| style="padding:0px; background-color:#AACAFF;border-top:outset 3px steelblue; border-left:outset 3px steelblue;" width="8" |
| style="padding:0px; background-color:#AACAFF;border-top:outset 3px steelblue; text-align:left; font-weight:bold;" width="70" | {{{1}}}
| style="padding:0px; background-color:#AACAFF;border-top:outset 3px steelblue; border-right:outset 3px steelblue;" width="8" |
| style="border-bottom:1px solid #A3A198" width="3" |
