%PDF-1.4
%
1 0 obj
<<
/Author (Rink, Matthias)
/CreationDate (D:20200316123700+01'00')
/Creator (PDF-XChange Office Addin)
/ModDate (D:20200316150043+01'00')
/Producer (PDF-XChange Printer V6 \(6.0 build 322.3\) [Windows Server 2008 R2 x64 Server 4.0 \(Build 7601: Service Pack 1\)])
>>
endobj
2 0 obj
<<
/AcroForm 3 0 R
/Metadata 4 0 R
/Pages 5 0 R
/Type /Catalog
>>
endobj
3 0 obj
<<
/DR <<
/Font <<
/F0 6 0 R
/F1 7 0 R
>>
>>
/Fields [8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R 15 0 R 16 0 R 17 0 R 18 0 R 19 0 R 20 0 R 21 0 R 22 0 R 23 0 R
24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R]
>>
endobj
4 0 obj
<<
/Length 3169
/Subtype /XML
/Type /Metadata
>>
stream
Rink
Matthias
application/pdf
2020-03-16T12:37+01:00
PDF-XChange Office Addin
2020-03-16T15:00:43+01:00
PDF-XChange Printer V6 (6.0 build 322.3) [Windows Server 2008 R2 x64 Server 4.0 (Build 7601: Service Pack 1)]
uuid:39d1842c-bfc7-43a6-a6aa-2e80d17cc41e
uuid:c7aa30e1-e950-4f02-8c95-4d4516531010
endstream
endobj
5 0 obj
<<
/Count 1
/Kids [34 0 R]
/Type /Pages
>>
endobj
6 0 obj
<<
/BaseFont /Helvetica
/Subtype /Type1
/Type /Font
>>
endobj
7 0 obj
<<
/BaseFont /ArialMT
/Encoding /WinAnsiEncoding
/FirstChar 32
/FontDescriptor 35 0 R
/LastChar 255
/Subtype /TrueType
/Type /Font
/Widths [278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278
556 556 556 556 556 556 556 556 556 556 278 278 584 584 584 556
1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778
667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556
333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556
556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 350
556 0 222 556 333 1000 556 556 333 1000 667 333 1000 0 611 0
0 222 222 333 333 0 556 1000 333 1000 500 333 944 0 500 667
0 333 556 556 556 556 260 556 333 737 370 556 584 0 737 552
400 549 333 333 333 576 537 333 333 333 365 556 834 834 834 611
667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278
722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611
556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278
556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500]
>>
endobj
8 0 obj
<<
/DA (0 g /F2 0 Tf)
/FT /Btn
/Kids [36 0 R]
/T (Check Box7)
>>
endobj
9 0 obj
<<
/DA (0 g /F2 0 Tf)
/FT /Btn
/Kids [37 0 R]
/T (Check Box4)
>>
endobj
10 0 obj
<<
/DA (0 g /F0 11 Tf)
/Ff 4096
/FT /Tx
/Kids [38 0 R]
/T (Arbeitgeber)
>>
endobj
11 0 obj
<<
/DA (0 g /F0 11 Tf)
/FT /Tx
/Kids [39 0 R]
/T (Funktion)
>>
endobj
12 0 obj
<<
/DA (0 g /F2 0 Tf)
/FT /Btn
/Kids [40 0 R]
/T (Check Box3)
>>
endobj
13 0 obj
<<
/DA (0 g /F2 0 Tf)
/FT /Btn
/Kids [41 0 R]
/T (Check Box2)
>>
endobj
14 0 obj
<<
