Various Economic Area Pretesting Activities

Generic Clearence for Questionnaire Pretesting Research

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Various Economic Area Pretesting Activities

OMB: 0607-0725

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U.S. DEPARTMENT OF COMMERCE
Economics and Statistics Administration
U.S. CENSUS BUREAU
FORM

WH-42311

2007 ECONOMIC CENSUS

Computers and Office Equipment

OMB No. 0607-0929: Approval Expires 12/31/2008

(12/04/2006)

DUE DATE
FEBRUARY 12, 2008

Mail your completed form to:
U.S. CENSUS BUREAU
1201 East 10th Street
Jeffersonville, IN 47134-0001

WH-42311

Please read the accompanying
information sheet(s) before
answering the questions.
Need help or have questions
about filling out this form?
Visit www.census.gov/econhelp
Call 1-800-233-6136, between
8:00 a.m. and 6:00 p.m., Eastern
time, Monday through Friday.
- OR Write to the address above.
Include your 11-digit Census File
Number (CFN) printed in the
mailing address.

(Please correct any errors in this mailing address.)

YOUR RESPONSE IS REQUIRED BY LAW. Title 13, United States Code, requires businesses and other organizations
that receive this questionnaire to answer the questions and return the report to the U.S. Census Bureau. By the same
law, YOUR CENSUS REPORT IS CONFIDENTIAL. It may be seen only by persons sworn to uphold the confidentiality

of Census Bureau information and may be used only for statistical purposes. Further, copies retained in respondents'
files are immune from legal process.
• Use blue or black ballpoint pen. • Please center numbers in their respective boxes. Examples:
• Do not use pencil or felt-tip pen. • Do not put slashes through 0 or 7.
0 1 2 3 4 5 6 7 8
• Place an "X" inside the box.
The reporting unit for this form is an establishment. An establishment is generally a single physical location
where business is conducted or where services or industrial operations are performed. For further clarification, see
information sheet(s).

9

1 EMPLOYER IDENTIFICATION NUMBER

42311019

Is the Employer Identification Number (EIN) shown in the mailing address the same as the one used for this
establishment on its latest 2007 Internal Revenue Service Form 941, Employer's Quarterly Federal Tax Return?
0021
Yes - Go to 2 0022
No - Enter current EIN (9 digits)
0025
2 PHYSICAL LOCATION
A. Is this establishment's physical location the same as shown in the mailing address?
(P.O. Box and rural route addresses are not physical locations.)
0031
Yes - Go to line B
0032

No - Enter
physical
location

0035

Number and street

0036

City, town, village, etc.

0037

State

0038

ZIP Code
-

B. Is this establishment physically located inside the legal boundaries of the city, town, village, etc.?
(Mark "X" only ONE box.)

Yes
No
No legal boundaries
Do not know
0042
0043
0044
C. In what type of municipality is this establishment physically located? (Mark "X" only ONE box.)
City, village, or borough
Town or township
Other 0024
0046
0047
0048
0041

PENALTY FOR FAILURE TO REPORT
USCENSUSBUREAU

Do not know

CONTINUE ON PAGE 2

Form WH-42311

Page 2

(12/04/2006)

3 OPERATIONAL STATUS

Which ONE of the following best describes this establishment's operational status at the end of 2007?
(Mark "X" only ONE box.)
0011
0013
In operation
Temporarily or seasonally inactive
0014
Ceased operation - Give date at right
Month Day
0018
Sold or leased to another operator - Give date at right
0015
AND enter name and address of new owner or operator
and Employer Identification Number (EIN) below
0060

Name of new owner or operator

0061

Year

EIN (9 digits)
-

0062

Mailing address (Number and street, P.O. Box, etc.)

0063

City, town, village, etc.

