HERNANDEZ & ASSOCIATES, P.C.

Size: px
Start display at page:

Download "HERNANDEZ & ASSOCIATES, P.C."

Transcription

1

2

3 Christine M. Hernández, Esq. HERNANDEZ & ASSOCIATES, P.C. Attorney for Respondent 1724 Vine Street Denver, Colorado Telephone: ( Facsimile: ( UNITED STATES DEPARTMENT OF JUSTICE EXECUTIVE OFFICE FOR IMMIGRATION REVIEW IMMIGRATION COURT Denver, Colorado In Re: RESPONDENT IN REMOVAL PROCEEDINGS Respondent File No.: A XXX-XXX-XXX Immigration Judge David J. Cordova Individual Hearing: June 28, 2011 INDEX OF EXHIBITS IN SUPPORT OF CANCELLATION OF REMOVAL

4 Christine M. Hernández, Esq. HERNANDEZ & ASSOCIATES, P.C. Attorney for Respondent 1724 Vine Street Denver, Colorado Telephone: ( Facsimile: ( UNITED STATES DEPARTMENT OF JUSTICE EXECUTIVE OFFICE FOR IMMIGRATION REVIEW IMMIGRATION COURT Denver, Colorado In Re: RESPONDENT IN REMOVAL PROCEEDINGS Respondent File No.: A XXX-XXX-XXX Immigration Judge David J. Cordova Individual Hearing: June 28, 2011 INDEX OF EXHIBITS IN SUPPORT OF CANCELLATION OF REMOVAL Exhibit No. Page(s A Original Form EOIR-42B 1-8 B Copy of Receipt Notice for Form EOIR 42B 9 Respondent s Identity C Copy of Respondent s Birth Certificate, with English translation Qualifying Relatives D Copy of Birth Certificate for Respondent s USC daughter XXXXXXXXXX 13

5 Exhibit No. Page(s E Copy of Birth Certificate for Respondent s USC son, XXXXXXXXXXXX 14 F Copy of Permanent Resident Card and Colorado Identification Card for Respondent s LPR mother, XXXXXXXXXXXXX 15 Evidence of Physical Presence G Copy of letter from the Department of Treasury IRS, regarding Respondent s ITIN number, dated March 9, 1998 H Copy of Respondent s phone bill, dated March 19, I Copy of Respondent s phone bill, dated August 17, J Copy of Respondent s Norwest Bank Statement, dated September 7, K Copy of Respondent s Norwest Bank Statement, dated October 6, L Copy of Respondent s Norwest Bank Statement, dated November 4, M Copy of Respondent s Norwest Bank Statement, dated March 6, N Copy of Respondent s Wells Fargo Bank Statement, dated July 7, O Copy of Respondent s Wells Fargo Bank Statement, dated November 6, P Copy of Respondent s 2000 Tax Return Q Copy of Respondent s Wells Fargo Bank Statement, dated January 5, R Copy of Respondent s Wells Fargo Bank Statement, dated February 6, S Copy of Respondent s phone bill, dated January 18, T Copy of Respondent s Wells Fargo Bank Statement, dated December 31, 2003 U Copy of Respondent s 2004 Tax Returns

6 Exhibit No. Page(s V Copy of Respondent s 2005 Tax Returns W Copy of Respondent s Xcel Energy bill, dated April 4, X Copy of letter from Respondent s former employer, dated July 10, Y Copy of Respondent s Wells Fargo Bank Statement, dated from October 1, through December 31, 2007 Z Copy of Respondent s T-Mobile phone Bill, dated August 15, AA Copy of Respondent s Rent Money Orders, dated September 2, BB Copy of letter to Respondent s from Direct TV, dated December 15, CC Copy of Respondent s Wells Fargo Express Send Service receipt, dated February 18, DD Copy of Respondent s 2009 Tax Returns EE Copy of Respondent s Aurora Water bill, dated October 26, FF Copy of Respondent s Aurora Water bill, dated December 23, GG Copy of Respondent s 2010 Tax Returns Hardship to Qualifying Relatives HH Letter from Jennifer Burkhardt, regarding Respondent s USC daughter XXX 50 II Copy of Certificates for Respondent s USC daughter, XXXXXXX Preschool Diploma, dated May 19, 2005 Effort Award, dated May 18, 2009 Certificate for Achievement, dated November 5, 2009 Effort Award, dated January 6, 2010 Citizenship Award, dated May 17, 2010 Attendance Award, dated May 17, 2010 Certificate of Achievement, dated May 13, 2011 Certificate of Academic Excellence, dated for the year Award for Citizenship 51-59

7 Exhibit No. JJ Copy of Certificates for Respondent s USC son, XXXXX Certificate for Achievement, dated November 5, 2009 Preschool Diploma Effort Award, dated May 18, 2009 Kindergarten Diploma, dated May 20, 2009 Physical Education Award of Excellence, dated January 6, 2010 KK Copy of prescription for Respondent s USC son, XXXXX, regarding Asthma 66 LL MM Report from Doctor Peterson, regarding health for Respondent s LPR mother, XXXXXXX Copy of Articles Regarding Inadequacy of Mental Health Care in Mexico Treatment and Adequacy of Treatment of Mental Disorders Among Respondents to the Mexico National Comorbidity Survey Mental Health Atlas 2005 Human Rights and Mental Health: Mexico Mexico Fails Mental Health Patients One Women s Crusade for the Mentally Ill Treatment of Mental Disorder for Adolescent in Mexico City Page(s Education System in Mexico NN Articles on Education in Mexico Expert from Mexico: A Country Study, 1996 Expert from Education in Mexico, Challenges and Opportunities The Mexican Education System Mexico s Costly and Dysfunctional School System In Effort to Create Better Jobs, Mexico Tackles School System Mexico s Education System Ranks Last Among Members of Organization for Economic Cooperation and Development

8 Exhibit No. Page(s OO PP Country Conditions US Department of State, 2010 Human Rights Report; Mexico US Department of State, Travel Warnings; Mexico Good Moral Character QQ Letter from Respondent s friend, XXXXXX 191 RR Letter from Respondent s friend, XXXXXXXX, with English translation SS Letter from Respondent s former employer, XXXXXXXX 194 TT Letter from Respondent s friend, XXXXXXXXX 195 UU Letter from Respondent s church Pastor, Rev. XXXXXXXXX 196 Criminal History VV WW XX Respondent s Disposition for Arapahoe Case No. XXXXXXXXXXXX Respondent s Disposition for Arapahoe County Case No. XXXXXXX Respondent s Disposition for Arapahoe County Case No. XXXXXXXXX

