+---------+
             No.          
                                           +---------+
   
         "___"____________ 20__ .
                        
    ( )               +-----------------------+
   +----------------+                                                 
                                           . No.               
   +----------------+____________________+------+----------+------------
                                                                     
                             . No.               
   ______________________________________+------+----------+------------
                                                            
                                                                      
   +----------------+                                           
                                                                 
   +----------------+____________________+------+----------+------------
                                                                     
                              . No.               
   ______________________________________                            
                                         +------------------------------+
                                                           +------------+
                                                                   
                                              +------------
   --------------------------------------------------------        
                                                          .      
                                                          +-----+------
                             No.       .      
                            ________ 20__ .
           .      
                     _______________ .        +-----+------
      __________                                          .      
       No.                             .      
                           _______________ 20__ .
       +-----+------
                                                          No.      
               20__ .
                                         
   ---------------------------------------------------------------------+
                                
                                                    
                                                   
   
                                                    
      ..                                         "__"_________ 20__ .