | |nowrap rowspan="2"|<p style="margin:0pt 0pt 0pt 0pt;">{{{2}}} </p> | ||
+ | |<p style="font-size:1pt; margin:0pt 0pt 0pt 0pt;"> </p> | ||
+ | | nowrap rowspan="2" align="right"|<p style="margin:0pt 0pt 0pt 0pt;"> | ||
+ | {{#if:{{{RawN|{{nr:0}}}}}|{{{3}}}|'''({{{3}}})'''}}</p>|- style="height:2pt"| style="border-top:{{{LnSty|3px dotted #e5e5e5}}}; width:99%;"|<p style="font-size:1pt; margin:0pt 0pt 0pt 0pt;"> </p> | ||
+ | |}</includeonly><noinclude> |