REQUESTED BY. AUTHORIZED SIGNER'S NAME AUTHORIZED SIGNATURE: ______________________________________________________ PHONE NUMBER: ______________________________________________________________ FROM ACCOUNT # ______________________ TO ACCOUNT # ________________________ REQUESTED TRANSACTION TYPE REQUESTED DOLLAR AMOUNT PRINCIPAL INCREASE (ADVANCE) $______________________________ PRINCIPAL PAYMENT (ONLY) $______________________________ INTEREST PAYMENT (ONLY) $______________________________ PRINCIPAL AND INTEREST (PAYMENT) $______________________________ OTHER INSTRUCTIONS: ________________________________________________________ ____________________________________________________________________________ All Borrower's representations and warranties in the Amended and Restated Loan and Security Agreement are correct and complete in all material respects on the date of the telephone request for and Advance confirmed by Borrowing Certificate; but those representations and warranties expressly referring to another date shall be true, complete in all material respects as of that date. BANK USE ONLY
REQUESTED BY. AUTHORIZED SIGNER'S NAME AUTHORIZED SIGNATURE: ______________________________________________ PHONE NUMBER: _________________________________________________ FROM ACCOUNT # __________ TO ACCOUNT # ___________________________ REQUESTED TRANSACTION TYPE REQUESTED DOLLAR AMOUNT PRINCIPAL INCREASE (ADVANCE) $__________________________________ PRINCIPAL PAYMENT (ONLY) $__________________________________ INTEREST PAYMENT (ONLY) $__________________________________ PRINCIPAL AND INTEREST (PAYMENT)$____________________________________
REQUESTED BY. AUTHORIZED SIGNER'S NAME AUTHORIZED SIGNATURE:_____________________________________________________ PHONE NUMBER:_____________________________________________________________ FROM ACCOUNT # _______________ TO ACCOUNT #_____________________________ REQUESTED TRANSACTION TYPE REQUESTED DOLLAR AMOUNT -------------------------- ----------------------- PRINCIPAL INCREASE (ADVANCE) $_____________________________________ PRINCIPAL PAYMENT (ONLY) $_____________________________________ INTEREST PAYMENT (ONLY) $_____________________________________ PRINCIPAL AND INTEREST (PAYMENT) $_____________________________________ OTHER INSTRUCTIONS:_______________________________________________________ ------------------------------------------------------------------------------ All Borrower's representations and warranties in the Amended and Restated Loan and Security Agreement are true, correct and complete in all material respects on the date of the telephone request for and Advance confirmed by this Borrowing Certificate; but those representations and warranties expressly referring to another date shall be true, correct and complete in all material respects as of that date. ------------------------------------------------------------------------------ EXHIBIT C BORROWING BASE CERTIFICATE ------------------------------------------------------------------------------------------------------------------------------------ Borrower: BRIO TECHNOLOGY, INC. Bank: Silicon Valley Bank 0000 Xxxxxx Xxxxx Xxxxx Xxxxx, XX 00000 Commitment Amount: $15,000,000 ------------------------------------------------------------------------------------------------------------------------------------ ACCOUNTS RECEIVABLE 1. Accounts Receivable Book Value as of_____ $_____________ 2. Additions (please explain on reverse) $_____________ 3. TOTAL ACCOUNTS RECEIVABLE $_____________ ACCOUNTS RECEIVABLE DEDUCTIONS (without duplication) 4. Amounts over 90 days due $_____________ 5. Balance of 50% over 90 day accounts $_____________ 6. Credit balances over 90 days $_____________ 7. Concentration Limits $_____________ 8. Foreign Accounts $_____________ 9. Governmental Accounts $_____________ 10. Contra Accounts $_____________ 11. Promotion or Demo Accounts $_____________ 12. Intercompany/Employee Accounts $_____________ 13. Other (please explain on reverse) $_____________ 14. TOTAL ACCOUNTS RECEIVABLE DEDUCTIONS $_____________ 15. Eligible Accounts (#3 minus #14) $_____________ 16. LOAN VALUE OF ACCOUNTS (...
