Sample initial cobra notification (aka: general notice)continuation coverage rights under cobrawashington counties insurance fund/poolgroup health plansdate:employee and spouseaddresscity, state, zipdear employee and spouse:introductionyou are...
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134-06-bz ceqr #06-bsa-104q applicant ? sheldon lobel, p.c., for 241-15 northern llc, owner. subject ? application june 26, 2006 ? variance under ?72-21 to allow a five (5) story residential building containing 40 dwelling units and 63 accessory...
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Your renewal fafsa renewal free application for federal student aid july 1, 2002 june 30, 2003 school year (2002-2003) omb no. 1845-1 1 2 3 do not send in this application before january 1, 2002. use this renewal fafsa to apply for federal and...
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Reset form 403(b)(7) or texas optional retirement program (orp) distribution request 1. type of account 403(b)(7): complete section 2 and proceed to section 3. texas optional retirement program (orp): complete section 2 and proceed to section 4....
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Republic of the philippines province of oriental mindoro city of calapan office of the governor notice to proceed april 14, 2014 ms. evelyn a. abas proprietress las minas de oro construction blk. 5, sta. maria village, calapan city, oriental...
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Articles of association these articles of association, dated the day of , 20 , by and between , ein (hereinafter "affiliate ") with offices at and pennsylvania citizens for better libraries, a pennsylvania nonprofit corporation, with offices at 47...
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Minutes of may 9, 2012 and may 23, 2012arizona state university retirees associationboard meetingnote: meeting was held in two sessions, on the 9th (session a) and 23rd (session b)of may.board members present: gary anderson, barry bruns, dick...
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Haines borough, alaska ordinance no. 1506413 adopted an ordinance of the haines borough amending various provisions of the haines borough code to designate certain violations of borough law as minor offenses and to establish a fine schedule for...
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2014 nbna membership honor pledge as a member of the nbna, i promise to remain a member in good standing with my local chapter or as a direct member to the nbna over the next two years. signature of application: date:
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Page 2 of appendix a 2) project schedule: the project, for which the provision of financial assistance is the subject of this agreement, shall be pursued and completed in accordance with the following schedule: activity start date completion date...
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Facsimile savings bond cash letter form instructions when to use this cash letter form the facsimile savings bond cash letter form should only be used to deposit properly prepared facsimiles of bonds that were lost or destroyed in transit. cash...
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Local education agency provider manual manual updated 02/01/13 forms number dhhs 126 dhhs 130 dhhs 205 dhhs 931 name confidential complaint claim adjustment form 130 medicaid refunds health insurance information referral form reasonable effort...
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Okaloosa county school district mis 2140 rev. oct 21, 2015 facilities planning and maintenance department sitebased facility improvement project schools or departments requesting to begin a sitebased facility improvement should meet with district...
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Master address repository (mar) data dictionary office of the chief technology officer david jackson september 2014 introduction: the master address repository (mar) is a complicated and widely accessed database that is increasingly being accessed...
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Building facade improvement program san bruno redevelopment agency form 2 property owner s authorization for completion of facade design & improvements date: city of san bruno community development department 567 el camino real san bruno, ca 94066...
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