31![Paycheck Contribution Election Governmental 457(b) Plan Use black or blue ink when completing this form. For questions regarding this form, contact Service Provider at[removed][removed]City of Mesa IRC 457 Deferr Paycheck Contribution Election Governmental 457(b) Plan Use black or blue ink when completing this form. For questions regarding this form, contact Service Provider at[removed][removed]City of Mesa IRC 457 Deferr](https://www.pdfsearch.io/img/62fd812ec331734eb34c7acf75091b1b.jpg) | Add to Reading ListSource URL: mesaaz.govLanguage: English - Date: 2013-12-10 10:57:41
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32![Paycheck Contribution Election Governmental 457(b) Plan Use black or blue ink when completing this form. For questions regarding this form, contact Service Provider at[removed][removed]State of Tennessee 457 Plan Paycheck Contribution Election Governmental 457(b) Plan Use black or blue ink when completing this form. For questions regarding this form, contact Service Provider at[removed][removed]State of Tennessee 457 Plan](https://www.pdfsearch.io/img/9fed422c303ddd2dae0a7558e3fc5db2.jpg) | Add to Reading ListSource URL: www.fascore.comLanguage: English - Date: 2014-04-02 16:51:20
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33![West Virginia Voter Registra on Applica on Please follow these steps to complete this form. (Please PRINT in blue or black ink.) Box 1. Indicate if this is a new registration, party change, or name/address change. Box 2. West Virginia Voter Registra on Applica on Please follow these steps to complete this form. (Please PRINT in blue or black ink.) Box 1. Indicate if this is a new registration, party change, or name/address change. Box 2.](https://www.pdfsearch.io/img/33dfab8f9785e1629fa17b50e8f697f6.jpg) | Add to Reading ListSource URL: www.longdistancevoter.orgLanguage: English - Date: 2014-04-11 11:37:38
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34![06w NORTH CAROLINA VOTER REGISTRATION APPLICATION Please use black ink and print legibly. 1 06w NORTH CAROLINA VOTER REGISTRATION APPLICATION Please use black ink and print legibly. 1](https://www.pdfsearch.io/img/0f74c8125f4f9dcc43f86c1304a711f4.jpg) | Add to Reading ListSource URL: www.longdistancevoter.orgLanguage: English - Date: 2014-04-09 12:05:45
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35![2012 Medical Plan Election Form for Retirees Age 65 and Older Please print all information in ink and remember to sign and date the form. EBPA 37 Industrial Drive, Suite E 2012 Medical Plan Election Form for Retirees Age 65 and Older Please print all information in ink and remember to sign and date the form. EBPA 37 Industrial Drive, Suite E](https://www.pdfsearch.io/img/8d180860b2b85b1bdb25bcfe5d096caa.jpg) | Add to Reading ListSource URL: hr.columbia.eduLanguage: English - Date: 2011-11-07 09:52:40
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36![2014 Health Plan Election Form for Retirees Under Age 65 Please print all information in ink and remember to sign and date the form. You can mail, scan or fax this form to: Columbia University 2014 Health Plan Election Form for Retirees Under Age 65 Please print all information in ink and remember to sign and date the form. You can mail, scan or fax this form to: Columbia University](https://www.pdfsearch.io/img/95128aa99ac4e232bcff90e26fce5cf2.jpg) | Add to Reading ListSource URL: hr.columbia.eduLanguage: English - Date: 2014-04-04 14:22:57
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37![2014 Medical Plan Election Form for Retirees Age 65 and Older Please print all information in ink and remember to sign and date the form. You can mail, scan or fax this form to: Columbia University 2014 Medical Plan Election Form for Retirees Age 65 and Older Please print all information in ink and remember to sign and date the form. You can mail, scan or fax this form to: Columbia University](https://www.pdfsearch.io/img/a84d269f24a6c1e3f583d672674f808d.jpg) | Add to Reading ListSource URL: hr.columbia.eduLanguage: English - Date: 2014-04-04 14:26:02
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38![2012 Medical Plan Election Form for Retirees Under Age 65 Please print all information in ink and remember to sign and date the form. You can mail or fax this form to EBPA: EBPA 2012 Medical Plan Election Form for Retirees Under Age 65 Please print all information in ink and remember to sign and date the form. You can mail or fax this form to EBPA: EBPA](https://www.pdfsearch.io/img/a161f994fe4dfa281efa3b287cce4787.jpg) | Add to Reading ListSource URL: hr.columbia.eduLanguage: English - Date: 2011-11-07 09:52:08
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39![2013 Health Plan Election Form for Retirees Under Age 65 Please print all information in ink and remember to sign and date the form. EBPA 37 Industrial Drive, Suite E 2013 Health Plan Election Form for Retirees Under Age 65 Please print all information in ink and remember to sign and date the form. EBPA 37 Industrial Drive, Suite E](https://www.pdfsearch.io/img/cf58b67162a014d3a83b32e39d431a05.jpg) | Add to Reading ListSource URL: hr.columbia.eduLanguage: English - Date: 2012-11-03 07:17:18
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40![CF-16 CANDIDATE’S AUTHORIZATION FOR A COMMITTEE TO MAKE ALL CAMPAIGN FINANCIAL DISCLOSURES NEW YORK STATE BOARD OF ELECTIONS Section[removed]of NYS Election Law THIS FORM MUST CONTAIN ORIGINAL SIGNATURES IN INK AND BE C CF-16 CANDIDATE’S AUTHORIZATION FOR A COMMITTEE TO MAKE ALL CAMPAIGN FINANCIAL DISCLOSURES NEW YORK STATE BOARD OF ELECTIONS Section[removed]of NYS Election Law THIS FORM MUST CONTAIN ORIGINAL SIGNATURES IN INK AND BE C](https://www.pdfsearch.io/img/8c3724a982bb7dc671ce5a3cd7ffdc5a.jpg) | Add to Reading ListSource URL: www.elections.ny.govLanguage: English - Date: 2014-03-25 11:05:07
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