/DA (0 g /F2 0 Tf)
/FT /Btn
/Kids [42 0 R]
/T (Check Box1)
>>
endobj
15 0 obj
<<
/DA (0 g /F2 0 Tf)
/FT /Btn
/Kids [43 0 R]
/T (Check Box5)
>>
endobj
16 0 obj
<<
/DA (0 g /F0 11 Tf)
/FT /Tx
/Kids [44 0 R]
/T (Gemeinde)
>>
endobj
17 0 obj
<<
/DA (0 g /F0 11 Tf)
/FT /Tx
/Kids [45 0 R]
/T (Adresse)
>>
endobj
18 0 obj
<<
/DA (0 g /F0 11 Tf)
/FT /Tx
/Kids [46 0 R]
/T (Name)
>>
endobj
19 0 obj
<<
/DA (0 g /F0 11 Tf)
/FT /Tx
/Kids [47 0 R]
/T (Kontaktdaten)
>>
endobj
20 0 obj
<<
/DA (0 g /F2 0 Tf)
/FT /Btn
/Kids [48 0 R]
/T (Check Box6)
>>
endobj
21 0 obj
<<
/AP <<
/N 49 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Rect [33.732994 109.45697 137.930481 128.94931]
/Subtype /Widget
/T (Kind1)
/Type /Annot
>>
endobj
22 0 obj
<<
/AA <<
/F <<
/JS (AFDate_FormatEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
/K <<
/JS (AFDate_KeystrokeEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
>>
/AP <<
/N 50 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
/BC [1 1 1]
>>
/P 34 0 R
/Rect [140.179352 110.206673 228.634766 129.699005]
/Subtype /Widget
/T (Geb1)
/Type /Annot
>>
endobj
23 0 obj
<<
/AP <<
/N 51 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Rect [230.134003 110.206673 418.289185 128.94931]
/Subtype /Widget
/T (Einrichtung1)
/Type /Annot
>>
endobj
24 0 obj
<<
/AP <<
/N 52 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Rect [420.538025 110.206673 551.721924 129.699005]
/Subtype /Widget
/T (Betreuung1)
/Type /Annot
>>
endobj
25 0 obj
<<
/AP <<
/N 53 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Page 0
/Rect [33.732994 89.964638 137.930481 109.456978]
/Subtype /Widget
/T (Kind2)
/Type /Annot
>>
endobj
26 0 obj
<<
/AA <<
/F <<
/JS (AFDate_FormatEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
/K <<
/JS (AFDate_KeystrokeEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
>>
/AP <<
/N 54 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
/BC [1 1 1]
>>
/P 34 0 R
/Page 0
/Rect [140.179352 88.465218 228.634766 107.95755]
/Subtype /Widget
/T (Geb2)
/Type /Annot
>>
endobj
27 0 obj
<<
/AP <<
/N 55 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Page 0
/Rect [230.134003 90.714333 418.289185 109.45697]
/Subtype /Widget
/T (Einrichtung2)
/Type /Annot
>>
endobj
28 0 obj
<<
/AP <<
/N 56 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Page 0
/Rect [420.538025 91.464043 551.721924 110.956375]
/Subtype /Widget
/T (Betreuung2)
/Type /Annot
>>
endobj
29 0 obj
<<
/AP <<
/N 57 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Page 0
/Rect [32.983376 70.472305 137.180862 89.964645]
/Subtype /Widget
/T (Kind3)
/Type /Annot
>>
endobj
30 0 obj
<<
/AA <<
/F <<
