Name Printed definition

Name Printed. NOTARY PUBLIC in and for the State of Washington, residing at Spokane. Appointment Expires:____________ STATE OF WASHINGTON ) ss. county of Spokane On this day personally appeared before me JOHN G. WHITE, and on oath stated file he was authorized to execute xxx xxxxxxxxxt and acknowledged it as the President of CXT, INCORPORATED, to be the free and voluntary act of such party the uses and purposes therein mentioned. GIVEN under my hand and official seal this ___________ of ______________ 1998. Name Printed.__________________ I NOTARY PUBLIC in and for the State of Washington, residing at Spokane.
Sample 1
Name Printed. Xxx Xxxxxxx Telephone Facsimile Title: Vice President Federal ID No. 00-0000000 Address: 000 X. Xxxxxxxx Blvd., No. 100
Sample 1
Name Printed. Title: ________ EXHIBIT A Legal Description of the Sites EXHIBIT B Form of Lease Supplement B-1 50 TABLE OF CONTENTS ARTICLE I DEFINITIONS; INTERPRETATION; FULL RECOURSE..................................-1- ARTICLE II LEASE OF SITES; TERM........................................................-2- 2.1. Acceptance and Lease of Sites................................................-2- 2.2. Acceptance Procedure for Site................................................-2- 2.3. Term.........................................................................-2- 2.4. Title........................................................................-2- ARTICLE III OTHER PROPERTY..............................................................-3- ARTICLE IV RENT........................................................................-3- 4.1. Basic Rent...................................................................-3- 4.2. Supplemental Rent............................................................-4- 4.3. Method and Amount of Payment.................................................-4- 4.4. Late Payment.................................................................-5- ARTICLE V NET LEASE...................................................................-5- ARTICLE VI UTILITY CHARGES.............................................................-7- ARTICLE VII CONDITION OF LEASED PROPERTY................................................-7- 7.1. Waivers......................................................................-7- ARTICLE VIII NON-INTERFERENCE............................................................-8- 8.1. Non-Interference.............................................................-8- 8.2. Certain Duties and Responsibilities of Lessor................................-8-
Sample 1

Examples of Name Printed in a sentence

  • Vendor’s Name: Authorized Company Official’s Name (Printed): Check one of the following and sign as appropriate.

  • Printed Respondent Name Printed Name of Authorized Official Signature of Authorized Official Subscribed and acknowledged before me this day of , 20 .

  • If the District objects to the assignment of a covered employee on the basis of the covered employee's criminal history record information, Proposer agrees to discontinue using that covered employee to provide services at the District.Noncompliance or misrepresentation regarding this certification may be grounds for contract termination.Company Name Printed Name of Company RepresentativeSignature Date NON-COLLUSIVE BIDDING CERTIFICATE By submission of this bid or proposal, the Bidder certifies that: 1.

  • THE PEOPLE OF THE STATE OF NEW YORK Signature: Signature: Printed Name: Printed Name: Title: Title: Date: Date: NOTICE: This Amendment #2 becomes effective once OGS approves and an OGS authorized signatory executes.

  • Signature Signature Printed Name Printed Name Date Date CRIMINAL BACKGROUND: I understand a Nationwide Law Enforcement Investigation is required and will be done.

  • Business: Certified by: Date: Title: Name Printed: Issue Date March 31, 2002ATTACHMENT G DEBRIEFING AND PROTEST INFORMATION In compliance with Mississippi Public Procurement Review Board Office of Personal Service Contract Review Rules and Regulations, Agencies are encouraged to exchange information with vendors in an effort to build and strengthen business relationships and improve the procurement process between vendors and the State.

  • Contractor By: Signature Name Printed Title CITY OF SIOUX CITY, IOWA (SEAL) ATTEST: City Clerk By: REVIEW SET ONLY - NOT FOR BIDDING City Manager This Contract, the performance and payment bond and supporting insurance documents are approved as to form and content.

  • Proposer/Bidder Firm Name (Printed) Federal ID Number By (Authorized Signature) Printed Name and Title of Person Signing Date Executed Executed in the County and State of YOUR BID OR PROPOSAL WILL BE DISQUALIFIED UNLESS YOUR BID OR PROPOSAL INCLUDES THIS FORM WITH EITHER PARAGRAPH # 1 OR # 2 INITIALED OR PARAGRAPH # 3 INITIALED AND CERTIFIED.

