| style="background-color:#aaaaaa;border-top:solid 1px #000000;border-left:solid 1px #000000;border-bottom:solid 1px #000000" width="8" | | style="background-color:#aaaaaa;border-top:solid 1px #000000;border-bottom:solid 1px #000000;text-align:left" width="70" | {{{1}}} | style="background-color:#aaaaaa;border-top:solid 1px #000000;border-right:solid 1px #000000;border-bottom:solid 1px #000000" width="8" |
| style="border-bottom:1px solid #000000" width="3" |