alea-institute/kl3m-data-sample-004-shuffled huggingface dataset:
Form G-615 (06-19) 

United States of America 

Railroad Retirement Board 

Employer’s Supply 

Requisition 

Prepare two copies, keep the second 

copy and forward the first copy to: 

U.S. Railroad Retirement Board 

844 North Rush Street 

Chicago, Illinois 60611-1275 

Attn: Stockroom or 

Fax to: 312-751-3377 

RRB Requisition Number 

Date of Requisition 

Requisitioned by 

Title 

Please ship to: (Give full name and address) Employer 

Phone: 

Form 

Number Description Unit of 

Issue 

Quantity 

On Hand Required 

G-34 RRB Reminders - Card Each 

G-615 Employer’s Supply Requisition - Form Each 

IB-2 Railroad Retirement and Survivor Benefits - Booklet Each 

RB-3 Furnishing Evidence to Support Your Claim - Booklet Each 

RB-20 Medicare for Railroad Workers and Their Families - Booklet Each 

RB-40 RRB National Telephone Service - Pamphlet Each 

UB-9 Railroad Unemployment and Sickness Benefits - Booklet Each 

UB-10 Unemployment Benefit for Railroad Employees - Booklet Each 

UB-11 Sickness Benefit for Railroad Employees - Booklet Each 

Use spaces below for any additional forms required, identify by form number and title 

This section to be used by Railroad Retirement Board 

Order fi lled by Date Shipped by 

Order packed by Date 

USPS UPS FedEx Date shipped 

How shipped Weight 

Box FedEx Bx FedEx Env FedEx Pak Other Pounds Ounces
**Exhibit
      32.1**





**Certification
      of Principal Executive Officer****and Principal Financial Officer**


**Pursuant
      to 18 U.S.C. Section 1350, as adopted pursuant to**


**Section
      906 of the Sarbanes-Oxley Act of 2002**





In
      connection with the Quarterly Report of Scout Acquisition, Inc. (the "Company")
      on Form 10-Q for the period ending March 31, 2008 as filed with the Securities
      and Exchange Commission on the date hereof (the "Report"), I, Scott Baily,
      certify, pursuant to 18 U.S.C. ss. 1350, as adopted pursuant to ss. 906 of
      the
      Sarbanes-Oxley Act of 2002, that to my knowledge:





(1)
      The
      Report fully complies with the requirements of section 13(a) or 15(d) of the
      Securities Exchange Act of 1934; and





(2)
      The
      information contained in the Report fairly presents, in all material respects,
      the financial condition and results of operations of the Company.





/s/
                Scott BailyScott
                Baily
              Principal
                Executive Officer
              Principal
                Financial Officer
              May
                14, 2008
**EXHIBIT 32**

**Pursuant to 18 U.S.C. Section 1350, as created bySection 906 of the Sarbanes-Oxley Act of 2002, the following certifications arebeing made to accompany the Registrant’s quarterly report on Form 10-Q for thefiscal quarter ended October 28, 2006:**

**Certification of Chief Executive Officer(1)**

Pursuant to 18 U.S.C. Section 1350, as created bySection 906 of the Sarbanes-Oxley Act of 2002, the undersigned officer of TheNeiman Marcus Group, Inc. (the Company) hereby certifies, to such officer’sknowledge, that: 

(i) the Quarterly Report on Form 10-Q of the Companyfor the fiscal quarter ended October 28, 2006 (the Report) fully complies withthe requirements of Section 13(a) or Section 15(d), as applicable, of theSecurities Exchange Act of 1934, as amended; and 

(ii) the information contained in the Report fairlypresents, in all material respects, the financial condition and results ofoperations of the Company. 

 
| Dated: December 6, 2006 | /s/    BURTON  M. TANSKY |
|-------------------------|----------------------------------------------|
|                    |  Burton M.  Tansky                      |
|                    |  President  and Chief Executive Officer |

 

** **

**Certification of Chief Financial Officer(1)**

Pursuant to 18 U.S.C. Section 1350, as created bySection 906 of the Sarbanes-Oxley Act of 2002, the undersigned officer of TheNeiman Marcus Group, Inc. (the Company) hereby certifies, to such officer’sknowledge, that: 

(i) the Quarterly Report on Form 10-Q of the Companyfor the fiscal quarter ended October 28, 2006 (the Report) fully complies withthe requirements of Section 13(a) or Section 15(d), as applicable, of theSecurities Exchange Act of 1934, as amended; and 

(ii) the information contained in the Report fairlypresents, in all material respects, the financial condition and results ofoperations of the Company. 

 
| Dated: December 6, 2006 | /s/    JAMES  E. SKINNER             |
|-------------------------|----------------------------------------------------------|
|                    |  James E.  Skinner                                  |
|                    |  Senior  Vice President and Chief Financial Officer |

 

----

(1)A signedoriginal for this written statement required by Section 906 has been providedto The Neiman Marcus Group, Inc. and will be retained by The Neiman MarcusGroup, Inc. and furnished to the Securities and Exchange Commission or itsstaff upon request.

----
<TABLE> <S> <C>

<ARTICLE> 5
<CIK> 0000810999
<NAME> 87A.TXT
       
<S>                             <C>
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                          DEC-31-1995
<PERIOD-END>                               DEC-31-1995
<CASH>                                         353,019
<SECURITIES>                                         0
<RECEIVABLES>                                  261,155
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                               614,174
<PP&E>                                      22,340,532
<DEPRECIATION>                              15,981,095
<TOTAL-ASSETS>                               6,973,611
<CURRENT-LIABILITIES>                          138,353
<BONDS>                                              0
<PREFERRED-MANDATORY>                                0
<PREFERRED>                                          0
<COMMON>                                             0
<OTHER-SE>                                   6,835,258
<TOTAL-LIABILITY-AND-EQUITY>                 6,973,611
<SALES>                                      2,338,478
<TOTAL-REVENUES>                             2,395,481
<CGS>                                                0
<TOTAL-COSTS>                                3,350,715
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                   0
<INCOME-PRETAX>                              (955,234)
<INCOME-TAX>                                         0
<INCOME-CONTINUING>                          (955,234)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                 (955,234)
<EPS-PRIMARY>                                  (32.82)
<EPS-DILUTED>                                        0
        

</TABLE>
**EXHIBIT 32.2**

 

**CERTIFICATION PURSUANT TO 18 U.S.C. SECTION1350AS ADOPTED PURSUANT TO**SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

 

This Certification is intendedto accompany the Annual Report of RevCare, Inc. (the “Company”) on Form 10-KSBfor the period ended September 30, 2002, as filed with the Securities andExchange Commission on the date hereof (the “Report”), and is given solely forthe purpose of satisfying the requirements of 18 U.S.C. Section 1350, asadopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. To the bestof his knowledge, the undersigned, Kenneth Leighton, Chief Financial Officer,hereby certifies that:

 

1. The Report fully complieswith the requirements of Section 13(a) or 15(d) of the Securities Exchange Actof 1934; and

 

2. The information contained inthe Report fairly presents, in all material respects, the financial conditionand results of operations of the Company. 

 
|   | /s/  Kenneth Leighton, Acting  Chief Financial Officer |   |
|--------|-------------------------------------------------------------|--------|
|   | Date: January 29, 2004                                      |

 

----
96-2271.

#### Snyder-Forsyth v. Forsyth.

Clark App. No. 95CA106. Reported at 77 Ohio St.3d 1517, 674 N.E.2d 371. On motion for reconsideration. Motion denied.
Exhibit 32.1

CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER PURSUANT TO

18 U.S.C. SECTION 1350

AS ADOPTED PURSUANT TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

I, Dr. Barry W. Karlin, Chairman, Chief Executive Officer and President of CRC Health Corporation (the Company), do hereby certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to
Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:



| |  |  | the Quarterly Report on Form 10-Q of the Company for the quarter ended September 30, 2006, as filed with the Securities and Exchange Commission (the Report), fully
complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
| | - |  | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  |  | the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.
| | - |  | ----------------------------------------------------------------------------------------------------------------------------------------------------

Date: November 14, 2006



|                                                                                                 
|-------------------------------------------------------------------------------------------------
|/s/ DR. BARRY W. KARLIN                                                                          
|Dr. Barry W. Karlin Chairman, Chief Executive Officer and President (Principal Executive
Officer)

A signed original of this written statement required by Section 906 has been provided to CRC
Health Corporation and will be retained by CRC Health Corporation and furnished to the Securities and Exchange Commission or its staff upon request.
IV 

116TH CONGRESS 

1ST SESSION H. RES. 750 

Expressing the sense of the House of Representatives that individual choice 

in health insurance should be protected. 

IN THE HOUSE OF REPRESENTATIVES 

DECEMBER 9, 2019 

Mr. BURGESS (for himself, Mr. WALBERG, and Mr. NUNES) submitted the following resolution; which was referred to the Committee on Energy and 

Commerce, and in addition to the Committee on Ways and Means, for 

a period to be subsequently determined by the Speaker, in each case for 

consideration of such provisions as fall within the jurisdiction of the committee concerned 

RESOLUTION 

Expressing the sense of the House of Representatives that 

individual choice in health insurance should be protected. 

Whereas more than 159 million Americans under the age of 

65 are enrolled in private health insurance through their 

employer; 

Whereas more than 14 million Americans under the age of 

65 are enrolled in private health insurance that they purchase on their own behalf; 

Whereas more than 22 million Americans receive Medicare 

benefits through a Medicare Advantage plan offered by a 

private entity; 


khammond on DSKJM1Z7X2PROD with BILLS
2 

•HRES 750 IH 

Whereas private health insurance coverage often provides 

benefits that are more robust than benefits offered under 

a Federal or State health program and at cost that is 

lower than under a Federal or State health program; and 

Whereas H.R. 1384 from the 116th Congress and similar 

bills would make the offering of private health insurance 

unlawful, snatching away the health insurance millions of 

Americans have, like, and rely on in favor of government 

rationing of care: Now, therefore, be it 

1 Resolved, That it is the sense of the House of Rep2 resentatives that it is the duty of the Federal Government 

3 to protect and promote individual choice in health insur4 ance for the American people and prevent any ‘‘Medicare 

5 for All’’ proposal that would outlaw private health plans, 

6 such as job-based coverage and Medicare Advantage plans. 

Æ 


khammond on DSKJM1Z7X2PROD with BILLS
FORM OF CERTIFICATION
                       PURSUANT TO RULE 13a-14 AND 15d-14
              UNDER THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED

                                  CERTIFICATION

I, Charles Smith, certify that:
1. I have reviewed this annual report on Form 10-KSB of Crown Partners, Inc.;
2. Based on my knowledge, this annual report does not contain any untrue
statement of material fact or omit to state a material fact necessary to make
the statements made, in light of the circumstances under which such statements
were made, not misleading with respect to the period covered by this quarterly
report;
3. Based on my knowledge, the financial statements, and other financial
information included in this annual report, fairly present in all material
respects the financial condition, results of operations and cash flows of the
registrant as of, and for, the periods presented in this annual report;
4. The registrant's other certifying officer and I am responsible for
establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have:
      (a) designed such disclosure controls and procedures to ensure that
material information relating to the registrant, including its consolidated
subsidiaries, is made known to us by others within those entities, particularly
during the period in which this annual report is being prepared;
      (b) evaluated the effectiveness of the registrant's disclosure controls
and procedures as of a date within 90 days of the filing date of this annual
report (the "Evaluation Date"); and
      (c) presented in this annual report our conclusions about the
effectiveness of the disclosure controls and procedures based on our evaluation
as of the Evaluation Date;
5. The registrant's other certifying officer and I have disclosed, based on our
most recent evaluation, to the registrant's auditors and the audit committee of
the registrant's board of directors (or persons performing the equivalent
functions):
      (a) all significant deficiencies in the design or operation of internal
controls which could adversely affect the registrant's ability to record,
process, summarize, and report financial data and have identified for the
registrant's auditors any material weaknesses in internal controls; and
      (b) any fraud, whether or not material, that involves management or other
employees who have a significant role in the registrant's internal controls.
6. The registrant's other certifying officer and I have indicated in this annual
report whether or not there were significant changes in internal controls or in
other factors that could significantly affect internal controls subsequent to
the date of our most recent evaluation, including any corrective actions with
regard to significant deficiencies and material weaknesses.

Date: May 18, 2006                  /s/ Charles Smith
                                    Name:  Charles Smith
                                    Title: CEO
<PAGE>

                                                                    EXHIBIT 10.5

                              CONSULTING AGREEMENT

This consulting agreement is made and dated for reference (the "Effective date")
as of November 1, 2001.

BETWEEN:

          Pat McGowan          #211-1148 Westwood Street, Coquitlam, BC V3B 7M5

          (the "Consultant");

AND:

          DBS Holdings, Inc.   1 - 8765 Ash Street, Vancouver, BC V6T 6P3

          (the "Company")

WHEREAS:

      The Consultant will engage his efforts as Chief Financial Officer of the
      corporation and will carry on his duties to the extent of what is standard
      in the industry. His duties will include and not limited to the following:

      1.   completing DBS and MI Vascular's yearend audit;

      2.   completing a review of Q1 results;

      3.   completing DBS's 8-K, 10-KSB, 10Q and 14-C filings;

      4.   liaise with and supervise DBS' financial consultants and auditors;

      5.   participate in management meetings determining the company's long
           term objectives, direction and strategies.

      6.   such other duties as requested by Mr. Alan Lindsay.

The completion of these tasks is subject to the appointment of auditors for MI
Vascular Innovations and DBS Holding, Inc.

   Fees:

      Consulting fee of CAD $5,500.00 per month plus GST payable in installments
of $2,750. on the 15th and the 30th of each month in arrears, plus approved
expenses and 25,000 stock options at US$.55.


   Term:

      The term of this Agreement is for a period of six months, commencing on
      the Effective Date November 1, 2001.

   Renewal:

      This Agreement is subject to renewal for one month periods, upon notice
      from DBS. The Company agrees to notify the Consultant, at least 30
      calendar days prior to the end of the Term, of the Company's intent to
      renew this Agreement.