  • CONTRACTOR THE PEOPLE OF THE STATE OF NEW YORK Signature: Signature: Printed Name: Printed Name: Title: Title: Company Name: Federal ID: NYS Vendor ID: Date: Date: The acknowledgment must be fully and properly executed by an authorized person.

  • I understand that any information willfully falsified or omitted may result in, but is not limited to bid disqualification and/or debarment from doing business with the Houston Independent School District.Proposer Officer Signature DatePrinted Name Printed Title Option I/II/IIIM/WBE Subcontracting PlanPlease complete the information below if you agreed to subcontract with M/WBE companies.


More Definitions of Name Printed

Name Printed. Its:________________________________ Address for Borrowers: 000 Xxxxxx Xxxxxx Teaneck, New Jersey 07666 Attention: Xxxxxxxx Xxxxxxxxx, President Facsimile: 000-000-0000 Telephone: 000-000-0000 with a copy to: Xxxxxxx, Savage & Xxxxxxxxx 000 Xxxx 00xx Xxxxxx Xxx Xxxx, Xxx Xxxx 00000-0000 Attention: Xxxxx Xxxxx, Esq. Facsimile: 212-980-5192 Telephone: 000-000-0000 FIRST SOURCE FINANCIAL LLP By: First Source Financial, Inc. Its: Manager By:_________________________________ Name Printed:_______________________ Its:________________________________ 0000 Xxxx Xxxx Xxxx - Xxxxx Xxxxx Xxxxxxx Xxxxxxx, XX 00000 Attention: Contract Administration Facsimile: (000) 000-0000, 7911 Telephone: (000) 000-0000 Secured Credit Agreement with a copy to: Xxxxxx Xxxxxx & Xxxxx 000 Xxxx Xxxxxx Xxxxxx Xxxxx 0000 Xxxxxxx, XX 00000 Attention: Xxxxxx X. Burn, Esq. Facsimile: (000) 000-0000 Telephone: (000) 000-0000 Secured Credit Agreement
Sample 1
Name Printed. Gene Comfort Title: Executive Vice President & Director Address: 3501 Lakewood Xxxxxxxxx Xxxx Xxxxx, XX 00000 Xxxxxxxxx: Xxcsimile: NOTE: These forms are often modified lo meet changing requirements of law and needs of the industry. Always write or call to make sure you are utilizing the most current form: AMERICAN INDUSTRIAL REAL ESTATE ASSOCIATION, 700 South Flowxx Xxxxxx, Xxxxx 000, Xxx Xxxxxxx, XX 00000. (000) 000-0077. Initials: _________ _________
Sample 1
Name Printed. March Combs NOTARY PUBLIC in and for the State of Washington, residing at Xxxxane. My Commission Expires: 8/1/98 STATE OF WASHINGTON ss. COUNTY OF SPOKANX Xx xxxx 00xx xxx xx Xxxxxxxx, 0000, xxxxxxxxxx xxxxxxxx XXXXXXX X. XXXLNICK, to me known to be the President of CROWN WEST RXXXXX, X.X.X., xxx limited liability company that executed the within and foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said company, for the uses and purposes therein mentioned, and on oath stated that he was authorized to execute the said instrument.
Sample 1
Name Printed. March Combs NOTARY PUBLIC in and for the State of Washington, residing at Xxxxane. My Commission Expires: 8/1/98 ADDENDUM TO LEASE This is an addendum to that certain Lease dated December 20, 1996, between CROWN WEST REALTY, L.L.C., as lessor, and CXT, INCORPORATED, as lessee, pursuant to which the lessee leased from the lessor Building No. 7 and approximately five acres of land. Paragraph 5.1 of the said Lease is hereby amended to read as follows:
Sample 1
Name Printed. Signature: Date: Type of Identification (if signed in your presence): Identification Number (if signed in your presence): Guarantor Signature required if applicant is under the age of 18 GUARANTOR: Name Printed: Signature: Date: Type of Identification (if signed in your presence):
Sample 1
Name Printed. March Coxxx NOTARY PUBLIC in and for the State - of Washington, residing at Spokane. My Commission Expires: 8/1/98
Sample 1

Related to Name Printed

  • Identification sign means a sign whose copy is limited to the name and address of a building, institution, or person and/or to the activity or occupation being identified.

