Search results with tag "Last name"
Date Last Names Beginning Last Names Ending Date Last ...
www.in.govDate Last Names Beginning Last Names Ending Date Last Names Beginning Last Names Ending 1/31 COMPANIES 7/14 LAWS LOPE 2/7 . AAAA . ARNN : 7/21; LOPF ; MART . 2/14 . ARNO BATE . 7/28. MARU MCKI . 2/21 . BATF BLAI . 8/7. MCKJ MILL . 2/28 . BLAJ BRID . 8/14. MILM MUND . 2/28 . RENTALS . 8/21. MUNE . NUNG : 2/28 ; HEAVY TK, TR, BUS / …
ANNEX A - Additional beneficiaries
www.canada.caSubscriber's family name (last name) Subscriber's given name (first name) Custodial parent/legal guardian's family name (last name) Custodial parent/legal guardian's given name (first name) For more than five beneficiaries, attach additional copies of this annex.
OFFICE OF VITAL STATISTICS Departmentof ... - …
www.govguamdocs.comfirstname middle last name at time of birth 2. date of birth; month day year 3.place ofbirth: 4. father’s name: first 5. mother’s maiden name: 6. date of marriage: month 8. bride’s name: 9. groom’s name: 10. date of death: day year first middle first …
PATIENT REGISTRATION INFORMATION - …
myhealthrecord.comFor Office Use Only: Account Number: JWM MD: Date HIPAA Form Signed: Notes: Last Name: First Name: Middle Name: Middle Name 2: Maiden Name: Credentials:
HUD Form 9902: Housing Counseling Agency Activity Report
www.hud.govHouseholds for whom counselor developed a sustainable ... First Name: First Name: Last Name: Last Name: Title: Title: Phone: Phone: Previous editions are obsolete. Page 4 of 9 ref. Handbook 7610.1 form HUD-9902 (09/13) Instructions for Form HUD-9902, Housing Counseling ...
Guideline for Name Corrections - eXperts
www.lufthansaexperts.comIf a name correction is requested before the ticket is issued, the same rules apply as for a name correction after ticketing. Only corrections of a maximum of two (2) letters in the first- , middle- or last name, corrections of nicknames, inverted first- …
First Name M.I. Last Name Resident ID # Property …
www.thevillages.netFirst Name M.I. Last Name Resident ID # Property Address (Required) Zip Code Unit & Lot # Property Address Local Phone or Cell Phone Email Address (Required)
Marriage Licenses 1853 - 1957: GROOM
www.fairfaxcounty.govMarriage Licenses 1853 - 1957: GROOM Groom's Last Name Grooms First Name Bride's Last Name Bride's First Name Additional Documents Folder Number Box Number Marriage Date Adams Thomas W. Groh Elizabeth S. ML0101 11 20 March 1907 Adams Truman Burleigh Allie M. ML0116 13 20 November 1912 Adams Vern T. Bradshaw Ora V. ML0134 14 15 November 1919
ADCG01 - Dog Name Change Authorization
images.akc.orgCo-Owner’s First Name Co-Owner’s Last Name Mailing Address City State. ZIP code + 4. I (we) certify. that the dog named above, for which I (we) now apply to change the name subject to AKC requirements, has not produced or sired an AKC-registered litter or received an …
Republic of the Philippines E-4 SOCIAL SECURITY SYSTEM ...
www.sss.gov.phss number common reference number (if any) date of birth (mmddyyyy) tax identification number (if any) name (last name) (first name) (middle name) (suffix) address zip code telephone number (area code + tel. no.) mobile/cellphone number e-mail address foreign address (if applicable) country zip code a. change of membership type
CALIFORNIA COURTS SELF-HELP CENTER …
www.courts.ca.govU. Short title: • Write your last name and the last name of the other person in your case. This is the short name of your case. V. 4. Prior custody proceedings:
Quick Tips for ASA Style - American Sociological Association
www.asanet.orgGuide (4th ed., 2010). We highly encourage students who ... List all references in alphabetical order by first author’s last name Quick Tips for ASA Style 2138 Include first names and surnames for all authors. Use first-name initials only if an author used initials in the original publication. In these cases, add a space between
IN-HOME SUPPORTIVE SERVICES (IHSS) PROGRAM …
file.lacounty.govidentification and Social Security card; and 3) Provide you with a copy of the completed form for your records. † You must let the county know if anything you report on this form changes within ten (10) calendar days of the change. 1. Full Name (First Name, Middle Initial, Last Name): 2. Date of Birth: If you are under 18 years of age, you ...
