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Directory Results for I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below to I, the undersigned (Authorizing agent) hereby authorize and request Hillcrest Funerals and Cremation, its agents and

I, the official named below, CERTIFY UNDER PENALTY OF PERJURY that I am duly authorized to legally bind the prospective Contractor to the clause(s) listed below
I, the official named below, CERTIFY UNuER PENA
I, The One - Fun Fighting Game APK for Android Download
I, the owner of the Policy identified above, in accordance with and subject to the provisions of said Policy and the provisions on the
I, the OWNER/AUTHORIZED AGENT (circle one) for the above-referenced
I, the Parent (or Guardian) of - allentowndiocese
I, the parent / guardian of the registrant, a minor, agree that the registrant and I will abide by
I, the parent and/or guardian of
I, the parent borrower, authorize Morgan State University to process a Direct PLUS Loan for the 2016-2017 academic
I, the parent guardian of the registrant, a minor, agree that the registrant and I will abide
I, the parent of give permission for him/her to attend an open gym at the National Academy of Artistic Gymnastics with
I, the parent of have accessed the BIG TOP program
I, the parent or guardian of , give my voluntary consent to hisher participation in Canyon Hills Community
I, the parent or guardian of have fully read and understand the Cosplay
I, the parent or guardian of have fully read and understand the Volunteer
I, the parent or guardian of the above-named child, authorize the participation of my child in Mega Sports
I, the parent or lawful guardian of
I, the parent or lawful guardian of
I, the parent or lawful guardian of (the child), give permission for my child to participate in the
I, the parent or lawful guardian of(the child), give permission for my child to participate in the activity described on the Activity Information form (the Activity) and release from all liability and indemnify the Archdiocese of Cincinnati
I, the parent or legal guardian for hereby give my permission for my child to participate in the Mentoring Program at the Boys & Girls Club
I, the parent or legal guardian for hereby gives my permission for my child to participate in the IAMDRIVENFORSUCCESS MENTORING GROUP program
I, The parent or legal guardian of , a participant
I, The parent or legal guardian of , a participant in the 2016 Southern Indiana
I, the parent or legal guardian of , acknowledge that participation in Batoto Yetus programming activity or activities and events necessarily involves risk of physical injury
I, the parent or legal guardian of agree and consent to the
I, the parent or legal guardian of the above minor patient, hereby authorize and request the performance of dental services for this patient by
I, the parent or legal guardian of the minor named below, hereby give my permission for my child
I, The parent or legal guardian of, a participant in T
I, the parent(s) or legal guardian of
I, the parent/guardian for the above child, release, discharge
I, the Parent/Guardian of
I, the parent/guardian of
I, the parent/guardian of , currently in Grade 20 give ...
I, the parent/guardian of , have read and reviewed the
I, the parent/guardian of , hereby give permission for him/her to ride with one of the following three (3) parents/guardians to or from events associated with the sport/activity indicated below
I, the parent/guardian of my child, a minor, do hereby consent to my ...
I, the parent/guardian of the above-named participant hereby acknowledge that my child is in good general health and I give my approval for my child to participate in any and all DYTFA national, regional, league/conference, association and
I, the parent/guardian of the below-named participant hereby acknowledge that my child is in good health and I give my - budabandits
I, the parent/guardian of the registrant, a minor, agree ...
I, the parent/guardian of the student named below (Student), understand the nature of the trip being planned to:
I, the parent/guardian of understand that from time to
I, the parent/guardian, of the above-named participant, hereby give my approval of his/her - elmwoodparkbaseball
I, the parent/guardian, will:Read with my childPractice ...
