| style="background-color:#;border-top:0px;" width="8" |
| style="background-color:#;border:0px; text-align:center;font-weight:bold" width="70" | {{{1}}}
| style="background-color:#;border:0px;" width="8" |
| style="border-bottom:0px;" width="3" |
| style="background-color:#;border-top:0px;" width="8" |
| style="background-color:#;border:0px; text-align:center;font-weight:bold" width="70" | {{{1}}}
| style="background-color:#;border:0px;" width="8" |
| style="border-bottom:0px;" width="3" |