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i hereby certify that the information above is true and accurate signature: date of application: city of everett office of the city clerk
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with specific training in handling the above identified i hereby certify that i have read and understand the information provided to me regarding the ...
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certificate of translation i, _____, hereby certify that i am competent in spanish and english and that i have accurately translated the above document from
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i hereby certify the above information to be true and correct to the best of my knowledge i acknowledge that i am responsible for the payment directly to the ...
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i hereby certify that a true and correct copy of the foregoing amended notice of discovery in the above-styled cause has been furnished to samantha
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i certify that the above named insurance company (or group) is a “qualified company” as defined in § 581-2510 b of the .
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h:\pbg 3\dis ability\med w aiver formwpd acknowledgments i hereby certify that the above statements are true and correct to the best of my knowledge.
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certification i individual i, , hereby certify the following: 1. i am an adult individual authorized to make this ...
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state of _____) )ss county of _____) i, the undersigned, a notary public in and for the above named county and state, do hereby certify
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i hereby certify that the above and attached information is true and correct: signed _____ date _____ print name and title:
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state of california prepare in duplicate california state university, san bernardino department division email and extension date quantity unit price
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college work-study program timesheet month year last name first name mi employee id no department hourly rate $515 fund org acct
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schedule of cbe subcontractor participation_ oct2012 office of economic and small business development schedule of county business enterprise (cbe) subcontractor ...
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hereby certify that the above is an accurate translation of the original birth certificate in spanish
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and, 19 notary public (individual certificates on reverse), at, do hereby certify that the sureties named above are personally known to state county
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this is to certify that i, the undersigned, hereby consent to and authorize the disclosure of ***if you do not want a certain disclosure made to the above,
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examination of the case hereby certify that …………………………………… ... . and whose signature is given above, and find that he/she has
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_i hereby certify, under penalty of perjury, that the department must also ask you to select one ofthe choices above regarding child support and sign this
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charges shall accrue on a said increased principal at the above stated rate i (we) ... i hereby certify that i hold a valid seller's permit no.* ...
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we, international standards laboratory, hereby certify that: the device bearing the trade name and model specified above has been shown to comply with the
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i hereby certify that the above named sow was served by the boar named _____ no
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this is to certify that _____ has successfully completed do hereby certify that ... this certificate does not guarantee that the above mentioned student will be ...
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i hereby certify that i have read the above and foregoing statement of facts and that said statements of facts are within my personal knowl-
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i hereby certify under penalty of law to the truth and correctness of the above statements
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i hereby certify that all the above statements are true and correct on this application improperly completed applications may become void. transferor signature .
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i hereby certify that i have read and understand the above this authorization must be signed in the presence of a notary
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do hereby certify that the foregoing instrument was ... by the above named _____ of his/her own free will. witness my hand and seal ...
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i hereby certify the above information is true and correct by signing this form i am authorizing the release of any health care records necessary to process this
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i hereby certify that i sent the above and foregoing pleading to all creditors and parties in interest on the date that i filed the pleading. (4) ...
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i hereby certify that i am the applicant cited in the foregoing i certify that i have supervised the above applicant/trainee in accordance with board ...
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i do hereby certify that all statements made by me in this application are true and correct to the best of my knowledge, information and belief, further,
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i hereby certify that the above entries were made by me and are correct and that the signatures hereto were witnessed by me dated this day of
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we hereby certify that: name (printed) name (printed) name (printed) name (printed) name (printed) signature signature signature signature signature x x x x x the
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this is to certify that _____ has successfully completed this certificate does not guarantee that the above mentioned student will be ... do hereby certify that ...
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i hereby certify that all the above information given is true to the best of my knowledge and belief (circle one of the following) date: register# certificate #
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i hereby certify that the plans and specifications for all other construction (ie., site, foundation) ... above, including paragraph. 3-4, ...
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lrsd pupil information student first name middle name last name student social security number street address and apartment number gender (m/f) grade level for
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hereby certify that the above information is true and correct to the best of my knowledge and belief. name: _____ signature: ...
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i hereby certify that the foregoing report is a correct statement of all monies received by the above-named agency and on account of said fund or appropriation ...
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as verified by enclosed documentation, i hereby certify that the above named student is enrolled in or accepted for enrollment in the
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