I, the Parent/Legal Guardian of give permission for my child to be part of all The Source Student Ministries functions for the 2016 Calendar Year
I, the parents/guardians of
I, the participant and/or parent of a participant in a WIJARA race event at Chestnut Mountain, Sundown Mountain,
I, THE PARTICIPANT, AFFIRM THAT I AM EIGHTEEN (18) YEARS OF AGE OR OLDER, HAVE READ THIS DOCUMENT AND I UNDERSTAND ITS
I, THE PARTICIPANT, AFFIRM THAT I AM EIGHTEEN YEARS OF AGE OR OLDER, HAVE READ THIS
I, The parties to this Contract are the
I, the patient, - kootenaihealth
I, the patient, hereby authorize the use or disclosure of my health information from the listed Health practitioner as
I, the patient, hereby request that the following medical records:
I, the Patient, parent, guardian or personal representative of Patient (name:) ,
I, the Patient/Parent/Guardian, acknowledge full financial responsibility for the payment of anesthesia
I, the person signing this document (or his or her attorney), believe the issues in this case should
I, the person whose name is subscribed below, am a duly authorized representative and agent of the entity submitting this proposal in response to its Request for Proposal No
I, the person whose signature is affixed to this proposal submit this proposal to - washco utah
I, the person whose signature is affixed to this proposal submit this proposal to Washington
I, the Petitioner Co-Petitioner/Respondent (check one) hereby certify that I have sent the other party the following Mandatory Disclosures as required by C
I, the Petitioner, (full name):
I, the Petitioner, request that my Order of Protection from Domestic Abuse datedbe dismissed by the court because the parties have reconciled
I, the Physician, have treated this patient for a condition that supports the need and have discussed the need for
I, the plaintiff in this civil action, make the following claim against the defendant:
I, the plaintiff(s) in this civil action do make the following claims:
I, the Plaintiff, for this Complaint say
I, the Plaintiff, for this Complaint say:
I, the PolicyholderMain Insured warrant the truth and accuracy that all named insured in this Policy
I, the property owner of the above service address request that the above
I, the property owner, understand that in addition to a need for approval by the Architectural Review Committee, the City of Raleigh may require permits and inspections of some improvements and changes to my home and/or property
I, the proposed premises user, hereby give notice under ...
I, the proposed premises user, hereby give notice under section 100 of the Licensing Act 2003 of my proposal to carry on a temporary activity at the premises described below template
I, the purchaser named above, claim an exemption from payment of sales and use taxes (for the purchase of taxable
I, the purchaser named above, claim the right to make a non-taxable purchase (for resale of the taxable - window texas
I, the purchaser named above, claim the right to make a non-taxable purchase (for resale of the taxable items
I, the purchaser named above, claim the right to make a non-taxable purchase (for resale of the taxable items described below or on the attached order or invoice) from:
I, the Renter and User of the ATV Warm Season Grass Seeder, agree to the following conditions
I, the said
I, the signed player or parent/legal guardian of a minor player named on this roster, acknowledge, agree and understand that:
I, the signed player or the parent or legal guardian of a minor player named on this roster, acknowledge, agree and understand that: 1
I, the signed player or the parent or legal guardian of a minor player named on this roster, acknowledge, agree and understand that: 1)
I, the Signee, being a duly authorized representative of the event organized
I, the signer, hereby give permission for the above to partake in the Knights of Colombus Athletic Association (KCAA) Basketba
I, the signer, hereby give permission for the above to partake in the Knights of Colombus Athletic Association (KCAA) Basketba - healthybuffalo
I, the student will appear in person at Belmont ...
I, the student will appear in person at Belmont Abbey College to complete the
I, the student will submit to the school 2011 IRS tax return transcript(s)not photocopies of the income tax return - oldweb fgc
I, the student will submit to the school a 2014 IRS tax return transcript(s) not photocopies of the income tax return - fgc
I, the student, have not yet used the IRS Data Retrieval Tool, but I will use the tool to transfer my (and, if married, my - mwsu
I, the student, have used the IRS Data Retrieval Tool on FAFSA on the Web to
I, the Treasurer of the State of New Jersey
I, the treating physician or provider, am referring this patient for medically necessary Diabetes Self Management
I, the udersigned SURNAME NAME
I, THE UNBDERSIGNED, WISH TO BE ACCEPTED AS A MEMBER OF COMERAGH CYCLING CLUB
I, the und participat In conside Peters Pr account o camp or i In the eve reasonab be reache necessary I also cert informatio Campers - stpetersprep
I, the undermentioned person, declare that - acra gov
I, the undermentioned student, hereby apply for a bursary from the SASOL Agriculture
I, the undersigned ( Client ), hereby authorize ComPsych Corporation s Privacy Official to release/disclose to:
I, the undersigned ( Full name), nationality (Lebanese/other)born in
I, the undersigned (Authorizing agent) hereby authorize and request Hillcrest Funerals and Cremation, its agents and