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<?xml version="1.0" encoding="UTF-8"?>
<office:document xmlns:text="urn:oasis:names:tc:opendocument:xmlns:text:1.0" xmlns:office="urn:oasis:names:tc:opendocument:xmlns:office:1.0" xmlns:loext="urn:org:documentfoundation:names:experimental:office:xmlns:loext:1.0" office:version="1.3" office:mimetype="application/vnd.oasis.opendocument.text">
<office:body>
<office:text>
<text:p><loext:content-control loext:checkbox="true" loext:checked="true" loext:checked-state="☒" loext:unchecked-state="☐">☒</loext:content-control></text:p>
</office:text>
</office:body>
</office:document>
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