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2013 Form 4684 - Internal Revenue Service

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2013 Form 4684 - Internal Revenue Service

Form 4684 Department of the Treasury Internal Revenue Service Casualties and Thefts Information about Form 4684 and its separate instructions is at

http://www.irs.gov/pub/irs-pdf/f4684.pdf

Date added: January 16, 2012 - Views: 9

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Page 2 of 6 - Internal Revenue Service

Instructions for Form 4684 Casualties and Thefts Department of the Treasury Internal Revenue Service Section references are to the Internal Revenue Code unless otherwise noted. General Instructions Future Developments For the latest information about

http://www.irs.gov/pub/irs-pdf/i4684.pdf

Date added: December 20, 2011 - Views: 14

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An Individual’s Guide to completing Form 4684 to Claim a ...

An Individual’s Guide to completing Form 4684 to Claim a Casualty Loss resulting from the 2011 ND Floods.* 2011 was a year for major flooding – and many counties in North Dakota were

http://www.bradymartz.com/cmsdocuments/Flood_Casualty_Information.pdf

Date added: February 6, 2014 - Views: 1

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COLORADO SECRETARY OF STATE

NAUTH Page 1 of 1 Rev. 3/02/2012 COLORADO SECRETARY OF STATE 1700 Broadway, Ste. 200, Denver, CO 80290 (303) 894-2200 press 2, Fax (303) 869-4864

http://sos.state.co.us/pubs/notary/forms/NAUTH.pdf

Date added: February 7, 2013 - Views: 2

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Illustrated Parts List - BASCO

FORM MS--4864--03/02/2009 REPLACES FORM MS--4864--08/11/2008 FILE IN SECT. 2 OF SERVICE MANUAL 09D900 Illustrated Parts List Model Series 09D900 TYPE NUMBERS 1607 through 2241. TABLE OF CONTENTS

http://bsintek.basco.com/BriggsDocumentDisplay/18luzGXBnfBhU7y.pdf

Date added: May 6, 2013 - Views: 1

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4864 Data Sheet - Testforce

4864 SCPI Command Advantages Table 1 shows the 4864's SCPI Commands and their short-form command equivalents. SCPI commands are a tree and branch structure that start from the main command and work

http://www.testforce.com/Product%20Files/ICS%20Electronics/4864.pdf

Date added: March 30, 2014 - Views: 1

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IEEE 488/GPIB BUS INTERFACE 4864 INTERFACE

4864 SCPI Command Advantages Table 1 shows the 4864's SCPI Commands and their short-form command equivalents. SCPI commands are a tree and branch structure that start from the main command and work

http://www.icselect.com/pdfs/4864_ds.pdf

Date added: March 7, 2012 - Views: 2

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PARENT STATEMENT OF NON OR LATE TAX FILING 2014-2015

of ALL W-2 forms and IRS form 4864, “Application for Automatic Extension of Time to File U.S. Individual Tax Return.” *Once a completed tax return is available, a signed copy with all schedules must be provided to the Office of Student ...

http://smhs.gwu.edu/fin-aid/sites/fin-aid/files/Non_Filing_PARENT_STATEMENT_15.pdf

Date added: February 18, 2014 - Views: 1

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FLINT HILLS COMMUNITY HEALTH CENTER

Lyon County Health Department/Flint Hills Community Health Center 420 West 15th Ave Emporia, Kansas 666801 (620) 342-4864 Registration FormForm 27A 2/09

http://www.flinthillshealth.org/forms/medical/Registration%20English%202%2009(Form%2027A).pdf

Date added: April 3, 2013 - Views: 3

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OATH OF OFFICE - Colorado Secretary of State

OATH Page 1 of 1 Rev. 12/03/2010 COLORADO SECRETARY OF STATE . 1700 Broadway, Ste. 200, Denver, CO 80290 (303) 894-2200 press 2, Fax (303) 869-4864

http://www.sos.state.co.us/pubs/business/PDFFillable/OATH.pdf

Date added: December 26, 2012 - Views: 5

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DENTAL RECORD REQUEST FORM - Lisa Lazzara Pediatric Dentist ...

KIDS DENTAL Dr. Lisa Lazzara BOARD CERTIFIED PEDIATRIC DENTIST Helping infants, children of all ages, teens, and those with special needs 4864 Arthur Kill Road

http://sidentist4kids.com/Lisa_Lazzara_Pediatric_Dentist_of_Staten_Island/Forms_files/RECORD%20REQUEST%20FORM.pdf

Date added: May 2, 2013 - Views: 2

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Anita Crew's Massage Therapy 541-659-4864 CONFIDENTIAL CLIENT ...

