PDVWHUSDJH5LJKW
ILOHQDPH>'?:25.6?0DYLFD?VW?09&)'8&?*%
09&)'8&?DGGIP@
$GGLWLRQDOLQIRUPDWLRQ
PRGHOQDPH>09&)'@
>@
A 5HFRUGLQJPRGHLQGLFDWRU
B ,PDJHVL]HLQGLFDWRU
C ,PDJHQXPEHU
D 5HPDLQLQJGLVNFDSDFLW\
LQGLFDWRU
E 1XPEHURIVWRUHGLPDJHVRQD
IORSS\GLVN
F 3ULQWPDUNLQGLFDWRU
G 3URWHFWLQGLFDWRU=RRPVFDOLQJ
LQGLFDWRU
H
5HFRUGLQJGDWHRIWKHSOD\EDFN
LPDJH
I
)LOHQDPH
:KHQWKHPHQXEDULVGLVSOD\HGWKLV
LQGLFDWRUGLVDSSHDUVIURPWKHVFUHHQ
7KHLQGLFDWRUVGXULQJSOD\EDFN
MVC-011F
120min
1280
12:00AM2001 7 4
11/12
FRYERRN3DJH7XHVGD\1RYHPEHU30