9 CERTIFICATE OF SERVICE I hereby certify that I did on this 13 th day of June, 2011, serve a true and correct copy of the foregoing Exhibit List #2 in Support of Cancellation of Removal, regarding RESPONDENT, AXXX-XXX-XXX, to the Department of Homeland Security District Counsel s Office placing the same in US mail, postage prepaid, and addressed as follows: Ms. Corina Almeida Chief Counsel s Office Department of Homeland Security E. Caley Avenue Denver, CO Ana L. Romero

10 AFFIDAVIT OF TRANSLATION STATE OF COLORADO ss. COUNTY OF DENVER I, Ana L. Romero, after first being duly sworn upon oath, hereby certify that I am fluent in both the Spanish and the English languages, that I am fully competent to translate from Spanish into English, and that the foregoing document is an accurate translation of the original document from Spanish to English, to the best of my knowledge and ability. By: Name: Ana L. Romero Address: 1724 Vine Street, 2 nd Floor Denver, CO SUBSCRIBED AND SWORN to before me on this day of, 2010, by. WITNESS MY HAND and official seal. Notary Public My commission expires:

11 Reject Me Not: New Practitioners & Paralegals Guide to the Immigration Court Manual July 12 th, 2011 Additional Resources Immigration Court Manual AILA Teleconference/Web Conference 2011 American Immigration Lawyers Association

County Council of Cuyahoga County, Ohio. Resolution No. R2014-0200

County Council of Cuyahoga County, Ohio. Resolution No. R2014-0200 County Council of Cuyahoga County, Ohio Resolution No. R2014-0200 Sponsored by: County Executive FitzGerald/Department of Workforce Development, in partnership with City of Cleveland, as designated Local

More information

UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION. SOME DEBTOR, Case No. 11-99999 (Chapter ) Debtor. JUDGE [NAME OF JUDGE]

UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION. SOME DEBTOR, Case No. 11-99999 (Chapter ) Debtor. JUDGE [NAME OF JUDGE] UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION IN RE: SOME DEBTOR, Case No. 11-99999 (Chapter ) Debtor. JUDGE [NAME OF JUDGE] APPLICATION TO EMPLOY [NAME OF LAW FIRM] AS SPECIAL

More information

Printing Letters Correctly

Printing Letters Correctly Printing Letters Correctly The ball and stick method of teaching beginners to print has been proven to be the best. Letters formed this way are easier for small children to print, and this print is similar

More information

9 Summary of California Law (10th), Partnership

9 Summary of California Law (10th), Partnership 9 Summary of California Law (10th), Partnership I. INTRODUCTION A. [ 1] Statutes Affecting Partnerships. B. Fictitious Business Name. 1. [ 2] In General. 2. [ 3] Fictitious Name Defined. 3. [ 4] Coverage

More information

Copperplate Victorian Handwriting. Victorian. Exploring your History. Created by Causeway Museum Service

Copperplate Victorian Handwriting. Victorian. Exploring your History. Created by Causeway Museum Service Victorian Coleraine Exploring your History Copperplate Victorian Handwriting Postcards courtesy of Coleraine Museum Collection Created by Causeway Museum Service In Victorian times hand writing was very

More information

OCCUPATIONAL AND PROFESSIONAL LICENSING NURSING HOME ADMINISTRATORS GENERAL PROVISIONS

OCCUPATIONAL AND PROFESSIONAL LICENSING NURSING HOME ADMINISTRATORS GENERAL PROVISIONS TITLE 16 CHAPTER 13 PART 1 OCCUPATIONAL AND PROFESSIONAL LICENSING NURSING HOME ADMINISTRATORS GENERAL PROVISIONS 16.13.1.1 ISSUING AGENCY: New Mexico Nursing Home Administrators Board 725 St. Michael's

More information

Sample Identification Cards Reference Booklet

Sample Identification Cards Reference Booklet Sample Identification Cards Reference Booklet HPMS50 sw Webidcards Dev. 1/8/06 Rev. 2/07, 3/07, 4/07, 5/07, 5/10/07, 8/07, 12/07, 2/08 Table of Contents Commercial HMO Plans...2 Medicare Advantage Plans

More information

ICAEW CERTIFICATE IN INSOLVENCY SYLLABUS JULY 2013

ICAEW CERTIFICATE IN INSOLVENCY SYLLABUS JULY 2013 ICAEW CERTIFICATE IN INSOLVENCY SYLLABUS JULY 2013 LEARNING OUTCOMES Module aim To ensure that students have a good grounding in the fundamentals of insolvency work to enable them to work effectively in

More information

UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION. SOME DEBTOR, Case No. 11-99999 (Chapter ) Debtor. JUDGE [NAME OF JUDGE]

UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION. SOME DEBTOR, Case No. 11-99999 (Chapter ) Debtor. JUDGE [NAME OF JUDGE] UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION IN RE: SOME DEBTOR, Case No. 11-99999 (Chapter ) Debtor. JUDGE [NAME OF JUDGE] NUNC PRO TUNC APPLICATION TO EMPLOY [NAME OF LAW

More information

B. Franklin, Printer. LESSON 3: Learning the Printing Trade

B. Franklin, Printer. LESSON 3: Learning the Printing Trade B. Franklin, Printer Elementary School (Grades K-2) LESSON 3: Learning the Printing Trade OVERVIEW Benjamin Franklin was born January 17, 1706, to Josiah and Abiah Franklin. He was the ninth of eleven

More information

Asking the Court to Appoint a Lawyer for You in a Lawsuit to Terminate Your Parental Rights

Asking the Court to Appoint a Lawyer for You in a Lawsuit to Terminate Your Parental Rights Asking the Court to Appoint a Lawyer for You in a Lawsuit to Terminate Your Parental Rights Note: Use these forms and instructions to ask the court to appoint a lawyer for you in a lawsuit requesting termination

More information

Application For Misdemeanor Court-Appointments

Application For Misdemeanor Court-Appointments Application For Misdemeanor Court-Appointments May 1, 2007 Full legal name: Birth month: Texas Bar card #: Date licensed to practice law in Texas: Principle office physical address (not a post office box):

