Hall of the house of representatives 83rd general assembly regular session, 2001 amendment form * subtitle of house bill no. 1635 "to create within the department of human services an assisted living program for the state of arkansas; to allow...
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The town of hilton head island accommodations tax advisory committee regular meeting wednesday, december 08, 2010 9:00 a.m. benjamin m. racusin council chambers agenda as a courtesy to others please turn off all cell phones and pagers during the...
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State of nebraska county of ) ) ) (county in which the document will be signed) affidavit for transfer of personal property without probate i, , under penalty of perjury under nebraska revised statute 28915, (your name) swear or affirm the...
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Commercial intake worksheet broker / borrower name: broker borrower mobile phn: work phn: email: address: city: st: zip: loan amount requested: $ borrower type (indiv, business, etc): loan purpose: borrower credit: purchase construction / perm...
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Donation form thank you for your support of hospice of the red river valley. if you have any further questions, please call us at (800) 2374629. please fill out this form and email it to merickson hrrv.org. or, you may enclose your donation and...
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Arts & cultural council for greater rochester final report form for 2014 capacity building grants and decentralization (dec) grants due 30 days after completion of project and no later than january 31, 2015 organization mailing address contact...
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Summer camp flourish 2013 summer camp application august 410 (open to youth ages 5) name: age: street address: city: state zip: telephone: email: hobbies/interests: the flourish 2013 summer camp fee is $475.00 (full residential participation...
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Chiltern hundreds housing paradigm homes frays ha paradigm foyers issue 46 a tv worth 1 plus win 500 room makeover win an oil painting win 300 argos vouchers inside this issue 2006 garden competition broxbourne residents visit upton park 12m on...
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Invites you to our 2015 golf outing/dinner/raffle tuesday, may 5 location: centennial golf club, 185 john simpson rd, carmel, ny to play: $175 includes lunch, dinner, unlimited range balls, tournament contests, course beverages, car for holeinone...
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Fakultt fr architektur lehrstuhl fr gebudelehre und grundlagen des entwerfens lehrstuhl fr tragkonstruktionen initiative & idee design. develop. build. durch das intensive arbeiten im team knnen die projekte innerhalb einer kurzen zeitspanne...
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Math 236: review for test 2 name: review (10 pts) / 10 you will need a calculator (any type is fine) for the exam. you may have a 3 x 5 card (both sides) with formulas on it. no formulas will be given on the test so make sure you put down any...
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Name: discipline: ot pt address: phone: fax: e-mail: south coast therapy, inc. 05 knott avenue, suite a cypress, california 90630 course registration - ndt & los angeles county ccs facility name: fees enclosed: $995.00 ndta member :# $1200.00 non...
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Registration form 2016 workshops class starts ends instructor member tuition non member tuition tues jan 12 fri jan 15 robert burridge $450 $490 sat jan 16 sun jan 17 robert and kate burridge $250 $290 mon mar 7 thurs mar 10 michael reardon $450...
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Luther rice university academic status sheet master of arts in christian studies to be completed by lru: (advisor) hours required: 45 hours transferred: hours remaining: name student i.d.# course number hours core date completed (27 hours) ot 520*...
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Greater vernon water watermain bacteriology form bacteriology test on proposed gvw water systems must be completed in the presence of the municipal waterworks crew with a 2 working day (monday - friday) notice provided. the requisition for the...
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