/JS (AFDate_FormatEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
/K <<
/JS (AFDate_KeystrokeEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
>>
/AP <<
/N 58 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
/BC [1 1 1]
>>
/P 34 0 R
/Page 0
/Rect [140.179352 68.223183 228.634766 87.715515]
/Subtype /Widget
/T (Geb3)
/Type /Annot
>>
endobj
31 0 obj
<<
/AP <<
/N 59 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Page 0
/Rect [230.883636 68.972878 419.038818 87.715515]
/Subtype /Widget
/T (Einrichtung3)
/Type /Annot
>>
endobj
32 0 obj
<<
/AP <<
/N 60 0 R
>>
/DA (0 g /F0 0 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Page 0
/Rect [421.287659 69.722588 552.471558 89.21492]
/Subtype /Widget
/T (Betreuung3)
/Type /Annot
>>
endobj
33 0 obj
<<
/AA <<
/F <<
/JS (AFDate_FormatEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
/K <<
/JS (AFDate_KeystrokeEx\("dd.mm.yyyy"\))
/S /JavaScript
>>
>>
/AP <<
/N 61 0 R
>>
/DA (0 g /F0 11 Tf)
/F 4
/FT /Tx
/MK <<
>>
/P 34 0 R
/Rect [95.951637 44.232609 173.16272 62.225536]
/Subtype /Widget
/T (Datum)
/Type /Annot
>>
endobj
34 0 obj
<<
/Annots [44 0 R 46 0 R 45 0 R 47 0 R 42 0 R 40 0 R 37 0 R 43 0 R 48 0 R 36 0 R 41 0 R 39 0 R 38 0 R 62 0 R 63 0 R 21 0 R
22 0 R 23 0 R 24 0 R 25 0 R 26 0 R 27 0 R 28 0 R 29 0 R 30 0 R 31 0 R 32 0 R 33 0 R 64 0 R]
/Contents [65 0 R]
/MediaBox [0 0 595.2 841.919]
/Parent 5 0 R
/Resources <<
/Font <<
/F1 66 0 R
/F3 67 0 R
>>
/ProcSet [/PDF /Text]
/XObject <<
/I0 68 0 R
/I2 69 0 R
/I3 70 0 R
/I5 71 0 R
>>
>>
/Type /Page
>>
endobj
35 0 obj
<<
/Ascent 905
/CapHeight 716
/Descent -212
/Flags 32
/FontBBox [-665 -325 2000 1006]
/FontName /ArialMT
/ItalicAngle 0
/StemV 0
/Type /FontDescriptor
>>
endobj
36 0 obj
<<
/AP <<
/D <<
/Off 72 0 R
/Yes 73 0 R
>>
/N <<
/Off 74 0 R
/Yes 75 0 R
>>
>>
/AS /Off
/DA (0 g /F2 0 Tf)
/F 4
/MK <<
/CA ()
>>
/P 34 0 R
/Parent 8 0 R
/Rect [145.426712 388.347321 164.916885 403.341461]
/Subtype /Widget
/Type /Annot
>>
endobj
37 0 obj
<<
/AP <<
/D <<
/Off 76 0 R
/Yes 77 0 R
>>
/N <<
/Off 78 0 R
/Yes 79 0 R
>>
>>
/AS /Off
/DA (0 g /F2 0 Tf)
/F 4
/MK <<
/CA ()
>>
/P 34 0 R
/Parent 9 0 R
/Rect [144.677078 482.81012 164.167252 497.80426]
/Subtype /Widget
/Type /Annot
>>
endobj
38 0 obj
<<
/AP <<
/N 80 0 R
>>
/DA (0 g /F0 11 Tf)
/F 4
/MK <<
>>
/P 34 0 R
/Parent 10 0 R
/Rect [140.92894 177.680161 535.230225 236.90686]
/Subtype /Widget
/Type /Annot
>>
endobj
39 0 obj
<<
/AP <<
/N 81 0 R
>>
/DA (0 g /F0 11 Tf)
/F 4
/MK <<
>>
/P 34 0 R
/Parent 11 0 R
/Rect [141.678558 243.654205 535.979858 263.146515]
/Subtype /Widget
/Type /Annot
>>
endobj
40 0 obj
<<
/AP <<
/D <<
/Off 82 0 R
/Yes 83 0 R
>>
/N <<
/Off 84 0 R
/Yes 85 0 R
>>
>>
