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9 5 a d d f r c faribault regional center admissions/discharges 1/ 1/94 12/31/94 admissions (not including temporary, respite or hold ord) ( 0) ( 0) ( 0) hold order admissions temporary care admissions 1 5 8 ( 0) ( 1) 0 ( 0) ( 1) 0 16 discharges...
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(rev. 1/05) bylaws of the credit union , wisconsin article i purposes section l. purposes. the purposes of this credit union are: (a) to encourage thrift among its members; (b) to create a source of credit at a fair and reasonable cost; (c) to...
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Aweshkar welingkar research journal subscription form date: name : address : pincode: country: telephone: email: i have enclosed rs. by cheque or demand draft made in favour of prin. l. n. welingkar institute of management development & research...
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Last name first member number date of hire district school address change form 4003 iowa drive, anchorage, ak 99517 9072747526 fax 9072556 please print clearly address: is this a new address? mailing address: yes no city: state: zip: phone: ( )...
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Application for birth certificate information before adoption use this application form if you are currently living outside the united kingdom please ensure you use the guidance notes below to help you complete this form (please complete using...
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Birth certificate walkin or mail application form for ohio births only for vs office use only: instructions: 1. complete the form below for each certificate request. 2. take completed form to cashier window and pay $25 for each certificate copy...
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Berry riding club youth training camp when: tuesday 14th april 1:00pm onwards wednesday 15th april all day thursday 16th april until 12:00 noon where: 210 wattamolla rd, woodhill mount (no dogs please). cost per rider: camping (with food 3 days)...
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Birth certificate request form name on birth record date of birth intended use father s name mother s maiden name relationship to applicant (please circle) self mother/father legal guardian wife/husband applicant s signature applicant s address...
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Please bring a valid photo id along with this form with either cash or money order for the correct amount, if you wish to request a record by mail, please visit the state of georgia vital records website
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In the matter of: * * in the circuit court for (child's current name) * for change of name to: * (child's new name) * * * civil no.: by and through his/her mother/father/guardian: (petitioner's name) * * * * * * * * * * * * * consent to change of...
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Directorate of health services, orissa state drug management unit in front of ram mandir, convent square, bhubaneswar1 tel / fax : 0674 2380750, 2380749 email sdmuorissa yahoo.co.in letter no. dated sdmu ii 01/2010 addendum to tender call notice...
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Name: multisample sheet for agronomic crops uconn soil nutrient analysis laboratory 6 sherman place, box u5102, storrs, ct 062695102 8604864274 fax: 8604864562 address: phone: city: state: zip: copy to: phone: fax: date: manure/organic waste...
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Enrolment application form centre: eden childrens centre at clementi simei eden centre for adults at hougang clementi childs / client 's personal particulars name: gender: birth certificate / nric no.: country of birth: male female age:...
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Educational service center auglaize county regular audit for the years ended june 30, 2004 - 2003 educational service center auglaize county table of contents title page independent accountants report .. 1 combined statement of cash receipts, cash...
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