More information

Retain this page for reference purposes

Retain this page for reference purposes To: All New Applicants Friendswood Independent School District 302 Laurel Drive Friendswood, TX 77546 SS UU BB SS TT II ITT UU TT EE AA PP PP LL II ICC AA TT II IOO NN GG EE NN EE RR AA LL II INN FF OO

More information

Storm Damage Arbitration Agreement ADR Systems File # xxxxxxxxx Insurance Claim # xxxxxxxxxx

Storm Damage Arbitration Agreement ADR Systems File # xxxxxxxxx Insurance Claim # xxxxxxxxxx Storm Damage Arbitration Agreement ADR Systems File # Insurance Claim # x I. Parties A. xxxxx B. xxxxx II., Time and Location of the Arbitration : Time: Location: III. Rules Governing the Arbitration Each

More information

The ABC s of Web Site Evaluation

The ABC s of Web Site Evaluation The ABC s of Web Site Evaluation by Kathy Schrock Digital Literacy by Paul Gilster Digital literacy is the ability to understand and use information in multiple formats from a wide range of sources when

More information

MANDATE OF THE BOARD

MANDATE OF THE BOARD 1 MANDATE OF THE BOARD Introduction to Stewardship Duties The purposes and responsibilities outlined in this Mandate and accompanying Board materials are meant to serve as guidelines rather than inflexible

More information

STATEMENTS OF COST SPECIAL ASSESSMENTS SEPTEMBER, 2014

STATEMENTS OF COST SPECIAL ASSESSMENTS SEPTEMBER, 2014 STATEMENTS OF COST SPECIAL ASSESSMENTS SEPTEMBER, 2014 WATER: a. Statement of Cost for constructing Water Distribution System to serve Greenwich Business Center Addition (east of Greenwich, south of 29

More information

Case5:11-cv-01846-LHK Document179 Filed08/23/11 Page1 of 7 UNITED STATES DISTRICT COURT

Case5:11-cv-01846-LHK Document179 Filed08/23/11 Page1 of 7 UNITED STATES DISTRICT COURT Case:-cv-0-LHK Document Filed0// Page of 0 QUINN EMANUEL URQUHART & SULLIVAN, LLP Charles K. Verhoeven (Cal. Bar No. 0) charlesverhoeven@quinnemanuel.com 0 California Street, nd Floor San Francisco, California

More information

MyOWNMcMaster Degree Pathway: Diploma in Business Administration & Bachelor of Arts in History

MyOWNMcMaster Degree Pathway: Diploma in Business Administration & Bachelor of Arts in History MyOWNMcMaster Degree Pathway: Diploma in Business Administration & Bachelor of Arts in History Requirements The MyOWNMcMaster degree pathway has three parts: diploma, elective and undergraduate courses.

More information

How To File A Civil Suit In Texas

How To File A Civil Suit In Texas Effective 09/01/2013 JUDGE ERIN H. GARCIA JUSTICE OF THE PEACE 2-2 974 E HARRISON ST BROWNSVILLE, TEXAS 78520 (956) 544-0858 / FAX: (956) 550-1467 INFORMATION ON CIVIL SUITS The Rules of Judicial Ethics

More information

ISLAND COUNTY BOARD OF COUNTY COMMISSIONERS (including Diking Improvement Dist. #4)

ISLAND COUNTY BOARD OF COUNTY COMMISSIONERS (including Diking Improvement Dist. #4) IMPORTANT Note: The Public Hearing on proposed Ordinance C-42-05 Amending Chapter 17.02 ICC Relating to Type 5 Stream Buffers is going to be rescheduled -- see agenda item 7(a). Regular Meeting Agenda

More information

Requirements The MyOWNMcMaster degree pathway has three parts: diploma, elective and undergraduate courses.

Requirements The MyOWNMcMaster degree pathway has three parts: diploma, elective and undergraduate courses. MyOWNMcMaster Degree Pathway: Diploma in Business Administration with a Concentration in Marketing & Bachelor of Arts in History Requirements The MyOWNMcMaster degree pathway has three parts: diploma,

More information

The MyOWNMcMaster degree pathway has three parts: diploma, elective and undergraduate courses.

The MyOWNMcMaster degree pathway has three parts: diploma, elective and undergraduate courses. MyOWNMcMaster Degree Pathway: Diploma in Human Resources Management & Bachelor of Arts in History Requirements The MyOWNMcMaster degree pathway has three parts: diploma, elective and undergraduate courses.

More information

WAC 388-96-381 Procedure for refunding resident personal funds.

WAC 388-96-381 Procedure for refunding resident personal funds. WAC 388-96-381 Procedure for refunding resident personal funds. (1) When a resident is discharged or transferred, the balance of the resident's personal funds shall be returned to the individual designated

More information

Kennesaw State University s Department of Sports and Recreation

Kennesaw State University s Department of Sports and Recreation Kennesaw State University s Department of Sports and Recreation Request for Information for A facility management software system that includes a group fitness scheduling and tracking solution STATEMENT

More information

!" #$ % # $ ##!# & '((!) * % ( * % '+ ( ((* % ,-- (- (. ) * % '(. ). * % () ) ( / &0#!!0 &102!

! #$ % # $ ##!# & '((!) * % ( * % '+ ( ((* % ,-- (- (. ) * % '(. ). * % () ) ( / &0#!!0 &102! !"#$ % $!&& !" #$ % # $ ##!# & '((! * % ( * % '((* % '+ ( ((* %,-- (- (. * % '(.. * % ( ( / &0#!!0 &102! '! ( * +,., 3 4 5 6 (- - 7 768 4 6 74 4 9(: ;9 (%- ( 8:< 4,=. 4 8 #-!.. (?. +. @. (.. @ '+. (7(..

More information

"# $% & $ % $$ "$ ' '((!) * % ( * % '+( ((* % ,-- (- (. ) * % () ) ( / &0#!!0 &102!

# $% & $ % $$ $ ' '((!) * % ( * % '+( ((* % ,-- (- (. ) * % () ) ( / &0#!!0 &102! !"#$ % $!&& ! "# $% & $ % $$ "$ ' '((! * % ( * % '((* % '+( ((* %,-- (- (. * % ( ( / &0#!!0 &102! (" * +, -., %3 0 4 5 6 5 7 (- - 8 879 5 7 85 5 :(; . 59 $. *"/ *. (@. +. A. (.. A '+. (8(..