Anita Crew's Massage Therapy 541-659-4864 CONFIDENTIAL CLIENT INFORMATION FORM Name:_____ Date of Birth:_____ Address: _____

http://massagegrantspass.com/data/_uploaded/file/Client_Intake_Form.pdf

Date added: October 23, 2013 - Views: 1

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Return Merchandise Authorization Form - NorthEast Certified ...

73 Somerset Avenue, Hicksville, NY 11801 TOLL FREE: 800-542-2313 LOCAL: 516-433-6500 FAX: 516-942-4864 BEFORE RETURNING PARTS! Fax (516-942-4864) completed form, phone (516-433-6500) or

http://necertpartsdist.com/order/download/NorthEast_Return-Authorization.pdf

Date added: December 25, 2013 - Views: 1

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800-542-2313 516-433-6500 516-942-4864 Email: parts@ ...

73 Somerset Avenue, Hicksville, NY 11801 TOLL FREE: 800-542-2313 LOCAL: 516-433-6500 FAX: 516-942-4864 Email: [email protected] BILL TO: PO# _____

http://necpd.com/order/download/NorthEast_PARTS_ORDER_FORM.pdf

Date added: October 16, 2013 - Views: 1

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Employment Application Form Page 1 of 3 - Crested Butte, Colorado

Page 1 of 3 Employment Application Form Please PRINT All Information Requested Except Signature (Avoid Cursive) PLEASE COMPLETE ALL 3 PAGES of APPLICATION

http://www.crestedbutte-co.gov/vertical/Sites/%7B6058FFBB-CB06-4864-B42F-B476F794BE07%7D/uploads/Employment_Application_Form(2)1.pdf

Date added: October 23, 2013 - Views: 1

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LYON COUNTY HEALTH DEPARTMENT FLINT HILLS COMMUNITY HEALTH ...

LYON COUNTY HEALTH DEPARTMENT FLINT HILLS COMMUNITY HEALTH CENTER 420 West 15th, Emporia, KS 66801 Telephone: 620 342-4864 Fax: 343-3545

http://www.flinthillshealth.org/forms/dental/Dental%20MEDICAL%20HISTORY%20(Form%206B).pdf

Date added: March 8, 2013 - Views: 1

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Illustrated Parts List - M-and-D.com

FORM MS–4864–05/19/2004 REPLACES FORM MS–4864–01/12/2004 FILE IN SECT. 2 OF SERVICE MANUAL 9D900 Illustrated Parts List Model Series 9D900 TYPE NUMBERS 1607 through 2221. TABLE OF CONTENTS Air Cleaner . . . . . . . . . . . . . . . . . . . . . . . . . 6

http://www.m-and-d.com/pdfs/briggs/9D900-ms4864-0504.pdf

Date added: September 18, 2013 - Views: 1

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Legal Residence in Sovth Carolina - sctax.org

Legal Residence in Sovth Carolina A homeowner’s gwide to qvalifying for legal residence for properuy tax reasons For property tax purposes, legal residence represents the permanent home or dwelling place owned by a person

http://www.sctax.org/NR/rdonlyres/78C9E1C0-4864-4933-8DAA-16CCDDB4CB12/0/LegalResidenceinSouthCarolinaweb.pdf

Date added: March 30, 2014 - Views: 1

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Undergraduate Certificate of Eligibility for SEVIS I-20

both sides of your form I-94 and of those accompanying family members and all previously issued SEVIS I-20s, as ... 772-4864 or email us at [email protected] if you have any questions about your SEVIS I-20 school transfer or

http://www.hunter.cuny.edu/studentservices/is/repository/files/Certificate%20of%20Eligibility%20undergraduate%20Application%20Packet%20TENTATIVE.pdf

Date added: November 3, 2012 - Views: 2

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Electricity Use and Income - California

estimated throughout the years differ in various characteristics: functional form, estimation method, data type, and others. As the average price paid for residential electricity has increased

http://www.cpuc.ca.gov/NR/rdonlyres/609BC107-EF3C-4864-AD56-E964884D51AC/0/PPDElectricityUseIncome.pdf

Date added: July 18, 2013 - Views: 1

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Download the registration form - Welcome | Advanced Skin ...