/AS /Off
/DA (0 g /F2 0 Tf)
/F 4
/MK <<
/CA ()
>>
/P 34 0 R
/Parent 12 0 R
/Rect [145.426712 525.543335 164.916885 540.537476]
/Subtype /Widget
/Type /Annot
>>
endobj
41 0 obj
<<
/AP <<
/D <<
/Off 86 0 R
/Yes 87 0 R
>>
/N <<
/Off 88 0 R
/Yes 89 0 R
>>
>>
/AS /Off
/DA (0 g /F2 0 Tf)
/F 4
/MK <<
/CA ()
>>
/P 34 0 R
/Parent 13 0 R
/Rect [349.323944 561.529236 368.814117 576.523376]
/Subtype /Widget
/Type /Annot
>>
endobj
42 0 obj
<<
/AP <<
/D <<
/Off 90 0 R
/Yes 91 0 R
>>
/N <<
/Off 92 0 R
/Yes 93 0 R
>>
>>
/AS /Off
/DA (0 g /F2 0 Tf)
/F 4
/MK <<
/CA ()
>>
/P 34 0 R
/Parent 14 0 R
/Rect [143.927475 562.27887 163.417648 577.27301]
/Subtype /Widget
/Type /Annot
>>
endobj
43 0 obj
<<
/AP <<
/D <<
/Off 94 0 R
/Yes 95 0 R
>>
/N <<
/Off 96 0 R
/Yes 97 0 R
>>
>>
/AS /Off
/DA (0 g /F2 0 Tf)
/F 4
/MK <<
/CA ()
>>
/P 34 0 R
/Parent 15 0 R
/Rect [145.426697 446.074554 164.91687 461.068695]
/Subtype /Widget
/Type /Annot
>>
endobj
44 0 obj
<<
/AP <<
/N 98 0 R
>>
/DA (0 g /F0 11 Tf)
/F 4
/MK <<
>>
/P 34 0 R
/Page 0
/Parent 16 0 R
/Rect [169.414612 741.458496 449.773315 760.950806]
/Subtype /Widget
/Type /Annot
>>
endobj
45 0 obj
<<
/AP <<
/N 99 0 R
>>
/DA (0 g /F0 11 Tf)
/F 4
/MK <<
>>
/P 34 0 R
/Parent 17 0 R
/Rect [140.928955 605.761841 541.976807 625.25415]
/Subtype /Widget
/Type /Annot
>>
endobj
46 0 obj
<<
/AP <<
/N 100 0 R
>>
/DA (0 g /F0 11 Tf)
/F 4
/MK <<
>>
/P 34 0 R
/Parent 18 0 R
/Rect [141.678604 629.002808 535.979919 648.495117]
/Subtype /Widget
/Type /Annot
>>
endobj
47 0 obj
<<
/AP <<
/N 101 0 R
>>
/DA (0 g /F0 11 Tf)
/F 4
/MK <<
>>
/P 34 0 R
/Parent 19 0 R
/Rect [141.678604 581.771362 542.726501 601.263672]
/Subtype /Widget
/Type /Annot
>>
endobj
48 0 obj
<<
/AP <<
/D <<
/Off 102 0 R
/Yes 103 0 R
>>
/N <<
/Off 104 0 R
/Yes 105 0 R
>>
>>
/AS /Off
/DA (0 g /F2 0 Tf)
/F 4
/MK <<
/CA ()
>>
/P 34 0 R
/Parent 20 0 R
/Rect [144.677094 414.587006 164.167267 429.581146]
/Subtype /Widget
/Type /Annot
>>
endobj
49 0 obj
<<
/BBox [0 0 104.197487 19.49234]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
50 0 obj
<<
/BBox [0 0 88.455414 19.492332]
/Filter [/FlateDecode]
/Length 52
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3T0 w QΥg Dz&
z&F
E\\!
N\@
J
endstream
endobj
51 0 obj
<<
/BBox [0 0 188.155182 18.742638]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
52 0 obj
<<
/BBox [0 0 131.183899 19.492332]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
53 0 obj
<<
/BBox [0 0 104.197487 19.49234]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
54 0 obj
<<
/BBox [0 0 88.455414 19.492332]
/Filter [/FlateDecode]
/Length 52
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3T0 w QΥg Dz&
z&F
E\\!
