Witness Statement. 8. Before leaving the doctor’s office, obtain the Physician’s Release/Work Status and the Job Analysis/Work Recommendations Report from the clinic/hospital doctor after each doctor’s visit via email or fax to Xxxxxxxx XxXxxxx at 000-000-0000.
Witness Statement. 7. Copy of policy report(in case of legal case)
Witness Statement. I hereby swear that on the 13th day of June in the year 2003 before me, the undersigned, personally appeared Xxxxxxx Xxxxx, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the person on behalf of which the individual acted, executed the instrument. Witness my hand this l3th day of June, 2003. Xxxxxxx Xxxxxx-Xxxxxxxx COUNTY OF NEW YORK ) ) ss STATE OF NEW YORK ) On the 13th day of June in the year 2003 before me, the undersigned, personally appeared Xxxxxx Xxxxxxx, Xxxxxx Xxxxx Xxxxxxxxxx, Moms Seton, and Xxxxx Xxxxxx, personally known to me or proved to me on the basis of satisfactory evidence to be the individuals whose names are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in their capacities, and that by their signatures on the instrument, the person on behalf of which the individuals acted, executed the instrument. Witness my hand and notarial seal this 13th day of June, 2003. Notary Public
Witness Statement. I hereby swear that on the 13th day of June in the year 2003 before me, the undersigned, personally appeared Xxxxxxx Xxxxx, personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed to the within instrument and acknowledged to me that he executed the same in his capacity, and that by his signature on the instrument, the person on behalf of which the individual acted, executed the instrument. Witness my hand this l3th day of June, 2003. /s/ Xxxxxxx Xxxxxx-Xxxxxxxx Xxxxxxx Xxxxxx-Xxxxxxxx SCHEDULE 1.01 SECURITY DOCUMENTS Statutory Mortgage Deeds means, collectively, the following statutory mortgages:
Witness Statement. The witness cannot be the partner involved in the treatment I have personally verified the identity of patient with the following identification document (please check one of the choices below). Patient signed this consent in my presence. Patient 1’s health insurance card Patient 1’s driver’s licence Patient 1’s passport number OR I know patient 1 personally Name of witness Address Signed on the day of the month of , in the year at (city). Signature of witness
Witness Statement. This form was signed by ...................................................................................... on the........................................day of .............................................................20 before me (print full name).............................................................................................. Signed......................................................................................................................... Office of witness*….……………………………………………………………………. Address of witness.…………………………………………………………………….. ……………………………………………………………………………………………… ……………………………………………………………………………………………… * In England and Wales this form must be witnessed by an officer of the Children and Family Court Advisory and Support Service (Cafcass) or, where the child is ordinarily resident in Wales, by a Welsh family proceedings officer.
Witness Statement. DATE: NAME: TITLE: TEMPORARY ADDRESS: PHONE NO: PERMANENT ADDRESS: PHONE NO: LOCATION AT TIME OF ACCIDENT: DESCRIBE, TO THE BEST OF YOUR KNOWLEDGE, HOW THE ACCIDENT HAPPENED: Exhibit 7 — Notice of Safety Non-Compliance To: , Site Representative for Your company has been found to be in non-compliance with one or more Federal, State, Company or JWA/Construction Management’s safety requirements as specified below. This safety non-compliance must be corrected immediately for your company to meet the requirements of your subcontract. Item # Item of Non-compliance Applicable Safety Requirement Item # Item of Non-compliance Applicable Safety Requirement Item # Item of Non-compliance Applicable Safety Requirement Issued By: Signature of Project Manager or Site Manager Date Received By: Signature of Representative Receiving Notice Date Contractor’s Response(s): cc: Area Company Operations Manager Corporate Health & Safety Representative Exhibit 8 Stop-Work Order Form Contractor/Subcontractor: Project Manager: Date: Verbal Stop-Work Notice Given To: Date: Time: Date: Time: Reason for Stop-Work Order: Corrective Action to Be Taken by Contractor:
Witness Statement. I declare that the Registrant who signed this document is personally known to me, that he/she signed or acknowledged this document in my presence, and that he/she appears to be of sound mind and under no duress or undue influence. Signature: Print Name: (Witness #1) DATED: / / Signature: Print Name:
Witness Statement. Xxxxx Xxxxx-Reply on Jurisdiction-[Second Statement]-ENG Expert Reports Expert Report-Name of Expert-Type-Name of Submission- LANGUAGE Expert Report-Xxxxx Xxxxx-Valuation-Claimants’ Submission on Quantum-ENG Expert Report-Xxxxx Xxxxx-Valuation-Reply on Quantum-[Second Report]-ENG Legal Opinions Legal Opinion-Name of Expert-Name of Submission-LANGUAGE Legal Opinion-Xxx Xxxxx-Statement of Defence on the Merits-ENG Legal Opinion-Xxx Xxxxx-Rejoinder on the Merits-[Second Opinion]- ENG Exhibits to Witness Statements, Expert Reports, Legal Opinions WITNESS/EXPERT INITIALS–### For exhibits filed with the Witness Statement of [Xxxxx Xxxxx] MJ-0001 MJ-0002 For exhibits filed with the Legal Opinion of [Xxx Xxxxx] TK-0001 TK-0002 For exhibits filed with the Expert Report of [Xxxxx Xxxxx] LS-0001 LS-0002 INDICES Consolidated Hyperlinked Index Index of Exhibits-C-#### to C-#### Index of Exhibits-C-0001 to C-0023 Index of Legal Authorities-RLA-### to RLA-### Index of Legal Authorities-RLA-0001 to RLA-0023 OTHER APPLICATIONS Name of Application–[Party]-LANGUAGE Preliminary Objections under Rule 41(5)-SPA Request for Bifurcation-ENG Request for Provisional Measures-[Respondent]-SPA Request for Production of Documents-[Claimant]-SPA Request for Stay of Enforcement-SPA Request for Discontinuance-[Claimant]-ENG Post-Hearing Brief-[Claimant]-SPA Costs Submissions-[Respondent]-ENG Observations to Request for [XX]-[Claimant]-SPA ANNEX C MODEL XXXXXXX SCHEDULE FOR DOCUMENT REQUESTS No . Documents or category of documents requested (requesting Party) Relevance and materiality, incl. references to submission (requesting Party) Reasoned objections to document production request (objecting Party) Response to objections to document production request (requesting Party) Decision (Tribunal) References to Submissions, Exhibits, Witness Statements or Expert Reports Comments ANNEX D TERMS OF APPOINTMENT IN THE MATTER OF AN ARBITRATION UNDER THE NORTH AMERICAN FREE TRADE AGREEMENT AND THE AGREEMENT BETWEEN THE UNITED STATES OF AMERICA, THE UNITED MEXICAN STATES, AND CANADA -and- THE ARBITRATION RULES OF THE UNITED NATIONS COMMISSION ON INTERNATIONAL TRADE LAW (1976) -between- AMERRA CAPITAL MANAGEMENT, LLC, AMERRA AGRI FUND, L.P., AMERRA AGRI OPPORTUNITY FUND, L.P., AND JPMORGAN CHASE BANK, NATIONAL ASSOCIATION, ON BEHALF OF THE JPMORGAN CHASE RETIREMENT PLAN (the “Claimants”) and THE UNITED MEXICAN STATES (the “Respondent”) ICSID Case No. UNCT/23/1
Witness Statement. In the Isle of Man the document should be signed before a justice of the peace or a commissioner for oaths. In the United Kingdom, it should be witnessed by a justice of the peace or a commissioner for oaths, or (in Scotland) a sheriff. Outside the Isle of Man and the United Kingdom, it should be signed before a person authorised by law in the place where the document is executed to administer an oath for any judicial or legal purpose, a British consular officer, a notary public or, if the person executing the document is serving in the regular armed forces of the Crown, an officer holding a commission in any of those forces.
