| colspan="1" style="text-align: right; vertical-align:top; padding-right: 0.5rem; padding-top: 0.75rem; padding-bottom: 0.75rem;" | {{{1}}} | colspan="2" style="text-align: left; vertical-align:top; padding-top: 0.75rem; padding-bottom: 0.75rem;" | {{{2}}}