advanced skin clinic & surgery, pc 1310 san bernardino road, suite 207 upland, ca 91786 ph: 909-931-3578 fax; 909-946-4864 registration/consent form

http://www.uplanddermatology.com/Nguyen-New-Registration-Form.pdf

Date added: September 18, 2013 - Views: 1

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APPLICATION BULLETIN - ICS Electronics

1 ICS AB48-29 APPLICATION BULLETIN INTRODUCTION The purpose of this application note is to demonstrate the use of LabView ™ to control ICS Model 4864 GPIB Relay

http://www.icselect.com/pdfs/ab48_29.pdf

Date added: October 19, 2012 - Views: 3

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Illustrated Parts List - Power equipment parts and ...

FORM MS–4864–10/15/2002 REPLACES FORM MS–4864–4C–7/2001 FILE IN SECT. 2 OF SERVICE MANUAL 9D900 Illustrated Parts List Model Series ... 4864–2 Assemblies include all parts shown in frames. 10/15/2002 2 1 10 9 8 524 525 287 842 523 847 668 523A 745 842 525 524 718 870 869 871 3 50 2 ...

http://www.odref.com/briggsandstratton/model-09/9D900-ms4864-1002.pdf

Date added: October 23, 2013 - Views: 1

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REGISTRATION FORM - Lower Rio Grande Valley Development Council

REGISTRATION FORM : Registration Fee: $125 - General * $75 - ... 686-4864 . Name: _ Badge Name (If different): _ Affiliation/Business: _ Address: _ City: State: Zip: _ Phone: Fax: _ E-mail: _ WORKFORCE so ...

http://www.lrgvdc.org/downloads/business/Registration_FORM_-_B-HIT_2011.pdf

Date added: September 18, 2013 - Views: 1

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PART 1 INDIVIDUALS (100 items) Section 1: Preliminary Work ...

Nonbusiness casualty and theft losses (e.g., form 4864) Non-business bad debts (e.g, documentation required) Miscellaneous itemized deductions (e.g., subject or not subject to 2%) Employee travel, transportation and entertainment expenses (e.g., business purpose)

http://www.1040financial.com/wp-content/uploads/2012/07/PART1EAexam.pdf

Date added: February 18, 2014 - Views: 1

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Optional Practical Training (OPT) Employment Reporting [214.2 ...

International Students Office (ISO) Division of Student Affairs Phone: (212) 772-4864 Email: [email protected] Optional Practical Training (OPT) Employment Reporting [214.2(f) (5) (i)] FORM:

http://www.hunter.cuny.edu/studentservices/is/repository/files/OPT%20Employment%20Reporting%20Form%202.pdf

Date added: October 23, 2013 - Views: 1

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Continuing Competence Reporting Form

Suite 101 8230 105 Street Edmonton AB T6E 5H9 T. 780 432 1012 f. 780 433 4864 www.abdentists.com Continuing Competence/Education Reporting Form

http://abdentists.com/wp-content/uploads/CEReportingForm.pdf

Date added: September 18, 2013 - Views: 1

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CHANGE OF ACCOUNT FORM - UECU

PO Box 14864, Reading, PA 19612-4864 UECU office use only: 1-800-288-6423 Nationwide CU entry initials_____Date_____ (610) 927-4000 ... CHANGE OF ACCOUNT FORM Date_____ Member Name_____ SS# _____ Day Phone#_____ Email Address ...

http://www.uecu.org/Information/forms/membership/changeaccount.pdf

Date added: December 25, 2013 - Views: 1

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Brahm Siegel's Guide to the Family Law Courts in the Toronto Area

FAX CONFIRMATION FORM: (905) 853-4864 - 2 days prior, by 2 p.m. -very strict. PROCEDURE RE: Issue original application at court and include in CONTINUING RECORD: Continuing Record which must be filed at time of issue. Bring two ...

http://www.fathers-resources.com/LinkClick.aspx?fileticket=yaBKBSk0p0A%3d&tabid=502&mid=1408

Date added: November 9, 2011 - Views: 7

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Iowa’s Immunization Registry Information System (IRIS ...

