Sign Name definition

Sign Name s/ Xxxxx X'Xxxx ----------------------------- Print Name: Xxxxx X'Xxxx ---------------------------- Address: ------------------------------- ---------------------------------------- ---------------------------------------- Telephone: ----------------------------- Facsimile: ----------------------------- Number of Shares: 307,692 ---------------------- Name in which Shares and Warrants Are to Be Held (please print): Steelhead Investments, Ltd. ---------------------------------------- Manner in which Shares and Warrants Are to Be Held (check the correct line): ___ Individual ___ Tenants in Common ___ JTWROS ___ Corporation ___ Partnership ___ Trust Aggregate Purchase Price: $1,000,000.00 --------------- Social Security or Tax ID Number:_______ OMNIBUS SIGNATURE PAGE TO AKSYS, LTD. SECURITIES PURCHASE AGREEMENT The undersigned hereby executes and delivers the Securities Purchase Agreement to which this Signature Page is attached, which, together with all counterparts of the Agreement and Signature Pages of the other Investors and the Company to said Agreement, shall constitute one and the same document in accordance with the terms of the Agreement.
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Sign Name. Print Name:_________________________ Notary Public Serial No. (none if blank):__________ My Commission Expires: _____________________
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Sign Name. Print Name:__________________________ Notary Public Serial No. (none if blank):__________ My Commission Expires: _____________________ STATE OF FLORIDA ) ) SS. COUNTY OF DADE ) The foregoing instrument was acknowledged before me this ___ day of ____________, 199__ by Xxxx Xxxxxxxx, as President of Preparation Inc., a Florida corporation, in the capacity aforestated; such person is personally known to me or has produced a driver's license as identification.
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Examples of Sign Name in a sentence

  • Print Name Sign Name Social Security Number Home Telephone Number Subscribed and sworn to me this day Of , A.D. My Commission Expires .

  • Purchases of Advertising in a Program Book or on a Sign Name of Purchaser Purchase Made By:Business Entity Other Individual/Sole ProprietorshipStreet Address City State Zip Code Date Received Event # Aggregate Purchases for All Events Amount of Program Ad Purchase Amount of Sign PurchaseTotal of Section L3 II.

  • ORUnderemployed status:I certify that based on the attached chart (Income Eligibility Guidelines), I am underemployed..AND Print Name Sign Name Social Security Number Home Telephone Number Subscribed and sworn to me this dayOf , A.D. My Commission Expires .

  • Purchases of Advertising in a Program Book or on a Sign Name of Purchaser Purchase Made By:Business Entity Other Individual/Sole ProprietorshipStreet Address City State Zip Code Date Received Event # Aggregate Purchases for All Events Amount of Program Ad Purchase Amount of Sign Purchase Total of Section L3 II.

  • Sign Name X MEDICAL RELEASES I certify that I am in possession of a current medical release form for each rostered player that is signed by the player's parent and/or guardian.


More Definitions of Sign Name

Sign Name. Print Name:________________________ Notary Public My Commission Expires: _____________________ JOINDER The undersigned, General Motors Acceptance Corporation, Mortgagee under those certain Mortgages recorded in Official Records Book ______, Pages ______ and ______, of the Public Records of Dade County, Florida, as modified (the "Mortgages"), encumbering lands which include the lands covered by the foregoing Declaration, hereby joins in the foregoing Declaration for the purpose of binding the lands encumbered by its Mortgages to the effects of foregoing Declaration.
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Sign Name s/ Mxxxxxx XxXxxx Sign Name: /s/ Axxxxxx Xxxxxx Print Name: General Mxxxxxx XxXxxx Print Name: Axxxxxx Xxxxxx Title: Chairman of the Compensation Committee
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Sign Name. Print Name:_______________________ Address:__________________________ __________________________ __________________________ Telephone: _______________________ Facsimile:________________________ Number of Common Shares:__________ Number of Warrant Shares:_________
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Sign Name s/ Axxxxxx Xxxxxx Sign Name: /s/ Sxxx Xxxxxxxxx Print Name: Axxxxxx Xxxxxx Print Name: Sxxx Xxxxxxxxx Title: Chief Executive Officer
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Sign Name. Supervisor: Date: Supervisee: Date:
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Sign Name s/ Richxxx X. Xxxxxx ------------------------ Print Name: Richxxx X. Xxxxxx ------------------------ NOTARY PUBLIC OFFICIAL NOTARY SEAL RICHXXX X. XXXXXX NOTARY PUBLIC STATE OF FLORIDA My Commission Expires: COMMISSION NO. CC888151 MY COMMISSION EXP. DEC. 9, 2003
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Sign Name. Notary Public Print Name:______________________________ [NOTARIAL SEAL] Huntington, West Virginia EXHIBIT A DESCRIPTION OF PREMISES Huntington, West Virginia
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