Examples of REQUESTED BY in a sentence
OR IN SUCH OTHER NAME AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE & CO.
OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.
OR SUCH OTHER NAME AS MAY BE REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC (AND ANY PAYMENT IS MADE TO CEDE & CO.
THE SECURITIES MAY NOT BE OFFERED FOR SALE, SOLD, TRANSFERRED OR ASSIGNED (I) IN THE ABSENCE OF (A) AN EFFECTIVE REGISTRATION STATEMENT FOR THE SECURITIES UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR (B) AN OPINION OF COUNSEL TO THE HOLDER (IF REQUESTED BY THE COMPANY), IN A FORM REASONABLY ACCEPTABLE TO THE COMPANY, THAT REGISTRATION IS NOT REQUIRED UNDER SAID ACT OR (II) UNLESS SOLD OR ELIGIBLE TO BE SOLD PURSUANT TO RULE 144 OR RULE 144A UNDER SAID ACT.
OR SUCH OTHER ENTITY AS MAY BE REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF DTC), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN.
More Definitions of REQUESTED BY
REQUESTED BY. ACCEPTED BY: Signed: Signed: FOR PAYROLL RECORD PURPOSES Date Employee Shift Worked Shift Worked For Original Return APPROVED BY: Department Supervisor: JOB SECURITY It is agreed that all existing articles, letters of agreement and previous correspondence relative to Job Security shall be deemed to be superseded by this article.
REQUESTED BY. Report To: Job Location: Date Required: Start Time: HOURS 5 X 8s ( ) 4 X 10s ( ) 6 X 10s ( ) Other ******************************** Day Shift Night Shift ******************************** Approximate Duration Days Weeks Plus Months Plus Orientation Time: Trade Journeyman Apprentice Year Steamfitter/Pipefitter Plumber Sprinklerfitter Basic Welder F3/4 Stainless/Chrome Welder 6/5 Refrigeration Mechanic Instrument Mechanic Gasfitter Pipefitter/Rigger Fiberglass Conditions of Employment are: Industrial Contract: Rate: Commercial Contract: Rate: “Strict Adherence to Contractor Safety Policy & Rules” Special Requirements: Notes: Welder Classification - Legend □ Welder □ SS Stick (F5) □ Inconel Stick (F43) □ Chrome Stick (F4) □ Carbon Stick (F4) □ B Welder (F3/F4) □ SS Tig (F6) □ Inconel Tig/Stick (f43/F43) □ Chrome Tig Stick (F6/F4) □ Carbon Tig/Stick (F6/F4) □ CWB Flux-cored □ SS Stick Overlay (F5) □ Inconel Stick Overlay (F43) □ Other - Specify □ SS Chrome Tig Stick (F6/5) Name: (First Name) (Initial) (Last Name) Street Address: Apt. No.: P.O. Box: City/Town: Province: Postal Code: Home Phone: ( ) Other Phone: ( ) S.I.N: Hospitalization No.: Net Tax Claim Code: ( ) Other Phone: ( ) Home Phone: Address: Name:
REQUESTED BY. Custodial Department SUPPLIER NAME: Supreme Paper Supplies, Pensacola, FL AMOUNT OF PURCHASE: FUNDING SOURCE: $55,440.00 Est. /Yr. General Fund (1110) METHOD OF PROCUREMENT: ECSD RFP Responses Received: 3 DATE AND TIME POSTED: October 3, 2014, 11:00 AM Central Time 9500PUR101 (11/10) Retention - 5 Years THE SCHOOL DISTRICT OF ESCAMBIA COUNTY PURCHASING DEPARTMENT 00 XXXXX XXXX XXXX. PENSACOLA, FL 32505 RFP #150702 TITLE: DISPENSING SYSTEM FOR FOAMING HAND SOAP BIDDERS’ TOTAL POINTS AWARDED / TOTAL POSSIBLE POINTS: 100 Recommended for Award BIDDER COMPANY PROFILE: MAX. PTS. 30 PRICING: MAX. PTS. 40 QUALITY: MAX. PTS. 30 TOTAL PTS. AWARDED MERCHANTS PAPER 20 39 0* 59 PR CHEMICAL & PAPER SUPPLY 25 40 0* 65 SUPREME PAPER 30 38 30 98 NOTES: *- ALTERNATE DISPENSING SYSTEMS WERE NOT APPROVED BID TABULATION, RECOMMENDATIONS, AND PROTEST Bid tabulations with award recommendations are posted for 72 hours in the Purchasing Department Office and are also posted to the School District's website address at: xxxx://xxxx-xx.xxxxxxxxxx.xxx/purchasing/bids. Failure to file a protest within the time prescribed in Section 120.57(3) Florida Statutes will constitute a waiver of proceedings under Chapter 120 Florida Statues and School Board Rules. Bid tabulations or recommendations will be distributed solely through the Purchasing website address. Notices will not be automatically mailed. I hereby certify that the prices and bidders reflected herein are valid, and have been received in compliance to Escambia County School Board Rules and Florida Law. Xxxx Xxxxxxxxxx
REQUESTED BY. (Please Print Clearly) Name Organization Address Telephone Fax Cell E-mail Web Address Please Circle All that Apply: Parishioner Non-parishioner For-profit Non-profit Community I have read the Terms & Conditions for Rental of the Saint Xxxxxxx Xxxxxx Center, agree to comply with all aspects of it and this agreement, and accept responsibility for compliance. I will also take full responsibility for any loss incurred or damage to Parish goods, equipment and property: Signature: Date: Return this request with deposit or payment in full to: PARISH OF ST XXXXXXX, Rental Office, 00 Xxxxxxx Xxxx, Xxxxxxx, XX 00000 OFFICE USE ONLY: Request received on Security deposit amount $ Date $ received Room(s) assigned Rental fee (30 days ahead) $ Date $ received T&C Violations 🞏No 🞏Yes (describe on back) Date & amount of deposit returned
REQUESTED BY. AUTHORIZED SIGNER'S NAME AUTHORIZED SIGNATURE: PHONE NUMBER: FROM ACCOUNT # TO ACCOUNT # REQUESTED TRANSACTION TYPE REQUEST DOLLAR AMOUNT PRINCIPAL INCREASE (ADVANCE) $ PRINCIPAL PAYMENT (ONLY) $ INTEREST PAYMENT (ONLY) $ PRINCIPAL AND INTEREST (PAYMENT) $ OTHER INSTRUCTIONS: All representations and warranties of Borrower stated in the Loan and Security Agreement are true, correct and complete in all material respects as of the date of the telephone request for and Advance confirmed by this Borrowing Certificate; provided, however, that those representations and warranties expressly referring to another date shall be true, correct and complete in all material respects as of such date.
REQUESTED BY. AUTHORIZED SIGNER'S NAME AUTHORIZED SIGNATURE: PHONE NUMBER: FROM ACCOUNT # _____________________ TO ACCOUNT # REQUESTED TRANSACTION TYPE REQUEST DOLLAR AMOUNT -------------------------- --------------------- PRINCIPAL INCREASE (ADVANCE) $ PRINCIPAL PAYMENT (ONLY) $ INTEREST PAYMENT (ONLY) $ PRINCIPAL AND INTEREST (PAYMENT) $ OTHER INSTRUCTIONS:
REQUESTED BY. Approval: Vice President of Administrative Area (Or Department Head): Title III Administrator: Budget Officer, R&D Corp.: Director of Business & Finance, RPS: Date: Date: Date: Date: Date: