zilongwang/ReadingBank huggingface dataset:
INTRODUCTION Thank you for choosing Behavioral Health Network (BHN) as your service provider. BHN’s mission is to help individuals, families, and communities improve the quality of lives for those with behavioral health and developmental challenges. BHN values person-centered recovery and services. In partnership with you, BHN looks forward to helping you reach your goals. Outlined below you will find information regarding participation in BHN services. This includes your shared responsibility with services and our Notice of Privacy Practices. INDIVIDUAL RESPONSIBILITY Insurance It is essential that you provide BHN with complete and accurate insurance information. We ask that you always provide a current copy of your insurance card to BHN for our files. Insurance information is necessary so that BHN can determine what resources you have available to pay for services. It is important to carefully read your insurance coverage booklet that describes what your insurance policy covers and any limitations involved. If you have questions about the coverage, please contact your plan administrator. BHN will make our best effort to inform you of the anticipated fees involved as soon as this can be determined. It is important to remember that health insurance coverage varies and not all services are covered. Since plans vary greatly, even within a single insurance company, it is acknowledged that BHN cannot guarantee your coverage. Ultimately, you as the individual served or guardian are responsible for payment of services rendered regardless of any communications you receive from BHN or your insurance company in efforts to assist you. Payment Guarantee In consideration of the services provided, it is understood that you (not the insurance company) are responsible for full payment of BHN fees, co-payments, deductibles, non-covered services or services which the insurance carrier may determine to be “not medically necessary” or beyond what they determine to be their maximum allowable charges. Services Paid by State Contract When services are fully funded by the Commonwealth of Massachusetts, there are typically no payment obligations. Exceptions include co-pays for some outpatient programs or Charges for Care within residential programs in compliance with state regulations. ‘Charges for Care’ refer to expenses not paid by state funding and intended to cover items like room and board. Assignment of Benefits You give permission to BHN to release any behavioral health/medical information necessary for the purposes of filing and processing an insurance claim on your behalf, to current or future insurance companies. You authorize payment directly to BHN for services received.
CONFIDENTIAL – Consent to Contact Form Project Title: Sex, Lies and Citizenship: A Research Project This is to inform you of a research study that is being conducted by researchers from the University of British Columbia and the Centre for Inclusion and Citizenship. It is funded by the Vancouver Foundation. If you are interested in more information about this study please sign this form that allows us to contact you. We want to learn: what experiences do self advocates (adults with developmental disabilities) have in learning about sexual health and sexuality. What are the factors that make learning about sexual knowledge positive and what factors influence learning about sexual knowledge in negative ways. At this time, we are asking only for your permission to be contacted to hear more about this study. There are no consequences to you if you decide not to participate. For more information please contact: Dr. Rachelle Hole or Chapman (Coordinator) UBC Okanagan, Principal Investigator Centre for Inclusion and Citizenship 250-807-8741 or 604-822-5872 or If you have any questions about your rights as a research participant, please call the UBC Office of Research Services at 250-807-8832. I am interested in learning more this research study. By signing this form, I consent (give permission to) to having a member of the research team contact me by phone to answer questions about the study and talk about participating in the study. You can fax this form to Cindy Attention Cindy Chapman at 604-822-5872 or you can email Rachelle ( ) or Cindy ( ) for more information about the project. __________________________ ___________________________ __________________ Name (please print) Signature Date Email ____________________________ Phone Number _______________________
Position title: Business or organisation address: Email address: Telephone: 4. Owner or land manager details Title: First Name: Surname: Business or organisation name: Position title: Address: Email address: Telephone: 5. Type of consent To uncover and expose a site to assess the condition and potential of the archaeology: To construct or extend one domestic residential dwelling. For all other purposes. To excavate a site: To construct or extend one domestic residential dwelling. For all purposes. To damage and disturb a site: To construct or extend one domestic residential dwelling. For all other purposes, where damage is less than 50 per cent. For all purposes, where damage is 50 per cent or more. To possess, dispose of, or trade archaeological artefacts, or for all other purposes for which a consent is required.
CONSENT FORM DATA Subject ID#/initials Version of Consent IRB Approval Date IRB Expiration Date Date Research Signed by Subject Yes or No Date Subject Signed Printed name of Investigator Date signed by Investigator Narrative Note of Consent Comments Signature: __________________________________________ Date: ___________________
Consent for Release/Exchange of Information By signing this form, I am providing my consent for _ (Program Provider) _ to release, obtain and/or exchange information and/or records with the agencies / persons listed below. I understand that without my consent, _ (Program Provider) _ cannot release or obtain information to/from agencies or individuals. Participant Name: Student I.D.: _ Date of Birth: The purpose of this information exchange/release is to: □ Monitor progress of employment plan □ Monitor progress of credentialed training plan □ Ensure completion results are accurately captured Eligible Training Provider (School Name) requesting or releasing information Name of School: Student Records Phone Number: ( ) – Street Address: Student Records Fax Number: ( ) – City: State: Zip: Program provider requesting or releasing information Return to: ( Program Provider’s Name ) Main Phone Number: ( ) – Main Fax Number: ( ) – Information to be released (Initial all that apply) □ All records □ Attendance records □ Grades/transcripts/class schedule □ Academic status/progress □ Copy of diploma/GED/certificate/Credential □ Financial aid information □ School payment information □ Other (specify): *If there is a charge for the release of the requested information, please notify the requester before sending the information. I have been informed of the intended purpose and use of the information that will be released. I understand that the information provided by the above-named providers, organization, or agency will not be shared with others without my consent, except as permitted under state or federal laws that govern activities of the requester. By signing this form, I waive any claim I might otherwise assert against any individual, organization, or requester for any action that may result from the release of any information. I understand that I may revoke this consent by giving written notice to__ [Program counselor]_ (not retroactive), and that this consent will automatically expire one year after I exit the program. Participant Signature: Date: Parent/Guardian Signature (If under 18): Date: Employment Counselor Signature: Date:
DEPARTMENT OF OCCUPATIONAL THERAPY & OCCUPATIONAL SCIENCE CONSENT FOR HEALTH INFORMATION SHARING I, , consent to the disclosure of my protected health information by the Department of Occupational Therapy & Occupational Science for the purpose of securing my fieldwork placement. I understand that my acceptance as a fieldwork student in the setting to I have been assigned is conditional on the release of this information. This information may be shared by the Department of Occupational Therapy & Occupational Science by FAX or through the postal service in circumstances where (or when) I am unable to personally supply the placement site with the information. My “protected health information” means my immunization record, including measles, mumps, rubella, varicella, and Hepatitis B (or the signed Declination Statement) and the Mantoux PPD Test for tuberculosis or last chest x-ray, if applicable. Signature of Student Name of Student Date
and may be included in the exchange. Who May Give Consent Only the patient may give consent for behavioral health, drug and alcohol treatment records to be included in the Kentucky Health Information Exchange. The exceptions for minors and mentally disabled individuals are described in the following situations: A. The patient is a minor (under 18 years of age — according to KRS 2.015) and is living with his/her parent or legal guardian. In this case, either parent or the legal guardian may legally give consent. 1. Exceptions to parental or guardian's consent for a (patient under 18 years of age) to receive services are: Patient is under 18 years of age, self-supporting and living apart from the parent's residence. The patient, even though a minor, may give consent provided services are fully explained and he/she seems to understand associated risks. Patient is under 18 years of age and married, he/she is then considered emancipated for the purpose of giving valid consent for the services to be provided and associated risks are fully comprehensible to him/her. (KRS 214.185) Patient is under 18 years of age, unmarried and has borne a child (including live birth, miscarriage, etc.). She may give consent for services for her child or herself without consent of her parent(s) or guardian. (KRS 214.1 85) Patient is under 18 years of age and seeks diagnosis and/or treatment for alcohol and/or drug abuse or addiction. The physician may advise, prescribe for and treat such minor for alcohol and other drug abuse or addiction only upon consent of the minor, without consent of or notification to the parent(s), guardian, or any other person having custody of the minor patient. (KRS 214.185) In this situation the minor may also consent to have these records shared with KHIE. B The patient is mentally disabled. If a patient has been adjudged by a court to be mentally disabled, then the court appointed guardian has legal authority to give consent. (KRS 387.660)
I, the undersigned, wish to make a complaint on behalf of…………………………………………………………. I acknowledge that in order to investigate this complaint, it will be necessary for you to approach the staff who were involved in their care. I understand that it will also be necessary to access their NHS Health Records and any relevant records held at [University Hospitals Bristol NHS Foundation Trust][North Bristol Trust][other organisation]. I hereby give my written confirmation that, as the patients Next of Kin, I have all due rights and authorisation required to access the deceased patient’s details, which may be of a confidential and sensitive nature. Signed Print Name Date
samples in a future study about XXX, YYY and ZZZ. (Explain the types of research for which you are seeking approval. HIPAA requires that the consent be specific about the nature of the future use but this may be in general terms, e.g. pediatric heart disease, genetic diseases.) The information and samples will be given a unique code and will not include information that can identify you. (If a Master List will be kept that links the data or specimens to the subject, include the location lab, special room, repository, registry, or computer database in the next sentence.) Information that can identify you or the blood or urine samples may be kept permanently in a XXXXX (examples include: lab, repository, registry, or computer database) at CHOP or at (outside lab). Only the study doctors and those working with them on this study will be able to see information that can identify you. If you leave the study, you can ask to have the data collected about you removed or the samples destroyed. You can also ask us to remove information that identifies you from the data or samples. If the specimens and data will be de-identified (no link to identifiable information) use the following statements instead. The data and specimens will be stored with a code number that cannot be linked back to you. If you the study, we will not be able to which specimens are yours. The data and specimens will remain part of the research. Please indicate whether you will allow the data or samples to be used for future research by putting your initials next to one of the following choices: _____ (initials) The (data and/or specimens) may be used for this study only. _____ (initials) The (data and/or specimens) may be used for other future research studies. If the data or specimens are shared outside of CHOP, no identifiable information will be included. These statements may require modification depending on the requirements of the study. Consent to Inform Your Doctors of Your Study Participation (OPTIONAL) Please indicate whether you would like us to inform your doctor(s) of your participation in this study. _____ (initials) I request that my doctor(s) not be informed of my participation in this study. _____ (initials) I request that my doctor(s) be informed of my participation in this study. OPTIONAL (include other optional components after the signature page)
Delete the following if all subjects will assent. For children unable to assent: I certify that __________________ was not capable of understanding the procedures involved in the sufficiently to assent to study participation. Person Responsible for Obtaining Assent Signature of Person Responsible Date COMMENTS 1) Delete assent lines if none of the children will be old enough to assent (e.g., neonates) or if the study only involves subjects capable of consenting for themselves. 2) If some may be old enough and some not, include both statements so that the investigator can document on the Assent page, why a particular subject was unable to assent.