N\@
J
endstream
endobj
55 0 obj
<<
/BBox [0 0 188.155182 18.742638]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
56 0 obj
<<
/BBox [0 0 131.183899 19.492332]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
57 0 obj
<<
/BBox [0 0 104.197487 19.49234]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
58 0 obj
<<
/BBox [0 0 88.455414 19.492332]
/Filter [/FlateDecode]
/Length 52
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
x3T0 w QΥg Dz&
z&F
E\\!
N\@
J
endstream
endobj
59 0 obj
<<
/BBox [0 0 188.155182 18.742638]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
60 0 obj
<<
/BBox [0 0 131.183899 19.492332]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
61 0 obj
<<
/BBox [0 0 77.211082 17.992928]
/Filter [/FlateDecode]
/Length 18
/Resources <<
>>
/Subtype /Form
/Type /XObject
>>
stream
xPpurb &
endstream
endobj
62 0 obj
<<
/AP <<
/N 106 0 R
>>
/C [1 1 1]
/Contents (Ja)
/CreationDate (D:20200316102944+01'00')
/DA (1 1 1 rg /F1 12 Tf)
/DS (font-family:Arial;font-size:12pt;color:#000000;)
/F 132
/IT /FreeText
/M (D:20200316113142+01'00')
/NM (067b60aa-c87e-4242-b8c3d357edbf7d15)
/P 34 0 R
/Page 0
/RC (
Ja
)
/RD [0.75 0.75 0.75 0.75]
/Rect [177.66008 557.03064 287.105713 575.773865]
/Subj (Textfeld)
/Subtype /FreeText
/T (BrauerR)
/Type /Annot
>>
endobj
63 0 obj
<<
/AP <<
/N 107 0 R
>>
/C [1 1 1]
/Contents (Nein)
/CreationDate (D:20200316102957+01'00')
/DA (1 1 1 rg /F1 12 Tf)
/DS (font-family:Arial;font-size:12pt;color:#000000;)
/F 132
/IT /FreeText
/M (D:20200316113147+01'00')
/NM (1ff09ba6-eba5-4d00-bfe294446747ea81)
/P 34 0 R
/RC (Nein
)
/RD [0.75 0.75 0.75 0.75]
/Rect [378.558838 559.279785 462.517273 577.273254]
/Subj (Textfeld)
/Subtype /FreeText
/T (BrauerR)
/Type /Annot
>>
endobj
64 0 obj
<<
/AP <<
/N 108 0 R
>>
/C [1 1 1]
/Contents (Antragsformular fr die Notfallbetreuung)
/CreationDate (D:20200316130800+01'00')
/DA (1 1 1 rg /F1 12 Tf)
/DS (font-family:Arial;font-size:12pt;color:#000000;)
/F 132
/IT /FreeText
/M (D:20200316130904+01'00')
/NM (9ad54057-9750-4a8f-8e9f7ad2bc976d15)
/P 34 0 R
/RC (Antragsformular für die Notfallbetreuung
)
/RD [0.75 0.75 0.75 0.75]
/Rect [53.97242 769.947021 348.574707 787.190796]
/Subj (Textfeld)
/Subtype /FreeText
/T (BrauerR)
/Type /Annot
>>
endobj
65 0 obj
<<
/Filter [/FlateDecode]
/Length 4822
>>
stream
xڕ;r8{TM 5Nړtv2Um&v-GCV(I$ 獃Ob[~Gi2zN0SH8LR%;6'O"89 7w'ga$SqxRaY(qteYEa"< B 7?%YLA7z;EZ1Vu#d,n.4N68uy"a dD
]e*Dưmk0;SEp9;QP45<@3