Total Due. My signature below indicates that I agree to purchase propane from Xxxxxx’x Propane Co. according to the pricing and terms above. Pre-Buy purchase is “burnable gallons”. Excess pre-buy payments will be refunded after the agreement end date at my request; otherwise, they carry over as a credit on my account to be used towards subsequent deliveries at current market price. Any underpayment (if customer does not purchase enough gallons for the current heating season), will be delivered at market price and not at pre-buy price. Buyer’s Signature Date I would like to have my account set up as Keep Full (Initial) Date Please make your checks payable to: Xxxxxx’x Propane Co. ** This entire form must be signed and returned with your payment. Payments need to be accurate.
Total Due. The Little Flower School Annual Holiday Craft Bazaar is sponsored by and for the benefit of the LFS Parent Teacher Club. All rental checks should be made payable directly to the Little Flower PTC. Comments and/or special requests: Return Application/Contract in with fees to: Little Flower School x/x X.X.X. Xxxxx Xxxxxx 000 Xxxxxxxxx Xxxxx School Office: (000) 000-0000
Total Due. When recording gallons, round up to the nearest whole gallon (ex. 52.8 = 53) TOTAL REMITTED I CERTIFY THAT THIS REPORT IS TRUE, CORRECT AND COMPLETE TO THE BEST OF MY KNOWLEDGE TO CANCEL IFTA LICENSE, ATTACH IFTA PERMIT AND GIVE LAST DATE OF OPERATION DATE SIGNATURE – LICENSEE NOTE: Please see information on Page 2 PHONE NO. TITLE Note: Please photocopy this return for your records. Please use black ink. Page 1 License Number: Jurisdiction Total Miles Total Taxable Miles Taxable Gallons (Col 3/Line C) Tax Paid Gallons Net Gallons (Col 4- Col 5) Tax Rate Tax Due/Credit (Col 6 x Col 7) Interest Due .0100 Tot Due/Credit (Col 8 + Col 9) MD 0.2350 ME 0.2190 MN 0.2105 MO 0.1700 MS 0.1700 MT 0.0518 NB 0.2562 NC 0.3500 ND 0.2300 NE 0.2630 NL 0.2678 NJ 0.0925 NS 0.2678 NV 0.2200 NY 0.2400 OH 0.2800 OK 0.1600 ON 0.1645 OR 0.0000 PA 0.2280 RI 0.3200 SC 0.1600 SK 0.3442 TN 0.1400 TX 0.1500 VA 0.1750 V2 0.0350 WI 0.2260 # 1 - CALIFORNIA CNG to be reported for each 100 cubic feet at standard pressure and temperature. A blend of Alcohol when containing not more than 15% Gasoline or Diesel should be reported as E-85 or M-85. # 2 - MISSISSIPPI Natural Gas - LNG and CNG 100 cubic feet # 3 - MISSOURI Reporting is not required for propane &/or natural gas in the event that proper fuel decals have been obtained. If fuel decals have not been obtained, a fuel tax return must be completed using the $0.17 fuel tax rate. # 4 - PENNSYLVANIA To convert CNG (scf) to gallons, multiply units by .0314. To convert CNG (lbs) to gallons, multiply units by .7087. Dyed diesel fuel or dyed kerosene consumed in PA operations, by qualified motor vehicles authorized by the IRS to use dyed fuel on highway, is not taxable. # 5 - ONTARIO Where biodiesel is blended with fuel, only the biodiesel portion of the blend is exempt from tax. Licensees may apply for a tax refund directly to Ontario for the biodiesel portion and other tax exempt products such as methanol. # 6 - MAINE CNG rate is per 100 standard cubic feet # 7 - IDAHO FUEL PURCHASED ON IDAHO INDIAN RESERVATIONS – As of November 1, 2007, diesel purchased from retail outlets on the Shoshone-Bannock Indian Reservation is Idaho tax-paid diesel for IFTA reporting and Idaho fuels tax refund purposes. However, diesel purchased from tribal- owned retail outlets on the Coeur d’Alene and Nez Perce Indian Reservations is not Idaho tax-paid diesel for IFTA reporting and refund purposes. Also, as of March 1, 2005 all gasoline purchased from tribal-owned r...