0064

State

0065

ZIP Code
-

Other - Specify
4 MONTHS IN OPERATION
0016

0815

Mark "X"
if None

Number of months in operation during 2007 (If none, mark "X" and go to 30 .) . . . . . . . . . . . .
Dollar figures should be rounded to
HOW TO
thousands of dollars.
REPORT
DOLLAR
If a figure is $1,025,628.79:
FIGURES
If a value is "0" (or less than $500.00):
5 SALES, SHIPMENTS, RECEIPTS, OR REVENUE

Mark "X"
if None

Mil.

conducted for others. Include shipping and handling charges. Exclude
sales taxes and Hawaii's General Excise Tax.) . . . . . . . . . . . . . .
B. Did this establishment earn commissions for the sale of merchandise?
1121
Yes - Go to line C
1122
No - Go to line E

0002

2007

Thou.

Dol.

1 0 2 6

Report
Report
Mark "X"
if None

A. Sales and operating receipts (Include the gross selling value of business

$ Bil.

Mil.

$ Bil.

Mil.

2007

Thou.

Dol.

Thou.

Dol.

0100

C. Gross selling value of business conducted on a commission basis (Include on

line A.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

42311027

$ Bil.

2007

Number

D. Commissions received on transactions reported on line C . . . . . . . . . .
E. Is this the only establishment of this firm?

2007

1123
1124

Yes - Go to line G
0908
No - Go to line F
F. Percent of products sold by this establishment manufactured or mined in the United States
by your company or its subsidiaries . . . . . . . . . . . . . . . . . . . . . . . . . . .
G. Did e-commerce account for more than 50% of this establishment's sales and/or operating
receipts as reported on line A?
0308
Yes
0309
No
0907

Mark "X"
if None

1125

2007
Percent
%

CONTINUE ON PAGE 3

Form WH-42311

Page 3

(12/04/2006)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
6 Not Applicable.
7 EMPLOYMENT AND PAYROLL
Include:

• Full- and part-time employees working at this establishment whose payroll was reported on Internal Revenue
Service Form 941, Employer's Quarterly Federal Tax Return, and filed under the Employer Identification Number
(EIN) shown in the mailing address or corrected in 1 .

Exclude:

• Temporary staffing obtained from a staffing service.
• Contractors, subcontractors, or independent contractors.
• Full- or part-time leased employees whose payroll was filed under an employee leasing company's EIN.
• Purchased or managed services, such as janitorial, guard, or landscape services.
• Professional or technical services purchased from another firm, such as software
consulting, computer programming, engineering, or accounting services.

For further clarification, see information sheet(s).
A. Number of employees for pay period including March 12 . . . . . . . . . . . . . .

B. Payroll before deductions (Exclude employer's cost for fringe benefits.)
1. Annual payroll . . . . . . . . . . . . . . . . . . . . . . . . . .
2. First quarter payroll (January-March, 2007) . . . . . . . . . . . . .

Mark "X"
if None

2007
Number

Mark "X"
if None

0320

$ Bil.

Mil.

2007

Thou.

Dol.

End of 2006
Mil.
Thou.

Dol.

0300
0310

8 Not Applicable.
9 VALUE OF INVENTORIES
A. Did this establishment own inventories, regardless of where held, at the end of 2007 and/or 2006?
0486

Yes - Go to line B

0487

No - Go to 16

B. Report inventories for products owned by this establishment as of December 31.
End of 2007
Mark "X"
Mark "X"
1. Total inventories
if None $ Bil.
if None $ Bil.
Mil.
Thou. Dol.
before Last-in, Firstout (LIFO) adjustment
(if any) . . . . . . . . 0460
0470
2. LIFO reserve (if any) . . 0466
3. Total inventories
after LIFO adjustment
0468

0469

42311035

(Line B1 minus line B2) .

0476

CONTINUE ON PAGE 4

Form WH-42311

Page 4

(12/04/2006)

10 INVENTORIES BY VALUATION METHOD
Report how much of the inventory reported in 9 , line B1 for 2007 is subject to
the following valuation methods.
A. LIFO valuation method before adjustment . . . . . . . . . . . . . . .

