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Rabies certificates 2007 2018... RABIES VACCINATION CERTIFICATE NASPHV FORM 51 revised 2007 RABIES TAG Owner s Name Address LAST FIRST Print Clearly M. I. MICROCHIP TELEPHONE NO. STREET CITY SPECIES Dog Cat Ferret Other AGE PREDOMINENT BREED PREDOMINANT COLORS/MARKINGS SIZE Months Under 20 lbs. Years 20 - 50 lbs. SEX Male Over 50 lbs. Female specify Neutered Animal Control License 1 Yr 3 Yr DATE VACCINATED Product Name ANIMAL NAME Veterinarian s Name Manufacturer Month / Day / Year NEXT VACCINATION DUE BY License Number First 3 letters 1 Yr USDA Licensed Vaccine Initial dose Booster dose Vaccine Serial lot Number Address STATE ZIP. I. MICROCHIP TELEPHONE NO. STREET CITY SPECIES Dog Cat Ferret Other AGE PREDOMINENT BREED PREDOMINANT COLORS/MARKINGS SIZE Months Under 20 lbs. Years 20 - 50 lbs. SEX Male Over 50 lbs. Female specify Neutered Animal Control License 1 Yr 3 Yr DATE VACCINATED Product Name ANIMAL NAME Veterinarian s Name Manufacturer Month / Day / Year NEXT VACCINATION DUE BY License Number First 3 letters 1 Yr USDA Licensed Vaccine Initial dose Booster dose Vaccine Serial lot Number Address STATE ZIP.

Fedex certificate of origin fo... OMB No. 1651-0016 Exp. 02-28-2015 DEPARTMENT OF HOMELAND SECURITY 1. PORT U.S. Customs and Border Protection 2. 23. SIGNATURE OF SHIPPER VERIFICATION OF CBP OFFICER I hereby certify that I have investigated the foregoing 24. DATE statements and am satisfied that they are correct to the best of my knowledge and belief. SEE BACK OF FORM FOR FOOTNOTES AND PAPERWORK REDUCTION ACT NOTICE. CBP Form 3229 06/09 Paperwork Reduction Act Statement An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number and an expiration date. DATE statements and am satisfied that they are correct to the best of my knowledge and belief. SEE BACK OF FORM FOR FOOTNOTES AND PAPERWORK REDUCTION ACT NOTICE. CBP Form 3229 06/09 Paperwork Reduction Act Statement An agency may not conduct or sponsor an information collection and a person is not required to respond to this information unless it displays a current valid OMB control number and an expiration date. The control number for this collection is 1651-0016. The estimated average time to complete this application is 22 minutes. DATE CERTIFICATE OF ORIGIN 4. NAME OF PERSON COMPLETING CERTIFICATE ARTICLES SHIPPED FROM INSULAR POSSESSIONS EXCEPT PUERTO RICO TO THE UNITED STATES 1 5. NAME OF FIRM 19 CFR 7. 3 6. SHIPPERS EXPORT DEC. NO. 7. DATE FILED 9. DESTINATION Port of 8. CARRIER Vessel or Airline 10. CONSIGNED TO MARKS AND NUMBERS 3. CERTIFICATE NO. 11. LOCATION OF CONSIGNEE City and State QUANTITY DESCRIPTION OF ARTICLES FOREIGN MATERIALS 2 Description Value MATERIALS DESCRIBED IN GENERAL NOTE 3 a iv B 2 3 Date Incorporated into Date Imported into Imported Goods Insular Possession 20. INSULAR POSSESSION WHERE MERCHANDISE WAS PRODUCED OR MANUFACTURED 21. INSULAR POSSESSION OF WHICH MATERIALS ARE THE GROWTH PRODUCT OR MANUFACTURE 22. ADDRESS OF SHIPPER I declare that I am the person named above acting in the capacity indicated that the description and other particulars of the merchandise specified above are correct as set forth in this certificate that the said merchandise was produced or manufactured in the insular possession named above and from the materials grown produced or manufactured in the insular possession also named above or of the United States or of both that if foreign materials were used therein their description and value are shown above. 23. SIGNATURE OF SHIPPER VERIFICATION OF CBP OFFICER I hereby certify that I have investigated the foregoing 24. The control number for this collection is 1651-0016. The estimated average time to complete this application is 22 minutes. If you have any comments regarding the burden estimate you can write to U*S* Customs and Border Protection Office of Regulations and Rulings 799 9th Street NW* Washington DC 20229. FOOTNOTES 1 General Note 3 a iv Harmonized Tariff Schedule of the United States HTSUS. 2 Each foreign material i*e* a material which originated in sources other than an insular possession or the United States shall be listed on a separate line under columns 15 and 16.