More information

Dr.Web anti-viruses Visual standards

Dr.Web anti-viruses Visual standards Dr.Web anti-viruses Visual standards Contents Who are we? The main Dr.Web logo Logos of Dr.Web products Registered trademarks Typography 1 Who are we? Doctor Web is a Russian developer of information security

More information

LICENSING PROCEDURES FOR AUTOMOBILE CLUB AGENTS (MOTOR CLUB AGENTS)

LICENSING PROCEDURES FOR AUTOMOBILE CLUB AGENTS (MOTOR CLUB AGENTS) LICENSING PROCEDURES FOR AUTOMOBILE CLUB AGENTS (MOTOR CLUB AGENTS) Requirements for an Automobile Club (Motor Club) Agent License (1) Completed, signed and notarized application (2) $20.00 filing fee

More information

Control Number : 41446. Item Number : 59. Addendum StartPage : 0

Control Number : 41446. Item Number : 59. Addendum StartPage : 0 Control Number : 41446 Item Number : 59 Addendum StartPage : 0 SOAH DOCKET NO. 473-13-4070 PUC DOCKET NO. 41446 APPLICATION OF SOUTHWESTERN BEFORE THE*1'16)[E^^I PUBLIC SERVICE COMPANY TO ^ ADJUST ITS

More information

CERTIFICATE OF REHAB. & PARDON INSTRUCTION FORMS PACKET

CERTIFICATE OF REHAB. & PARDON INSTRUCTION FORMS PACKET CERTIFICATE OF REHAB. & PARDON INSTRUCTION FORMS PACKET PKG-016 SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, 220 W. BROADWAY, SAN DIEGO, CA 92101-3814 EAST COUNTY DIVISION, 250 E.

More information

Practice Writing the Letter A

Practice Writing the Letter A Aa Practice Writing the Letter A A a A a Write a in the blank to finish each word. c t re h d Write A in the blank to finish each word. nn US ndy Bb Practice Writing the Letter B B b B l P b Write b in

More information

GLOSSARY of Paratransit Terms

GLOSSARY of Paratransit Terms Innovation in Transit GLOSSARY of Paratransit Terms January 2007 FORWARD: ABOUT PACE PARATRANSIT SERVICES Pace provides a variety of public transportation services. ADA Paratransit, which operates in the

More information

CERTIFICATE OF SEALING

CERTIFICATE OF SEALING CERTIFICATE OF SEALING Before the Illinois Prisoner Review Board: The Certificate for Sealing Eligibility Acknowledgement form must be completed prior to filling out the application to determine eligibility.

More information

ORDER OF THE SUPREME COURT OF TEXAS MISC. DOCKET NO. 99- IN THE MATTER OF GREGORY B. DUNBAR

ORDER OF THE SUPREME COURT OF TEXAS MISC. DOCKET NO. 99- IN THE MATTER OF GREGORY B. DUNBAR ORDER OF THE SUPREME COURT OF TEXAS MISC. DOCKET NO. 99- IN THE MATTER OF GREGORY B. DUNBAR On this day, the Court considered the Motion for Acceptance of Resignation as Attorney and Counselor at Law of

More information

Kansas Basic Property Insurance Inspection and Placement Program

Kansas Basic Property Insurance Inspection and Placement Program Kansas Basic Property Insurance Inspection and Placement Program (a) Definitions. (1) All-Industry Placement Facility or Facility means the organization formed by insurers to assist applicants in securing

More information

Grandparent Power of Attorney (POA) Checklist

Grandparent Power of Attorney (POA) Checklist Grandparent Power of Attorney (POA) Checklist Check off all statements which are true. If any statement is not true, do not check the statement. The POA cannot be filed unless all statements are checked

More information

Agreement for Services

Agreement for Services Agreement for Services This Agreement is entered into as of the day of, 20, between Inc. ( the Company ) and ( the Contractor ). The purposes of this agreement are to define the rights and obligations

More information

State of New York Supreme Court, Appellate Division Third Judicial Department P.O. Box 7288, Capitol Station Albany, NY 12224-0288

State of New York Supreme Court, Appellate Division Third Judicial Department P.O. Box 7288, Capitol Station Albany, NY 12224-0288 State of New York Supreme Court, Appellate Division Third Judicial Department P.O. Box 7288, Capitol Station Albany, NY 12224-0288 Robert D. Mayberger Clerk of the Court (518) 471-4777 fax (518) 471-4750

More information

WEBB COUNTY APPLICATION/AFFIDAVIT Criminal Felony, Misdemeanor or Juvenile Courts Attorney Appointment Rotation List

WEBB COUNTY APPLICATION/AFFIDAVIT Criminal Felony, Misdemeanor or Juvenile Courts Attorney Appointment Rotation List WEBB COUNTY APPLICATION/AFFIDAVIT Criminal Felony, Misdemeanor or Juvenile Courts Attorney Appointment Rotation List PLEASE COMPLETE THIS ENTIRE PAGE Date: Name: Birth Date: Business Address: Day Phone:

More information

A Beginner s Guide To English Grammar

A Beginner s Guide To English Grammar A Beginner s Guide To English Grammar Noncredit ESL Glendale Community College Concept by: Deborah Robiglio Created by: Edwin Fallahi, Rocio Fernandez, Glenda Gartman, Robert Mott, and Deborah Robiglio

More information

Note: This information copied with permission. Thanks to Kevin K. Custer W3KKC, Masters Communications, Inc.

Note: This information copied with permission. Thanks to Kevin K. Custer W3KKC, Masters Communications, Inc. TV Channel, CATV and FM Broadcast Frequencies Note: This information copied with permission. Thanks to Kevin K. Custer W3KKC, Masters Communications, Inc. Newsgroups: sci.electronics From: andy@cbrown.claremont.edu

More information

Application Process for Juvenile Court Appointments

Application Process for Juvenile Court Appointments Application Process for Juvenile Court Appointments Applications are accepted once per year December 1 thru December 31 and can only be submitted during this time period. An attorney who is seeking approval

More information

Expense Reports. University of Kansas 2/12/2014

Expense Reports. University of Kansas 2/12/2014 2014 Expense Reports University of Kansas 2/12/2014 Table of Contents Create Expense Report... 2 Approval via Module... 28 Send Back via Module... 32 Approval via Email... 36 Send Back via Email... 39

More information

CONTRACTOR QUALIFICATION APPLICATION for

CONTRACTOR QUALIFICATION APPLICATION for BOARD OF WATER COMMISSIONERS 1600 WEST 12TH AVENUE DENVER, COLORADO 80204 CONTRACTOR QUALIFICATION APPLICATION for South Boulder Diversion Canal Access Bridge for Ralston Landslide Repair General Contractor

More information

IN THE UNITED ST ATES DISTRICT COURT FOR THE DISTRICT OF MONTANA MISSOULA DIVISION. CR 16-19--'-M- Dl.L-

IN THE UNITED ST ATES DISTRICT COURT FOR THE DISTRICT OF MONTANA MISSOULA DIVISION. CR 16-19--'-M- Dl.L- Case 9:16-cr-00012-DLC Document 2 Filed 02/19/16 Page 1 of 17 CHAD C. SPRAKER Assistant U.S. Attorney U.S. Attorney's Office REBECCA J. SABLE Trial Attorney U.S. Department of Justice, Tax Division 901

More information

SELF HELP INSTRUCTIONS TO ESTABLISH PATERNITY, CUSTODY AND VISITATION INTRODUCTION

SELF HELP INSTRUCTIONS TO ESTABLISH PATERNITY, CUSTODY AND VISITATION INTRODUCTION SELF HELP INSTRUCTIONS TO ESTABLISH PATERNITY, CUSTODY AND VISITATION INTRODUCTION The following forms are prepared to help people who have difficulty affording a lawyer, to get paternity, custody, and

More information

Islands 1 Wordlist. Islands Alphabet booklet. Islands 1 Grammar Booklet. Islands 1 Pupils Book. Islands 1 Activity Book.

Islands 1 Wordlist. Islands Alphabet booklet. Islands 1 Grammar Booklet. Islands 1 Pupils Book. Islands 1 Activity Book. Islands 1 Junior A Components Islands Alphabet let Islands 1 Islands 1 Pupils Book Islands 1 Islands 1 Online World Book Also: Teacher s Book Test Audio material (in the ActiveTeach) Online World ActiveTeach

More information

APPLICATION FOR INDIGENT REPRESENTATION

APPLICATION FOR INDIGENT REPRESENTATION APPLICATION FOR INDIGENT REPRESENTATION AFFIDAVIT OF LICENSED ATTORNEY RESIDING OR PRACTICING LAW IN BRAZORIA COUNTY, TEXAS THE STATE OF TEXAS COUNTY OF BRAZORIA I,, (PRINT name of attorney completing

More information

Case 14-33427 Doc 61 Filed 02/27/15 Entered 02/27/15 16:58:10 Desc Main Document Page 1 of 5

Case 14-33427 Doc 61 Filed 02/27/15 Entered 02/27/15 16:58:10 Desc Main Document Page 1 of 5 Document Page 1 of 5 David E. Leta (USB #1937) Andrew V. Hardenbrook (USB # 15371) SNELL & WILMER L.L.P. 15 W. South Temple, Suite 1200 Salt Lake City, UT 84101 Telephone: (801) 257-1900 Facsimile: (801)

More information

STATE OF INDIANA ) IN THE HOWARD COURT ) SS: COUNTY OF HOWARD ) CAUSE NO.: APPEARANCE BY ATTORNEY IN CIVIL CASE

STATE OF INDIANA ) IN THE HOWARD COURT ) SS: COUNTY OF HOWARD ) CAUSE NO.: APPEARANCE BY ATTORNEY IN CIVIL CASE STATE OF INDIANA IN THE HOWARD COURT SS: COUNTY OF HOWARD CAUSE NO.: INDIANA DEPARTMENT OF STATE REVENUE, Plaintiff, v. DAVE EVANS TIRE, INC. and DAVE EVANS, Defendants. APPEARANCE BY ATTORNEY IN CIVIL

More information

State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov

State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov State Medical Board of Ohio 30 E. Broad Street, 3rd Floor, Columbus, OH 43215-6127 (614) 466-3934 med.ohio.gov APPLICATION INSTRUCTIONS FOR A PHYSICIAN ASSISTANT PROVISIONAL CERTIFICATE TO PRESCRIBE General

More information

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT : : : : : : : : INFORMATION GENERAL ALLEGATIONS

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT : : : : : : : : INFORMATION GENERAL ALLEGATIONS UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT UNITED STATES OF AMERICA v. BRIAN FOLEY and LISA WILSON-FOLEY CRIMINAL NO. 314CR ( ) VIOLATION 18 U.S.C. 371 (Conspiracy) INFORMATION The Acting United

More information

NOTICE TO GRANDPARENT

NOTICE TO GRANDPARENT A Power of Atrney may be created if the parent, guardian, or cusdian of the child is any of the following: 1. Seriously ill, incarcerated, or about be incarcerated 2. Temporarily unable provide financial

More information

Oklahoma Board of Dentistry

Oklahoma Board of Dentistry Susan Rogers, Esq. Executive Director Mary Fallin Governor Oklahoma Board of Dentistry HYGIENE APPLICATIONS BY EXAM APPLICATION PROCESS: 1. Submit a completed application; include the non-refundable fee

More information

Filing a Form I-360 Self-Petition under the Violence Against Women Act

Filing a Form I-360 Self-Petition under the Violence Against Women Act Filing a Form I-360 Self-Petition under the Violence Against Women Act Prepared by: Northwest Immigrant Rights Project http://www.nwirp.org 615 Second Avenue, Suite 400 Seattle, Washington 98104 (206)

More information

Dirk von Guenthner RULE 26 DISCLOSURES

Dirk von Guenthner RULE 26 DISCLOSURES 1. NATIONAL PUBLICATIONS Dirk von Guenthner RULE 26 DISCLOSURES a. FORENSIC EXAMINER - October 1994 - Forensic Accounting b. FORENSIC EXAMINER - December 1994- Forensic Accounting c. FORENSIC EXAMINER

More information

CHAPTER 274 SB 9-FN-A-LOCAL FINAL VERSION

CHAPTER 274 SB 9-FN-A-LOCAL FINAL VERSION SB -FN-A-LOCAL FINAL VERSION 0 SESSION - 0/0 SENATE BILL AN ACT SPONSORS: -FN-A-LOCAL relative to salary increases for state employees and making appropriations therefor, establishing a legislative oversight

More information

Office of Bar Counsel 525 West Jefferson P. O. Box 895 Boise, Idaho 83701 (208) 334-4500 Fax: (208) 334-2764 www.isb.idaho.gov

Office of Bar Counsel 525 West Jefferson P. O. Box 895 Boise, Idaho 83701 (208) 334-4500 Fax: (208) 334-2764 www.isb.idaho.gov Office of Bar Counsel 525 West Jefferson P. O. Box 895 Boise, Idaho 83701 (208) 334-4500 Fax: (208) 334-2764 www.isb.idaho.gov CLIENT ASSISTANCE FUND CLAIM FORM GENERAL INFORMATION AND INSTRUCTIONS Under

More information

How To Get Counseling In Ohio

How To Get Counseling In Ohio Attachment 1 Ohio Administrative Code» 3793:2 Program Standards» Chapter 3793:2-1 Alcohol and Drug Addiction Programs 3793:2-1-08 Treatment services. (A) The purpose of this rule is to define alcohol and

More information

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA IN AND FOR THE COUNTY OF MARICOPA 8 In re the Marriage of )

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA IN AND FOR THE COUNTY OF MARICOPA 8 In re the Marriage of ) 1 LAW OFFICE OF LISA B. JOHNSON, P.C. Lisa B. Johnson 2 Camelback Esplanade III 2415 E. Camelback, Suite 700 3 Phoenix, AZ 85016 Phone: (602 508-6110 4 Fax: (602 508-6109 Attorney for Petitioner 5 State

More information

APPLICATION FOR EMPLOYMENT FOR DEPUTY ATTORNEYS GENERAL

APPLICATION FOR EMPLOYMENT FOR DEPUTY ATTORNEYS GENERAL State of New Jersey Department of Law and Public Safety Division of Criminal Justice APPLICATION FOR EMPLOYMENT FOR DEPUTY ATTORNEYS GENERAL The State of New Jersey is an Equal Opportunity Employer APPLICATION

More information

Legal Assistant Application

Legal Assistant Application PCLR 0.7 Legal Assistant Application 2015 Tacoma-Pierce County Bar Association 621 Tacoma Avenue South, Suite 403 Tacoma, WA 98402 Phone (253) 272-8871, tpcba1@aol.com RULE 0.7 LEGAL ASSISTANTS (a) Authorized

More information

CERTIFICATE OF REHABILITATION & PARDON INSTRUCTION PACKET

CERTIFICATE OF REHABILITATION & PARDON INSTRUCTION PACKET SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN DIEGO CERTIFICATE OF REHABILITATION & PARDON INSTRUCTION PACKET FORMS INCLUDED IN THIS PACKET General Information Certificate of Rehabilitation SDSC Form #CRM-208

More information

Grandparent s Power of Attorney Information and Forms

Grandparent s Power of Attorney Information and Forms NOTICE AND DISCLAIMER Grandparent s Power of Attorney Information and Forms The forms in this packet have been provided to you as a public service by the Butler County Juvenile Court. Although you may

More information

Wyoming STATE BOARD OF NURSING

Wyoming STATE BOARD OF NURSING Matthew H Mead Governor Wyoming STATE BOARD OF NURSING Mary Kay Goetter, PhD, RNC, NEA-BC Executive Director 1810 Pioneer Avenue Cheyenne, Wyoming 82002 Phone: 307-777-7601 FAX: 307-777-3519 http://nursing.state.wy.us

More information

Self-Help Guide for a Prosecutorial Discretion Request

Self-Help Guide for a Prosecutorial Discretion Request Self-Help Guide for a Prosecutorial Discretion Request In June 2011, Immigration and Customs Enforcement ( ICE ) announced it would not use its resources to deport people it considers low priority and

More information

PURCHASING DEPARTMENT

PURCHASING DEPARTMENT PURCHASING DEPARTMENT Hill Education Center #150 136 Elm St. Cumming, GA 30040 Phone: 770-781-6603 / Fax: 770-781-6603 www.forsyth.k12.ga.us RFI - I08-01 Applicant Tracking Software November 13, 2007 To:

More information

LICENSURE APPLICATION: OCULARIST

LICENSURE APPLICATION: OCULARIST OHIO OPTICAL DISPENSERS BOARD 77 SOUTH HIGH ST. 16 TH FLOOR COLUMBUS, OH 43215-6108 (614) 466-9709 FAX (614) 995-5392 www.optical.ohio.gov Email: odb@odb.ohio.gov LICENSURE APPLICATION: OCULARIST Application

More information

STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION DIVISION OF BANKING

STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION DIVISION OF BANKING STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION DIVISION OF BANKING IN THE MATTER OF: ) ) MAGDALENA ESTEVES ) No. 2013-MLO-CD-24 7835 Austin Avenue ) Burbank, Illinois 60459 ) ) ORDER

More information

E&T POL 17.0 VET FEE-HELP Policy

E&T POL 17.0 VET FEE-HELP Policy v3.0 Version date 24/11/2014 Policy purpose: The purpose of this policy is to ensure that QATC has a comprehensive set of guidelines and principles for the administration of the Commonwealth Government

More information

ARD/DUI EXPUNGEMENT ACT 122 AND 151

ARD/DUI EXPUNGEMENT ACT 122 AND 151 ARD/DUI EXPUNGEMENT If you are reporting to the Adult Probation Office to get your ARD/DUI expunged from your record, the following steps must be completed. 1. Report to the Clerk of Courts Office for

More information

CLOSING THE ESTATE PINAL COUNTY CLOSING THE ESTATE AS PERSONAL REPRESENTATIVE INSTRUCTIONS AND FORMS

CLOSING THE ESTATE PINAL COUNTY CLOSING THE ESTATE AS PERSONAL REPRESENTATIVE INSTRUCTIONS AND FORMS CLOSING THE ESTATE PINAL COUNTY CLOSING THE ESTATE AS PERSONAL REPRESENTATIVE INSTRUCTIONS AND FORMS Provided as a Public Service by Amanda Stanford Clerk of the Superior Court INFORMAL PROBATE CLOSING

More information

CANDIDATE AFFIDAVIT [Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.]