Health care provider completes IRIS Meaningful Use Form . 2. Health care provider sends IRIS Meaningful Use form and a test file by email to the Iowa Department of Public Health’s (IDPH) IRIS Meaningful Use email address:

http://www.idph.state.ia.us/IDPHChannelsService/file.ashx?file=189F81DF-ED04-4864-9058-EE12459B45FE

Date added: March 30, 2014 - Views: 1

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Employability Skills System (ESS) REGISTRATION FORM

Employability Skills System (ESS) REGISTRATION FORM Kindly fax the completed form to +65 6299 4864 Attn Mr Subbu Please tick ;: Communication & Relationship Management (CRM)

http://www.shri.org.sg/downloads/ESS_registrationform.pdf

Date added: March 7, 2012 - Views: 2

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Software Installation Request Form - Optionsoft Technologies

Software Installation Request Form . Dealership Name: _____ Street: _____ City: ... FAX (518) 899-4864 PHONE (866) 684-6368 . Online Reports Set-up Form : Email Reports- F&I Analysis sent weekly

http://otiservices.com/Menu-install-form.pdf

Date added: May 29, 2013 - Views: 2

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Kentucky’s Family Guide to Autism Spectrum Disorders

In fact, “infantile autism” was listed as a form of . Kentucky‟s Family Guide to Autism Spectrum Disorders 2008 Chapter 1 3 . 1960's schizophrenia in the International Statistical Classification of Diseases and Related Health Problems (WHO, 1980).

http://chfs.ky.gov/NR/rdonlyres/392488EB-435D-4864-8EDE-CE1373C284EA/184792/KATCFamilyGuide1.pdf

Date added: December 5, 2011 - Views: 4

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State-By-State Annual Compliance - Colorado

determine which form to file (Form 990, Form 990-EZ or Form 990-N). Private Foundations: Submit Form 990PF, regardless of revenues. 2. ... Fax: (303) 869-4864 . Web Site: www.sos.state.co.us . Filing Fee: $10 . Note: This filing must be completed online at the website above. 4.

http://www.hurwitassociates.com/p_l_s_annual_co.pdf

Date added: October 18, 2011 - Views: 4

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LD-2 Disclosure Form

LD-2 Disclosure Form http://soprweb.senate.gov/index.cfm?event=getFilingDetails&filingID=d142cdf6-c725-4864-be71-01f492010776&filingTypeID=51[6/5/2014 2:50:15 PM]

http://phx.corporate-ir.net/External.File?item=UGFyZW50SUQ9MjM4MzQ2fENoaWxkSUQ9LTF8VHlwZT0z&t=1

Date added: July 1, 2014 - Views: 1

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Overnight Accommodation Request Form - Old Dominion University

[email protected] or Fax: (757)683-4864 . Overnight Accommodation Request Form : Author: Glavas, Cynthia Created Date: 2/26/2013 1:46:31 PM ...

http://ww2.odu.edu/ao/preview/pdfs/form_overnight%20accomodation%20Preview%202013.pdf

Date added: December 25, 2013 - Views: 1

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KIDS DENTAL 6. Dental History 4864 Arthur Kill Rd. 1839 N ...

8. I understand that the information I have given is correct to the best of my knowledge, that it will be held in the strictest of confidence and it is my responsibility to inform this office of any changes in my child's medical status.

http://www.sidentist4kids.com/Lisa_Lazzara_Pediatric_Dentist_of_Staten_Island/Forms_files/Medical%20History%20Form.pdf

Date added: July 1, 2014 - Views: 1

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2014 EMPLOYER/REIMBURSER OF REPRESENTATIONAL LOBBYIST REPORT ...

Phone: 907-465-4864 Fax: 907-465-4832 In-State Toll Free: 866-465-4864 2014 EMPLOYER/REIMBURSER OF REPRESENTATIONAL LOBBYIST REPORT ... This form discloses payments made to your representational lobbyist as required by AS 24.45.061(b)(6).

http://doa.alaska.gov/apoc/forms/2014RepLobbyistQuarterlyReportForm.pdf

Date added: February 18, 2014 - Views: 1

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Non-Network Provider Written Direction of Payment

Non-Network Provider Instructions: Fax completed form to 601-664-4864 or 1-800-598-6643.!!! Title: Microsoft Word - BCBS 26240 Direction to Pay Form 090513.docx Author: Dawn Goolsby Created Date:

http://www.bcbsms.com/assets/docs/BCBS_26240_Direction_to_Pay_Form_ER_032014.pdf

Date added: July 1, 2014 - Views: 1

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73 SOMERSET AVENUE HICKSVILLE, NEW YORK 11801 800-542-2313 ...