Total Due. 1) The customer represents that only licensed drivers will operate equipment and that the vehicle will be used in a safe and prudent manner in accordance with all instructions on equipment.
Total Due. Don’t see what you are looking for? Please call to discuss the op- tions or leave us a note below CANCELLATION Written cancellation of ordered equipment and services must be received 48 hours prior to delivery. Failure to do so will result in a 100% charge to your account.
Total Due. The Total Amount the Guest is responsible for paying for are: Rental costs: $_ _ Cleaning fee: $_ _ Taxes: $_ Deposit: $ _ TOTAL: $_ _
Total Due. Important: The rental fee will not be refunded if cancellation is less than 7 days prior to the event. Reservations are not valid until this form has been completed and submitted to the Town with all rental fees & deposits. The damage deposit is refundable within 45 days after the activity only if the facility is left undamaged, or if the reservation is cancelled 7 days prior to the date of the scheduled activity. The renter agrees to indemnify the Town of Farmville and hold it harmless from all damages, injuries, liabilities, losses, and expenses incurred by any person or party in any way from the renter’s use or rental of the Farmville Community Center. The renter also releases the Town of Farmville from all damages, injuries, liabilities, losses, and expenses incurred by the renter in any way from the renter’s use of rental of the Farmville Community Center building and equipment. The undersigned agrees to all the conditions and terms listed in the attached Operating and Rental Policies and agrees to be responsible for all damages to the community center and accompanying property that take place while the undersigned and any guests are occupying the premises. The renter agrees that no alcoholic beverages will be given away, sold, served nor consumed on the premises. When using the kitchen, ONLY STOVE, OVEN AND SINK are available for use during the rental time. No other appliances should be used. Signature of Renter Date
Total Due. Deposit check will be cashed. Deposit will be reimbursed upon review of the condition of the premises reserved. Charges may be made against deposit for loss, damage, cleaning and/or additional time (additional time charged at 150% of reservation amount).
Total Due. The rental payment is due within ten (10) days after event. If the event goes over the hours, additional charges may be added. When used for an event for which admission is not charged, the basic fee will be $500. The fee for the use of the Xxxx Stadium track for practice by organized teams is $200 per practice. Supplemental charges, as stated above, will remain the same. Certain events may be classified as special rentals by the Assistant Superintendent for Business and Support Services, in which case the base rental fee may be adjusted on an individual basis. XXXX STADIUM/ADMINISTRATION BUILDING/PARKING LOT The procedure for the use of the Xxxx Stadium/Administration Building parking lot when Xxxx Stadium is not being rented requires the same application procedure which is used for the rental of Xxxx Stadium. Whenever the parking lot is used, the same insurance provisions apply as when renting Xxxx Stadium. The rent for the parking lot shall be $300.00 per day. If there is a required set up of traffic cones and/or the moving of school board vehicles, the rent for the parking lot shall be and additional $50. The rent for using traffic cones is $25 when school division personnel are not used to set up the traffic cones. The group or individual renting Xxxx Stadium or parking lot will be responsible for paying for police protection during the rental period. The director of athletics will determine the number of police required. There may be other charges as determined by the Assistant Superintendent for Business and Support Services.
Total Due. Rental Fee Rates (Select the rate applicable to your rental): Type of Rental Rental Fee (per day) Required Security Deposit Official Functions of the Village of Jacksonville $0.00 $0.00 Official Functions of the Jacksonville Fire Department $0.00 $0.00 Jacksonville Firefighters Association $0.00 $50.00 Funeral/Funeral Wakes $25.00 $50.00 Fundraisers/Benefits $25.00 $50.00 Firefighters, Mayor, Council Members, Employees $50.00 $50.00 Civic Organizations, Non-profit Organizations, Official School Functions (proof may be requested) 2 days per calendar year $0.00 Additional Rentals $75.00 $50.00 Churches/Religious Organizations $75.00 $50.00 All Other Parties/Individuals $100.00 $50.00 Enter the Rental Fee Rate selected above: $ Refundable Security Deposit $ Total Due (Payable to: Village of Jacksonville) $ Security Deposit Donation (circle one): YES or NO If you circled YES, please list what Village purpose you would like to see your donation applied to: (Examples: Parks, Fire Department, Flags, Street, Water)