DBS Holdings, Inc.

--------------------------                         -----------------------------
Alan P. Lindsay                                    Patrick A. McGowan


                               DBS HOLDINGS INC.
                          M-I VASCULAR INNOVATIONS INC.
      Unit 1, 8765 Ash Street, Vancouver, British Columbia, Canada V6P 6T3
             Tel: (604) 301-9545 - Fax: (604) 301-9546 - www.mivi.ca
Order entered November ,2012



### In The 

## Court of [pptals 

## ifth i tria of exas at Pallas

NO. 0~12~0708-CR No. 0~12~0709-CR JOSE TO~Z~G~ AppeHant

V. T~ STA~ OF TE~, AppeH~



### O ER The Court ORDERS the State’s brief received on October 10, 2012 filed as of the date of this order.

DAVID L. BRIDGES JUSTICE
```

[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[H. Res. 777 Engrossed in House (EH)]

<DOC>
H. Res. 777

                In the House of Representatives, U. S.,

                                                       January 7, 2020.
    Resolved, That the Clerk of the House inform the Senate that a quorum of the 
House is present and that the House is ready to proceed with business.
            Attest:

                                                                          Clerk.
```
#### Robinson *et al. v.*Fifteen Thousand Five Hundred and Sixteen Bags of Sugar.1

*(District Court, E. D. New York.*

May 12, 1888.)

Admiralty—Costs—Marshal’s Fees—Compromise oe Claim—Basis of Computation.

The sum paid a libelant in settlement of bis claim, and not the amount claimed in the libel, is 1he basis upon which the marshal’s commissions are to be determined, under section 829, Rev. St.

In Admiralty. Appeal from clerk’s taxation of costs.

*E. B. Corners,*for libelant.

*Martin & Smith,*for claimant.

*Charles M. Stafford,*U. S. Marshal, in person.

1

 Reported by Edward Gt. Benedict, Esq., of the New York bar.

Benedict, J.

This caso comes before the court on an appeal from the clerk’s taxation of the marshal’s fees. The claim set forth in the libel amounted to $1,959.98. After the service of the process by the marshal, and before trial, the case was compromised by the parties by the payment to the libelant of $1,200. Thereupon the marshal presented tor taxation his bill of costs, in which he claimed commission on $500 at 1 per cent., and commission on $1,459.98 at 1 per cent. The claimants do not object to the commission of 1 per cent, on the first $500, but claim that the 1 per cent, commission should be on $700, instead of $1,459.98. The clerk allowed a commission of 1 per cent, on $500. and a per cent, on $700. The marshal appealed.

The question lo be decided is whether the marshal is entitled to calculate his commission on the amount paid by way of compromiso of the claim, or the amount sot forth in the libel as the libelant’s claim. The words of the statute are:

> “ When the debt or claim in admiralty is settled by the parties without the sale of the property, the marshal shall be entitled to a commission of one percent. on the first five hundred dollars of the claim or decree, and one-half of one per cent, on the excess of any sum thereof over five hundred dollars.”

In my opinion, where the amount, due the libelant is not fixed by decree, but agreed on by compromise, the amount paid by way of compromiso to settle the claim is to be considered the amount of the claim within the moaning of this statute. Such has always been the interpretation of the statute, so far as I know, in this court, and it seems in harmony with the decisions upon the subject. See *The, Ciintonia,*11 Fed. Rep. 740; *The, City of Washington,*13 Blatchf. 410; *The Bussia,*3 Bon. 4/1. These cases are not precisely similar to this case, but it will, 1 think, lie in harmony with the principle of these cases to hold that, when a libelant agrees to accept a certain sum of money in settlement of his demand, that sum becomes his claim within the meaning of the statute. Of course the libel could at any time be amended by reducing the *604demand to the amoun.t agreed to he accepted as the libelant’s claim, in which case there would be no ground to contend that the amount paid was not the amount of the claim. The clerk’s taxation is affirmed.
Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

In connection with the quarterly report of Gold Bag, Inc. (the
Company) on Form 10-Q for the period ending August 31, 2009 as filed with the Securities and Exchange Commission on October 6, 2009 (the Report), I, Lance Ayers, Chief Executive Officer and Principal Financial
Officer of the Company, certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that:



| | (1) | The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and
| | --- | ---------------------------------------------------------------------------------------------------------------------



| | (2) | The information contained in the Report fairly presents, in all material respects, the financial condition and result of operations of the Company.
| | --- | ---------------------------------------------------------------------------------------------------------------------------------------------------



|                                                       
|-------------------------------------------------------
|/s/ Lance Ayers                                        
|Lance Ayers                                            
|Chief Executive Officer and Principal Financial Officer
|October 6, 2009                                        

A signed original of this certification has been provided to the Company and will be retained by the
Company and furnished to the Securities and Exchange Commission or its staff upon request.