ACCEPTED BY. Accepted by: Ohio Department of Taxation Print Taxpayer Name Xxxxxxx X. XxXxxxx, Tax Commissioner Signature Name Title
ACCEPTED BY. Renter Congregation Xxxx Xxxxx Signature of Renter Signature of Xxxx Xxxxx Print Name Print Name Date Date INDIVIDUAL USE RENTAL APPLICATION Date of Event: Expected Number of Participants: Time of Event (5 Hour Maximum): From to Type of Event: Name of person making reservation: Name of Organization, if applicable: Address: Home Phone: Cell Phone: Email Address: Caterer will set up on: Food Purveyors: Food Purveyor’s contact and phone number: Caterer’s Insurance (if Caterer will be on-site): Florist:
ACCEPTED BY. THE BANK OF NEW YORK MELLON By: Name: Title: Address: APPENDIX I TO T-1 SUPPLEMENT [Names of Funds] [On AP’s Firm Letterhead] CERTIFICATE OF AUTHORIZED PERSONS (of Authorized Participant) The undersigned officer, who is not an Authorized Person, hereby certifies that (i) he/she is the duly elected and acting (title) of (the “Participant”), and (ii) that the following officers or employees (each, an “Authorized Person”) of the Participant are duly authorized to deliver oral or written instructions to The Bank of New York Mellon (“Transfer Agent”) pursuant to the Participant Agreement by and between the Participant, the Transfer Agent and the Distributor, and that the signatures appearing opposite their names are true and correct: The below shall be the Participant list of Authorized Persons: Name Title Signature Name Title Signature Name Title Signature Name Title Signature Name Title Signature Name Title Signature Name Title Signature This Certificate supersedes any prior certificate of Authorized Persons the Transfer Agent may have on file. Any updates to the above list of Authorized Persons will be provided by the Participant as changes occur. [seal] By: Title: Date:
Examples of ACCEPTED BY in a sentence
Exhibitor Signature Date Contract Accepted by FSCA FSCA Designee Signature Date Please complete and return this form by e-mail (xxxxxxxxxxxxx.xxxxxxx@xxxxx.xxx).
Page 69 of 121 Date Accepted / / Accepted by XXX Accepted by Employer 1 Laboratory examinations when indicated because of exposure to communicable 2 diseases while on duty shall be provided by the Agency at no cost to the nurse.
The committee shall annually elect one person from Page 77 of 121 Date Accepted / / Accepted by XXX Accepted by Employer 1 within the committee to serve as chairperson.
The nurse may request a meeting to verify the overpayment error Page 37 of 121 Date Accepted / / Accepted by XXX Accepted by Employer 1 and the amount owed with a payroll representative via teleconference.
Subject to operational needs, Emergency 29 Volunteer Leave may be granted to a nurse who is affiliated with a recognized Page 50 of 121 Date Accepted / / Accepted by XXX Accepted by Employer 1 emergency responder volunteer association to respond when activated.
More Definitions of ACCEPTED BY
ACCEPTED BY. SUBMITTED BY: RENOVIS, INC. OPTIONEE By: Name: Optionee Its: Address:
ACCEPTED BY. Start Date: _ Business: E-mail: Mailing Address: City, State, ZIP: _ Payment must be assured by automatic bank debit or prewritten checks dated the last day of each month. ( ) I agree to pay with an automatic bank debit from my account on the last business day of each month for the following month of advertising. Door County Daily Xxxx.xxx Sales Representative: NONDISCRIMINATION POLICY: Nicolet Broadcasting, Inc. and its stations/websites do not discriminate in advertising contract on the basis of race or ethnicity. Any provision in any order or agreement for advertising or services that purports to discriminate on the basis of race, gender, even if handwritten, typed, or otherwise made a part of this particular contract, is hereby rejected. Nicolet broadcasting, Inc. is an equal opportunity employer. This is an annual agreement that can be cancelled at any time with payment of a rate adjustment based on actual number of ads run on the rate card in effect at the time of this agreement. The current rate card is on the opposite side of this agreement.
