Bishop grady villas event name: event date: annual harvest ball 2014 saturday, october 11, 2014 donor information: first name: last name: company name: donor display name: street address: city / state / zip code: primary phone #: secondary phone...
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New york state department of state division of corporations, state records and uniform commercial code one commerce plaza, 99 washington avenue albany, ny 12231 .dos.ny.gov certificate of conversion of (insert name of partnership/limited...
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The annual fund faculty & staff payroll deduction form faculty and staff play an important role in helping cgu offer high quality programs, including the support of cgu with valuable philanthropic gifts. payroll deduction is simple, and you can...
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California correctional peace officers association 755 riverpoint dr west sacramento, ca 95605-1634 (800) 821-6443 (916) 372-6060 fax: (916) 372-6623 member effective date: california correctional peace officers association retired chapter payroll...
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Classified senate council payroll deduction authorization form employee name: date: employee id or last 4 of ss#: department: work email address: work telephone no.: dues options: enter a check next to the appropriate payroll deduction option...
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Student information full name: last first m.i. address: street address apartment/unit # city student phone: state zip code student email: college/university: anticipated graduation: parent information parent name: parent phone: parent name: parent...
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Aetna healthfund health savings account (hsa) electronic funds transfer authorization (eft) instructions this form allows you to transfer funds into your hsa directly from your checking account. you may use this form to authorize either a one-time...
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Dear massachusetts employee:if you purchase health care coverage through the ma commonwealth connector (the connector), you may be eligible tomake your premium payments with pretax dollars deducted from your pay.to be eligible for pretax payroll...
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Payroll deduction authorization form gala 2016 friday, september 23, 2016 sculpture garden gallery at bridgeport art center 1200 w. 35th st., chicago proceeds benefit the presidents fund for special needs of advocate south suburban hospital name...
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Missouri dept. of revenue form filing frequency employer's return of income taxes withheld mo tax id number fein mo-941 (rev. 09-2010) 1. withholding this period . . . . . . . . . . . . . . 2. compensation deduction . . . . . . . . . . . . . . ....
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Early decision financial aid estimator 2013-2014 instructions please read before beginning: ? as an early decision candidate, you will be asked to make your final commitment to rollins before the official financial aid application process can be
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Endowed library units purchase request form library accounting services to: library administrative use only 234 olin library requisition number: note: procurement card can be used for most purchases under $500 (please contact library accounting...
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Washington county commissionmeeting minutesaugust 3, 2010the regular meeting of the board of the washington county commission was called toorder by chairman james j. eardley at 4:00 p.m. on august 3, 2010, in the commissionchambers, washington...
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Effective date: payroll deduction form name: department: i am electing the following medical coverage: blue cross buy-up single coverage $12.52 per pay period ($25.04 per month) blue cross buy-up family coverage $200.47 per pay period ($400.94 per...
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Consulate-general of japan guide for the united states consulate-office of japan in anchorage area served: alaska 3601 c street, suite 1300 anchorage ak 99503-5925 tel: 907-562-8424 fax: 907-562-8434 email: cgjak alaska.com website:...
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