Please Complete definition

Please Complete. REPORTED PERIOD: SEMI-ANNUAL PERIOD FROM [JANUARY 1][JULY 1], 201 to [JUNE 30][DECEMBER 31], 201 Description of Item (incl. Serial #,if applicable) Location of Item Dollar Amount Vendor Description Date of Payment Purchase order or invoice number Sales Tax Savings TOTAL SALES TAX SAVINGS REALIZED DURING THE SEMI-ANNUAL REPORTED PERIOD: Certification: I, the undersigned, an authorized officer or principal owner of the Company, hereby certify to the best of my knowledge and belief that all information contained in this report is true and complete. The information reported in this form includes all Company Sales Tax Savings realized by the Company below and its principals, affiliates, tenants, subtenants, contractors, subcontractors and any other person or entity pursuant to the LETTER OF AUTHORIZATION FOR SALES TAX EXEMPTION issued to the Company, and any SALES TAX AGENT AUTHORIZATION LETTER issued to any other person or entity at the direction of the Company, by the Town of Brookhaven Industrial Development Agency (“TOBIDA”). This form and information provided pursuant hereto may be disclosed by TOBIDA in connection with the administration of the programs by TOBIDA; and, without limiting the foregoing, such information may be included in reports or disclosure required by law. Company Name: Signature By: Name (print): Title: Date: EXHIBIT G Compliance with Labor Law, Executive Law and Civil Rights Law The purpose of the Town of Brookhaven Industrial Development Agency (the “Agency”) is to provide benefits that reduce costs and financial barriers to the creation and to the expansion of business and enhance the number of jobs in Suffolk County. The Agency has consistently sought to ensure that skilled and fair paying construction jobs be encouraged in straight-lease transactions with the Agency. Now therefor, the parties to the attached Lease Agreement (the “Agreement”) further agree to be bound by the following, which are hereby made a part of the Agreement.
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Please Complete. REPORTED PERIOD: ANNUAL PERIOD FROM JULY 1, 201__ to JUNE 30, 201__ Description of Item (incl. Serial #,if applicable) Location of Item Dollar Amount Vendor Description Date of Payment Purchase order or invoice number Sales Tax Savings SEMI-ANNUAL PERIOD FROM JULY 1, [____] to DECEMBER 31, [____] TOTAL SALES TAX SAVINGS REALIZED DURING THE SEMI-ANNUAL PERIOD FROM JULY 1, [____] to DECEMBER 31, [____]: SEMI-ANNUAL PERIOD FROM JANUARY 1, [____] to JUNE 30, [____] TOTAL SALES TAX SAVINGS REALIZED DURING THE SEMI-ANNUAL PERIOD FROM JANUARY 1, [____] to JUNE 30, [____]: TOTAL SALES TAX SAVINGS REALIZED DURING THE ANNUAL REPORTED PERIOD: Certification: I, the undersigned, an authorized officer or principal owner of the Company, hereby certify to the best of my knowledge and belief that all information contained in this report is true and complete. The information reported in this form includes all Company Sales Tax Savings realized by the Company below and its principals, affiliates, tenants, subtenants, contractors, subcontractors and any other person or entity pursuant to the LETTER OF AUTHORIZATION FOR SALES TAX EXEMPTION issued to the Company, and any SALES TAX AGENT AUTHORIZATION LETTER issued to any other person or entity at the direction of the Company, by the Ontario County Industrial Development Agency (“OCIDA”). This form and information provided pursuant hereto may be disclosed by OCIDA in connection with the administration of the programs by OCIDA; and, without limiting the foregoing, such information may be included in reports or disclosure required by law. Company Name: Signature By: Name (print): Title: Date: EXHIBIT G OCIDA Local Requirements Policy For any project to receive PILOT abatements the project must satisfy the following criteria:
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Please Complete. Student Name: Internship Position Title: Supervisor Name: As an intern supervisor, I acknowledge the following:
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  • Please Complete the Public Participation/ Witness Form in its Entirety.NO ACTION MAY BE TAKEN BY THE COURT DURING PUBLIC COMMENTS.

  • Signature: Corporate Secretary Date RECIPROCAL LIMITATIONS ACT REQUIREMENTS Please Complete Applicable Portion of Pages 3 & 4 and Return with Bid.

