14-313 (rev. 12-95/2) texas motor vehicle sales tax resale certificate name of purchaser, firm or agency dealer number address (street & number, p.o. box or route number) daytime phone (area code and number) city, state and zip code i, the...
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*15iv009e001* oklahoma department of human services caretaker conduct review report residential facilities facility name office of client advocacy (oca) referral #fy date reported to oca date oca requested review date of report date of incident...
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City of new york department of housing preservation and development office of development division of housing finance office of tax incentive programs 421a partial tax exemption program 100 gold street, 9v new york, ny 10038 architects / engineers...
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Authorization for release of medical record information patient name: date of birth: phone: address: city: state: zip: above listed patient authorizes the following healthcare facility to make record disclosure: facility name: facility phone:...
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Notice of default past due payments under contract for deed to: this notice of default concerns the contract for deed entered into by and between (seller) and (purchaser), regarding properly located at the following address: . you are in default...
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Bm20 microsoft it academy microsoft excel and access 2013 teacher: jan cain edhs phone: 3364764814 email: janetcain davidson.k12.nc.us room: 238 description students in microsoft it academies benefit from worldclass microsoft curriculum and...
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Complicated repairs, simple solutions repair form tel: 0800 622 6138 / 01992 654 189 please print off, fill in and send with your tablet(s) to: tonik uk ltd (repairs dept), wenta business centre, innova science park, 1 electric ave, enfield, en3...
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Lexington model airplane club corp. 4200 ledger lane, lexington, ky. event report this report form and proceeds from the event to be turned in to the lmac treasurer before or during the first club meeting following the event. name of event or...
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Guidebook for the agency program coordinator to review the army naf government purchase card program u.s. army, installation management command (imcom), g9 naf contracting january 2010 army naf government purchase card program - agency program...
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Health financial systems mcrif32 for rochelle community hospital this report is required by law (42 usc 1395g; 42 cfr 413.20(b)). failure to report can result in all interim payments made since the beginning of the cost report period being deemed...
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130 adelaide st. w., suite 1901, toronto, on m5h 3p5 tel: (416) 3644938 fax: (416 ) 3645162 ir avalonraremetals.com .avalonraremetals.com news release april 17, 2013 no. 1303 avalon announces results of positive feasibility study for the...
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Using the timatic cli mainframe application the purpose of this document is to explain to users the latest timatic software development and timatic structure. timatic has been redeveloped to ensure the consistency making it easier for check-in...
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Taxable year 2012 disabled access credit for eligible small businesses california form 3548 attach to your california tax return. name(s) as shown on your california tax return ssn or itin corporation number fein address of facility (number and...
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Save state of illinois department of employment security .ides.illinois.gov th 33 s. state street, 10 floor, chicago, illinois 60603 phone: (312) 793-8 fax: (312) 793-9981 print clear request for letter of clearance this form is authorized by ides...
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Oregon seller disclosures i. form list 1. 2. 3. seller's disclosure statement lead-based paint disclosure* epa-required pamphlet: "protect your family from lead in your home"* *required if the house was built prior to 1978. ii. form description...
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