Driver License / Identification Card Inquiries - TxDPS
www.dps.texas.govDriver License / Identification Card Inquiries Page 5 of 48 Last Updated: May 28, 2009 Basics on System Operation o A search using NAM matches the exact spelling of the last name and first name in the driver license record.
HIPAA Registration Form - Palmetto Primary Care …
palmettoprimarycare.comLast Name: _____ First Name: _____ Middle Initial: _____ Preferred Name (if applicable): _____ Status: Child Single Married Widowed Separated Divorced
Form No. 49AA Application for Allotment of …
www.incometaxindia.gov.inApplicants other than ‘Individuals’ may ignore above instructions. Non-Individuals should write their full name starting from the first block of Last Name/Surname.
APPLICATION FOR SENIOR MEMBERSHIP IN THE Charter …
www.gocivilairpatrol.comLast Name, First, Middle Initial Gender Height Weight Male Female Blood Type Date of Birth (mmm dd yy) ... Charter, Unit Name and Address Print. Commander's. Full Name . Commander's . Signature . Date : ... COUNSELOR FLIGHT ENCAMPMENT STAFF INSTRUCTOR PILOT
1 2 pathway.ptc.edu. first second letters last name period ...
websrv.ptc.educombination of symbols, letters and numbers. For first-time users, the password is the first and second letters of your last name (lowercase); a period; and your birthdate formatted as MMDDYY. Example: John Smith (sm.) was born on October 5, 1980 (100580). His password is sm.100580. Trouble logging in? From the Pathway login
Michigan Medical Marihuana Program …
www.michigan.govFor Official Use Only Date of Birth Telephone Number: Legal First Name . Middle Initial Legal Last Name Suffix (Jr., Sr., etc.)
1 First Name MI Last Name Claim Number Social …
www.prudential.comDate when significant loss of function occurred (mm dd yyyy) For disability purposes, this certification must be completed by a doctor as defined in the group contract.
Turkey Run Export 2018 10 12 - dashplaque.net
dashplaque.netPreregistrations 10-12-2018 Registration First Name Registration Last Name City State Year Of Car Make Of Car Dean Abney Port Orange FL 1968 VW Bug
Cover Page List of Pacolet High School Graduates
pacoletmemories.comClass of 1930 Last Name First Middle Anderson William Marshel Campbell Mary Rose Compton Ida Floyde Foster Chester Lewis Fuller Calvin Morton Jr. Glass Cora Jane
Employer's First Report of C-2F Work-Related Injury/Illness
www.wcb.ny.govEmployer's First Report of Work-Related Injury/Illness . C-2F. A work-related injury or illness must be reported within 10 days (Per Section 110) of the injury/illness or be subject to a penalty. ... Last Name Suffix Mailing Address City State Postal Code Country Phone Number Date of Birth Date of Hire Employee SSN Occupation Description Gender ...
Sample Resume - High School - No Work Experience
www.officeonyouth.com2 Sample Teen Resume First Last Name Street Address, City, State, Zip Phone (Cell/Home) Email Address Objective: To obtain knowledge of the day-to-day work of a business through a part time job, summer internship
Please MAKE COPIES of all supporting ... - San Antonio
www.sanantonio.govMiddle Initial Last Name Date of Birth Gender Race: Black/African American, White, American Indian, Asian, Other Ethnicity: Hispanic/Latino, Non Hispanic/Latino For O˛ce Use Only CIMS # Relationship to Head of Household (HOH) i.e.: spouse, son, daughter, etc. Do you have more than one account with CPS ? No No Yes Is your Household receiving ...
