XX WITNESS WHEREOF the parties have set their respective hands to these presents and a duplicate hereof on the day and year first hereinabove written.Signed and delivered by the within named husband (Name of the husband).Signed and delivered by the within named wife Smt. (Name of the wife)WITNESSES:0.0.Xxxx 10Mutual Separation Agreement Between Husband and Wife with PDF for India, Australia, Malaysia, South Africa, Kenya. Also called Marriage Separation Agreement. We have also provided Mutual consent divorce petition and Mutual divorce petition format at our xxxxxxx.Xxxxxx Separation Agreement between Husband and WifeIf you are a Lawyer, Judge or Legal consultant then join our Legal Help Community sending an email to [email protected] with your position and location. We will send you leads from our website.Sample Mutual Separation Agreement Between Husband and WifeTHIS AGREEMENT made at………. on this ………. day of 20 , between
XX WITNESS WHEREOF each of the parties hereto has caused a counterpart of this Agreement to be duly executed and delivered as of the date first above written. FIRST DATA CORPORATION, as Borrower By: Name: Title:
XX WITNESS WHEREOF the Paying Agent has caused this Certificate to be duly executed. Dated: July ___, 2007 CITIBANK, N.A., not in its individual capacity, but solely as Paying Agent By: Authorized Officer CERTIFICATE OF AUTHENTICATION This is one of the Certificates referred to in the within-mentioned Agreement. CITIGROUP MORTGAGE LOAN TRUST INC., MORTGAGE PASS THROUGH CERTIFICATES, SERIES 2000-XX0 XXXXXXXX, N.A., not in its individual capacity, but solely as Authenticating Agent By: Authorized Officer ABBREVIATIONS The following abbreviations, when used in the inscription on the face of this instrument, shall be construed as though they were written out in full according to applicable laws or regulations: TEN COM- as tenants in common UNIF GIFT MIN ACT - Custodian TEN ENT- as tenants by the entireties (Cust) (Minor) under Uniform Gifts to Minors Act JT TEN - as joint tenants with right of survivorship and not as tenants in common State Additional abbreviations may also be used though not in the above list. ASSIGNMENT FOR VALUE RECEIVED, the undersigned hereby sell(s), assign(s) and transfer(s) unto (Please print or typewrite name, address including postal zip code, and Taxpayer Identification Number of assignee) a Percentage Interest equal to ____% evidenced by the within Mortgage Pass-Through Certificates and hereby authorize(s) the registration of transfer of such interest to assignee on the Certificate Register of the Trust Fund. I (we) further direct the Trustee to issue a new Certificate of a like Percentage Interest and Class to the above named assignee and deliver such Certificate to the following address: Dated: Signature by or on behalf of assignor Signature Guaranteed DISTRIBUTION INSTRUCTIONS The assignee should include the following for purposes of distribution: Distributions shall be made, by wire transfer or otherwise, in immediately available funds to , for the account of , account number___________, or, if mailed by check, to , Applicable statements should be mailed to , . This information is provided by , the assignee named above, or , as its agent. EXHIBIT A-13 FORM OF CLASS 1-B6 CERTIFICATE UNLESS THIS CERTIFICATE IS PRESENTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY TRUST COMPANY, A NEW YORK CORPORATION (“DTC”), TO THE TRUSTEE OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE, OR PAYMENT, AND ANY CERTIFICATE ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYM...
XX WITNESS WHEREOF the Corporation has caused this Warrant to be executed by its duly authorized officer as of the date first written above. CAL-BAY INTERNATIONAL, INC. By: \S\Xxxxx X Xxxxxx Name: Xxxxx X Xxxxxx Title: President, Cal Bay International, Inc. EXHIBIT A FORM OF NOTICE OF ELECTION TO EXERCISE [To be executed only upon exercise of the Warrant to which this form is attached] To CAL-BAY INTERNATIONAL, INC.: The undersigned, the holder of the Warrant to which this form is attached, hereby irrevocably elects to exercise the right represented by such Warrant to purchase shares of Common Stock of CAL-BAY INTERNATIONAL, INC., and herewith either [circle (a) or (b)]: (a) tenders the aggregate payment of $_________ in the form of cash, wire transfer funds, check or (b)elects to exercise its right to acquire the Common Stock without any payment of funds as provided in Section 2 of the Warrant. The undersigned requests that a certificate for such shares be issued in the name of , whose address is__________________, and that such certificate be delivered to ______________________, whose address is ____________________________________. If such number of shares is less than all of the shares purchasable under the Warrant, the undersigned requests that a new Warrant, of like tenor as the Warrant to which this form is attached, representing the right to purchase the remaining balance of the shares purchasable under such current Warrant be registered in the name of __________________, whose address is ___________________________________, and that such new Warrant be delivered to __________________, whose address is _______________________________________. Signature: (Signature must conform in all respects to the name of the holder of the Warrant as specified on the face of the Warrant) Date: EXHIBIT B FORM OF NOTICE OF TRANSFER [To be executed only upon transfer of the Warrant to which this form is attached] For value received, the undersigned hereby sells, assigns and transfers unto ______________________ all of the rights represented by the Warrant to which this form is attached to purchase _________________________ shares of Common Stock of CAL-BAY INTERNATIONAL, INC.(the "Corporation"),to which such Warrant relates, and appoints ______________________ as its attorney to transfer such right on the books of the Corporation, with full power of substitution in the premises.
XX WITNESS WHEREOF. I have hereunto set my hand and affixed my official seal the day and year first above written. Notary Public APPROVED AS TO FORM AND LEGAL CAPACITY: By: XXXXXX X. XXXXXXXXX
XX WITNESS WHEREOF. I have hereunto set my hand and affixed my official seal the day and year first above written. Saipan, MP 96950 Notary Public DEPARTMENT OF PUBLIC LANDS By: _ XXXXXXXX XXXXXXXXXX-XXXXXXXX Secretary, OWNER Date: COMMONWEALTH OF THE ) NOTHERN MARIANA ISLANDS ) ACKNOWLEDGMENT SAIPAN, MARIANA ISLANDS ) DEPARTMENT OF PUBLIC LANDS Saipan, MP 96950 On this day of _ , 2018, before me, a Notary Public in and for the Commonwealth of the Northern Mariana Islands, personally appeared Xxxxxxxx Xxxxxxxxxx-Xxxxxxxx, Secretary of the Department of Public Lands, known to me to be the person whose name is subscribed to the foregoing instrument and acknowledged to me that she executed the same on behalf of the Department of Public Lands as her free and voluntary act and deed for the purpose set forth therein. X.X. Xxx 000000
XX WITNESS WHEREOF the Company has caused this Agreement to be duly executed by an officer thereunto duly authorized, and the Recipient has executed this Agreement, all as of the date first above written. AMERICAN NATIONAL INSURANCE COMPANY By: Xxxxx X. Xxxxx President, Chief Operating Officer «signaturename», Recipient
XX WITNESS WHEREOF the Parties hereto have caused their duly authorized representatives to execute this Agreement as of the Effective Date. XXXX XXXXXXXXXX CANCER RESEARCH CENTER By: USER INSTITUTION By: Xxxxxxx Xxxxxx, PhD Name Director, Technology Management, Name Business Development & Industry Relations Title Date: Title Date: WHI Investigator, User Principal Investigator, and Collaborators, by affixing their signatures below, acknowledge that they have read and understood the terms of this Agreement, the attached CMS DUA 19098, and the U.S. Department of Justice Privacy Act of 1974 (xxxx://xxx.xxxxxxx.xxx/opcl/privacy- act-1974). Include all collaborators, statisticians/analysts who will have access to the CMS data via the VDE under the direct supervision of the User. WHI Investigator By: Name: Xxxxxx Xxxxxxxx, PhD Title: WHI CCC Principal Investigator Date: User Principal Investigator Collaborator/ Statistician/Analyst By: Name: Title: Date: By: Name: Title: Date: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES DATA USE AGREEMENT DUA # Form Approved OMB No. 0938-0734 RSCH-2017-51309 (AGREEMENT FOR USE OF CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) DATA CONTAINING INDIVIDUAL IDENTIFIERS) CMS agrees to provide the User with data that reside in a CMS Privacy Act System of Records as identified in this Agreement. In exchange, the User agrees to pay any applicable fees; the User agrees to use the data only for purposes that support the User's study, research or project referenced in this Agreement, which has been determined by CMS to provide assistance to CMS in monitoring, managing and improving the Medicare and Medicaid programs or the services provided to beneficiaries; and the User agrees to ensure the integrity, security, and confidentiality of the data by complying with the terms of this Agreement and applicable law, including the Privacy Act and the Health Insurance Portability and Accountability Act. In order to secure data that reside in a CMS Privacy Act System of Records; in order to ensure the integrity, security, and confidentiality of information maintained by the CMS; and to permit appropriate disclosure and use of such data as permitted by law, CMS and National Heart, Lung, and Blood Institute enter into this agreement to comply with the following specific paragraphs.
XX WITNESS WHEREOF the undersigned has executed this Purchase Agreement or caused its duly authorized officers to execute this Purchase Agreement as of the date first above written. IF AN INDIVIDUAL: IF A CORPORATION, PARTNERSHIP, TRUST, ESTATE OR OTHER ENTITY: (Signature) Sxxxxxxx Ventures International Life Sciences Fund II Strategic Partners L.P. Print name of entity (Printed Name) By: /s/ Gxxx Xxxx Name: Gxxx Xxxx Title: Director and Vice President By: /s/ Dxxxxxx Xxxxx Name: Dxxxxxx Xxxxx Title: Secretary of Sxxxxxxx Venture Managers Inc. as General Partner Delaware Print jurisdiction of organization of entity Address: Address: c/x 00 Xxxxxx Xxxxxx Xxxxxxxx XX 00 Bermuda
XX WITNESS WHEREOF the parties hereto have caused this Agreement to be executed by a duly authorized officer on one or more counterparts as of the date first above written. BLUE AND WHITE FUNDS TRUST U.S. BANCORP FUND SERVICES, LLC By: /s/ Shlomo S. Eplboim By: /s/ Joe Redwine ----------------------------- ----------------------------- Shlomo S. Eplboim, Chairxxx Joe Redwine, President /x/ Michael Poutre ----------------------------------------- Michael Poutre, Executivx Xxxx Xxxxxxxnt