  • Authorized Signature means the signature of an individual authorized to receive funds on behalf of an applicant and responsible for the execution of the applicant’s project.

  • Identifying number means a symbol or address that identifies only one unit in a common interest community.

  • Authorized Signatory means such senior personnel of a Person as may be duly authorized and designated in writing by such Person to execute documents, agreements and instruments on behalf of such Person.

  • Authorized Signer is any individual listed in Borrower’s Borrowing Resolution who is authorized to execute the Loan Documents, including making (and executing if applicable) any Credit Extension request, on behalf of Borrower.

  • Common name means any designation or identification such as code name, code number, trade name, brand name or generic name used to identify a chemical other than by its chemical name.

  • Printed Name Signature: Date:

  • Baggage Identification Tag means a document issued by the carrier solely for identification of checked baggage, part of which is given to the passenger as a receipt for the passenger’s checked baggage and the remaining part is attached by the carrier onto a particular piece of the passenger’s checked baggage.

  • Name The Bank of New York Address: Xxx Xxxxxx Xxxxxx Xxxxxx X00 0XX Facsimile Number: 020 7964 6061/6399 Attention: Global Structured Finance

  • Authorized Site means a single geographic location in which Licensee conducts business, with a radius of no more than five (5) miles, which location is identified above.

  • Print means a multiple produced by, but not limited to, such processes as engraving, etching, woodcutting, lithography, and serigraphy, a multiple produced or developed from a photographic negative, or a multiple produced or developed by any combination of such processes.

  • Calling Name Delivery Service (CNDS means a service that enables a terminating End User to identify the calling Party by a displayed name before a call is answered. The calling Party’s name is retrieved from a calling name database and delivered to the End User’s premise between the first and second ring for display on compatible End User premises equipment.

  • Automatic identification device means a device, such as a reader or interrogator, used to retrieve data encoded on machine-readable media.

  • Identification means the process of determining a person’s identity through a database search against multiple sets of data (one-to-many check);

  • Automatic Number Identification or "ANI" means a Feature Group D signaling parameter which refers to the number transmitted through a network identifying the billing number of the calling party.

  • Identification card means an identification card issued under Title 53,

  • s Name Property Address: _________________________________________________________

  • Fax Number Email Address: Credentialing Contact: Telephone Number: Fax Number: Email Address: Address Information Federal Tax ID Number: National Provider Identification: Attach a completed W9 form for each Federal Tax ID number. Physical Address – physical location of the Facility THIS ADDRESS AND PHONE NUMBER WILL APPEAR ON THE WEBSITE PROVIDER DIRECTORY. Physical Address: Mailing Address Mailing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Mailing contact information, if listed, will be utilized for all legal, contractual notices as defined in section 11.2 or 12.2 of the facility contracts. An email address must be included for this contact in order to access the online fee schedules. All notices will be sent electronically. Billing/Remit Address – for claims payments and remittance statements ALL BILLING INFORMATION BELOW MUST MATCH THE INFORMATION REFLECTED ON THE CLAIMS SUBMITTED. Name Submitted on Claims: Billing Office Name (if applicable): Billing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Additional Location Federal Tax ID Number: National Provider Identification: Attach a completed W9 form for each Federal Tax ID number. Physical Address – physical location of the Facility THIS ADDRESS AND PHONE NUMBER WILL APPEAR ON THE WEBSITE PROVIDER DIRECTORY. Physical Address: Mailing Address- for correspondence/credentialing Mailing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Billing/Remit Address – for claims payments and remittance statements ALL BILLING INFORMATION BELOW MUST MATCH THE INFORMATION REFLECTED ON THE CLAIMS SUBMITTED. Name Submitted on Claims: Billing Office Name (if applicable): Billing Address: City State ZIP Phone: Fax: Contact Person: Email Address: Please use copies of these pages to report any additional locations. Revised 04/13/2018 Network Provider Home Health Care Agency Contract Signature Page The Office of Management and Enterprise Services Employees Group Insurance Division (EGID), and the Facility incorporated by reference the terms and conditions of the HealthChoice Network Facility Contract (Contract) located in HCHHCv2.1 at xxxx://xxxx.xx.xxx/services/healthchoice/providers/contracts-and- applications into this Signature Page and acknowledge the Contract is an electronic record created according to 12A O.S. § 15-011 et seq. EGID and the Facility further agree that the effective date of the Contract is the effective date denoted on the copy of the executed Signature Page returned to the Facility. The original of the signed document will remain on file in the office of EGID. FOR THE FACILITY: FOR EGID: Legal Name of Owner (Typed or Printed) Xxxxx X’Xxxx Deputy Administrator Employees Group Insurance Division Trade Name/DBA (Typed or Printed) Federal Tax ID Number Address of the Facility: Authorized Officer or Representative (Typed or Printed) Title Signature Signature Date Please return the completed Application, Signature Page and required attachments to: Office of Management Enterprise Services Employees Group Insurance Division ATTN: Network Management 3545 N.W. 00xx Xx., Xxx. 000 Oklahoma City, OK 73112 Phone: 000-000-0000 or 000-000-0000 Fax: 000-000-0000 XXXX.XxxxxxxXxxxxxxxxx@xxxx.xx.xxx

  • Certificate of Authentication The meaning specified in Section 2.1.

  • Exhibit F The awarded category pricing from the Contractor’s submitted Price Sheet from 3rd Bid RFP 15-80101507-SA-D

  • DoD item unique identification means a system of marking items delivered to DoD with unique item identifiers that have machine- readable data elements to distinguish an item from all other like and unlike items. For items that are serialized within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier and a unique serial number. For items that are serialized within the part, lot, or batch number within the enterprise identifier, the unique item identifier shall include the data elements of the enterprise identifier; the original part, lot, or batch number; and the serial number.

  • Email Address means a current valid email address.

  • Certification Instructions You must cross out item (2) above if you have been notified by the IRS that you are subject to backup withholding because of underreporting interest or dividends on your tax return. However, if after being notified by the IRS that you were subject to backup withholding, you received another notification from the IRS that you were no longer subject to backup withholding, do not cross out item (2) NOTE: FAILURE TO COMPLETE AND RETURN THIS SUBSTITUTE FORM W-9 MAY RESULT IN BACKUP WITHHOLDING OF 28% OF ANY CASH PAYMENTS MADE TO YOU PURSUANT TO THE OFFER. PLEASE REVIEW THE ENCLOSED GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 FOR ADDITIONAL DETAILS. YOU MUST COMPLETE THE FOLLOWING CERTIFICATE IF YOU ARE AWAITING YOUR TIN. CERTIFICATE OF AWAITING TAXPAYER IDENTIFICATION NUMBER I certify under penalties of perjury that a TIN has not been issued to me, and either (1) I have mailed or delivered an application to receive a TIN to the appropriate IRS Center or Social Security Administration Office or (2) I intend to mail or deliver an application in the near future. I understand that if I do not provide a TIN by the time of payment 28% of all payments pursuant to the Offer made to me thereafter will be withheld until I provide a number. If I do not provide a TIN within 60 days, any amounts withheld will be sent to the IRS as backup withholding. Signature: Date: , 2004 12 GUIDELINES FOR CERTIFICATION OF TAXPAYER IDENTIFICATION NUMBER ON SUBSTITUTE FORM W-9 GUIDELINES FOR DETERMINING THE PROPER IDENTIFICATION NUMBER TO GIVE THE PAYOR—Social Security numbers have nine digits separated by two hyphens: i.e., 000-00-0000. Employer identification numbers have nine digits separated by only one hyphen: i.e., 00-0000000. The table below will help determine the type of number to give the payor. For this type of account Give the SOCIAL SECURITY number of—

  • Automatic Location Identification (“ALI”) means a feature that provides the caller’s telephone number, address and the names of the Emergency Response agencies that are responsible for that address.

  • Digital Signature means authentication of any electronic record by a subscriber by means of an electronic method or procedure in accordance with the provisions of section 3;

  • Chemical name means the scientific designation of a chemical in accordance with the nomenclature system developed by the International Union of Pure and Applied Chemistry (IUPAC) or the Chemical Abstracts Service (CAS) rules of nomenclature, or a name which will clearly identify the chemical for the purpose of conducting a hazard evaluation.