|-
|valign="top" bgcolor="#EFEFEF" style="border-bottom:1px solid #808080; border-left:1px solid #808080;" | Autëssa:
|bgcolor="#FFFFFF" style="border-bottom: 1px solid #808080; border-left: 1px solid #808080; border-right: solid 1px #808080;" | {{{1}}} m s.l.m.