Arizona Game and Fish Department FOR DEPARTMENT USE ONLY Date Received Phx Region Date Reviewer Received Review Completion Date Approved Denied PLEASE PRINT OR TYPE Valid From To PHYSICIANS CERTIFICA

I further certify that this disability is permanent Physicians Name and License No Please Print Name of Medical Facility Address of Medical Facility Street Address City State Zip SIGNATURE Date Telephone Social Security Number is voluntaryto be use

23 certify that given above the anAbelief.

Distric 162 81 Distric 100 204 Stat Oi For Revise Submi

not to exceed six months SECTION Physician Disability Certificatio I certify that I am a licensed physician

I further certify that I have treated or I am familiar with the medical treatment provided to the person applying for the Disabled Special Group Plate andor placard and that this persons condition is as stated in this section Cannot walk two hundred

NJ Charging Challenge

��Page of Proof of InstallationForm Employer Name: Mailing Address: _____________________________________________________________________________________________________________________

EXAMINATION-II (INTERVIEW POSTS) (GROUP-II), 2013-2014(AFTER CERTIFICA

01012629801012630201012637001012638301012648501012730801012731201012736901012738901012739801012816901012820801012822201012825901012835501012835701050113501050220001050505601050515601050520801050820401

Nominal weights and dimensions REV ISO DNV Certifica

REGISTERED FIRM Magnesium TM Soil Anodes High Potential Magnesium SuperMag High Potential Magnesium An odes from Galvotec Alloys Inc offers typi cal high workingldriving potentials of 170 volts or better vs copperlcopper sulfate ref erence electrode

Nominal weights and dimensions REV ISO DNV Certifica

REGISTERED FIRM Composition Galvotecs MilSpec zinc anode meet the latest MilSpec revision This alloy is also covered by ASTM41895 Type I Galvotecs MilSpec zinc anodes are effective economical corro sion fighters in applications where temperature exp

AND ONLY FOR THOSE USES COVERED BY THE CERTIFIED APPLICATORS CERTIFICA

SUPPLEMENTAL LABELING Syngenta Crop Protection, LLC

Effort Certification at

UACES. SANDRA WILLIAMS. Office of Sponsored Programs. Effort and Effort Reporting. Effort. is defined as the amount of time spent on a. particular activity. It includes the time spent working on a sponsored project in which salary is directly charged or contributed (cost-shared effort). .

This is to certify that Ms. / Mr. _________________________________ D / S / O Mrs. / Mr. ___________________________________ has successfully completed the Certificate / Diploma/ Degree/ P.G. diplom