COMMENTS 1) Delete assent lines if none of the children will be old enough to assent (e.g., neonates) or if the study only involves subjects capable of consenting for themselves. 2) If some may be old enough and some not, include both statements so that the investigator can document on the Assent page, why a particular subject was unable to assent.
CONSENT TRACKING LOG Subject code ICF version # version Date Date of consent conversation Date subject signed ICF Date PI signed ICF Location signed consent stored Date (s) subject agreed to continue in study Date subject completed or left study Comments and initials of staff documenting on this form
RESOLVED, that (Name) , and any other present director of the Company be removed, without cause, as a director of the Company; and it is further RESOLVED, that (Name) , is elected as director of the Company, each to serve in that capacity until their successors are duly elected and qualified. The corporate action may be adopted by the consent of the holders of a Majority of the shares of common stock of the Company which are outstanding at the close of business on the record date. Pursuant to Section 213 (b) of the DGCL. the record date shall be (Date). While Cede & Co., is furnishing this consent as the stockholder of record of the Shares, it does so at the request of Participant and only as a nominal party for the true party in interest, (Customer name). Cede & Co., has no interest in this matter other than to take those steps which are necessary to ensure that (Customer name) is not denied his rights as the beneficial owner of the Shares, and Cede & Co., assumes no further responsibility in this matter. Very yours, Cede & BY:__________________________________________ (Partner) (Date)
Cost of study medication, etc. MRI of the knee Blood tests for X, Y and Z Etc. (Include only if applicable) The following research procedures will be billed to you or your insurance: Any additional costs to subject as a result of study participation. Will you be paid for taking part in this Include one of the following statements You will not receive any payments for taking part in this study. or If there will be payments and/or reimbursement, the consent form should specify how much will be paid for reimbursement of expenses (not taxable) and the form (cash, check, gift card) and the timing of payment. Also specify how much is going to the parent and how much is going to the subject. See the IRB website and IRB SOP 704 for instructions regarding listing payments to subjects and parents and for prorating payments. Parents/participants will be reimbursed for travel, meals and parking. Receipts must be provided for all expenses. OR (for flat rate payments use the following) Parents/participants will be paid $XXXX to offset the costs of travel, meals and parking. Parents will be paid $XXXX for their time and effort. Children/participants will be paid $XXXX for their time and effort. If you receive payment using a bankcard, the bank will have access to identifiable information. The bank will not have access to any medical information. NOTE: If payment to an individual could exceed $600 (not including reimbursement for parking, meals, etc. based on receipts) in a calendar year, subjects will receive a W9 form. This should be explained verbally but need not go in the consent form. Who is funding this research study? Use one of the 3 statements below depending on which is most applicable. If there is no external funding source: The Division of XXXX at The Children’s Hospital of Philadelphia is funding this research. or The National Institutes of Health is providing funding for this study. or For industry sponsored studies: This study is supported by the SPONSOR. SPONSOR is a drug company that makes the medication being studied in this research project. SPONSOR is giving money to Children's Hospital for some of the costs of the study. The results of the study will be reported to SPONSOR. If the study shows that the STUDY
You have been informed this study’s purpose, procedures, possible benefits, and risks; the alternatives to being in the study; and how your protected health information will be collected, used and shared with others. You have received a copy of this Form. You have been given the opportunity to ask questions before you sign, and you have been told that you can ask questions at any time. You voluntarily agree to participate in this study. You hereby authorize the collection, use and sharing of your protected health information as described above. By signing this form, you are not waiving any of your legal rights. Signature of Person Consenting and Authorizing Date
K.10 The student will demonstrate that being a good citizen involves Rating a) taking turns and sharing; Adequate b) taking responsibility for certain classroom chores; Adequate c) taking care of personal belongings and respecting what belongs to others; Adequate d) following rules and understanding the consequence of breaking rules; Adequate e) practicing honesty, self-control, and kindness to others; Adequate f) participating in decision making in the classroom; and Adequate g) participating successfully in group settings. Adequate History and Social Science Standard K.11 Please indicate the rating for each standard by selecting Adequate, Limited or No Evidence. K.11 The student will develop an understanding of how communities express patriotism through events and symbols by Rating a) recognizing the American flag; Adequate b) recognizing the Pledge of Allegiance; Adequate c) knowing that the president is the leader of the United States; and Adequate d) recognizing the holidays and the people associated with the holidays Thanksgiving Day; Martin Luther King, Jr., Day; George Washington Day (Presidents’ Day); and Independence Day (Fourth of July). Adequate II. Additional Criteria: Instructional Planning and Support (Reported but not used in correlation and adoption considerations.)
PEEL PORTS LONDON MEDWAY Enquiries to: Email: Pauline.Pardoe@peelports.com Tel: 01795 596444 Monday to Friday 0830 to 1330 hours CONSERVANCY CHARGE FOR LEISURE CRAFT USING THE PORT AREA The Harbours Docks and Piers Act 1847 empowers the Statutory Harbour Authority to levy a charge for Conservancy under Section XXXII. This is confirmed by The Harbours Act 1964, c 26. The statute empowering Peel London Medway (Port of Sheerness Ltd) as the Statutory Harbour Authority to make a Conservancy Charge can be found in the Medway Ports Authority Act 1973, Part IV Sections 60 to 69. Peel Ports London Medway area of jurisdiction is the River Medway from the Medway Buoy to Allington Lock and The Swale, including all Creeks. All river users can expect that a safe right of navigation is provided in these waters. To this end, Peel Ports London Medway provide and maintain Buoys, Marks and Lights that have been independently inspected (twice yearly) and praised by Trinity House Lighthouse Service as one of the best-marked areas in the U.K. Peel Ports provide Hydrographic information to the UK Hydrographical Society and produce charts on various areas of the river. This enables the monitoring of navigable channels, and assists in the maintenance dredging of such. Our Marine Services team operate a patrol service and also help to clear debris from the navigable channels. In addition to this and many services a 24-hour and 365 days per year watch and listening brief is undertaken by staff at Medway Navigation Services (VTS), Garrison Point, advising river users and to monitor movements on the river. An annual ‘composite’ charge, payable for the year or any part thereof, which is not subject to any discount or reduction, is applicable to all river users leisure and commercial.