TOLL FREE: 800-542-2313 LOCAL: 516-433-6500 FAX: 516-942-4864 Company: Acc’t. #: Phone: PO#: 1. I have reviewed all of the items on this Special Order Form. My signature indicates my acceptance and approval of this order. I agree to take delivery of this order in a

http://necpd.com/order/download/NorthEast_SPECIAL_ORDER_ACKNOWLEDGEMENT.pdf

Date added: March 30, 2014 - Views: 1

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Facts you should know about the Patient Medication Program

4864 Jackson Street Patient Medication Program Monroe, LA 71202 ... By signing this form, you authorize E. A. Conway Medical Center to sign any & all forms

http://www.lsuhscshreveport.edu/Resource.ashx?sn=PMPApplication

Date added: October 9, 2013 - Views: 1

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Planning Services Department City Hall 50 West 13th Street ...

Planning Services Department . City Hall – 50 W. 13. th. Street . Dubuque, IA 52001-4864 . Phone: 563-589-4210 . Fax: 563-589-4221 . [email protected]

http://www.cityofdubuque.org/DocumentCenter/Home/View/253

Date added: July 1, 2014 - Views: 1

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REGISTRATION FORM 1

780-433-4864 registration form 1 . jasper dental congress 2014 • jasper, alberta, canada • may 22 – 25, 2014 11 registration form 2 registrant - check appropriate box ...

https://www.adamembership.com/meetings/files/2014_RegOnline.pdf

Date added: July 1, 2014 - Views: 1

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Joan Bottcher . Joan Bottcher . JoNeeBJoNeeBJoNeeB’s ...

Elizabeth Avenue, New Bern, NC 28562-4864. ... Print Purchase/Customer Order Form, fill in the requested information and forward your Order Form along with your Check/Money Order to the address below. (Remember to keep a copy for your records.)

http://www.joneeb.com/images/Order%20Form...Purchase-Customer.pdf

Date added: November 28, 2013 - Views: 2

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AOD Opt-in Form

P.O. Box 14864 Reading, PA 19612-4864 Call 800-288-6423 WHAT YOU NEED TO KNOW ABOUT OVERDRAFTS AND OVERDRAFT FEES Advantages Overdraft Defense ™ Opt-in Form

http://www.uecu.org/Information/forms/checking/AODOptInFormNewAccount.pdf

Date added: October 23, 2013 - Views: 1

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Data Collection Methods - SAGE Pub

These form the core of their inquiry—the staples of the diet. Several secondary and specialized methods of data collection supplement ... 04-Marshall-4864.qxd 2/1/2006 3:16 PM Page 97. explicit political agenda? Second, How does she construe her location,

http://www.sagepub.com/upm-data/10985_Chapter_4.pdf

Date added: November 30, 2011 - Views: 115

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EXHIBITOR’S ORDER FORM - Object Management Group

In compliance with existing and proposed privacy statutes, OMG no longer accepts the following via email: credit card information. Please fax credit card information to our secure fax line at 781-444-4864.

http://www.omg.org/news/meetings/tc/ca-10/exhibitor_order_form.pdf

Date added: January 17, 2014 - Views: 1

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Please complete the above form and send it to the address ...

Please complete the above form and send it to the address below. Topaz Volunteer Fire Department, 1990 Austin Street, Gardnerville, NV 89410 For questions, please contact John Wise at 266-3941 or Dave Thomas at 266-4864

http://eastforkfire.org/FormsReports/Reflective.pdf

Date added: September 18, 2013 - Views: 1

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UTILITY RELEASE REQUEST FORM - Cupertino

UtilityReleaseForm_2011.doc revised 08/09/11 PURPOSE For residential single family or duplex construction, there are cases where gas and electric utilities are

http://www.cupertino.org/Modules/ShowDocument.aspx?documentid=4864

Date added: September 18, 2013 - Views: 1

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LOBBYIST REPORT OF CONTRIBUTIONS TO LEGISLATIVE CANDIDATES ...

LOBBYIST REPORT OF CONTRIBUTIONS . TO LEGISLATIVE CANDIDATES . FORM 15-5A. INSTRUCTIONS: Lobbyists who make contributions in any amount to candidates

http://doa.alaska.gov/apoc/forms/STATEMENT_OF_CONTRIBUTIONS_BY_LOBBYISTS.pdf

Date added: July 1, 2014 - Views: 1