MARYLAND STATE HOME SCHOOL NOTIFICATION …
www.mhea.comMARYLAND STATE HOME SCHOOL NOTIFICATION PART A (Print) Student(s) Last Name First Middle Sex Date of Birth Grade
STATE PA BLUE
www.dot.state.pa.usa. you must complete all parts of section a. telephone number (8:00a.m. - 4:30p.m.) month. day year. driver’s license number. last name. date of birth jr./etc
Follow-up Email - Eldridge Group
www.eldridgegroup.comFIRST & LAST NAME Street City, State, Zip Phone Numbers Personal Email (never use your work email) 170 Roanoke Street Blacksburg, VA 24060 (540) 555-6241 JRichardson@vt.edu March 3, 201Y
CHILD'S NAME LAST FIRST MI - Maryland.gov Enterprise ...
health.maryland.govTitle: MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE IMMUNIZATION CERTIFICATE Author: Elease Booker-Ragin Created Date: 4/29/2021 4:18:51 PM
15 Filling in Forms - National Adult Literacy Agency …
www.literacytools.iePage 6 of 14 Writing Exercises www.literacytools.ie Date of Birth: When you were born. DOB - the initials of each word Date of Birth. 21st December 1954 or 21/12/54 Signature: How you write your first and last name together.
Student Transfer Application Form
sde.ok.govFIRST AND LAST NAME EMAIL STREET ADDRESS ZIP CODE HOME PHONE ALTERNATIVE PHONE 1. Is the parent/legal guardian requesting this open transfer a TEACHER* employed by this receiving district? Yes No *A teacher is any person who is employed to serve as a district superintendent, principal, supervisor, counselor,
LAST NAME FIRST NAME (Jr., Sr., II, III) MIDDLE NAME PLACE ...
consular.dfa.gov.phLAST NAME FIRST NAME (Jr., Sr., II, III) ... Mother’s Maiden Name: _____ Citizenship: _____ I SOLEMNLY SWEAR UNDER THE PENALTY OF LAW that the statements made on this application form are true and the attached documents are authentic. Likewise, I hereby declare that I have been made aware of the application requirements and swear to submit ...
LAST NAME JR./ETC FIRST NAME MIDDLE NAME
www.dot.state.pa.usCOMPLETE ALL of Sections A, C, D, E, and F. Complete Section B only if you are changing information. OUT-OF-STATE ADDRESS CHANGE. We may not issue driver license products to an out-of-state address, except in
Last Name First Name M.I. - Trader Joe's
www.traderjoes.comAt Trader Joe’s…unyielding Integrity is required of us all. The most important role for the Crew is to deliver a WOW Customer Experience. The Crew creates a fun,
Last Name First Name Middle Initial - Vermont DMV
dmv.vermont.govI certify that the statements on this form are true and correct to the best of my knowledge. This declaration is made under penalties of 23 VSA §201, §202, §203 and 32 VSA §8910.
Last Name: First: Middle: SS No.
fldcjobs.comParticipate Discussin joint efforts between the department and assist law enforcement agencies where specific goals are defined of and planned action(s) are executed to
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Last Names, Last, Name, Last Name, FIRST NAME, FIRST, Bride, GROOM, PATIENT REGISTRATION INFORMATION, Date, Middle name, Counselor, Guideline for Name Corrections, First Name M, GROOM Groom, First Name Bride, Last Name Bride, Social Security, CALIFORNIA COURTS SELF-HELP CENTER, American Sociological Association, IN-HOME SUPPORTIVE SERVICES, Middle, Driver License / Identification Card Inquiries, HIPAA Registration Form, No. 49AA Application for Allotment of, APPLICATION, Of Pacolet High School Graduates, Work-Related Injury/Illness, Sample Resume - High School - No Work Experience, San Antonio, No No, MARYLAND STATE HOME SCHOOL NOTIFICATION, Follow-up Email, Email, NAME LAST, 15 Filling in Forms, Trader Joe's, Trader Joe’s, Name Middle Initial, Last Name: First: Middle: SS No