CANDIDATE AFFIDAVIT [Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.] Space Below For Office Use Only Municipal Candidates file with the Municipal Clerk CANDIDATE AFFIDAVIT [Art. XXVIII, Sec. 2(2) & 1-45-110(1), C.R.S.] This affidavit shall certify that I,, am a candidate

More information

Case:14-26132-EEB Doc#:9 Filed:12/03/14 Entered:12/03/14 15:52:25 Page1 of 6 UNITED STATES BANKRUPTCY COURT DISTRICT OF COLORADO

Case:14-26132-EEB Doc#:9 Filed:12/03/14 Entered:12/03/14 15:52:25 Page1 of 6 UNITED STATES BANKRUPTCY COURT DISTRICT OF COLORADO Case:14-26132-EEB Doc#:9 Filed:12/03/14 Entered:12/03/14 15:52:25 Page1 of 6 UNITED STATES BANKRUPTCY COURT DISTRICT OF COLORADO In re: CLINE MINING CORPORATION, Debtor in a Foreign Proceeding. Chapter

More information

Artist's Craft. Seuss photos may be found at either of the websites below: http://www.randomhouse.com/seussville/morefun/ted.html

Artist's Craft. Seuss photos may be found at either of the websites below: http://www.randomhouse.com/seussville/morefun/ted.html A-Book-A-Week: Cllassroom Instructiion Dr. Seuss's ABC Acctti ivvi ittyy Caarrd #1 Suuggggeesstteed Acctti ivvi ittyy Orrdeerr Dr. Seuss (pseudonym of Theodore Seuss Geisel) will become an important part

More information

POWER OF ATTORNEY., the parent(s), the undersigned, residing at, in the county of, state of, hereby appoint the child s

POWER OF ATTORNEY., the parent(s), the undersigned, residing at, in the county of, state of, hereby appoint the child s POWER OF ATTORNEY Case No. I/we,, the parent(s) of, the undersigned, residing at, in the county of, state of, hereby appoint the child s grandparent,, residing at, in the state of Ohio, with whom the child

More information

City of Terrell Hills 5100 North New Braunfels Avenue San Antonio, Texas 78209 210-824-7401

City of Terrell Hills 5100 North New Braunfels Avenue San Antonio, Texas 78209 210-824-7401 To All Applicants: In order for the City of Terrell Hills to process this application, it must be complete. All lines must be filled in. If something does not apply to you, then write N/A in that blank.

More information

IN THE COURT OF COMMON PLEAS, CUYAHOGA COUNTY, OHIO JUVENILE DIVISION. GRANDPARENT POWER OF ATTORNEY Pursuant to 3109.65 to 3109.73, Ohio Revised Code

IN THE COURT OF COMMON PLEAS, CUYAHOGA COUNTY, OHIO JUVENILE DIVISION. GRANDPARENT POWER OF ATTORNEY Pursuant to 3109.65 to 3109.73, Ohio Revised Code IN THE COURT OF COMMON PLEAS, CUYAHOGA COUNTY, OHIO JUVENILE DIVISION IN THE MATTER OF: CASE NO. Child s Name GRANDPARENT POWER OF ATTORNEY Pursuant to 3109.65 to 3109.73, Ohio Revised Code I, residing

More information

APPLICATION FOR DUI COURT

APPLICATION FOR DUI COURT IN THE COURT OF COMMON PLEAS OF CENTRE COUNTY, PENNSYLVANIA COMMONWEALTH OF PENNSYLVANIA OTN # v CP-14-CR- - (name of applicant) APPLICATION FOR DUI COURT the District Attorney of Centre County I,, defendant

More information

SELF-HELP MODIFICATION OF CUSTODY PACKET

SELF-HELP MODIFICATION OF CUSTODY PACKET SELF-HELP MODIFICATION OF CUSTODY PACKET Instructions: "Motion to Modify Custody" "Notice of Hearing" Includes: IN THE CIRCUIT COURT OF COUNTY WEST VIRGINIA Petitioner v. Civil Action No.: Respondent.

More information

NOTICE TO ALL APPLICANTS FOR A PER DIEM JUDGE POSITION

NOTICE TO ALL APPLICANTS FOR A PER DIEM JUDGE POSITION NOTICE TO ALL APPLICANTS FOR A PER DIEM JUDGE POSITION FACTORS AFFECTING QUALIFICATION The Commission on Judicial Conduct has indicated in a formal opinion that any per diem judge and their partners/associates

More information

EL PASO DISTRICT AND COUNTY COURTS TEXAS FAIR DEFENSE ACT ATTORNEY APPLICATION DO NOT USE THE BACK OF PAGES

EL PASO DISTRICT AND COUNTY COURTS TEXAS FAIR DEFENSE ACT ATTORNEY APPLICATION DO NOT USE THE BACK OF PAGES EL PASO DISTRICT AND COUNTY COURTS TEXAS FAIR DEFENSE ACT ATTORNEY APPLICATION DO NOT USE THE BACK OF PAGES PLEASE PRINT OR TYPE. INCOMPLETE OR ILLEGIBLE APPLICATIONS WILL NOT BE CONSIDERED Last Name:

More information

Lance J.M. Steinhart, P.C. Attorney At Law 6455 East Johns Crossing Suite 285 Duluth, Georgia 30097

Lance J.M. Steinhart, P.C. Attorney At Law 6455 East Johns Crossing Suite 285 Duluth, Georgia 30097 . Lance J.M. Steinhart, P.C. Attorney At Law 6455 East Johns Crossing Suite 285 Duluth, Georgia 30097 Also Admitted in New York and Maryland Telephone: (770) 2329200 Facsimile: (770) 2329208 February 22,2002

More information

2016 TOURNAMENT OF CHAMPIONS NORTHWEST ALL-STARS & SEATTLE YOUTH BASKETBALL

2016 TOURNAMENT OF CHAMPIONS NORTHWEST ALL-STARS & SEATTLE YOUTH BASKETBALL SAT RENTON HIGH SCHOOL 400 - S 2ND ST. 21ST RENTON, 98055 RHS 1 RHS 2 RHS 3 RHS 4 GIRLS ELITE PURPLE POOL C GIRLS ELITE PURPLE POOL D GIRLS 5TH POOL S GIRLS 7TH ROYAL POOL N 9:00AM EBC ELITE EXCEL 253

More information

SERVICES CATALOG. FRONTIER COMMUNICATIONS OF ALABAMA, LLC Section 16 Original Sheet 1 S16. CENTREX

SERVICES CATALOG. FRONTIER COMMUNICATIONS OF ALABAMA, LLC Section 16 Original Sheet 1 S16. CENTREX Original Sheet 1 S16.1 GENERAL A. Centrex is a Central Office based business communications service which provides capabilities similar to those offered on a Private Branch Exchange, but without requiring

More information

ALCOHOL BEVERAGE LICENSE New License Application

ALCOHOL BEVERAGE LICENSE New License Application New License Application Attached is the application and additional documents to apply for a new Alcohol Beverage License. Please complete forms and instructions as indicated. For detail on the City of

