a ii0i 010 0ii 010of1101 0ii ii lul i0i uui 0 ii uii . n?.. u 19) united states united 12) patent application publication louch et al. (43) pub. dat: o geo1e n v.li, (54) systems and methods for providing context-based movie information (51)...
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Ministry of minist re des transportation transports complete and mail to / compl ter et envoyer mvis unit 301 st. paul street, 8th floor st. catharines on l2r 7r4 mvis tel. no.: 416 246-7166 ext. 6308 or 1 800 387-7736 ext. 6308 unit des civa 301,...
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Prescription drug program mail service formthis form is only needed for first time orders, dependents who have been added since the last order, or changes to current information. be sure to complete your method of payment. to begin ordering your...
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New york state department of health division of environmental health investigation please type or print using black or blue ink please return the completed radon detector order form to: radon detector order form new york state department of health...
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Courts of arizona - name of court street address city, arizona zip code phone number petition for order of protection modified plaintiff defendant date of birth address city, state, zip code, telephone case number note: no filing fees, but service...
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An email address or mailing address with phone number is required in case we need to contact you about your order. name (first) please print (last) address check preferred phone: you must provide a valid street address for shipping. day
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Confederated salish and kootenai tribes department of natural resources p.o. box 278 pablo, mt 59855 (406) 675-2700 business: daily pesticide application record license #: name: address: city, state, zip: phone: customer phone address application...
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Retail public access line (pal) order request completed forms can be sent with a spreadsheet of multiple numbers if all the services ordered are the same. one order form per type of request is required (for instance, do not send one request in...
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Dmv-129-tr rev. 1/00 state of west virginia department of transportation division of motor vehicles affidavit for repossession of a vehicle this affidavit to be used by repossessing lien holder for securing a repossessed title in the name of the...
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Incident/project order number resource order 13. 2. incident/project name 5. descriptive location/response area 6. sec. twn 3. incident /project order number 4. office reference number 8. incident base/phone number 9. jurisdiction/agency rng base...
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Paid order form to place an order, simply fax to 1--288-7323 or contact your scholastic book fairs consultant for additional assistance. school account # school name address city state zip phone chairperson?s name phone student/parent order book...
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Tcgisfacilitiesusage facilitiesuserulesandregulations: allusersmustobserverulesforthefacility.tcgiswillprocessrequestsonafirstcomespaceavailablebasis.uponapprovalyou...
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Erasmus darwin academy - school uniform order form 2013 your name: daytime tel. no: childs name: class/year: address: house: main uniform item description logo y/n colour y size require price (each) black available sizes quantity 26 , 28 , 30 , 32...
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