For Office Use Only. Ref No ) Print Name …………………………………………….......... Customer No……………………………..................... Representing………………………………….…………....... Transferor Signature……………………………......... Position in organisation: Representing Hull City Council Owner Partner Other …………......................... Date................................................................................... Date …………………………….................................. Please complete sections A, B, C & sign section F and return this form to Trade Waste Team, Hull City Council, Staveley House, Stockholm Road, HULL HU7 0XW marked F.A.O. Commercial Waste Officer. A copy will be returned to you by email or post for your records after verification. It is a legal requirement to keep this transfer note for at least 2 years after the final collection. P.T.O.
For Office Use Only. COMMISSION TRUST AGREEMENT To: Co-operating Brokerage shown on the foregoing Agreement of Purchase and Sale: In consideration for the Co-operating Brokerage procuring the foregoing Agreement of Purchase and Sale, I hereby declare that all moneys received or receivable by me in connection with the Transaction as contemplated in the MLS® Rules and Regulations of my Real Estate Board shall be receivable and held in trust. This agreement shall constitute a Commission Trust Agreement as defined in the MLS® Rules and shall be subject to and governed by the MLS® Rules pertaining to Commission Trust. DATED as of the date and time of the acceptance of the foregoing Agreement of Purchase and Sale. Acknowledged by: ....................................................................................................................... ............................................................................................. (Tel. No.) (Fax. No.) ........................................................................ ............................... (Buyer) (Date) ........................................................................ ............................... (Buyer) (Date) Address for Service ............................................................................ ........................................................ ............................................. (Tel. No.) Buyer’s Lawyer ................................................................................... Address ............................................................................................. Email ................................................................................................ ....................................................... ........... ................................... (Tel. No.) (Fax. No.) Form 100 for use in the Province of Ontario Schedule A Agreement of Purchase and Sale This Schedule is attached to and forms part of the Agreement of Purchase and Sale between: BUYER: , and SELLER: .......................................................................................................................................................................................................... for the purchase and sale of ...............................................................................................................................................................................
For Office Use Only. 55° Authorized Signature: Date: Xxxxx Xxxxxxxx, Manager
For Office Use Only. Received in Payroll (Date) (By) Submitted to Admin. Asst. (Date) (By) KBI Submitted on (Date) KBI Check Received (Date) APS Request Emailed (Date) APS Results Received (Date) CAR Request Emailed (Date) CAR Results Received (Date) DMV Submitted (Date) DMV Results Received (Date) Results: Placed in file Mailed to Consumer Consumer Name DMV Background Check Kansas 3rd Party Consent Form *PLEASE PUT THE INFORMATION EXACTLY AS IT IS ON YOUR LICENSE* I hereby certify that my name is (First Name) (Middle Initial) (Last Name) Address (Street Address) (City) (State) (Zip) Birthdate (MM/DD/YYYY) Telephone Number Driver’s License Number Don’t have one Issuing Authority (State) I hereby authorize LINK Fiscal Agent to obtain my vehicle registration and/or driver’s license record information including my personal information on those records. Signature (Date) DIRECT DEPOSIT FORM (Direct Deposit is Required) DSW Name: !!! PLEASE PRINT CLEARLY!!! ➢ If you have a bank account, fill out the bank information below: Bank Name: Routing #: _ Checking Acct #: Savings Acct #: (Attach voided blank check) ➢ If you do not have a bank account: Commerce Direct Check Card (complete form below) $4.95 setup fee will be deducted from first direct deposit. Authorization for Electronic Entries to Commerce Direct Check Card The undersigned hereby authorizes LINK, Inc. (the Employer) to make electronic credit entries and any necessary adjustments involving these entries in the account identified below at Commerce Bank (the Bank) and authorizes the Bank to accept such entries and make any necessary adjustments. It is agreed that these entries will be made under the rules of the National Automated Clearing House Associations. This authorization will remain in effect until written notice of termination is delivered to the Employer in a timely manner so as to afford the Employer an opportunity to act thereon, In no event shall such termination be effective as to entries processed prior of such notice. Employee Information Name \ \ Social Security # Home Phone Cell Phone Date of Birth Mailing Address City, State, Zip Signature: ________________________________________________ Date: ______________