Conservation Laws Additional Practice Problems AP Physics 1 Kuffer Unit 4 Outline: Work, Energy, Momentum, and Impulse Due Book Assignment Video(s) Date Class Number 57 Work done by a constant force 6.1 FOC: 1-2 P: 1-4, 6-12 4.1-4.3 60 Work done by a variable force 6.9, 10.1 Ch 6: P: 71, 74, 75 Ch 10: FOC: 2; P: 1-3, 25-26 4.4-4.5 63 Mechanical energy and work energy theorem 6.2-6.3 FOC: 8-9 P: 13-15, 17-18, 20, 22, 24, 28 4.6-4.9 64 Conservative and nonconservative forces Conservation of mechanical energy 6.4 6.5-6.6 FOC: 11, 13-14, 21-22 P: 29-31, 33-34, 36-40, 42, 44-45, 47-53, 57, 59-61 67 6.7 FOC: 25 P: 62-64, 67, 69 4.17 68 Impulse and Momentum Conservation of Momentum 7.1 7.2 FOC: 1-2, 6-7, 10 P: 1-2, 5-7, 10-12, 15-17, 19-22, 24-27 4.18 4.19 70 Collisions and Coefficient of Restitution 7.3-7.4 FOC: 13, 15 P: 28, 30, 32-39, 42, 44-48 73 Center of Mass 7.5 FOC: 17 P: 48-50, 62, 64 4.24 WORK & POWER
65. A 1.50-kg mass is placed on the end of a spring that has a spring constant of The mass-spring system rests on a frictionless incline that is at an angle of 30° from the horizontal (Fig. 5.28). The system is eased into its equilibrium position, where it stays. (a) Determine the change in elastic potential energy of the system. (b) Determine the system’s change in gravitational potential energy. (a) 0.154 J (b) 65. (a) The component of the weight, mg, of the object along the incline (parallel to the spring) is equal to mg sin . (See Exercise 4-69.) This is the force that stretches the spring. x = = = = 0.0420 m. Us = k x2 k xo2 = (175 N/m)(0.0420 m)2 0 = . (b) The vertical distance the mass moves down is equal to x sin = (0.0420 m) sin 30 = 0.0210 m. Ug = mgy = (1.50 kg)(9.80 m/s2)(0.0210 m 0) = .
the OSP. Be vigilant that mulch materials do not catch fire. Evaluate results from mulching practices and adjust management as needed. Practice Financing (2014): Practice Component Unit Payment Rate NC/SC Mulching Natural material: Full coverage Acre $388.62/315 Mulching Natural material: Full coverage HU* Acre $468.34/378 Mulching** Natural material: Partial coverage Acre $245.64 Mulching** Natural material: Partial coverage HU Acre $294.77 Mulching Erosion control blanket Square foot $0.12/0.15 Mulching Erosion control blanket HU Square foot $0.14/0.18 Mulching Synthetic material Square foot/acre $0.05/1253 Mulching Synthetic material HU Square foot/acre $0.05/1504 * HU = Historically Underserved and Beginning Farmer Rates **NC only
Study Chart [Example] You will receive [study drug(s) or intervention] every [insert appropriate number of days or weeks] in this study. This [insert appropriate number of days or weeks] period of time is called a cycle. The cycle will be repeated up to [insert appropriate number] times. Each cycle is numbered in order. The chart below shows what will be done during Cycle 1 and future treatment cycles as previously explained. The left-hand column shows the day in the cycle and the right-hand column includes the activities performed on that day. Cycle 1 Day What you do Two days before starting study Get routine blood tests. Day before starting study Check-in to _____________ the evening before starting study. Day 1 taking ______ once a day. Keep taking _____ until the end of study, unless told to stop by the investigator or your regular doctor. Day 2 Leave _______________ and go to where you are staying. Day 8 Get routine blood tests. Day 15 Get routine tests. Day 22 Get routine blood tests. Day 28 Get routine tests and exams. Get 2nd chest x-ray for research purposes. Day 29 Return to the investigator’s office at _______ [insert appointment time] for your next exam and to the next cycle. Future cycles Day What you do Days 1-28 Keep taking _____ once a day if you have no bad side effects and cancer is not getting worse. Call the investigator at _____________ [insert phone
Resource Concern Assessment Resource Concern Minimum Treatment Level Does this meet the minimum treatment Before Plan? Describe or attach evaluation Does this meet the minimum treatment After Plan Implementation? Describe or attach evaluation Comments SOIL QUALITY Soil Erosion - Sheet, rill, Soil loss per RUSLE2 is < T + 1 ton Attach RUSLE2 Printout for each field Attach RUSLE2 Printout for each field SOIL QUALITY Soil Erosion - Wind erosion Soil Loss per WEPS is < T + 1 ton Attach WEPS Printout for each field Attach WEPS Printout for each field SOIL QUALITY Soil Erosion – Concentrated flow erosion Concentrated flow erosion is stabilized. Describe fields with the problem: Describe fields with the problem: WATER QUALITY WIN-PST HAZARD RATING Intermediate rating and above requires mitigation. See Agronomy Technical Note 5: Pest Management in the Conservation Planning Process. Attach WIN-PST soil/interaction hazard rating printout for each field: Attach WIN-PST soil/interaction hazard rating printout for each field AIR QUALITY -Drift. -Volatilization – Volatile organic compound (VOC) emission Pesticide applicator should follow the labor instructions and warnings that prevent drift. VOC nonattainment areas must reduce emission by 20% Describe and attach supporting document Describe and attach support document Other resource concerns (Describe): Describe: Describe:
Planned Conservation Practices Fields(s) Planned Application Year Planned Practice(s) See Technical Note No. 5: Pest Management in the Conservation Planning Process For all the planned practices develop the appropriate specifications to implement the conservation in the appropriate Implementation Requirements (previously Jobsheet); document found in Section IV of the Electronic Field Office Technical Guide for the respective state. The following practices do not require a Jobsheet or Implementation Requirements document because additional technical qualifications are needed to complete those documents (590 Nutrient Management, 338 Prescribed Burning, and practices that require Engineering Approval (Engineers License). Jobsheet or Practice Specifications Attached (Yes or NO) ((Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative: (Practice Code: ) – Narrative:
CONSERVATION AREAS IN SOUTH SOMERSET Updated Mar 16 REFERENCE NUMBERS NAME DATE DESIGNATED 87 ALVINGTON 2.4.2008 1 ANSFORD Extended Extended and amended 25.8.71 14.7.2010 9.11.2011 54 21.1.86 2 BLACKFORD 29.6.78 3 BOWER HINTON 11.12.70 4 BRUTON 29.9.69 Extended Extended and amended 3.1.80 12.5.2010 68 MARY 29.6.89 5 CASTLE 25.8.71 Extended Extended and amended 12.4.88 12.5.2010 85 CASTLE CARY - HIGHER FLAX MILLS 12.2.2002 Extended 13.6.2007 6 10.4.79 7 CHAFFCOMBE 2.7.81 8 CHARD Extended and amended 18.9.80 14.12.2011 75 9 CHARLTON ADAM CHARLTON HORETHORNE 30.8.1990 15.2 79 74 WEST CHARLTON & CHARLTON MACKRELL Extended 30.8.1990 27.8.2015 10 CHISELBOROUGH 27.7.78 11 COAT 2.7.81 12 NICHOLAS 2.7.81 13 PAUNCEFOOT 29.6.78 14 CORTON DENHAM 28.8.75 15 CREWKERNE 8.1.73 Extended and amended 20.8.2008 67 CRICKET MALHERBIE 29.6.89 55 DONYATT 21.1.86 56 DOWLISH WAKE 21.1.86 76 DRAYTON 30.8.90 16 EAST Extended 28.8.75 1.7.98 79 25.10.90 83 HADSPEN 27.6.91 53 HASELBURY PLUCKNETT 18.6.85 66 HENSTRIDGE 12.4.88 81 HIGH HAM 25.10.90 17 HIGHER WAMBROOK 2.7.81 18 HINTON ST. GEORGE 28.8.75 63 HOLTON 12.4.88 65 HORSINGTON 12.4.88 19 EPISCOPI 28.8.75 Extended Extended 16.3.89 28.1.2015 20 ILCHESTER Amended 20.12.76 9.5.2012 21 ILMINSTER 8.1.73 82 7.2.90 80 KINGSBURY 25.10.90 71 KINGSDON 23.11.89
73 KINGWESTON 15.3.90 22 KNOLE 20.12.76 23 LANGPORT 25.8.71 Extended Extended 16.3.89 28.1.2015 77 LIMINGTON 25.10.90 24 LONG SUTTON 20.12.76 25 LOPEN 19.10.78 Extended 18.6.85 26 MAPERTON 28.8.75 57 MARSTON MAGNA 14.4.87 27 MARTOCK 11.12.70 28 MERRIOTT 28.8.75 Extended 12.4.88 29 MIDDLE CHINNOCK 20.12.76 61 12.4.88 62 MILBORNE WICK 12.4.88 30 MISTERTON 28.8.75 31 MONTACUTE 11.12.70 32 MUCHELNEY 26.7.78 33 CADBURY Extended 27.7.78 11.12.2013 34 20.7.78 35 NORTH COKER 28.8.78 36 19.10.78 Extended 15.3.90 37 NORTON-SUB-HAMDON 23.3.78 38 ODCOMBE 10.2.83 70 PITCOMBE 28.8.75 39 PUCKINGTON 15.2.79 40 QUEEN CAMEL 28.8.75 84 SHEPTON BEAUCHAMP 25.3.98 41 SOMERTON 5.1.70 Extended 14.2.78 42 15.2.79 64 12.4.88 43 28.8.75 44 STOFORD 10.2.83 59 STOKE-SUB-HAMDON 14.4.87 (East Stoke) 58 STOKE-SUB-HAMDON 14.4.87 (West Stoke) 69 TATWORTH 29.6.89 45 THORN COFFIN 29.6.78 72 TINTINHULL 15.3.90 46 WADEFORD 2.7.81 78 WEST CAMEL 13.12.90 47 20.12.76 48 WEST COKER 10.2.83 49 WHITESTAUNTON 2.7.81 60 WINCANTON Extended and amended 12.4.88 12.5.2010 50 WINSHAM 2.7.81 51 WOOLSTON 27.7.81 52 YEOVIL Town centre Extended and amended 10.2.83 5.3.2013 86 YEOVIL THE PARK 2.4.2008 88 YEOVIL HENDFORD HILL 30.5.2012 Mar 2016
Name Address Phone Number Appointment Date Term Expires Rod Murphy Chariman 142 St Rt 778 Eddyville (270) 365-5340 Dec 31, 2014 Brian Dunning Vice-Chair 2365 St Rt 293 Eddyville (270) 388-5020 Dec 31, 2016 Sandra Rudolph Secretary/Treas 415 Barnett Road Eddyville (270) 388-9375 Dec 31, 2014 Thomas Dyer Supervisor 198 Glen Chapel Road Eddyville (270) 388-7089 Dec 31, 2014 Bob Austin Supervisor PO Box 147 Kuttawa (270) 388-9306 Dec 31, 2016 John East Supervisor 4107 St Rt 819 Kuttawa (270) 625-9444 Dec 31, 2016 Anthony Supervisor 1722 St Rt 93N Kuttawa (270) 963-0309 Dec 31, 2016
Bruising – footfall damage to vegetation, usually indicated by color variation contrasting with surrounding areas of the same vegetation; Disturbance – any disturbance of the natural of the ground surface, including leaf litter, loose debris, duff, dislodged or embedded objects probably caused by footfall movement; Flagging – vegetation turned in the direction of travel; Flattening – a part of the ground compressed in a manner consistent with that of a human footfall and the flattened area may appear a different color due to surface moisture; Scuff or scrape – a mark caused by footfalls contacting firm ground indicating movement in a determinable direction of travel; Shine – light reflected from within the human footfall damage; Transfer – any substance inadvertently collected by footgear in a footfall and deposited by succeeding footfalls; Unnatural marks – straight lines, curves, parallel lines, or marks not related to the natural world; Weeping – the natural exudation of vegetation fluids resulting from footfall damage. A tracker shall demonstrate the ability to observe and explain simple sign aging characteristics and estimate the time elapsed since