create a pdf document

This is the 3rd time I have posted this project. DO NOT BID unless you look at the attached documents and COMPLETELY UNDERSTAND the project. If I award you the project and you do not complete it i will give you THE WORST RATING AND COMMENT you have EVER SEEN. This is a very simple job and I have $10 in the budget for one hours work. Modify the attached document so I can type data in the yellow highlighted fields (see screen shot) and save as. remove things I have circled in red (see screenshot) AGAIN>>> DO NOT BID UNLESS YOU UNDERSTAND AND CAN COMPLETE IN ONE HOUR!