For Office Use Only. Signed at (place) ……………………………………..…….… Date …………………........................... AS WITNESSES: 1. …………………….......… 2. ………………….......…… …………........……………………… Xxxxxxxx Xxxxxx – ILASA President Duly Authorized Representative of the Institute for Landscape Architecture in South Africa (ILASA) ANNEXURE B SURETYSHIP TO: THE INSTITUTE FOR LANDSCAPE ARCHITECTURE IN SOUTH AFRICA (ILASA) With reference to the agreement dated: ..................................... between XXXXX and the STUDENT FULL NAME & SURNAME: I hereby bind myself in favour of XXXXX as a surety for and co-principal debtor, in silodum, with the STUDENT for the due and punctual payment of any and all amounts which may become due to ILASA by the STUDENT and for the due performance of the STUDENT’s other obligations under and in terms of the agreement. I confirm that I am a major with full capacity to act and hereby renounce the benefits of excussion, division and cession of actions, the full meaning and effect of which I declare myself to be fully acquainted. To the extent required, I confirm that I have consented and agreed to the STUDENT entering into the agreement (PLEASE ATTACH CERTIFIED COPY OF IDENTITY DOCUMENT AND CLEARLY STATE YOUR RELATIONSHIP TO THE BURSARY STUDENT NEXT TO SIGNATURE). Signed at (place): ........................................................ (Date) ................................................. AS WITNESSES: 1 ……………………………………… 2 ……………………………………… .............................…....……………...............…
For Office Use Only. Date of Deposit Security Deposit of $ ONKAD-ONKA Deposit 30-000-286.000 Grand Total of Fees MIKO-Rental Fees 30-252-509.000 Additional Hours of usage HOLD HARMLESS AGREEMENT ALCOHOLIC BEVERAGES PUBLIC FACILITIES SITE: DATE: In consideration for being allowed to make alcoholic beverages available to guests upon the above described public facilities (“Facility”) and date, I acknowledge that I either have or will immediately inspect the premises for its safety and use for the availability of alcoholic beverages, and that my entry upon the area constitutes an acknowledgment that I have inspected the public area for the express purpose of the use of alcoholic beverages and find it reasonably suited for that purpose. I agree that if at any time I find that use to be unsafe, I will immediately notify the Sugar Creek Police Department and that I will immediately leave the public area. I agree that use of the premises, including the use of alcohol therein, shall be in compliance with all applicable local, state and federal laws and regulations, and that I take responsibility for said compliance. I agree that if at any time I find or believe that any laws or regulations may be being violated, I will immediately notify the Sugar Creek Police Department and that I will immediately leave the public area. The undersigned shall be responsible for any damage to the above-described public facility and injury to any person(s) attending the event, whether or not caused by the acts or omissions of the City of Sugar Creek, its agents, employees (“City”), guests or invitees. The undersigned agrees to indemnify and hold harmless the City from all claims, damages, suits or liabilities that may arise or occur from the undersigned’s rental or use of the Facility. The undersigned agrees to indemnify, defend and hold harmless the City for any liability, cost or claims for personal injury, property damage or any violation of local, state or federal law arising out of or in any way in connection with or caused by the negligent, willful or intentional act or omission to act of the undersigned or the undersigned’s guests or invitees. The undersigned takes full responsibility for and holds the City harmless for any action that results in property damage or injury to themselves, their guests or invitees, or any others any others related in any way to the use of alcohol, medications, or any other substances. The City shall not be responsible for its inability to perform the entire or any po...
For Office Use Only. Reviewed by Director of Building and Grounds Date Reviewed by Xxx & Swim Coordinator (if needed) Date Reviewed by Food Service Manager (if needed) Date SCHEDULE OF FEES FOR FACILITY RENTAL AND SPECIAL SERVICES Fees may be applicable for Non-School Sponsored Groups or for Non-School Sponsored Activities School Facilities Fees Applicable Fee Classroom $40.00 Library $40.00 Gymnasium $60.00 Lunchroom w/Kitchen $50.00 Auditorium $40.00 Swimming Pool $100.00 Computer Lab $40.00 Grounds & Fields $25.00 Weekend Usage Fee *also applicable for school sponsored groups or activities $25.00 Special Services (per person) Fees Applicable Fee Lifeguard $12.00/hour Custodian $32.00/hour Light/Sound Technician $32.00 Computer Technician $25.00
For Office Use Only. Scholarship Awarded: YES NO Award date: XXXXX XXXXXX COMMUNITY HEALTH CENTERS
For Office Use Only. Graduate Credit Approval Approval is requested a minimum of three (3) weeks prior to the first day of the course. Course(s) listed above meet the requirements of Article IV, Section E of the TEA Agreement. Approved Not Approved SUPERINTENDENT SIGNATURE: DATE: ****************************************************************************************** Salary Adjustment Fall Adjustment (October 1st) Spring Adjustment (February 1st) Date Official Transcripts Received by HR FROM (PRESENT COLUMN/LINE OF THE SALARY GUIDE) TO (REQUESTED COLUMN/LINE OF THE SALARY GUIDE) Amount of Adjustment HR Verification Date ****************************************************************************************** Tuition Reimbursement Semester Amount of Credits Reimbursement Amount $ Fall Semester Spring Semester Summer Semester