the sign was left: The tracker shall include factors of vegetation damage, rain, sun, and other natural effects. A tracker shall demonstrate the ability to recognize and explain footprint characteristics related to the manner and movements of the specific sign maker. A tracker shall demonstrate the ability to function in any position in a recommended three-person tracking team: Point person – using a tracking stick to follow track evidence; Right or Left flanker – one step behind the point person, each of whom assists the point person from a different perspective and watches for approaching sign from either side; A tracker shall identify the rational for frequent rotation among the positions, including issues of back strain, eye strain, and focused attention cognitive fatigue. A tracker shall understand and explain the concept of ‘sign cutting’ including the following: How natural and man-made barriers can help locate human sign; How multiple tracking teams can be used to advance a specific line of sign in an organized and regimented manner;
To ensure students with disabilities graduate with a diploma To ensure all school programs, activities, and environments are accessible WHERE AND WHEN IS SPECIALLY DESIGNED INSTRUCTION DELIVERED? Any place school-sponsored activities occur, as defined in the student’s IEP Any time during school-sponsored activities as defined in the student’s IEP To the maximum extent appropriate, with students who are not disabled, based on individual student need described in the IEP Within environments which are most conducive to student progress HOW IS SPECIALLY DESIGNED INSTRUCTION DELIVERED? Delivered more urgently, more relentlessly, more intensely, more precisely, more directly, in a more highly structured manner, and in a more carefully monitored manner Adaptations to instruction designed to meet the unique of the student arising from his/her disability which may include changes to: the purpose and appropriateness of the task the complexity of the task the size of the task the time allotted the pace the environment the order of learning the procedures and routines the resources and materials the application and demonstration of knowledge the of support independence, participation, and motivation WHO SHALL DESIGN AND MONITOR SPECIALLY DESIGNED INSTRUCTION? Highly qualified special education teachers, including BK certified teachers, and related service providers with specialized training (e.g., license, education, and/or credentials), in collaboration with regular education teachers, and having demonstrated competency in the area of need WHO CAN PROVIDE SPECIALLY DESIGNED INSTRUCTION? Highly qualified special education teachers, including BK certified teachers, and related service providers with specialized training (e.g., license, education, and/or credentials), in collaboration with regular education teachers, and demonstrated competency in the area of need IEP team member or person to whom instruction has been delegated who: Has demonstrated competence in delivering the specially designed instruction or intervention Is routinely monitored for fidelity and effectiveness by the special instruction/intervention designer HOW IS SPECIALLY DESIGNED INSTRUCTION Through a specially designed progress monitoring plan
married in 1864 by a black Baptist preacher related to Emily while they were living as slaves on a farm east of . After the war ended, the couple moved to Lexington where William worked initially as a wagon driver then became a blacksmith and farrier by 1880, an occupation he probably kept until his death in 1898. Emily stayed at home to rear their four daughters but in 1900, she was working as a laundress and later still as a cook for private families; it appears probable that her return to the workplace was related to her having been widowed without sufficient economic support. Although William and Emily remained in working class jobs, they took pains to see that their daughters were educated; at least two of them became teachers. One of the daughters was a member of the chapter of the National Association of Colored Women in the 1920s. The family attended a large black Baptist church; the daughters were involved in cultural pursuits such as musical recitals and recitations. Emily was a member of Queen ’s Court, the female auxiliary of the Knights of Templar; William must have been a member of the Knights of Templar as well. Emily’s and William’s race and former slave status as well as the post-Civil War context in which they lived placed them in a highly ambiguous social situation. The War period in was chaotic in many respects. Former slaves had to negotiate new relationships with whites, many of whom were outraged at the demise of the social order they once had taken for granted. Racially motivated violence was common, good jobs were scarce, and any misstep could result in ugly consequences. The black community reacted by closing ranks and creating a subculture that operated alongside but below the radar of the dominant white culture. Thus, the racist climate produced segregated residential patterns that had not existed prior to the Civil War and had the effect of
