Contact Phone Number. E-mail address
Contact Phone Number. Material Type (Solid Waste, Single Stream Recyclable Materials, Organic Materials, Dry Waste)
Contact Phone Number. The Contractor shall furnish a report of all Fleet Maintenance Services provided under the Contract during each quarterly period, no later than fifteen (15) days following the close of the quarterly period. Quarterly periods will end on March 31st, June 30th, September 30th and December 31st. Purchases by all Authorized Users under the Contract shall be reported in the same report and be indicated as required. All fields of information shall be accurate and complete. The report is to be submitted electronically via electronic mail utilizing the template provided, in Microsoft Excel 2010, or newer (or as otherwise directed by OGS), to the attention of the individual shown on the front page of the Contract Award Notification and shall reference the OGS group number, award number, Contract Number, sales period, and Contractor's (or other authorized agent) name, and all other fields required. OGS reserves the right to amend the report template during the Contract term. Light Duty Vehicles (< or = to 16,000 lbs. GVWR) Medium to Heavy Duty Vehicles (= to or >16,001 lbs. GVWR) Maintenance and Repair Service (Light Duty Vehicles) Contractor Invoice Number Contractor Invoice Run Date Contractor Invoice Due Date Authorized User Client Code "1" for State Agency or "2" for Non-State Entity (see "State Agency" tab) Authorized User Entity Name Vehicles Billed Per Vehicle Fee Total Invoiced Fee Vehicles Billed Per Vehicle Fee Total Invoiced Fee # of Occur. Billed Per Occur. Fee Total Invoiced Fee 123456 04/01/20 05/01/20 AB123 1 NYS Department of Transportation 60 $5.35 $321.00 10 $22.00 $220.00 75 $20.70 $1,552.50 123457 04/01/20 05/01/20 AB246 2 Town of Ballston 60 $5.35 $321.00 10 $22.00 $220.00 75 $20.70 $1,552.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Contractor Name: 0 Contract Reporting Period: 0 Contract Number: PS69147 OGS Group Number 72002 OGS Award Number 23168 75 $28.60 $2,145.00 5 $225.00 $1,125.00 5 $100.00 $500.00 5 $125.00 $625.00 5 $125.00 $625.00 5 $105.00 $525.00 75 $28.60 $2,1...
Contact Phone Number. The telephone number on the employee’s overtime contact information will be the only phone number used unless the employee is called on-duty or at the station or work assignment.
Contact Phone Number. As the owner/tenant of the above address of Silver Creek of Clay County HOA, I request pool membership to be granted to those members of my household listed below. We have read and understand the Swimming Pool Rules and Guidelines governing the swimming pool and hereby agree to abide by said rules.
Contact Phone Number. I, will be responsible for all CBA transactions in the amount of: $ associated with my travel.
Contact Phone Number. We may contact you to verify that this application is authorised by the applicant organisation Must be an email address. Must be a date Feedback You are now nearing the end of this form. Before you review your application and click the SUBMIT button please take a few moments to provide some feedback. ○ Not difficult ○ Somewhat ○ Difficult ○ Very difficult ○ Don't know / difficult not applicable ○ Somewhat ○ Somewhat ○ Very difficult to○ Don't know / use easy to use difficult to use use not applicable ○ Very ○ Somewhat ○ Somewhat ○ Very ○ Don't know / effectively effectively ineffectively ineffectively not applicable ○ Yes ○ No ○ Very satisfied ○ Somewhat ○ Somewhat ○ Very ○ Don't know / satisfied unsatisfied unsatisfied not applicable
Contact Phone Number. Project Description (provide a brief description of the actual scope of work not just “housing rehab”) Project Address (Street, City, Zip): Project County: Reason Project Activity is Excluded from Review (use Appendix B of the PA): Section 1, 2 or 3: Notes: Pictures: Take a before picture of the primary façade of any buildings directly impacted by project activities. Attach them to this form.
Contact Phone Number. Event/Purpose Date of Event/Purpose Targeted Audience Estimated Number of Attendees
Contact Phone Number. If you are the parent or court appointed legal guardian of the person being registered, please complete the following. Printed (Full Legal Name) Signature I am the ☐ Parent of the registrant Send Completed registration forms to: Drop Off: at your local Police Dept. Email to: xxxxxxxxxxx@xxxxxxxxxxxxxxxxxx.xxx or FAX to 815‐844‐7399 ☐ Legal guardian of the registrant * By registering into the Premise Alert Program, I also agree to the terms/conditions (on back): 11/05/2020 By registering for this program, I agree to the following terms/conditions.