More information

CU17e upreme Q!ourt of ~anzaz 11.\ansas J1ubicia1 Q1!'nt!'r mop!'ka,11.\ansas.6.6.612-1507

CU17e upreme Q!ourt of ~anzaz 11.\ansas J1ubicia1 Q1!'nt!'r mop!'ka,11.\ansas.6.6.612-1507 CU17e upreme Q!ourt of ~anzaz 11.\ansas J1ubicia1 Q1!'nt!'r mop!'ka,11.\ansas.6.6.612-1507 Carol G. Green, Clerk Area Code 785 Vanna 1. McCarter, Assistant Telephone 296-8410 Board ofexaminers ofcourt

More information

TRC Decision on the Reference Offer

TRC Decision on the Reference Offer THE HASHEMITE KINGDOM OF JORDAN TELECOMMUNICATIONS REGULATORY COMMISSION TRC Decision on the Reference Offer For Wholesale Broadband Access Issued by TRC Board Decision No. (1-10/2013) dated (24/09/2013)

More information

Maryland State Board of Dental Examiners Spring Grove Hospital Center Benjamin Rush Building 55 Wade Avenue Catonsville, Maryland 21228 (410) 402-8510

Maryland State Board of Dental Examiners Spring Grove Hospital Center Benjamin Rush Building 55 Wade Avenue Catonsville, Maryland 21228 (410) 402-8510 Maryland State Board of Dental Examiners Spring Grove Hospital Center Benjamin Rush Building 55 Wade Avenue Catonsville, Maryland 21228 (410) 402-8510 APPLICATION FOR RECOGNITION TO ADMINISTER LOCAL ANESTHESIA

More information

Alabama State Board of Pharmacy 111 Village Street. Birmingham, AL 35242 www.albop.com APPLICATION FOR PHARMACIST LICENSURE EXAMINATION

Alabama State Board of Pharmacy 111 Village Street. Birmingham, AL 35242 www.albop.com APPLICATION FOR PHARMACIST LICENSURE EXAMINATION Alabama State Board of Pharmacy 111 Village Street. Birmingham, AL 35242 www.albop.com APPLICATION FOR PHARMACIST LICENSURE EXAMINATION 1, (First) (Middle/Maiden) (Last) of (Street) (City) (County) (State)

More information

move to approve the attached AT&T lease contract.

move to approve the attached AT&T lease contract. TO : BOARD OF DIRECTORS FROM : GARY PLATT, EXECUTIVE DIRECTOR BUSINESS AND OPERATIONS SUBJECT : AT&T CELL TOWER RENTAL AGREEMENT DATE : MAY 20, 2008 TYPE : ACTION NEEDED The purpose of this memo is to

More information

REQUIREMENTS ON TEMPORARY TRIAL CARD FOR QUALIFIED LAW STUDENTS AND QUALIFIED UNLICENSED LAW SCHOOL GRADUATES

REQUIREMENTS ON TEMPORARY TRIAL CARD FOR QUALIFIED LAW STUDENTS AND QUALIFIED UNLICENSED LAW SCHOOL GRADUATES REQUIREMENTS ON TEMPORARY TRIAL CARD FOR QUALIFIED LAW STUDENTS AND QUALIFIED UNLICENSED LAW SCHOOL GRADUATES Read the enclosed Rules and provisions carefully. There are separate forms that need to be

More information

TIE Kinetix BRAND GUIDE. Global Marketing

TIE Kinetix BRAND GUIDE. Global Marketing TIE Kinetix BRAND GUIDE Global Marketing Company Profile Official Typography Logo Usage Official Brand Colors Used Dimensions Video Standards BRAND GUIDE VERSION 1.0-10 October 2013 1. Introduction 3 1.1.

More information

INSTRUCTIONS FOR SEALING/EXPUNGING AN ADULT CRIMINAL COURT RECORD

INSTRUCTIONS FOR SEALING/EXPUNGING AN ADULT CRIMINAL COURT RECORD INSTRUCTIONS FOR SEALING/EXPUNGING AN ADULT CRIMINAL COURT RECORD Complete the following paperwork for this process: Step 1. Florida Department of Law Enforcement (FDLE) Certificate of Eligibility packet

More information

Application for Emergency or Temporary Authority To Transport Passenger or Household Goods

Application for Emergency or Temporary Authority To Transport Passenger or Household Goods Form 703 State Form 50216 (R4 / 10-12) Indiana ID/USDOT Number (To be completed by the department) Application for Emergency or Temporary Authority To Transport Passenger or Household Goods Application

More information

Adult Citizenship Education Content Standards and Foundation Skills

Adult Citizenship Education Content Standards and Foundation Skills Guide to the Adult Citizenship Education Content Standards and Foundation Skills A Framework for Developing a Comprehensive Curriculum M-1121 (11/14) Naturalization The Naturalization Pre-Interview Components

More information

POWER OF ATTORNEY FORM. AUTHORIZED BY SECTIONS 3109.65 to 3109.73 OF THE OHIO REVISED CODE I, the undersigned, residing at, in the

POWER OF ATTORNEY FORM. AUTHORIZED BY SECTIONS 3109.65 to 3109.73 OF THE OHIO REVISED CODE I, the undersigned, residing at, in the POWER OF ATTORNEY FORM AUTHORIZED BY SECTIONS 3109.65 to 3109.73 OF THE OHIO REVISED CODE I, the undersigned, residing at, in the county of, state of, hereby appoint the child's grandparent,, residing

More information

CONTRACTOR QUALIFICATIONS STATEMENT

CONTRACTOR QUALIFICATIONS STATEMENT Page 1 of 6 CONTRACTOR QUALIFICATIONS STATEMENT The undersigned certifies under oath the truth and correctness of all statements and of all answers to questions made hereinafter. SUBMITTED TO: St. Vrain

More information

INFORMATION AND DOCUMENTATION REQUIRED FOR PETITION FOR UNCLAIMED FUNDS

INFORMATION AND DOCUMENTATION REQUIRED FOR PETITION FOR UNCLAIMED FUNDS INFORMATION AND DOCUMENTATION REQUIRED FOR PETITION FOR UNCLAIMED FUNDS I. A request BY AN OWNER OF RECORD for payment of Unclaimed Funds must include the following documents Petition for Payment of Unclaimed

More information