ACCEPTED BY. For and on behalf of For and on behalf of [ACCEPTING BANK] [BORROWER] ........................... ........................... Authorised signatory Authorised signatory Reverse of Xxxx For and on behalf of [BORROWER]
ACCEPTED BY. THE BANK OF NEW YORK MELLON, AS TRANSFER AGENT By: Name: Title: Address:
ACCEPTED BY. For the Applicant: For the Public Utilities Commission of Ohio: (Signature) (Signature) Name Title Chairman
ACCEPTED BY. ACCEPTED BY: Woodmont Community Association Reserving Party By: By: Date: _ Date: : Funds collected, totaling $ , submitted to Xxxxxx Properties on . Reserving Party Name: _ Reserving Party Address: Home Phone: Cell Phone: Business Phone: Date of Function: Type of Function: # Attending: Function Begins / Ends: Vacate Time: Will alcoholic beverages be served? Yes No Please note: Kegs are not permitted inside of The Club at Woodmont. Kegs are permitted on the Club’s deck area as well as the area directly below the deck by the pool. Rental Fee Rates Rental Fee Individual: (M – Thurs) $ 50.00/ (F, Sat/Sun) $100.00 Date Paid: Check: Rental Fee Business Entity/ Corporation: (7 days a week) $200.00 Date Paid Check: Damage Deposit: $100.00 (Pool/Club Rental $150.00) Date Paid: _ Check: Last day to cancel and receive full refund of Rental Fee and Damage Deposit: Please draft two (2) separate checks (Rental Fee & Damage Deposit) made payable to Woodmont Community Association. Was damage deposit refunded? Yes No If not, explain circumstances: Return To: Xxxxxx Xxxxxxxx/Xxxxxx Properties XX XXX 000000 Xxxxxxxxxx, XX 00000-0000 You will be responsible for any damages to the clubhouse or its contents that occur as a result of your function. Please notify me of any occurrences immediately or upon returning the keycard. Thanks! THE RENTAL FEE is due in full and this Reservation Agreement must be complete at the time of reservation. The reservation is not confirmed until this Reservation Agreement is signed and all information pertaining to the function has been submitted to the Woodmont Community Association, the Rental Fee and the Damage Deposit are paid in full. THE DAMAGE DEPOSIT must be paid in full at the time of reservation by check. The Damage Deposit will be returned to the Reserving Party after the function if there is no damage to the facility or furniture and accessories, all items are accounted for, and clean-up as described in this Rental Agreement are performed. The Reserving Party’s liability is not limited to the amount of the Damage Deposit. The Damage Deposit shall be forfeited if furniture is moved without prior authorization.
ACCEPTED BY s/ Xxxxxxx X. Xxxxx RED XXXXX GOURMET BURGERS, Inc. ---------------------------- Signature By: /s/ Xxxxxxx X. Xxxxxx ------------------------------------- Xxxxxxx X. Xxxxxx Xxxxxxx X. Xxxxx Its: Chief Executive Officer & President ---------------------------- ------------------------------------- Print Name April 25, 2002 ---------------------------- Date C-5 SECURED PROMISSORY NOTE ----------------------- $600,000.00 April 25, 0000 Xxxxxxxxx Xxxxxxx, XX FOR VALUE RECEIVED, the undersigned Xxxxxxx X. Xxxxx ("Maker"), promises to pay to the order of RED XXXXX GOURMET BURGERS, INC., a Delaware corporation ("Holder"), which term shall include any subsequent holder of this Note, at 0000 XXX Xxxxxxx, Xxxxx 000, Xxxxxxxxx Xxxxxxx, Xxxxxxxx 00000 (or at such other place as Holder shall designate in writing) in lawful money of the United States of America, the principal sum of Six Hundred Thousand Dollars ($600,000.00), with interest thereon commencing as of the date first written above at the rate (the "Interest Rate") described below.