Workers compensation - first report of injury or illness employer (name & address incl zip) carrier / administrator claim number * pickens county ymca 201 burns road easley sc 29640 864-307-0212 (corporate) jurisdiction * report purpose code *...
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Cityofauburn,maine mainescityofopportunity officeofthecityclerk council meeting agenda packet march 15, 2010 this packet contains the city council agenda and supporting documents. the items in this packet are bookmarked in adobe acrobat .pdf...
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Homeaid northern virginia 4th annual night at the ballpark friday, august 15 game time 7:05pm potomac nationals vs. carolina mudcats pfitzner stadium woodbridge, va sponsorship opportunities help us take 200 kids and families out to an allamerican...
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Request for roposals landlord and tenant legal servicesissued: september 26, 2015the village of hempstead housing authority (vhha), hempstead, new york isrequesting proposals from qualified organizations to provide landlord andtenant legal...
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Residential lettings across the region west midlands, warwickshire, staffordshire and worcestershire to find out more visit: .johnshepherdlettings.com t: 0121 647 5 enquiries johnshepherdlettings.com reservation form property address: ref: please...
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Recreation month municipal proclamation whereas, in (name of community), we are fortunate to have a variety of recreation and parks systems providing countless recreational opportunities for residents and visitors from around the world; and...
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S p i pn i 1st international conference and course on neuromuscular ultrasound please send the registration form to: email neu-rome zeroseicongressi.it or fax +39 06 85352882 surname..name affiliation ..
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School bus driving evaluation driver school/agency bus # bus type start pulling off roadway/to curb traffic check fails to give proper signal . check mirrors: stopping position fails to set brake before shifting to neutral . fails to use hazard...
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Serff tracking #: acpc129007579 state tracking #: company tracking #: acord 190 (2013/09) supplemental propert state: wisconsin toi/subtoi: 01.0 property/01.1 commercial property (fire and allied lines) filing company: product name: acord...
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San gabriel judo est. 1929 san gabriel judo club charity golf tournament arcadia par 3 golf course, 620 east live oak, acadia ca 91006 (626) 4439367 saturday, april 24, 2010 8:30to10:00registrationandputtingcontest...
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Liceo classico statale socrate test center ecdl sede accreditata di esami bx 0016 via san tommaso daquino n. 4 70124 bari tel./fax: 080 5043941; 080 5045457 sede succursale viale papa giovanni xx n. 55 70124 bari tel./fax 080 5562081 codice...
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School renewal plan table of contents cover page 2 stakeholders and school mission statement 3 assurances 4 needs assessment for student achievement 6 needs assessment for teacher/administrator quality 8 needs assessment for school climate 9...
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.-4 1 f *1 omb no 1545-0047 rem. return section 501(c), 527, or 4947(a)(1)exempt revenue code (except bl i ngtax under of organization of tl1e intemal from income . deparmen. benefit trust or pnvate foundation) open to public ,ea, revenue g, p the...
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On all accounts we require a minimum of 4 completed years of loss runs with a valuation date within the last 2 months. items needed: 1. acord 125 & acord 130 2. 4 to 5 years of prior carrier loss information 3. recent financial statement that...
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Supplemental application workers compensation to be completed with acord 130 application named insured: web address: insured s fein: contact name phone number inspections: premium audit: claims: prior payroll and premium information total annual...
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