15.13 positive confirmatory hiv test results definition: subjective: positive antibody test as confirmed by western blot and/or elisa testing. confirmatory test indicates infection with hiv and potential for transmission of virus to others. may...
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Membership sign up date: last name: 2012 membership application (please print) primary member name: d.o.b. mailing address: city: state: zip: spouses name: d.o.b. childs name d.o.b. childs name d.o.b. childs name d.o.b. (child is considered as...
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Mg car club of queensland inc affiliated with the confederation of australian motor sports postal address: gp01847, brisbane, q1d, 4001 abn 17 363 680 667 2012 new membership application the membership secretary mg car club of qld inc. gpo box...
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Missouri department of transportation motor carrier services po box 270, 830 modot drive, jefferson city, mo 65102-0270 phone: 573.751.3358 fax: 573.522.6708 toll free: 866.831.6277 option 3 register and pay online at: .modot.org/mce unified...
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Durand community unit school district no. 322 200 w. south st. durand, illinois 610249403 8152482171 fax 8152489968 kurt alberstett, elementary principal dear parents: durand school district is excited to offer a new early bird program for...
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Gainesville-alachua county association of realtors , inc deposit receipt and purchase and sale agreement 1. federal home loan mortgage corporation parties: ( seller ) alachua county, florida and ( buyer ) hereby agree that seller shall sell and...
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Resolution no. 1 2 3 a resolution to authorize the city manager to contract with 4 lincoln 5 coverage for nonuniform city employees for a twoyear period 6 effective may 1, 2008; and for other purposes. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22...
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Ada proudly presents a musical freestyle clinic with cynthia collins luna tunes may 23, 2015 register early and save $50 rider registration rider registration fee: $50 deposit required at registration. v early registration until april 17, 2015:...
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Advance deposit receipt no cash transaction date: the undersigned landlord or agent hereby acknowledges receipt from the undersigned applicant of the sum stated below as a deposit to secure the rental of the accommodations identified below to...
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Office of the water authority 43/f, immigration tower, 7 gloucester road, hong kong application for refund tel : 2824 5 fax : 2802 7 loss of water deposit receipt consumer account no.: registered consumer: (full name in block letters) premises:...
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Availability form summer stretch participant name (s.s. participant) grade (fall 2013) sex (m) or (f) phone # tshirt size s m l xl xxl l date can come cannot come tuesday jul y 23rd thursday july 25th monday july 29th wednesday july 31st...
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California addendum tobail bond application and agreementthis california addendum (addendum) is attached to and forms part of the bail bond applicationand agreement signed, sealed and delivered by you as defendant (agreement) and is incorporated...
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Cash receipt form blue ash elementary pto amount of deposit: submitted by: date: your contact information (email/phone): source of funds: check the appropriate budget or committee category from the list below. if the item is to be deposited under...
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Lot deposit receipt is hereby acknowledged of a lot deposit check in the amount of $ for lot # in the , subdivison. buyers deposit will not be deposited into a n escrow account until an agreement of sale is consummated. should buyer and seller not...
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Purchase and sale agreement and deposit receipt copyrighted by and suggested for use by the members of the northeast florida association of realtors, inc. 1 2 (buyer/purchaser) (if individual(s), name(s) as reflected on 3 governmentissued photo id...
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