NAME : MONTREAL COGNITIVE ASSESSMENT (MOCA) Education : Date
POINTS TOTAL MEMORY NAMING VISUOSPATIAL / EXECUTIVE ATTENTION LANGUAGE ABSTRACTION DELAYED RECALL ORIENTATION Read list of words, subject must repeat them
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DS-82 01-2017 FEDERAL TAX LAW Section 6039E of the Internal Revenue Code (26 USC 6039E) and 22 U S C 2714a(f) require you to provide your Social Security number (SSN), if
Form 1957 - Bill of Sale or Even-Trade Bill of Sale
The seller must complete all applicable information and sign this form The Bill of Sale or Even-Trade Bill of Sale must be notarized when showing proof of ownership on major component parts of a rebuilt vehicle or when specifically requested to be notarized by the
Certificate of Fact
X Certificate of Fact Use this form to make a statement of fact License plate/Registration number Vehicle Identification Number (VIN) or Hull Identification Number (HIN)
REG 101 (REV 3/2007) WWW
vehicle license plate or vessel cf number vehicle/hull identification number (vin) make of vehicle/vessel builder last, first, middle california driver license or id card number
DR 2444 (05/13/08) COLORADO DEPARTMENT OF REVENUE DIVISION OF
Signature Date I certify, under penalty of perjury in the second degree, that the above facts are true and correct to the best of my knowledge Name
Deep play: notes on the Balinese cockfight Clifford Geertz
Reproduced with permission of the copyright owner Further reproduction prohibited without permission Created Date: 01/16/06 16:35
Link to Enterprise Email OWA: https://webmailmil/owa When
Link to Enterprise Email OWA: https://web mail mil/owa When it prompts you for a certificate, choose the “DOD EMAIL” certificate
Certificate of Acknowledgments
ACKNOWLEDGMENT State of California County of _____) On _____ ____ before me, _____ (insert name and title of the officer)
KANSAS TITLE AND REGISTRATION
Title: Title and Registration Manual Application TR-212a Author: Tosha McKnight [KDOR] Subject: Title and Registration Manual Application TR-212a
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