Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Child Multidisciplinary Team (MDT) Members Victim Services Member Substance Abuse Member Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Alternate: Alternate: Child Development and/or Education Member Juvenile Court Services Member Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Alternate: Alternate: Other (i.e., Service Provider) Other (i.e., Service Provider) Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Alternate: Alternate: Dependent Adult Multidisciplinary Team (MDT) Members Area Agency on Aging Other (i.e., Adult Service Provider) Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Alternate: Alternate: Other (i.e., Adult Service Provider) Other (i.e., Adult Service Provider)) Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Alternate: Alternate: Department of Human Services Approval Agency, Iowa Department of Human Services Signature of authorized representative: Date: Printed name: Title: Service Area Manager or Designee Ad Hoc Member Attendance With approval of the Department, ad hoc members...
Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name: Title: Title: Discipline: Discipline: Signature of authorized representative: Date: Signature of authorized representative: Date: Printed name: Printed name:
Signature of authorized representative: " 1 Delete the bullet point that does not apply.
Examples of Signature of authorized in a sentence
XXXXXX ELEMENTARY 0000 X Xxxxxxx Xxx Xxx Xxxxxxx, XX 00000 BY AFTER-SCHOOL ALL-STARS, LOS ANGELES (ASAS, LA) 0000 Xxxxxxxx Xxx Xxx Xxxxxxx, XX 00000 BY: Signature of Authorized Xxxxxx XxXxxxx Printed Name 00-0000000 Employer I.
If the Warrant is being exercised via cash exercise, the undersigned is an “accredited investor” as defined in Regulation D promulgated under the Securities Act of 1933, as amended [SIGNATURE OF HOLDER] Name of Investing Entity: Signature of Authorized Signatory of Investing Entity: Name of Authorized Signatory: Title of Authorized Signatory: Date: 22 Certificate No. [__] ASSIGNMENT FORM (To assign the foregoing warrant, execute this form and supply required information.
More Definitions of Signature of authorized
Signature of authorized agent: Date: For FCEC use Paid by Check #: Date Received: Advertising dates: / /
Signature of authorized representative: Signature of authorized representative: Annexure: Annexure 1: Product Description Annexure 2: Schedule of Installation and Implementation Annexure 3: Memo of Checking and Acceptance for Installation Annexure 4: Memo of Completion of Installation and Implementation Service Annexure 5: Memo of Checking and Acceptanceand Unpacking Annexure 6: Payment Application Annexure 7: Service Content of Maintenance and Upgrade Annexure 1: Product Description Annexure 2: Schedule of Installation and Execution Annexure 3: Memo of Checking and Acceptance for Installation Memo of Checking and Acceptance for Installation Item Stage Memo of Checking and Acceptance for Installation Item Name: Unit: XXX Bank Checking and Acceptance Opinion of xxx of XXX Bank: Representative xxx of XXXX Bank Date: xxx Opinion of Party B: Representative of Company Date: Checking and Acceptance Opinion of xxx of XXX Bank: Representative xxx of XXXX Bank Date: Annexure 4: Memo of Completion of Installation and Implementation Service Memo of Completion of Installation and Implementation Service Item: Memo of Completion of Installation and Implementation Service Item Name: Unit: XXX Bank Checking and Acceptance Opinion of xxx of XXX Bank: Representative xxx of XXXX Bank Date: Opinions of Supplier: Representative of Company Date: Opinion of xxx of XXX Bank: Representative xxx of XXXX Bank Date: Annexure 5: Memo of Checking and Acceptance and Unpacking Memo of Checking and Acceptance and Unpacking XXX Bank Item Acceptance Sheet of Software No.: We have received the software with sets delivered by Company on , with full package and good appearance and without any damages. The software delivered is in accordance with list (please see annexure). xxx XXX Bank (Stamp) Principal: Date: By: Date: It has four counterparts. xxx XXX Bank has two. Company has two. Annexure of Acceptance Sheet of Software of Bank Item Name: Unit: XXX Bank No. Product Name Medium of Software Quantity Serial NO.: Party A (stamp): Principal: Date Party B (stamp): Company Principal: Date Annexure 6: Payment Application Payment Application Payment Application under Contract xx No.: Dear xxx of XXXX Bank: The software has already delivered /installed/stably operating for 30 days on in accordance with the Schedule of Installation and Implementation under Contract xx. With your grateful cooperation, both parties have already unpacked /checked the software under the contract and signed Memo of Checking and Acceptance for In...
Signature of authorized representative: Signature of authorized representative: Date: Date:
Signature of authorized. Representative: Date: LIBRARY USE ONLY Date Application Received: Received By: ☐ Application Approved ☐ Application Denied
Signature of authorized. Representative: Date: For Office Use Only Date Received: Date Entered: Code(s) Assigned: Initials: 1ORS 433.090 to ORS 433.102
Signature of authorized representative: Signature of authorized representative: Annexure: Annexure 1: Introduction of Professional Technology Service Annexure 2: Memo of Service Fulfillment Annexure 3: Application of Alternation and Amendment Annexure 4: Price List Annexure 5: Payment Application
Signature of authorized. SIGNATORY OF INVESTING ENTITY: /s/ David Leff, Trustee ----------------------- Name of Authorized Signatory: David Leff as Trustee of the David Leff Family Xrust Title of Authoxxxxx Xxxxatory: General Partner Name of Investing Entity: Bank Insinger de Beaufort Safe Custody NV SIGNATURE OF AUTHORIZED SIGNATOXX XX XXVESTING ENTITY: /s/ David Mun-Gavin ------------------- Name of Authorized Signatory: David Mun-Gavin Title of Authorized Signatory: Director of Private Bxxxxxx Xxxx xf Investing Entity: JMG Triton Offshore Fund, Ltd. SIGNATURE OF AUTHORIZED SIGNATORY OF INVESTING ENTITY: /s/ Jonathan Glaser ------------------- Name of Authorized Signatory: Jonathan Glaser Title of Authorized Signatory: Member Manager of the Xxxxxxxxxx Xxxager Name of Investing Entity: JMB Capital Partners L.P. SIGNATURE OF AUTHORIZED SIGNATORY OF INVESTING ENTITY: /s/ Cyrus (Illegible) --------------------- Name of Authorized Signatory: Cyrus (Illegible) Title of Authorized Signatory: Analyst Name of Investing Entity: JMG Capital Partners SIGNATURE OF AUTHORIZED SIGNATORY OF INVESTING ENTITY: /s/ Jonathan Glaser ------------------- Name of Authorized Signatory: Jonathan Glaser Title of Authorized Signatory: Member Manager of the XX EXHIBIT A INTERCREDITOR AGREEMENT SCHEDULE A Principal Place of Business of Debtor: 3151 East Washington Boulevard Los Angeles, California 90020 Xxxxxxxxx Xxxxx Xxxxxxxxxx xx Xxxxxxx xx Xxxxxx: 0000 Xxst Washington Boulevard Los Angeles, California 90020 SCHEDULE B