Elementary students grades k-4 registration check list please contact the operations department for enrollment questions pertaining to grades k-4. 734.869.7210 registration form birth certificate (including seal) or other reliable proof of age and...
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City of houston solid waste management department - permit office combustible waste storage permit application one application and one original notarized affidavit is required for each location application type: new renewal mailing address of...
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City of fairbanks 2011 financial disclosure statement covers the reporting period january 1, 2010 - december 31, 2010 for more information, instructions, blank forms, sample forms & questions: visit the city of fairbanks online at:...
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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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Bul-1 form b affidavit verifying claim by lienholder land titles i, , , of , alberta named in the above (or annexed) statement make oath and say that the said claim is true. sworn before me at on the day of , alberta , . (signature of applicant)...
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Form g affidavit re contingent fees oag rfp 0022015 city of ) ) ss. island of guam ) i, state name of affiant signing below , being first duly sworn, deposes and says that: 1. the name of the offering company or individual is state name of company...
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Print form cause #: state of texas in the justice court vs precinct 4 place 2 county of hidalgo, texas ed. 25.093 parent contributing failure to attend probable cause affidavit the undersigned affiant, who after being duly sworn by me, makes the...
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Uhc form 047 rev. 7/13 utah housing corporation (uhc) borrower and residence seller affidavit for uhc firsthome loans only state of utah county of ) ) ss ) dated as of the undersigned, being first duly sworn, deposes and says, under penalty of...
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Notice of proposed allocation to the fast track name of court claim no. name of claimant name of defendant date -- important notice -if you do not comply with this notice the court will make such order as appears to be appropriate. this could
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Gsc24 (rev.1/95) payroll affidavit contractors affidavit statement of surety company project no. contract no. commonwealth of pennsylvania department of genral services 18th and herr streets harrisburg, pennsylvania 17120 project title institution...
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Home ownership purchase enhancement (hope) program home purchase affidavit form #705 notice: this affidavit is a sworn statement executed under penalty of perjury. i/we , under penalty of perjury, upon oath and duly sworn, state that: 1. 2. 3. 4....
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Los angeles county employees retirement association 300 n. lake ave., pasadena, ca 91101 po box 7060, pasadena, ca 91109-7060 hr hotline: 1-800-659-2786 hr pros print material order name: department: address: email: 1. 2. phone: the new member...
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Harlandale independent school district dental plan benefits option 3 network: pdp plus benefit summary coverage type innetwork outofnetwork type a cleanings, oral examinations 100% of negotiated fee* 100% of r&c fee** type b fillings 80% of...
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Sworn statement of nationality i, , hereby swear and affirm that i am / am not a foreign legal entity or foreign person, as those terms are defined in the higher education gift disclosure act, 24 p.s. 6302, as follows. foreign legal entity (1) any...
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4545 n lincoln blvd, suite 164 - oklahoma city, ok 73105-3403 - phone: (405) http://.okdocc.state.ok.us city, ok 73105-3403 - phone: (405) 521-3653 - fax: (405) 521-6740. cso . such copies must show the date the
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Housing authority of the city of muskogee section 8 administrative plan muskogee, oklahoma amended october 9, 2014 effective october 10, 2014 220 north 40th muskogee, oklahoma 74401 tel: (918) 687 -6301 table of contents 1.0 2.0 3.0 statement of...
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Idaho housing and finance association seller affidavit you may be subject to criminal and civil penalties including fine and imprisonment if you knowingly make a false statement in this affidavit. read it carefully before signing. the idaho...
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Print form affidavit for probable cause issuance of bad check texas penal code, sce 32.41 the state of texas county of smith i. , being duly sworn, upon my oath, state that i have a good reason to believe, and do believe, before the making of this...
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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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In the circuit court of the sixth judicial circuit in and for pasco county, florida case no: in re: petition and affidavit seeking ex parte order requiring involuntary examination i, , being duly sworn, am filing this sworn statement requesting a...
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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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Required authorized person designation/notarized sworn statement form nys justice center for the protection of people with special needs criminal background check unit 161 delaware avenue delmar, ny 12054 fax: 518-549-0464 email: cbc...
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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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Madison herb society membership information september 1, 2015 august 31, 2016 *all information placed on this form will be included in the annual member directory. please print all information clearly and legibly. name email (for sending...
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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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Middle school students grades 58 registration check list please contact the operations department for enrollment questions on grades 58. 734.869.7210 registration form birth certificate (including seal) or other reliable proof of age and identity...
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Middle school students grades 5-8 registration check list please contact the operations department for enrollment questions on grades 5-8. 734.869.7210 registration form birth certificate (including seal) or other reliable proof of age and...
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Affidavit state of kansas county of sedgwick i, , do state that i have personal knowledge of the statements and representations set forth in this affidavit. the mortgage dated , regarding the following property: legal description: is for a single...
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Nd probate code form 16 10/01/03 sworn statement of personal representative closing a small estate. (n.d.c.c. 30.1-23-04). name, address, and telephone no. of attorney space below for use of district court only probate no. attorney for: in the...
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