ANSWER THE FOLLOWING QUESTIONS. (a) Was any tire replaced as a result of blowout, puncture, laceration, cut, or similar damage to the tire from an external source? YES NO If you answered YES, list the number of tires that had such damage:
ANSWER THE FOLLOWING QUESTIONS. 1. Have you ever been convicted of any crime or offense? Yes
ANSWER THE FOLLOWING QUESTIONS. 1) Does partnership firm possess a separate legal entity ? Give reasons .
ANSWER THE FOLLOWING QUESTIONS. When available, would you like to go ‘paperless’ with your bill? This option is to be available soon and will require your email address; if you choose YES, you will NOT get a paper bill mailed. At this time ‘both’ US Mail and Email is not an option. Your email address is only available to the City of St. Xxxxxx and will not be made available to anyone else. It is considered confidential information along with all information on this application. At no time will the City of St. Xxxxxx ask you for personal information, social security number, or bank information electronically. Circle One: YES – NO EMAIL ADDRESS TO SEND: *HAS ANYONE IN THE RESIDENCE HAD PRIOR SERVICES WITH THE CITY? [ ] YES OR [ ] NO *CAN DETAILS ABOUT THIS ACCOUNT BE LEFT ON YOUR VOICE MAIL MESSAGE SYSTEM: Yes or NO *WOULD YOU LIKE TO BE SET UP ON DIRECT BANK WITHDRAW? { } Yes { } No IF YOU DO: Bank Name: Account #: Routing #: { } Checking { } Savings Signature of Applicant: _ Date: / / Signature of Co-Applicant: Date: / / FOR OFFICE USE ONLY: Order Taken By: Account Number: DEPOSIT AMOUNT POSTED: $ BELOW ARE THE TERMS AND CONDITIONS AGREED TO (INITIAL THIS):
ANSWER THE FOLLOWING QUESTIONS. Yes No -----------------------------------------------------------------------------------------------------------------
ANSWER THE FOLLOWING QUESTIONS. Yes No a. Has any Proposed Insured ever had a heart attack, [ ] [ ] stroke, cancer, diabetes or disorder of the immune system, or during the last two years been confined in a hospital or other health care facility or been advised to have any diagnostic test (exclude HIV testing) or surgery not yet performed?
ANSWER THE FOLLOWING QUESTIONS. 1. .Name two air born diseases. 2. What does air contain? 3. List three causes of air pollution. 0.Xxxx the disease that can be caused due breathing in polluted air? II) MATCHING Column A Column B 1. Inhalation a. air that blows gently. 2. Wind b. amount of water vapour present in the air. 3. Exhalation c. taking in air. 4. Breeze d. fast moving air. 5. Humidity e. giving out air. ANSWER KEY -(20.7.20 -25.7.20)
ANSWER THE FOLLOWING QUESTIONS. Ans1) Two air born diseases are – 1. Asthma 2. Bronchitis 27.07.20 29.07.20 Ans2) Air contains 21% Oxygen, 78% Nitrogen and 1% other gases Ans3) The three causes of air pollution are- 1. Dust from streets. 2. Smoke from factories. 3. Burning garbage Ans4) The diseases that can be caused due to breathing in polluted air are- asthma , bronchitis and other respiratory diseases . II) MATCHING 1c, 2d, 3e,4a,5b. PRACTICE WORKSHEET (27.7.20 – 1.8.20)
ANSWER THE FOLLOWING QUESTIONS. 1. State two examples that we see in our daily life which shows that air exerts pressure. 2.State two differences between inhalation and exhalation. 3. Why should you not cover your face with a sheet while sleeping? 4. Write any three properties of air. II)
ANSWER THE FOLLOWING QUESTIONS. 1. Is this equipment a replacement request for old FEPP property? YES NO If YES, give inventory number. Reason for replacement: Do you have housing for the unit? YES NO If no to question “2”, is housing under construction? YES NO Is this a new station? YES NO