  • Please Complete Parts A and B in this Section)This Authorization CANNOT be used to disclose Psychotherapy Notes.

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  • Please Complete Parts A and B in this Section)This Authorization CANNOT be used to disclose Psychotherapy Notes.Section III will assist in determining what PHI the individual identified in Section I allows the receiving person/entity identified in Section II to receive.

  • SHAREHOLDER(S) SIGN HERE (See Instructions 1 and 5) (Please Complete and Return the Attached IRS Form W-9 Below) Must be signed by registered holder(s) exactly as name(s) appear(s) on the account registration.

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  • Please Complete Sections as Applicable)BOR REVIEW STATUS (For Office Use Only - please leave blank)2 Final CIP assignment will be done by BOR staff in consideration of suggested number (if provided) and in consultation with administrative offices at the institution and system proposing the program.

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Please Complete. Name: Date: Campus Address: Hall/Room Cell Phone: ************************************************************************************
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Please Complete. Patron’s Signature Check-out Date Print Name Contact Number Hotspot Due Date: Eligible for Next Checkout: (24 hours after hotspot is returned) Verified by (staff Member’s Name): PRINT FULL NAME Item Check-In Check-Out Portable Internet Device (Hotspot) Power adapter cord Carrying case No physical damage or visible marks on unit Device powers on
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Please Complete detailed expected deliverables / outputs – If some are optional, or if you are expecting the bidder to make a proposal on different options, make sure you specify it here. Output Activity Date (indicative) Output 1: Content for WHOA primary care modules Common signs and symptoms Common acute disorders Disease prevention Chronic conditions Develop content for primary care training by: reviewing existing WHO guidance documents, including IMAI and IMCI; creating primary care course outlines; mapping existing WHO guidance to course outlines; identifying gaps in content; reviewing external decision-making tools, national and international guidelines and protocols; filling content gaps using material from reviews Adapting content to create patient centred treatment algorithms based on clinical presentations 15 May 2022
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  • Please Initial Client also expressly indemnifies GPT for any future liabilities, either administrative, civil, or criminal related to the improper use by Client or its assigns of any and all documentation that is provided to Client by GPT pursuant to this Agreement. Please Initial: ___________ Client hereby further agrees to indemnify GPT against any action, suit, claim or proceeding, whether civil, criminal or administrative, and against any fine, cost, levy, expense, judgment or award arising therefrom (collectively a "Claim"), in which GPT may be involved (whether as a witness or a party) as a result of any application or document filed or processed by GPT, on the Client's behalf, which contains any false or misleading statement or omission of material fact or which, other than through gross negligence of GPT, violates any statute, rule or order of any Federal, state or self-regulatory authority. Client agrees that GPT shall have no responsibility to verify the accuracy or adequacy of any statement, document, fact or information provided to GPT by Client or Client's attorney, accountant, representative or agents.

  • The Completion Date means the date of completion of the Works as certified by the Employer’s Representative.

  • Work package means a major sub-division of the proposed project.

  • Certificate of Completion means the certificate of completion given by the Engineer-in-charge pursuant to clause 40 of these conditions;

  • We "us" and "our" means Reliance Standard Life Insurance Company.

  • Time for Completion means the time for completing the Works as stated in the Contract Data (or as extended under Sub-Clause 7.3), calculated from the Commencement Date.

  • Project Management Report means each report prepared in accordance with Section 4.02 of this Agreement;

  • Contract Manager means the DNR staff person who processes this contract, makes payments, provides and facilitates dispute resolution, provides technical advice to the Compliance Forester, and is the first point of contact for questions relating to this contract or interpretation of Work. The Contract Manager may perform the duties of the Compliance Forester.

  • Partial closure means the closure of a hazardous waste management unit in accordance with the applicable closure requirements of 35 Ill. Adm. Code 724 or 725 at a facility that contains other active hazardous waste management units. For example, partial closure may include the closure of a tank (including its associated piping and underlying containment systems), landfill cell, surface impoundment, waste pile, or other hazardous waste management unit, while other units of the same facility continue to operate.

  • Yes response means the Bidder guarantees they can meet this condition.

  • Original package means the unbroken container or wrapping in which any drug or medicine is