%PDF-1.6
%
4 0 obj
<>stream
2020-07-10T10:05:16-06:00
2023-09-27T09:24:16-06:00
2023-09-27T09:24:16-06:00
Adobe InDesign 15.0 (Macintosh)
uuid:777bc0bb-edea-4b6f-9240-18dbac0fe535
xmp.did:23B422693E82E011A217D66C2EEF72C6
xmp.id:aa3142d2-d8e2-4fd5-ba09-20115d3cd9ea
proof:pdf
xmp.iid:a99a33b7-f0b5-4240-a8f7-b48b6cebb084
xmp.did:4895a3ce-9ed2-4e46-bdd9-a58afa5b33b4
xmp.did:23B422693E82E011A217D66C2EEF72C6
default
converted
from application/x-indesign to application/pdf
Adobe InDesign 15.0 (Macintosh)
/
2020-07-10T10:05:16-06:00
application/pdf
Employee HSA payroll deduction form
Adobe PDF Library 15.0
Unknown
1
1.1
1
PDF/UA Universal Accessibility Schema
http://www.aiim.org/pdfua/ns/id/
pdfuaid
part
Integer
internal
Indicates, which part of ISO 14289 standard is followed
endstream
endobj
7 0 obj
<>/Filter/FlateDecode/ID[<7519E9154CEA4D45A54B35159758ED95>]/Info 24 0 R /Length 65/Root 26 0 R /Size 25/Type/XRef/W[ 1 3 1]>>stream
hbb &F d|
"%H>8PG#a?|0 ǧ
;
endstream
endobj
8 0 obj
<>
endobj
9 0 obj
<>
endobj
10 0 obj
<>
endobj
11 0 obj
<>
endobj
12 0 obj
<>
endobj
13 0 obj
<>
endobj
14 0 obj
<>
endobj
15 0 obj
<>
endobj
16 0 obj
<>
endobj
17 0 obj
<>
endobj
18 0 obj
<>
endobj
19 0 obj
<>
endobj
20 0 obj
<<>>
endobj
21 0 obj
<>
endobj
22 0 obj
<>
endobj
23 0 obj
<>
endobj
24 0 obj
<>
endobj
26 0 obj
<>>>
endobj
27 0 obj
<>
endobj
28 0 obj
<>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Rotate 0/Tabs/S/TrimBox[ 0 0 612 792]/Type/Page>>
endobj
29 0 obj
<>/ProcSet[/PDF/Text]>>/Subtype/Form/Type/XObject>>stream
Hlϱ0Xg[
3 M-Z6z !D(
ؽ0-2}dn:kC olWDw9xL;-1!l&
a#$deDmU>yo" t4Q
endstream
endobj
30 0 obj
<>stream
Hĕ Piǻsp `}|!D$ "B #$2H"r2"**Z x 0h !aqkש}Z$HaC0 c?4{vDZ?h#CCP?#GA!u#IVEhV:JQz8~|B 5xP1v|bFR@a;c踔9It DKO$fblA8:RIlFiyBBr~Y<[(SOY$MޚIJ(È:P#m5#<-72&`7b,31F(B<(bC"lf8:ՐxRs7MR{ v1m{WN$!! Ta