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2WSLEGAL0688590001413554742v13cthe WSLEGAL0688590001413554742v14WSLEGAL0688590001413554742v15 6 The WSLEGAL0688590001413554742v1SCHEDULE WSLEGAL0688590001413554742v1Argent 500010000 15000 2500 2500500. SO 85HA 161994S 87 dated 11 th October 2013 Sr No General Details Write Yes No in the boxes given below Municipality Municipal Corporation Panchkula Property Address Property House No Ward No Sector Colony Name City Pin Code Property ID if any Res seller hereby certify that the following damage disclosure statement is true and correct for the following described motor vehicle year make VIN The buyer must complete this Section if The vehicle was purchased from a nonresident OR The vehicle was I hereby agree to comply with the provisions set forth in Sunnyvale Municipal Code Chapter 990 Alarm Users Permit Authorized Signature Date Please mail the completed application with a check made payable to Sunnyvale Dept of Public Safety Attn Alarm Exam Date Signature of Eye Specialist Physician Li cense Number Business Address Form not valid after 1 year from exam date Telephone Date Corrective Lenses Issued Signature of Eye Associate Business Address Telephone Number I understand that if accepted for membership it will be my duty to exemplify the Object of Rotary in all my daily contacts and activities and to abide by the constitutional documents of Rotary International and the club I agree to pay any admission Hereby verify that has enrolled and is attending above named school location for the academic year prior to October 1st of the current year 57374is student has been enrolled as of Signature Date Title School Administrator Principal or Vice Princ SIGNATURE Place Date HUSBAND WIFE Name address etc of witnesses Name Fat her s Name Full Address Signature 1 2 3 4 Therefore I hereby apply for membership First Last Name Date of Birth Home Phone Work Phone Cell Phone Address City PC EMail Occupation Marital Status Single Married Divorced Widow I am the daughter of Dr Robert Holbrook Smith and Anne Robinson Ripley Smith My father was also known as Dr Bob and was one of the founders of Alcoholics Anonymous AA along with my mother Anne Smith Henrietta Seiberling and William I Dotson all of Details about the Job description eligibility conditions etc and the application form are attached herewith The last date for receipt of completed applications is 10 th November2014 brPage 2br GOVERNMENT OF INDIA Ministry of Agriculture Department o 5736457362H57347FRQ57536UP57347WKDW57347WKH57347SHUVRQ57347VLJQLQJ57347EHORZ57347KDV57347UHDG57347DQG57347XQGHUVWRRG57347WKH573475HFHLYDEOHV57347LQDQFH573476XSSOHPHQWDU57347JUHHPHQW Terms and Conditions and accepts them as or on behalf of the Client These articles entered herein are being imported for state whether for sale or personal use These ethnographic objects are made in the traditional aboriginal style and the other antiques were made prior to 100 years before their date of entry all t Also I do hereby declare that there is no child la bour engaged in our establishment to work for our establishment and I fully understand that the signa ture furnished above will be used as my authenticat e signature for the Registration purpose of We, the undersigned, hereby petition to the American Meteorological SocietyCouncil for authorization to form a local chapter of said society in accordance with theThis organization, to be known as the