PDF-Name Address

nrnrrnATTACH SUPPORTING DOCUMENTATION OF GROSS INCOME GROSS SALES OR GROSS RECEIPTS FOR EACH QUARTER FINAL QUARTER SUBMISSIONS ATTACH THE 2021 FEDERAL TAX FORMS Please check one of the following st. Cr mo or chec ck ger ro to v ea app ch Your det ACK PEN rit CAPIT ter hroughou his f your CrossCountry journe Det Your Ti Passenger Char ay scheme Date of trav From Leg Reason for delay Price paid for tickets 57507 Sc re t Ticket type DD M YY Leg in Items cannot be returned t o PO Box Apt or Suite No CityState Zip Code Product Info Type of Product or Style Name Color Registration No if available Please describe the nature of the repair that you a re requesting The 2000 processing fee should be REPAIR FORM Company Name If Applicable First Name Last Name Address street address preferred City City State Zip Code Country Telephone Email Address Items being repaired Item Item Descripti 51 KASTURBA ROAD KASTURBA ROAD BANGALOR KARNATAKA 560001 75 Old Airport Road Bangalore AIRPORT RDBANGALORE GOLDEN TOWER AIRPORT ROAD KODIHALI BANGALOR KARNATAKA 560017 367 Seshadripuram Bangalore MEERA SADANNO 60 1ST MAIN ROAD SESHADRIPURAM BANGALOR Do you own rent your house rent an apartment Applicants Home Environment Information Do you presently have a dog or have you owned a dog before Name Breed MF Age Are there cats in your home no yes how many Are all of your pets spayedneutered If not No NAME OF CAPF NAME OF DWO OFFICE ADDRESS STATE DISTTPLACE CONTACT NO EMAIL ADDRESS AR Col RSYadav Garrison Commander AR Training Centre Diphu PODiphu DisttKarbi Anglong Assam Assam Haflong Karbi Anglong No code aidedunaided minority status Faculty Name of Principal Name of College Address Address Taluka City Pin Year of Establishment STD Code Telephone Telephone Fax Principal Telephone email email 2 Website mobil M Standard Time at the address of the Applicant ANSWER ALL QUESTIONS IF THEY DO NOT APPLY INDICATE NOT APPLICABLE Applica nt is a ndividual Corporation Partnership Joint Venture Li mited Liability Company Other Specify b wne Tenant c arber Shop Beaut No Name and address of the NGO BANGALORE U 1 Sumangali Seva Ashrama Cholanayakan ahalli Near HebbalRTPostBangalore560032 2 Abhaya Dhama Samsthe White fieldBangalore560066 3 Annapurna Sevashrama 3311st I am informing you in writing about these disrepairs as part of my duty under the Tenant Landlord Act and as part of my tenancy agreement signed between us The disrepairs are as follows XXXXXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXXXXX XXXXXXXXXXXXXX I Account Name Address 1 Address 2 Address 3 Contact # Abbey Pharmacy Lord Edward Street Kilmallock Co Limerick 063-98272 Askea Pharmacy Tullow Road Carlow 059-9142333 Ayrfield Pharmacy Grange Road Kilk Rnk NAME ADDRESS 1 ADDRESS 2 ADDRESS 3 EBI MILK FERT CALV BEEF MAINT MGMT HEALTH 1 COOLMOHAN KILWORTH CO CORK €234 €30 €174 €23 -€12 €18 -€1 €2 count*&#x-0.4;䦅　):- . idbPredicate(@A,Pid,Name), . adornment(@A,Pid,Rid,Pos,Name,Sig).mg2magicPred(@A,Pid,Name,Sig):- . goalCount(@A,Pid,Name,Count), . adornment(@A,Pid, , ,Name,Sig). . HEALTH COVERAGE ENROLLMENT FORM EMPLOYEE/PARTICIPANT INFORMATION SOCIAL SECURITY NUMBER CITY MALE FEMALE HOME PHONE SPOUSE INFORMATION IF N