0244

B. First-in, First-out (FIFO) . . . . . . . . . . . . . . . . . . . . . . . .

0491

C. Average cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0492

D. Standard cost . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0493

Mark "X"
if None

$ Bil.

Mil.

Mark "X"
if None

$ Bil.

Mil.

2007

Thou.

Dol.

Thou.

Dol.

E. Other valuation method - Specify method
0895

F. TOTAL (Add lines A through E. Total should equal 9 , line B1.) . . . . .
11 – 15 Not Applicable.
16 SELECTED EXPENSES

0494
0490

2007

42311043

A. Operating expenses (Include payroll. Exclude cost of goods sold and
interest expense.) . . . . . . . . . . . . . . . . . . . . . . . . . . . 0140
B. Purchases of merchandise for resale, net of returns, allowances, and
trade and cash discounts (Include amounts allowed for trade-ins.) . . . . 1160
C. For the value reported on line B, were any of these goods ordered over an Internet, Extranet, Electronic Data
Interchange (EDI) network, electronic mail, or other online system?
Yes
0441
No
0442
Do not know
0443
D. Equipment leased to other firms under an operating lease in 2007
1. Did this establishment rent or lease to firms, other than your own, new equipment manufactured in the United
States by your company in 2007?
Yes - Go to line D2
0446
No - Go to 19
0447
2007
$
Bil.
Mil.
Thou.
Dol.
2. Value of new equipment manufactured in the United States by your
company and leased under a rental agreement or operating lease to a firm
other than your own . . . . . . . . . . . . . . . . . . . . . . . . . . . 0448

CONTINUE ON PAGE 5

Form WH-42311

Page 5

(12/04/2006)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
17 and 18 Not Applicable.
19 A. KIND OF BUSINESS

Which ONE of the following best describes this establishment's principal kind of business in 2007?
(Mark "X" only ONE box.)

0700

423 430 11 1
423 430 12 1
423 430 20 1
511 210 00 1
541 511 00 1

541 512 10 3

541 513 00 1
541 512 20 4

423 420 00 3
423 210 20 1
424 120 00 1
423 440 20 1
423 830 30 2
423 610 00 1

423 690 10 1
423 690 20 4

334 413 00 1
424 990 20 3

42311050

771 000 00 1

Computers and peripheral equipment sold for resale
Computers and peripheral equipment sold for end use
Packaged computer software
Software publishers, including developing and publishing or publishing only, packaged software
Custom computer programming services (writing, modifying, testing, and supporting software
to meet the needs of a particular customer)
Systems integrators engaged in the development or modification of software and the "bundling"
of software with computers and peripheral equipment to create an integrated system designed
for a specific application
Computer facility management and maintenance services
Computer systems design consultant, providing advice on computer systems, including
hardware and software requirements, and use
Office equipment, excluding office furniture
Office and business furniture, including church pews and school desks
Stationery, office supplies, and greeting cards
Store machines and equipment
General-purpose industrial machinery
Electrical apparatus and equipment, wiring supplies, and construction materials, including
industrial controls
Communications equipment and supplies
Electronic parts and equipment, including blank tapes, compact discs/CDs, and computer
diskettes
On-site manufacturing of semiconductors
General nondurable goods (a variety of unrelated nondurable goods where no single item is
predominant)
Other kind of business - Specify

0701

19 B. TYPE OF OPERATION

Which ONE of the following best describes this establishment's principal type of operation in 2007?
(Mark "X" only ONE box.)

Merchant wholesaler, buying and selling on own account

0600

12
13

Importer
Exporter

CONTINUE WITH 19 ON PAGE 6

CONTINUE ON PAGE 6

Form WH-42311

Page 6

(12/04/2006)

19 B. TYPE OF OPERATION - Continued
Merchant wholesaler, buying and selling on own account - Continued
0600

14

Merchant wholesale distributor or jobber
Own-brand importer and marketer

20

Manufacturers' sales branch or office

11

Agent, broker, or commission merchant

41
42
43
44
45
46

Auction company
Broker, representing buyers and sellers
Commission merchant
Import agent
Export agent
Manufacturers' agent

49

Electronic market - business-to-business marketplace that facilitates the sale of goods via the
Internet or other electronic means, and operates on a commission or fee basis

77

Other broker or agent

- Specify

0601

20 CLASS OF CUSTOMER
A. As a general business practice, did this establishment sell to household consumers and individual users in 2007?
Yes
No
B. Were 75% or more of this establishment's sales to retailers/wholesalers for resale in 2007?
Yes
No
C. Did this establishment require proof of business or professional license from new customers in 2007?
Yes
0251

0252

0256

0257

0276

No

42311068

0277

CONTINUE WITH 20 ON PAGE 7

CONTINUE ON PAGE 7

Form WH-42311

Page 7

(12/04/2006)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
20 CLASS OF CUSTOMER - Continued

2007
Whole percent
of sales and
receipts

D. Estimate the percentage of this establishment's total sales (reported in 5 , line A) by class of
customer. (Circle all that apply and then report percentages for the items circled.)

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

Household consumers and individual users . . . . . . . . . . . . . . . . . . . . . . . .

0261

Export sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0262

Retailers for resale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0263

Wholesale establishments for resale . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0264

Repair shops for use in repair work . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0265

Manufacturing and mining industrial users for use as input goods in production . . . . . . .

0266

Restaurants, hotels, food services, and contract feeding . . . . . . . . . . . . . . . . . .

0267

Businesses for end use in their own operation, not for resale or production . . . . . . . . .

0268

Building contractors, heavy construction, and special trade contractors . . . . . . . . . . .

0269

Farmers for use in farm production . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0270

Governmental bodies (federal, state, and local) . . . . . . . . . . . . . . . . . . . . . . .

0271

%
%
%
%
%
%
%
%
%
%
%

Other - Specify
0874

%

0272

13. TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1 0 0

%

21 METHOD OF SELLING

Which ONE of the following best describes this establishment's principal method of selling in 2007?
(Mark "X" only ONE box.)
0751
Electronic commerce (selling goods or facilitating the sale of goods via the Internet or other electronic means)

0754

Store or display showroom (selling from a fixed or permanent location with physical displays of priced
merchandise and/or from a counter)
Warehouse or office (including telephone/fax orders or outside sales representatives)
Mail order

0755

Home shopping via television

0752

42311076

0753

0757

Direct selling (selling in a face-to-face manner away from a fixed location, such as house-to-house, party
plan, or temporary kiosk sales)
Vending machines

0758

Other - Specify

0756

0759

CONTINUE ON PAGE 8

Form WH-42311

Page 8

(12/04/2006)

HOW TO
REPORT
PERCENTS

$ Bil.

2007
Estimates are acceptable.
Report dollars OR percents.
Mil.
Thou. Dol. Percent

$ Bil.

2007
Estimates are acceptable.
Report dollars OR percents.
Mil.
Thou. Dol. Percent

If figure is 38.76% of
Report whole percents
3 9
total sales:
22 DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE
(Report sales for each product line sold by this establishment, either as a dollar figure or as a whole percent of total
sales reported in 5 , line A. Include the value of merchandise marketed under capital, finance, or full payout leases,
and rental receipts derived from merchandise under operating leases. See HOW TO REPORT DOLLAR FIGURES on page
2 and HOW TO REPORT PERCENTS above. Do not combine data for two or more lines.)
Description of sales, shipments, receipts, or revenue
0723

0720

1. New computer equipment
a. Computers, including personal computers, laptops, servers, and

supercomputers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10921

Computer storage devices . . . . . . . . . . . . . . . . . . . . . . . . . .

10922

Computer printers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10923

Other computer peripheral equipment . . . . . . . . . . . . . . . . . . .

10924

Sum lines 1a through 1d . . . . . . . . . . . . . . . . . . . . . . . . .

10920

Packaged computer software, including game software and cartridges .

10950

Used computer equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10930

Custom computer software . . . . . . . . . . . . . . . . . . . . . . . . . . .

19960

Store machines and equipment . . . . . . . . . . . . . . . . . . . . . . . . .

10970

Communications equipment and supplies . . . . . . . . . . . . . . . . . . .

11650

b.
c.
d.
e.

42311084

2.
3.
4.
5.
6.
7.
8.

Census
use

Electronic parts and equipment, excluding communications equipment
Office equipment, excluding computers

a.
b.
c.
d.
e.
f.

0721

0722

11600

Typewriters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10911

Calculators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10912

Copiers and copier parts and equipment . . . . . . . . . . . . . . . . .

10913

Dictating, transcribing, and recording machines . . . . . . . . . . . . .

10914

Mailing, letter handling, and addressing machines . . . . . . . . . . .

10915

Sum lines 8a through 8e . . . . . . . . . . . . . . . . . . . . . . . . .

10900

9. Video game players, including dedicated game terminals and hand-held

electronic games (Report electronic digital video disc (DVD) based game
consoles on line 10.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Electronic digital video disc (DVD) based game consoles, DVD players,
VCRs, and video cameras . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11. Office and business furniture . . . . . . . . . . . . . . . . . . . . . . . . . .
CONTINUE WITH 22 ON PAGE 9

12811

11513
10420

CONTINUE ON PAGE 9

Form WH-42311

Page 9

(12/04/2006)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
22

DETAIL OF SALES, SHIPMENTS, RECEIPTS, OR REVENUE - Continued

Description of sales, shipments, receipts, or revenue
0723

12.
13.
14.
15.
16.
17.
18.

0720

Photographic equipment and supplies . . . . . . . . . . . . . . . . . . . . .

10800

Electrical apparatus and equipment . . . . . . . . . . . . . . . . . . . . . .

11400

Electric household appliances, including gas clothes dryers . . . . . . . .

11500

General-purpose industrial machinery, equipment, and parts . . . . . . .

12320

Printing and writing paper . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13200

Office paper, office supplies, greeting cards, and labels . . . . . . . . . .
Miscellaneous commodities - Specify

a.
b.
c.
19. Rental and operating lease receipts
a. Computer rental and leasing receipts . . . . . . . . . . . . . . . . . . .
b. Photocopying machine rental . . . . . . . . . . . . . . . . . . . . . . . .
c. Other office machine rental receipts . . . . . . . . . . . . . . . . . . . .
d. Other rental receipts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e. Sum lines 19a through 19d . . . . . . . . . . . . . . . . . . . . . . . .
20. Service receipts and labor charges, including installed parts
a. Labor charges for repair work . . . . . . . . . . . . . . . . . . . . . . . .
b. Parts installed in repair work . . . . . . . . . . . . . . . . . . . . . . . .
c. Other service receipts and labor charges - Specify
42311092

Census
use

$ Bil.
0721

2007
Estimates are acceptable.
Report dollars OR percents.
Mil.
Thou. Dol. Percent
0722

13300

19811
19812
19813

19941
19942
19943
19944
19940

19701
19702

19703

21.
22.
23.
24.

d. Sum lines 20a through 20c . . . . . . . . . . . . . . . . . . . . . . . .

19700

Receipts for service contracts . . . . . . . . . . . . . . . . . . . . . . . . . .

19720

Receipts for installing equipment . . . . . . . . . . . . . . . . . . . . . . . .

19740

Sales of integrated systems . . . . . . . . . . . . . . . . . . . . . . . . . . .

19930

TOTAL (Should equal 5 , line A if reporting in dollars.) . . . . . . . . . .

19990

1 0 0

CONTINUE ON PAGE 10

Form WH-42311

Page 10

(12/04/2006)

23 Not Applicable.
24 SHIPPING AND HANDLING

A. Did this establishment have any receipts from customers for shipping and handling of merchandise in 2007?
0981
Yes - Go to line B
2007
0982
No - Go to 26
Estimates are acceptable
$ Bil.

Mil.

B. Receipts of this establishment from customers for shipping and handling of
merchandise. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0985
C. Are receipts for shipping and handling included in sales and receipts (reported in 5 , line A)?
0988
Yes
0989
No
25 Not Applicable.
26 SPECIAL INQUIRIES
A. EMPLOYMENT BY PRIMARY FUNCTION
Census
(List the number of employees reported in 7 , line A, by the employee's primary
use
function.)
1. Selling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Sales support - including office, clerical, warehousing, customer service, maintenance
employees, and drivers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3. General support of other establishments in your company - including central
administrative, accounting, research, and other support employees . . . . . . . . . . .
4. Packaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5. Production - including employees who manufacture products from raw materials or
semi-finished products (Report 'knockdown' assembly employees on line 6 below.) . . .
6. 'Knockdown' assembly - assembling prefabricated components designed for a single
application or reassembly of completed products . . . . . . . . . . . . . . . . . . .
7. Other - Specify

Dol.

2007
Paid employees

1131

1132

1133
1135

1136

1134

1137

0837

8. TOTAL (Add lines 1 through 7. Total should equal 7 , line A.) . . . . . . . . . . . . .
B. PERCENT OF DROP SHIPPED SALES
42311100

Thou.

1138

Percentage of sales (reported in 5 , line A) that were drop shipped and did not enter this
establishment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2007
Whole percent
of sales and
receipts
1111

%

CONTINUE WITH 26 ON PAGE 11

CONTINUE ON PAGE 11

Form WH-42311

(12/04/2006)

If not shown, please enter your 11-digit Census File
Number (CFN) from the mailing address.
26 SPECIAL INQUIRIES - Continued
C. OTHER ESTABLISHMENT ACTIVITIES
1. Did this establishment design, engineer, or formulate the manufactured products that it sold, produced, or

Page 11

shipped?
0318

Yes

0319

No

2. Which of the following best describes this establishment's primary activity? (Mark "X" only ONE box.)
0362

Providing contract manufacturing services for others

0363

Transforming raw materials or components into new products that this establishment owns or
controls

0364

Reselling goods manufactured by others (with or without minor final assembly)

0365

Other - Specify

0366

3. Did this establishment purchase contract manufacturing services from other companies or other establishments
of your company to process materials or components that this establishment owns or controls?
0496

Yes, primarily with establishments WITHIN the 50 States and the District of Columbia

0497

Yes, primarily with establishments OUTSIDE of the 50 States and the District of Columbia

No
27 – 29 Not Applicable.
REMARKS (Please use this space for any explanations that may be essential in understanding your reported data.)
0498

$$CENSUS_REMARKS$$

42311118

30 CERTIFICATION - This report is substantially accurate and was prepared in accordance with the instructions.
Is the time period covered by this report a calendar year?
Yes
No - Enter time period covered

FROM

Name of person to contact regarding this report
Telephone

Area code

Number
-

Internet e-mail address

Month

Year

TO

Month

Year

Title
Extension

Fax

Area code

Number
-

Date
completed

Month Day

Thank you for completing your 2007 ECONOMIC CENSUS form.

PLEASE PHOTOCOPY THIS FORM FOR YOUR RECORDS AND RETURN THE ORIGINAL.

Year


File Typeapplication/pdf
File TitleC:\DOCUME~1\busse002\LOCALS~1\Temp\__gids_pdfs\__g1.ps
Authorbusse002
File Modified2011-07-20
File Created2007-02-15

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