Certificate of origin template... DEPARTMENT OF HOMELAND SECURITY U.S. Customs and Border Protection United States-Caribbean Basin Trade Partnership Act (CBTPA) OMB 1651-0083 Exp. 08-31-2013 CERTIFICATE OF ORIGIN 19 CFR 10.234, 10.236

Fema elevation form fillable FEDERAL EMERGENCY MANAGEMENT AGENCY O.M.B. NO. 3067-0147 Expires September 30, 2005 ELEVATION FORM PAPERWORK BURDEN DISCLOSURE NOTICE Public reporting burden for this form is estimated to average

Us customs air worthiness cert... U.S. Department of Transportation INFORMATION FOR APPLICANT Federal Aviation Administration APPLICATION FOR U.S. AIRWORTHINESS CERTIFICATE Privacy Act Statement Information on FAA Form 8130-6, Application

Bi 154 birth certificate form G.P.-S. 017-0174 BI-154 REPUBLIC OF SOUTH AFRICA DEPARTMENT OF HOME AFFAIRS APPLICATION FOR BIRTH CERTIFICATE This form must be handed in at a Regional or District office together with the prescribed

Alaska certificate of fitness... APPLICATION FOR CERTIFICATE OF FITNESS Alaska Department of Labor & Workforce Development Mechanical Inspection 3301 Eagle Street, Suite 302 Anchorage, Alaska 99503-4149 Anchorage (907) 269-4925

Nj certificate rehabilitation... ROSS CHAIRMAN SAMUEL J. PLUMERI JR. VICE-CHAIRMAN Application for Certificate of Rehabilitation Certificate Suspending Certain Employment Occupational Disabilities or Forfeitures Instructions All questions must be answered in full. Use typewriter or print legibly in ink. You may attach additional sheets to provide the information required please number your answers accordingly. Send the completed application to New Jersey State Parole Board PO Box 862 Trenton NJ 08625-0862 NAME ADDRESS TEL. I am requesting a Certificate for the following reason state reason for Certificate and/or identify the specific license or public employment position you are seeking 1. State of New Jersey CHRIS CHRISTIE GOVERNOR KIM GUADAGNO NEW JERSEY STATE PAROLE BOARD P. O. BOX 862 TRENTON NEW JERSEY 08625 TELEPHONE NUMBER 609 292-4257 YOLETTE C. ROSS CHAIRMAN SAMUEL J* PLUMERI JR* VICE-CHAIRMAN Application for Certificate of Rehabilitation Certificate Suspending Certain Employment Occupational Disabilities or Forfeitures Instructions All questions must be answered in full* Use typewriter or print legibly in ink. You may attach additional sheets to provide the information required please number your answers accordingly. Send the completed application to New Jersey State Parole Board PO Box 862 Trenton NJ 08625-0862 NAME ADDRESS TEL* I am requesting a Certificate for the following reason state reason for Certificate and/or identify the specific license or public employment position you are seeking 1. List any other names by which you have been known 2. Provide all previous NJDOC SBI or other identification numbers New Jersey Is An Equal Opportunity Employer List Date of Parole Parole District Office or location Max Date end of supervision Did you successfully complete your parole term without any violation of parole or sanction Yes No If you answered No explain how you violated parole and the Final Revocation Decision made by the Board Panel 4. Date of Birth Soc* Sec* Drivers Lic* State 5. Have you been arrested since your release from parole supervision If so list the date of arrest the specific offense and the arresting agency or Police Dept. 6. List all final Court disposition s pertaining to any arrest noted in item 5 Date of Sentence Location of Court Sentence Fine etc* 7. Do you currently have a pending charge against you If yes list the date of arrest specific offense and arresting agency or Police Dept. 8. List each term of community supervision Parole and/or Probation Agency Date Supervision Began Date of Discharge Violation 9. List each instance or occasion you were incarcerated in a State or County correctional facility NJ and any other jurisdictions must be included Name and Location of Facility Date Entered Date Released 10. List all offenses for which you have been convicted as an adult offender or adjudicated delinquent as a juvenile offender. You must include the specific offense type and degree of the offense for which you were convicted or 11. Have you been the subject of any action under the Prevention of Domestic Violence Act or had a restraining order placed against you since your release from parole supervision If yes please explain in detail 12.

Death certificate south caroli... A photocopy of a government, school or employer photo identification must be submitted with all requests. Applications without proper identification will be returned unprocessed. Vital Records Marriage/Divorce

Dmv vehicle removal certificat... VEHICLE REMOVAL CERTIFICATE Purpose: VSA 40 (10/01/2009) This form is used by any person (individual, business, government; see VA Code 1-230) or their authorized agents to track and record the disposition

Online certificate fillable ll... DISADVANTAGED BUSINESS ENTERPRISE PROGRAM 49 C.F.R. PART 26 UNIFORM CERTIFICATION APPLICATION ROADMAP FOR APPLICANTS Should I apply? o o o o Is your firm at least 51%-owned by a socially and economically

Fax application for wisconsin... DEPARTMENT OF HEALTH SERVICES Division of Public. Health F-05292 Rev. 01/15 STATE OF WISCONSIN Chapter 69. 21 1a 2b Wis. Stats Page 1 of 2 FAX APPLICATION FOR A WISCONSIN BIRTH CERTIFICATE Personally identifying information requested on this form including credit card information and your signature will be used to process your application and payment for the requested copies.

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