Examples of Print Name in a sentence

Principal Surety (Name of Principal) (Name of Xxxxxx) (Signature of Person with Authority) (Signature of Person with Authority) (Print Name) (Print Name) (Name of California Agent of Surety) (Address of California Agent of Surety) (Telephone Number of California Agent of Surety) Contractor must attach a Notarial Acknowledgment for all Surety's signatures and a Power of Attorney and Certificate of Authority for Surety.
The Company: PROTECTIVE LIFE AND ANNUITY INSURANCE COMPANY, on behalf of itself and each Separate Account By: /s/ Xxxxx Xxxxxx Print Name: Xxxxx Xxxxxx Title: Chief Product Officer - Retirement Division The Fund: SCHWAB ANNUITY PORTFOLIOS By: /s/ Xxxx Xxxxxxx Print Name: Xxxx Xxxxxxx Title: CFO The Underwriter: XXXXXXX XXXXXX & CO., INC.
Contractor: <<CONTRACTOR>> Print Name Title Signature Date County of Orange, a political subdivision of the State of California.
Signed in the presence of: By: Title: Witness Signature Print Name Print Name Print Address Witness Signature Print Name GLOBAL AVIATION SERVICES USA, INC.
By: fµ.-.'-""'- 7�f<-- Print Name: Xxxxxxx Xxxxxx Title: Secretary/Partner Date: 03/03/2023 *lfthe contracting party is a corporation, (2) two signatures are required: (}) signature by the Chairman ofthe Board, the President or any Vice President; and one (1) signature by the pecreta,y, any Assistant Secretary, the Chief Financial Officer or any Assistant Treasurer.

More Definitions of Print Name

Print Name. Title: Address: Telephone #: Fascimile #: E-mail Address: (IF CORPORATION OR LIMITED LIABILITY COMPANY SELLER) ACKNOWLEDGEMENT OF RECEIPT OF XXXXXXX MONEY BY BROKER OR BROKER’S AFFILIATED LICENSEE: Weeks Auction Group, Inc. [GA R.E. Lic. #75323] By: As its: GA R.E. Lic. # Date: Exhibit “A” Tract 1: All that tract or parcel of land situate, lying and being in the Southwest Section of the City of Quitman, Xxxxxx County, Georgia, and being a part of Block No. 2, and more particularly described as follows: Beginning at the northeast corner of said block at the southwest corner of the intersection of West Forsyth Street with South Court Street; and running thence south along the west margin of Xxxxx Xxxxx Xxxxxx 000 feet to the north margin of West Xxxxxxx Street; thence west along the north margin of West Xxxxxxx Street 210 feet to the east margin of South Madison Street; thence north along the east margin of South Madison Street 135 feet to a point; thence east 68 feet to a point; thence north 50 feet to a point; thence east 75 feet to a point; thence north 25 feet to the south margin xx Xxxx Xxxxxxx Xxxxxx; thence east 67 feet along the south margin xx Xxxx Xxxxxxx Xxxxxx to the Point of Beginning; and bounded on the north by lands of the City of Quitman and West Forsyth Street; on the east by South Court Street; on the south by Xxxx Xxxxxxx Xxxxxx; and on the west by South Madison Street and lands of City of Quitman. Said property is the same as that described in a Warranty Deed from Xxxxxx County Investment Company to X. X. Xxxxxx, et al, dated December 30, 1970, and recorded in Deed Book 105, page 475, of the Deed Records of Xxxxxx County, Georgia. Tract 2: Part of Block No.16 in the Southeast Section of the City of Quitman, Xxxxxx County, Georgia, and more particularly described as follows: Beginning at a point on the east line of said block a distance of 78 feet south of the northeast corner of said block, running thence south 50 feet, thence west 90 feet, thence north 50 feet, thence east 90 feet to the point of beginning; and said land is bounded on the north by lands of General Telephone Company, on the east by South Washington Street, on the south by lands of X. X. Xxxxxxxxx, and on the west by an alley. Also, part of Block No.16 in the Southeast Section of the City of Quitman, Xxxxxx County, Georgia, and described as follows: Beginning at a point on the east line of said block a distance of 128 feet south of the northeast corner of said block, and ...

Print Name. Print Name:___________________________ Title:________________________ Residence Address: 317 E. Linden Ave Englewood NJ 00000 City State Zip Code Mail Address: ________________________________________ ______________________________________________________ City State Zip Code Telephone: (201) 816 9308 Xxxxxmile: 203 863 1450 Tax Identification or Xxxxxx Xecurity Number 090 60 2704 Number of Shares to be Purchased: 25,000 Xxxxx Xxxxxase Price $ 131,250 (ACKNOWLEDGMENT FOR INDIVIDUAL SUBSCRIBER) STATE OF CONNECTICUT ss. ss.: COUNTY OF FAIRFIELD ss. On this 2nd day of September, 1997, before me personally appeared Leonard Rauner, to me known to be the individual described in and whx xxxxxxxx xxx foregoing instrument, and duly acknowledged to me that (he) executed the same as (his) free act and deed. /s/ KEVIN M. MCCORMACK Notary Xxxxxx My Commission Expires: 2/28/1998 [SEAL] (ACKNOWLEDGMENT FOR CORPORATE SUBSCRIBER) STATE OF ____________ ss. ss.: COUNTY OF __________ ss. On this _____ day of ___________________, 19__, before me appeared ______________, to me personally known, who, being by me duly sworn (or affirmed), did say and acknowledge that he is the ______________ of ________________________, that the seal affixed to said instrument is the corporate seal of said corporation and that said instrument was signed and sealed on behalf of said corporation by authority of its board of directors, and that the execution of the said instrument is the free act and deed of said corporation. [SEAL] ______________________________________ Officer ______________________________________ Title ______________________________________ Notary Public My Commission Expires: _______________ The Company and Subscriber have executed this Subscription Agreement on the date first above written. THE COMPANY: INTELECT COMMUNICATIONS SYSTEMS LIMITED By: /s/ EDWIN J. DUCAYET, JR. Edwin J. Ducayet, Jr., Vice President XXXXXXXXXX: Xx: Marcus R. Xxxxx, Xxxxxxxxxx (Corporation, Partnership or (Xxxxxxxxxx Signatures) Trust Signature) ______________________________ /s/ MARCUS R. ROWAN (Print Name of Entity) (Sigxxxxxx) Print Name: Marcus R. Rowan By:___________________________ ______________________________________ (Signature) (Signature)

Print Name. Signature: Title: Date: SWIFT Contract No.

Print Name. Email Address: Signature of Patient/Parent/Guardian: Please return to your SMG Physician Office or Mail to: HIMS Manager – 000 Xxxxxx Xxxxxx, Xxx Xxxxxxxxxx, XX 00000 Name: Date of Birth: Date: Summit Medical Group is participating in the U.S. Department of Health and Human Services’ "Meaningful Use" program in order to provide better patient care. This program will lead to improved electronic communications and a more complete medical record for our patients. As part of this program, we are required to collect patient information such as race, ethnicity and primary language. If you prefer not to share this information, please feel free to choose the option “I Prefer Not to Report”. Please choose one from each section. Race*: Ethnicity*: □ American Indian or Alaska Native □ Hispanic or Latino □ Asian □ Not Hispanic or Latino □ Black or African American □ I Prefer Not to Report □ Native Hawaiian or Other Pacific Islander □ White □ Unknown or Other □ I Prefer Not to Report Primary Language: □ English □ German □ Spanish □ Italian □ Portuguese □ Polish □ French □ Other Language □ I Prefer Not to Report *The choices of Race and Ethnicity are consistent with choices used in US Census surveys. See page 2 for the US government’s definitions of Race and Ethnicity. Summit Medical Group will soon offer our patients online access to certain portions of their personal health records through a “patient portal”. In addition, we will also soon provide a secure, HIPAA/HITECH compliant, electronic means for communicating with your physician and health care providers. If you are interested in participating, please provide us with your email address so we may alert you when this new patient portal is available. Your email address will not be shared with any entity outside the Summit Medical Group. There is no charge for such participation and participation is entirely optional. Email address: Definitions of Race and Ethnicity as defined by the US Government: American Indian or Alaska Native. A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment Asian. A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Black or African American. A person having origins in any of the black...

Print Name. Address:___________________________ ___________________________ ___________________________ Telecopy No.:______________________ EXHIBIT A --------- FORM OF ASSIGNMENT ------------------ (To Be Signed Only Upon Assignment) FOR VALUE RECEIVED, the undersigned hereby sells, assigns and transfers the attached Warrant to ____________________________________________ to the extent of the right to purchase _________________ Warrant Shares, and the undersigned appoints ___________________________, with full power of substitution, to transfer that Warrant, with respect to the right to purchase that number of Warrant Shares, on the books of XxxxxxxXxxxxxxx.xxx, Inc. Dated: ________________, 1999 ___________________________________ (Signature must conform to the name of the Warrant Holder specified on the face of the Warrant.) EXHIBIT B --------- SUBSCRIPTION FORM ----------------- To: XxxxxxxXxxxxxxx.xxx, Inc. The undersigned irrevocably elects to purchase ___________ Warrant Shares by exercising the Warrant to which this form is attached (the "Warrant") and will tender payment of the full Exercise Price with respect to those Warrant Shares in accordance with Section 2.02 of the Warrant. The undersigned requests that the certificates representing the Warrant Shares as to which the Warrant is being exercised be registered as follows: Name: _______________________________________ Social Security or Employer Identification Number: _______________________________________ Address: _______________________________________ _______________________________________ Deliver to: _______________________________________ Address: _______________________________________ _______________________________________ If the Warrant Shares as to which the Warrant is being exercised are fewer than all the Warrant Shares to which the Warrant relates, please issue a new Warrant for the balance of the Warrant Shares registered in the name of the undersigned and deliver it to the undersigned at the following address: Address: _______________________________________ _______________________________________ This Subscription Form is governed in all respects by the provisions of the Warrant. Date: _____________________ Signature:___________________________________ (Signature must conform to the name of the Warrant Holder specified on the face of the Warrant.)

Print Name. Sign: Date: Space: Payment: $ XX Xxxx CK#

Print Name. Address: Card Number: Date: Time: Signature:

Print Name definition

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