Facility Name. Address: Telephone: Provider EIN: U. S. Department of Defense Defense Health Agency 00000 Xxxx Xxxxxxxxxx Xxxxxxx Xxxxxx, Xxxxxxxx 00000-9066 ARTICLE 1
Facility Name means the name under which a Facility has done business during the Term. The Facility Name in use by each Facility on the Effective Date is set forth on the attached Exhibit C.
Examples of Facility Name in a sentence
The list shall contain i) Pharmacy Information, including Pharmacy Name, Pharmacy NCPDP #, Pharmacy Address, LTC Facility Name, LTC Facility Address and LTC Facility Phone Number and ii) a Member list by Facility, including each Member’s Name, ID# and DOB.
These commingled drop boxes will be taken to [Sorting Facility Name and Location].
Does not apply to contractor-operated institutions.Business or Facility Name of Fee Exempt Institution.
Facility Representative’s Name (Print): Signature: Date: Preferred contact method: Phone EmailFacility Representative’s Phone #: Email: Pre-enrollment Lease Disclosure Form Resident’s Name: DOB: Facility Name: Facility Address: City: Zip: Facility Phone #: I (resident) have an existing lease contract with this facility and have been paying a total of ($ ) per month for the room, board and care that I’ve received.
Facility Name MEPDES # Facility Representative Signature Pipe # To the best of my knowledge this information is true, accurate and complete.
More Definitions of Facility Name
Facility Name. ADDRESS: TELEPHONE: PROVIDER EIN: Defense Health Agency 00000 Xxxx Xxxxxxxxxx Xxxxxxx Xxxxxx, Xxxxxxxx 00000-9066
Facility Name means the name under which a Facility has done or will do business during the Term. The Facility Name in use by each Facility on the Effective Date (or upon commencement of operations in the case of a Development Project) is set forth on the attached Exhibit C. Exhibit C shall be amended for each Development Project that does not have an identified Facility Name on the date of the Lease. Further, Tenant will have the right to change the Facility Name from time to time during the Term by giving written notice to Landlord 30 days prior to a change in the Facility Name.
Facility Name. [Facility Name] Facility Address: [Facility Address] Permit Number: [Permit Number] Closure Costs: $ [Amount] Post-Closure Care Costs: $ [Amount] Corrective Action Program: $ [Amount] Potential Assessment and Corrective Action: $ [Amount] Total Aggregate Amount to be Funded by this Trust: $ [Amount] Schedule B for Trust Agreement [For Standby Trust] Trust Property: This Fund shall consist of funds drawn from [insert type of mechanism] [ex. Letter of credit No.[insert number] dated [date] issued by [name of bank] at such time said funds are directly deposited into the Trust account. [For Funded Trust] Trust Property: This Fund shall consist of cash in the amount of $[insert cash amount]. [Aggregate full amount of closure, post-closure care, any corrective action program, and potential assessment and corrective action from Schedule A.] OR, for pay-in period over the term of the initial permit or the remaining life of the solid waste management facility, include a payment schedule. Trust Property: This Fund shall consist of annual cash payments made in accordance with the following schedule: [For Funded Trusts: For Each Facility:] Facility Name: [Facility Name] Facility Address: [Facility Address] Permit Number: [Permit Number] Initial Payment of $[insert dollar amount] on [date of execution] for Cell 1 [insert date Agreement is executed.] Subsequent payment of $[insert dollar amount], payable on [anniversary date of execution]. Subsequent payment of $[insert dollar amount], payable on [anniversary date of execution]. Subsequent payment of $[insert dollar amount], payable on [anniversary date of execution] Subsequent payment of $[insert dollar amount], payable on [anniversary date of execution] Subsequent payment of $[insert dollar amount], payable on [anniversary date of execution] Account Information: Account Number assigned to this Trust Agreement: [Account Number] Amount of Deposit: [Amount of Deposit (zero dollars if used for a standby trust)] Date: [Date] Bank/Branch location for this trust account: Bank/Branch Name: [Bank/Branch Name] Location Address: [Location Address] City & State: [City & State] Contact Person at Bank: Name: [Name] Title: [Title] Phone Number: [Phone Number] Exhibit A for Trust Agreement The following persons, acting singly or collectively, shall have the right to issue instructions to the Trustee pursuant to Section 14 of the Agreement: Name: [insert name] Position: [insert position]
Facility Name means the business or operational name asso- ciated with a storage facility.
Facility Name. Rockdale Healthcare Center Facility Address: 0000 Xxxxxxxxxxx Xxxxx, Xxxxxxx, Xxxxxxx Legal Description: ALL THAT TRACT OR PARCEL OF LAND lying and being in Land Xxx 000 xx xxx 00xx Xxxx Xxxxxxxx, Xxxxxxxx Xxxxxx, Xxxx of Conyers, Georgia, containing 5.038 acres and being more particularly described as follows: TO FIND THE TRUE POINT OF BEGINNING, begin at a point formed by the intersection of the northeasterly 100 foot right-of-way of Xxxxxx Road, and the northwesterly 50 foot right-of-way of Renaissance Drive; thence proceeding N 47°-09’-43” E along the right-of-way of Renaissance Drive, a distance of 936.30 feet to a point; thence along a curve to the left an arc distance of 21.22 feet and a radius of 20 feet to a point, said arc being subtended by a chord of N 16°-46’-17” E, 20.24 feet; thence N 13°-37’-09” W, a distance of 60.74 feet to a point; thence N 47°-09’-43 E, a distance of 19.38 feet to a chisled hole in a catch basin lid, the TRUE POINT OF BEGINNING; THENCE North 63 degrees 17 minutes 49 seconds West for a distance of 407.99 feet to a 1/2” iron pin found, THENCE North 14 degrees 50 minutes 59 seconds East for a distance of 20.00 feet to a 3/4” crimp top pin found, THENCE North 14 degrees 50 minutes 59 seconds East for a distance of 324.88 feet to a 1/2” re-bar found, THENCE North 08 degrees 12 minutes 01 seconds East for a distance of 20.00 feet to a 1/2” re-bar found, THENCE South 81 degrees 42 minutes 06 seconds East for a distance of 17.00 feet to a 1/2” iron pin set, THENCE North 19 degrees 40 minutes 14 seconds East for a distance of 138.10 feet to a 1” solid pin found, THENCE South 70 degrees 52 minutes 45 seconds East for a distance of 399.39 feet to a 1/2” iron pin set, THENCE South 16 degrees 33 minutes 39 seconds West for a distance of 507.63 feet to a 1/2” re-bar set, THENCE South 16 degrees 33 minutes 39 seconds West for a distance of 36.88 feet to a mag nail set, THENCE South 47 degrees 09 minutes 43 seconds West for a distance of 16.66 feet to a chisled hole in a catch basin lid, the TRUE POINT OF BEGINNING.
Facility Name. CCN: Address: County: City: State: ZIP: Name: Title: Email: Phone Number: