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Verbs Industries, Inc. HTA November 30, 2006, Report No. VERI0148 Rev. 1 Report Prepared By www.nwemc.com 1-888-EMI-CERT 2006 Northwest EMC, Inc 22975 NW Evergreen Parkway Suite 400 Hillsboro, Oregon

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5. If there are any sections that you are unsure about or that require additional documentation, seek guidance from the relevant authorities or consult the instructions provided with the form.
6. Once you have filled out all the necessary sections of the form, review it once again to make sure nothing has been missed. Any mistakes should be corrected before submitting the form.
7. Sign and date the form as required. Some forms may also require a witness signature if applicable.
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Veri0148 rev is a specific form used for reporting certain types of information to the relevant authorities.

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