<div style="margin-left: 60px;">
    <p>
        <span class="image-wrap" style="">
            <a class="confluence-thumbnail-link 625x390" href="https://community.i2b2.org/wiki/download/attachments/14092911/multifact-setup-guide.pdf">
                <img src="https://community.i2b2.org/wiki/download/attachments/14091764/Adobe_PDF_file_icon_32x32.png" alt="pdf icon" width="42" height="42" style="float:right" vertical-align="middle">
            </a>
        </span>
    </p>
</div>