CONSENT TO RELEASE INFORMATION RELEASE FROM LIABILITY TO WHOM IT CONCERN: I am an applicant for a position with the (Port District of South Whidbey Island). The Port needs to thoroughly investigate my employment background and personal history to evaluate my qualifications to hold the position for which I have applied. I have authorized PDSWI to gather all available information regarding my employment background and personal history and other information which may be of a confidential or privileged nature. I, the undersigned, authorize you to furnish PDSWI any and all information that you have concerning me, including without limitation my work record, my background and reputation, my criminal history; including any arrest records and any information contained in investigative files, and any other personal records, including medical, psychological, military service or financial matters. Information of a confidential or privileged nature may be included in the materials you provide to PDSWI. I further specifically consent to the Washington Department of Revenue’s release of any tax returns, as defined by RCW, filed by, on behalf of; or with respect to me, and any tax information, as defined by RCW, that pertains to me. I request your cooperation in supplying this information to PDSWI in response to a request from that office. I hereby agree to release you and those who supplied you with the above information, your company or organization, and the Port District of South Whidbey Island, its Directors, employees and or agents, from any liability for any damage with may result from furnishing the requested information. Applicant’s Signature date Driver’s License # (please include !) Applicant’s printed first name middle initial last name Current Address (include mailing if different) Previous Address and Dates of Residence Aliases (include previous married names, maiden name) Have you been convicted of any crimes in the past 10 If so, what?
Store – Inventory/Consignment Event: Texas Storytelling Festival – March 8-11, 2018 TSA Vendor No. ___________ Name: (check payable to) Address: (mail payments to) City: Zip: Home: ( ) Work: (______) Fax: ( ) Cell: (______) E-mail: ___________________________________________ Attending? Y N Arrive “late”? Y N Leave early? Y N Complete the yellow shaded columns for each item and bring/ship this form with your materials. **Format: H=hardcover; P=paperback; AU=audiocassette; CD=compact disc; VHS or DVD = video. **Wearable or artwork items: list by sizes, styles &/or colors, if applicable. Print Legibly! Title or Item Description Format ** # In (Sent) # Out (Returns) # Sold Retail List $ Gross $ Less 25 % Consignment to TSA Net $ (payment) Example: “My Best Book” P 5 - = X 8.00 = - = - = X = - = - = X = - = - = X = - = - = X = - = - = X = - = - = X = - = - = X = - = - = X = - = - = X = - = - = X = - = Print Legibly! Title or Item Description Format ** # In (Sent) # Out (Returns) # Sold Retail List Price $ Gross $ Less 25 % Consignment to TSA Net $ (payment)
Figure 3. Inter-event time distribution from a simulation of 100,000 years of seismic activity across the Central Apennines, for three selected fault systems. The time-dependent 50 years occurrence probability of a M6+ earthquake on the Colfiorito-Cittareale fault system, under a renewal BPT model, could be estimated before the 24 August 2016 earthquake as 13%. 5. Statistical parameters of the synthetic catalog for each SFS (see text for explanations) ID Tr(M ≥6.0) (yr) P50 (%) σ (y) Cv Latest largest EQ SFS01 493.5 9.6 339.9 0.69 1832, Mw 6.4 SFS02 1206.7 4.1 517.8 0.43 1298, Mw 6.3 SFS03 283.1 16.2 206.5 0.73 1915, Mw 7.1 SFS04 555.9 8.6 341.9 0.61 2009, Mw 6.3 SFS05 944.6 5.2 447.2 0.47 no data SFS06 997.0 4.9 305.6 0.31 1984, Mw 5.6 SFS07 517.8 9.2 330.1 0.64 2016, Mw 6.5 SFS08 971.0 5.0 547.6 0.56 1639, Mw 6.2 SFS09 657.2 7.3 364.8 0.56 1461, Mw 6.5 SFS10 1905.8 2.6 800.1 0.42 1741, Mw 6.2 1077.2 4.5 681.7 0.63 1799, Mw 6.2 1448.3 3.4 660.4 0.46 no data SFS13 832.1 5.8 498.9 0.60 1706, Mw 6.8
Research Project: Name of Project entered here I, ……………………………………………………………………….., have read the information contained in the Information Sheet for Participants and any questions I have asked have been answered to my satisfaction. Yes/No I agree to participate in this activity, realising that I may withdraw at any time. Yes/No I agree that research data gathered for the study may be quoted and published using a pseudonym. Yes/No I agree to be identified in this research. Yes/No I agree to having my interview audio recorded and transcribed. Yes/No I would like to receive a copy of the transcription of the interview. Yes/No I am older than18 years of age. Yes/No
Part 2 Delegation under Regulation 30 – Finance Minister may approve payments pending probate etc. Division 1 Delegation 1 Provision of Regulations Regulation 30 2 Summary of function or power To authorise the payment to the person who the delegate considers should receive the payment, of an amount which, at the time of a person’s death, the Commonwealth owed to the person 3 Delegates NonFinance Chief Executives Division 2 Directions [There are no directions.]
