Signed and definition

Signed and. Dated by the Applicant in: _____________________________________________________________ _________________________ _______________________________ City State Month/Day/Year ------------------------------------------------------------------------------------------------------------------------------------ Signature of Applicant ------------------------------------------------------------------------------------------------------------------------------------ X___________________________________________________________________________________________________________________________________ Applicant* ------------------------------------------------------------------------------------------------------------------------------------ Signature of Proposed Insured(s) - If Other Than The Applicant or Parent if Proposed Insured is under age 16) ------------------------------------------------------------------------------------------------------------------------------------ X___________________________________________________________________________________________________________________________________ Proposed Insured X___________________________________________________________________________________________________________________________________ Proposed Additional Insured (if applicable) ------------------------------------------------------------------------------------------------------------------------------------ Signature of Applicant - If Other Than The Applicant or The Proposed Insured ------------------------------------------------------------------------------------------------------------------------------------ X___________________________________________________________________________________________________________________________________ Owner* *If a Corporation, the signature and title of any authorized officer other than the Proposed Insured(s) is required and the full name of the corporation must be shown. If a Trust, the signature of the Trustee. ------------------------------------------------------------------------------------------------------------------------------------ Producer's Certification ------------------------------------------------------------------------------------------------------------------------------------ I certify that I have truly and accurately recorded hereon the information supplied. X__________________________________________________________________ ______________________________________________________...
Signed and. Dated: ------------------------- EXHIBIT B ASSIGNMENT SEPARATE FROM CERTIFICATE FOR VALUE RECEIVED, KEVIX XXXXXX xxxeby sells, assigns and transfers unto _______________ _____________ (________) shares of the Common Stock of MachOne Communications, Inc., a California corporation, standing in the undersigned's name on the books of said corporation represented by Certificate No. ____ herewith, and do hereby irrevocably constitute and appoint _________________ attorney to transfer the said stock on the books of the said corporation with full power of substitution in the premises. Date: _________, 1998 By: /s/ KEVIX XXXXXX ---------------------------------
Signed and. Dated: Worker: Team Manager: Head of Service Comments:

Examples of Signed and in a sentence

  • Signed and dated at Toronto this day of , 2011 LIUNA, Local 183 & MCUTV – Xxxxxx Xxxxxxxx For The Association – Xxx Xxxxxxxx BMIUC, Local 1 & MCUTV – Xxxx Xxxxxxx For The Association – Xxxxx Xxxxx LETTER OF UNDERSTANDINGNO.

  • Dully filled, Signed and stamped ( With Company Seal/ Rubber Stamp) ALL Tendering Forms and Schedules, given under Section V of the tender document.

  • Signed and Agreed (Exporter) Signed and Agreed (Importer) [Client.FirstName] [Client.LastName] [Retrium.FirstName] [Retrium.LastName] [Client.Title] [Retrium.Title] [Xxxxxx.Xxxxxxx] Retrium, Inc.

  • This Agreement is the full and complete agreement between Employee and TUSD concerning the “Grow Your Own” TUSD/UA Educational Leadership Cohort (Program) Signed and dated this day of , 201.

  • Completely Fill, Signed and Stamped Confidential Business Questionnaire 3.

  • COMMISSIONER OF OATHS Signed and sworn to before me at , on this day of 20 ,by the Deponent, who has acknowledged that he/she knows and understands the contents of this Affidavit, it is true and correct to the best of his/her knowledge and that he/she has no objection to taking the prescribed oath, and that the prescribed oath will be binding on his/her conscience.

  • Eli Lilly and Company Indianapolis, Indiana USA 46285 Protocol Electronically Signed and Approved by Lilly on 29-Jan-2015.Amendment (a) Electronically Signed and Approved by Lilly on 27-May-2015.

  • The following information must be submitted with this application before this application is deemed complete.• Copy of all certification(s) (WSIB, education, certificates, diploma, etc.)• Copy of all proof of insurance(s)• Copy of all business/professional licenses(s)• Authorized, Signed and Complete Application.• Payment of Membership Fees.

  • Signed and stamped copy of the terms and conditions of the tender document.

  • Signed and valid contracts include the contracts an observer provider has with:(i) Vessels required to have observer coverage as specified at paragraph (j)(1)(i) of this section; and(ii) Observers.(4) Change in observer provider management and contact information.

More Definitions of Signed and

Signed and. SEALED in the presence of:) CONSOLIDATED WATER CO. LTD. ) ) /s/ Frederick McTaggart ) ------------------------------------- ) /s/ Brent Santha ) Frederick McTaggart ----------------------------------- ) ------------------------------- witness Brent Santha SIGNED AND SEALED in the presence of:) ) ) ) ) /s/ Brent Santha ) /s/ Peter Ribbins ----------------------------------- ) ------------------------------------- witness Peter D Ribbins Brent Santha
Signed and. Dated: (All roommates write their names, sign their names, and date this form in the space below) Residence________________ Name Signature Room # Date____________________ Name Signature Room # Date____________________ Name Signature Room # Date____________________ Name Signature Room # Date____________________ RA Name Signature Date
Signed and. SEALED in two original counterparts as of the 31st day of December, 1996. NORTEK, INC. By: /s/ Richard J. Harris Ixx:Xxxx Xxxxxxxxx and Treasurer, duly authorized /s/ Richard L. Bready Rxxxxxx X. Xxxxxx Appendix (prepared by the Compxxx xxx XXX xxxxxg purposes) to Exhibit 10.5 -- Confirmatory Split Dollar Agreement No. 2 dated as of December 31, 1996 between the Company and Richard L. Bready The life insurance policy xxxxxxx xx xxxx Split Dollar Agreement (the "Agreement") currently provides for a death benefit of $1,542,280 to be divided between the beneficiary of the policy and the Company pursuant to the Agreement.
Signed and dated receipt of Notification of Parents’ Rights • Signed and dated receipt of Personal Rights - Community Care Facilities • Photo / Media Release statement • Sunscreen Release FormFood Services Waiver – Allergy / Illness Indemnification • Authorization for Dispensing Medicine - if applicable All records are kept confidential. Our center does not discriminate upon the basis of race, color, sex, or national origin. No child will be admitted without verification of immunizations. Changes in Enrollment Information: It is important that all records remain up to date, should we need to contact you in the event of an emergency. Parents may update changes in address, phone number, and medical history, as well as authorized caregivers, emergency contacts and contact information, at any time using our website or mobile app. Parents may also make updates to their information by contacting our center by phone at 000-000-0000.
Signed and. Dated: Xxxx Xxxxxxx Dated

Related to Signed and

  • Signed by TITLE: FIRM: TELEPHONE NO: ADDRESS: DATE: CITY: STATE: ZIP: FEDERAL I.D. NO. OR SOCIAL SECURITY NO.: TAXPAYER IDENTIFICATION NUMBER REQUEST Eastern Kentucky University requires a Federal Tax Identification number or Social Security number for all vendors or persons doing business with the University in order to comply with Federal Regulations and tax reporting requirements. Please take a few minutes to fill out this information and return to us to ensure prompt payment of your invoices. Thank you for the valuable service you have provided Eastern Kentucky University, and we look forward to a long and lasting relationship. IF SENDING A W-9, PLEASE RETURN THIS FORM ALSO. For your convenience, you may return the information one of the following ways: FAX: Attn: Xxxxx @ 000-000-0000 E-Mail: Facilities Management Mail: Purchasing Division Eastern Kentucky University 000 Xxxxxxxxx Xxxxxx Phone: 000-000-0000 Commonwealth 1411 Xxxxxxxx, Xxxxxxxx 00000 Phone # (000)000-0000 Please type or print legibly VENDOR INFORMATION Name of Firm * (Company or Individual) Phone Number * Make Checks Payable To * Address * Fax Number * Payment Address * Address Web Site Address or E-mail Payment Address Address Vendor Representative Name on Invoice * City * State * Zip* Federal Tax ID Number ** Social Security Number ** Willing to accept ACH payments * Yes No Bank Routing # Bank Account # Willing to accept credit card payments* Yes No Payment Terms * * required fields **Federal Tax ID Number- This field must be completed if “Name of Firm” is a company name. Social Security Number- This field must be completed if “Name of Firm” is an individual’s name. CERTIFICATION Under penalties of perjury. I certify that:

  • authorised officer means any person authorised by the Environment Agency under section 108(1) of The Environment Act 1995 to exercise, in accordance with the terms of any such authorisation, any power specified in section 108(4) of that Act.

  • Authorised Signatories means any two authorised officers of the Issuer signing jointly.

  • Authorised Signatory means, in relation to any Obligor, any person who is duly authorised and in respect of whom the Administrative Agent has received a certificate signed by a director or another Authorised Signatory of such Obligor setting out the name and signature of such person and confirming such person’s authority to act.

  • Authorised Driver means any driver approved by Xxxxxx and whose name is noted in Rental Vehicle Agreement Part A as an authorised driver;

  • Privacy Officer means the same as defined in 45 C.F.R. § 164.530(a)(1). The Privacy Officer is the official designated by a County or Contractor to be responsible for compliance with HIPAA/HITECH regulations.

  • SACU means the Southern African Customs Union;

  • Procurement Officer means the Buyer's contracting personnel, as identified in the Introductory Materials.

  • Representative of a prospective contractor means an officer or director of a corporation, a member or manager of a limited liability corporation, a partner of a partnership or a trustee of a trust of the prospective contractor.

  • MR means the mechanical rights granted in clauses 2.1.1 and 2.1.2.

  • Police officer means every officer authorized to direct or regulate traffic, or to make arrests for violations of traffic regulations.

  • Hashish oil means any oily extract containing one or more cannabinoids, but shall not include any

  • authorised person means any person who is designated in writing by the Issuer from time to time to give Instructions to the Agents under the terms of this Agreement;

  • Managing Director means the Managing Director of the Food Corporation of India.

  • MiFIR means Regulation (EU) No 600/2014 of the European Parliament and of the Council of 15 May 2014 on markets in financial instruments and amending Regulation (EU) No 648/2012, together with ancillary legislation, rules and binding technical standards.

  • Employee assigned to the contract means an employee who was hired after November 6, 1986, who is directly performing work, in the United States. An employee is not considered to be directly performing work under a contract if the employee—