Comarch Software (Shanghai) Co. Ltd. subsidiary full 100.00% COMARCH CO., LTD (Wietnam) subsidiary full 100.00% Comarch Oy subsidiary full 100.00% Comarch UK Ltd. subsidiary full 100.00% UAB Comarch subsidiary full 100.00% Comarch s.r.o. subsidiary full 100.00% SouthForge Sp. z o.o. subsidiary full 100.00% CA Consulting S.A. subsidiary full 100.00% Comarch Management Sp. z o.o. subsidiary full 100.00% Comarch Corporate Finance Fundusz Inwestycyjny Zamknięty subsidiary full 100.00% in total number of investment certificates Comarch Management Sp. z o.o. SK-A subsidiary full 45.42% held by CCF FIZ, 26.65% held by Comarch S.A., 27.93% purchased by Comarch Management Sp. z o.o. SK-A to be redeemed Management Sp. z o.o. SK-A subsidiary full 100.00% held by CCF FIZ Bonus Development Sp. z o.o. SK-A subsidiary full 100.00% held by CCF FIZ Bonus Management Sp. z o.o. II Activia SK-A subsidiary full 100.00% held by CCF FIZ Bonus Development Sp. z o.o. II Koncept SK-A subsidiary full 100.00% held by CCF FIZ iMed24 S.A. subsidiary full 100.00% held by CCF FIZ Comarch Polska S.A. subsidiary full 100.00% held by CCF FIZ iReward24 S.A. subsidiary full 100.00% held by CCF FIZ Infrastruktura24 S.A. subsidiary full 100.00% held by CCF FIZ iComarch24 S.A. subsidiary full 100.00% held by CCF FIZ CASA Management and Consulting Sp. z o.o. SK-A subsidiary full 100.00% held by CCF FIZ A-MEA Informatik AG subsidiary full 100.00% held by CASA Management and Consulting Sp. z o.o. SK-A ESAProjekt Sp. z o.o. subsidiary full 100.00% held by CASA Management and Consulting Sp. z o.o. SK-A
Recovered communication damages 123 198 Outdated liabilities 66 - Dissolving revaluating receivables 10 767 13 011 Received contractual penalties 19 17 Earnings on disposal on non-financial non-current assets 137 6 940 Refund of VAT 321 - Subsidies 202 221 Other 4 664 2 583 Total 16 299 22 970 Operating Costs operating costs and looses 12 months ended 31 December 2012 12 months ended 31 December 2011 Write-off that revaluates assets (impairment) 0 2,565 Membership fees 517 344 Donations 147 80 Loss on non-current assets disposal and decommissioning 827 254 Write-off that revaluates receivables 13,132 14,978 Compensation 30 - Other 7,685 679 22,338 18,900 Finance Costs – Net 12 months ended 31 December 2012 12 months ended 31 December 2011 Interest expense, including: (4,613) (4,531) - Interest on borrowings (4,289) (3,824) - Other (324) (707) Gains on bank deposits 5,122 6,057 Gains on disposal of securities - - Gains/(losses) on disposal of financial assets 1,661 (895) Net gains/(losses) on exchange differences (note 3.29) 7,071 1,287 Fair value valuation of financial instruments and investment 757 (929) Other, including: (1,005) 30 - compensation and financial penalties - - - other (1,005) 30 Total 8,993 1,019 Income Tax 12 months ended 31 December 2012 12 months ended 31 December 2011 Current tax 11,959 12,568 Deferred tax (9,474) (5,871) Total 2,485 6,697
Brian Raven 50,000 - 50,000 1.00 - July 2016 July 2018 The market price of the shares at 31 March 2017 was 2.625 pence (2016: 4.625 pence) and the range during the financial period was 2.60 pence to 7.75 pence. During the year both Oliver Cooke and Brian Raven exercised the options, granted to them under the terms of the Company’s EMI Scheme, over 50,000 G Ordinary Shares, which as a class were then converted with the approval of Shareholders into 45,854,034 Ordinary Shares. After the balance sheet date, on 13 April 2017, the Company announced that it had inter alia, granted options over an additional 10,000,000 shares to each of Oliver Cooke and Brian Raven with an exercise price of 5.25p per share, which represented a premium of 86.2% over the Company’s then share price. In each case, the vesting of 5,000,000 of the shares is conditional upon the achievement by the Group of £5 million of pre-tax profit in a single year and the vesting of the other 5,000,000 shares is conditional upon the growth of the funds managed by the group to £1.5 billion. TAVISTOCK INVESTMENTS PLC REMUNERATION REPORT (continued) FOR THE YEAR ENDED 31 MARCH 2017 Service contracts The term of the Directors’ service contracts can be summarised as follows: Executive Directors Commencement date Term Oliver Cooke 3 May 2013 Fixed to 31 March 2020, terminable thereafter on twelve months’ notice Brian Raven 12 May 2014 Fixed to 31 March 2020, terminable thereafter on twelve months’ notice Non-executive Directors Roderic Rennison 12 May 2014 Initial term 2 years, terminable at any time on three months’ notice Philip 12 May 2014 Initial term 2 years, terminable at any time on three months’ notice Directors' remuneration Details of each Director’s remuneration are provided in Note 5 to the financial statements entitled Costs. On behalf of the Board Oliver Cooke Chairman