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We have been going to Murphin Ridge at least once a year for the past 10 years and it never disappoints! Always an excellent time.
Very relaxing!!!!! Everything we needed was in the cabin. The food was wonderful. All of the staff made sure all of your needs were met. We had several conversations with Paula and Marjorie and Jerry even stopped cooking to step in to the dining room to check with us/the diners. It was quite obvious that their guests are their first priority. THANK YOU ALL!!!!
Makes us wish we got to Ohio more often. Excellent service in a beautiful setting with outstanding rooms and facilities and without pretentiousness or superficial friendliness. We had a great time and enjoyed our stay beyond our expectations
Wonderful place to relax and unwind. The firepit was very enjoyable in the evening and breakfast was awesome! The bed was very comfortable and room/bathroom clean & spacious. Also, the staff is extremely friendly and accommodating. Great spot to get away from it all!.
Wonderful, private location, with clean accommodations and friendly, helpful staff.
My wife and I recently stayed here to observe a quiet weekend for our 45th Anniversary. The food was well presented and delicious. The inn room was comfortable and clean. Sitting around the fire pit in the evening and visiting with the other guests is always enjoyable. The Innkeepers and staff are dedicated to making your stay as perfect as can be. We will be planning our next visit for the Fall very soon.
I thought the help was very talkative. Meals were only ok for such a high price. Left items in the bath that had value but no call regarding them. The room was immaculate and the breakfast was great.
The Celebration cabin was the perfect first anniversary spot: no TV, lots of birdsong, a jacuzzi tub and fireplace. Wave after wave of thunder and lightning on our first night simply enhanced the cozy magic. The food was delicious and cheerfully served, accommodating my vegetarian requests without hestitation. The trails were a pleasant diversion and the nearby Edge of Appalachia Preserve areas offered more challenging hikes. If you can, stay two nights to really unplug, try the pizza fired in their hand built oven if it's offered, and father with other guests around the fire pit after dinner. It wasn't until we were checking out and I read other guests' notes inthe little notebook in our cabin that I saw they'd have been willing to deliver breakfast to our room; I might have tried that if I'd known. Everyone we met had been there before, and I'm sure we will return.
We stayed in one of the cabins. Every part of the cabin inside and out was clean, comfortable and inviting. We had a little greeter on our porch by the name of Jack (cat), he walked the trails on the property with us that day. We like that extra touch whether it is a cat or dog! That evening we had one of the most delicious meals we have had in a long time at a B&B. There was no television in the cabin, cards, checkers and games a Jacuzzi; it was wonderful. The first night it rained and you could hear it on the roof top. After a delicious breakfast we came back to the room, pulled our chairs over in front of the fireplace, had another cup of coffee and relaxed more! We will be back for sure, already talking about coming back in late fall. Last but not least the staff was friendly and very efficient and the chef made outstanding dishes! We would like to thank them all for what was truly the best experience at a B&B we have had in a long time!
The cabin was amazingly--comfy, bright with all the amenities. The food at breakfast and dinner was superb -- tasty and fresh. The mushroom soup was the best I have had! The people were friendly and welcoming. All in all, a wonderful place to spend a fun, relaxing weekend.
We stayed in the main lodge. The rooms were quiet and comfortable with a great view out across the lawn and fields. We had breakfasts and dinners at the Inn. The food was good and the portions generous, so we had leftovers for lunches. In the daytime we hiked the property, drove to nearby parks, and went bicycling.In the evening we sat in front of the fire pit and talked with another couple.
Carol and I had a great time. Food was outstanding
I loved the fact that there were no TVs in the rooms. Time to reflect, forget about stress for a little while and get back to basics.
This place was wonderful. It was the perfect place dor my husband and I to fall in love all over again. We aill be back!
This Inn is over a mile off the highway. It is truly secluded, and beautiful. Lots of space to just hang out and be with Nature. The breakfasts and dinners were homemade and delicious. We will definitely return.
The most amazing weekend we have had, the food was outstanding, the Inn Keepers and staff were beyond exemplary. Grounds are well kept, cabins are clean. Great place to go and relax. We will definitely visit again.
Everything about Murphin Ridge is always top notch. True its a bit pricey but well worth an annual visit.
The Murphin Ridge is our favorite local getaway. We have been going well over 20 years. Jerry and Marjorie are the third owners and they are great. The cabins are our favorite and we even had breakfast in our Cabin. The food served was world class. I had the best pork chop in my life! Murphin Ridge is in the heart of Amish Country and there are a lot of activities such as hiking and antiquing. You cannot pick a better getaway.
If you are searching for a romantic cabin, a tranquil setting, outstanding and friendly service, superb food and the beauty of nature, look no further! I rented one of the cabins for a little getaway for my boyfriend's 50th birthday. He loves nature, and I love amenities ~ Bingo! This was perfect! The staff has thought out every little detail to make your stay as stress free as possible. Even Mother nature cooperated, giving us 75 degree weather in March! We will definitely return, and since WE GOT ENGAGED right on the rustic front porch in our PJs (afterward enjoying the yummy breakfast in our rockers!), we most definitely will have to come back if just to relive that beautiful memory. The name of our cabin, Celebration, really did encompass our stay! The food is delectable and prepared with pride. A place you are catered to while at the same time, enjoying privacy. If there were six stars, I'd give them that!!
We had a wonderful, relaxing, great time away. This is a very nice place to stay (wish the weather would have been nicer during our time there but...still nice!) The food was EXCELLENT! Best salmon I ever had...would eat there even if I wasn't staying there...and u can do this by the way. They have different specialty items on their menu every day to change things up for the guests which is nice too. No TV or wifi in our cabin (MY Cabin) which was fine with us! Sometimes we all need a time to get away from the distractions in life and just enjoy time together. Something I which we could have done but couldn't because of the weather was enjoy the walking trails as well - next time. One suggestion - we brought our laptop and a DVD along to watch a movie on there instead.
Our first visit to Murphin Ridge will be the beginning of many more for us! We were so pleasantly surprised by the quiet, peaceful surroundings and the food is outstanding! The staff and the owners really know how to make their guests feel at home. We also enjoyed meeting the other guests who seemed to be enjoying their stay as much as we were. We stayed in a cabin and it was amazing.. We will be back!
This was my wife and I's fourth time here and it was great as always. The weather outside was cold but the cabin was warm and sooo relaxing. The food was excellent as usual and the staff treat you like long lost relatives. We will definitely plan on coming again. We recommend this place highly!
It's our favorite Bed and Breakfast. Great place to relax and unwind, great food, friendly staff! I highly recommend it!
We thoroughly enjoyed our stay at Murphin Ridge. The food was absolutely scrumptious. Nothing bad to say...all good. The staff was great and super friendly. We are glad we found Murphin Ridge and will look forward to our next visit.
This was our first visit to Murphin Ridge Inn and we weren't disappointed! The cabin was cozy and clean. The food was AMAZING! Looking forward to going back.
I am a mother of six, working full time, in graduate school and internship for clinical counseling. My husband is a restaurant manager finishing his undergrad. To say that we are a little stressed would be a drastic understatement! So for our 7th wedding anniversary, we decided to escape the hustle and bustle of the city. We'd never heard of this place before, but the pictures looked relaxing, and we can be happy anywhere, so we gave it a shot. OH. MY. GOODNESS!!! The pictures don't do it justice. I have NEVER seen a hotel room as pristine as our king cabin was. The wood floors, wood walls, every single centimeter of the bed, windows, bathroom were spotless. It looked like they'd been renovated the day before we checked in! The bed was a little hard, I'll admit; but the relaxation factor of laying with my husband in a jacuzzi tub with a glass of wine by firelight as we watched an evening lightening storm cannot be captured in words, it was THAT magical! I had an in room massage on Saturday while my husband napped. It was cold, but we still had a great time exploring nearby shops and the serpent mounds. And the food is amazing!!! I didn't have a single thing I didn't like, and everyone was incredibly accommodating with my diabetic needs. The chef sincerely wants to please and will come to check on you personally while you're eating...and not because he has to. He seems to actually care what you thought and that you were happy. It was just amazing!! Definitely on your list to try should be pancakes, ribs, sunrise juice, bread pudding and their morning granola. YUM!!! The bath products provided smelled and felt amazing, and there were cookies and water in our room each morning. Overall, it was FANTASTIC...the most romantic and relaxing vacation I've ever had. I will definitely be going back!
The food was fabulous, the cabin very cozy, and the staff very nice. Murphin Ridge was not too far from home, but yet just enough to feel we had been away.
We enjoyed a quiet and relaxing weekend at Murphin Ridge Inn. The property provided a peaceful getaway including hiking, the wonderful cabin, excellent dining, and access to antique shops and historic sites.
We spent our 10 year anniversary here as a treat to ourselves. A treat is definitely what it was. The staff was professional, friendly and always exceeded our expectations. The grounds were well kept allowing for wildlife to be seen even during the winter months. The food was phenomenal. We were forced out of our comfort zone with some of the choices and were pleasantly surprised by it. Not one meal was amiss. Our cabin was amazing! It was clean and stocked with all our needs at all times. We also chose to do couples massage on one of our days. That was the best decision. The masseurs set up and preformed our massages in the comforts of our own cabin next to our warm fireplace. We truly couldn't have asked for more. This was our first B&B experience and we're already planning a summer trip here with our children.
One of the best evening meals I can remember and the best breakfast ever!! The fire pit in the evening was so relaxing and the stars really shone. No light pollution out here. As comfortable an evening and stay as I can remember. The owners are great and take extra time and courtesy for guests.


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Despite full lakes, rural Rockwall County utility can't meet water demand
Southern Rockwall County residents are dealing with low water pressure and a sprinkler ban at a time its many new yards need the resource and lakes are full. Demand for residential service is booming in McLendon-Chisholm and neighboring areas served by RCH Water Supply Co. The system has seen 10 percent growth so far this year, mostly in new subdivisions of an acre or larger homesteads. Read the article………
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subset: commoncrawl


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Glad Smoke house #3960
- Manufacturer: Glad
continuous unit of ss offers a capacity of 6000lbs / hr. the unit comes with overhead conveyors, 5 burners maxon type and blower box made of ss. there is no cooling zone or liquid smoke applicator. this smokehous...
1987 Glad Smoke house #3961
- Manufacturer: Glad
made of ss it has 5 zones and 5 maxon type burners. it is a continuous type. it comes with a conveyor system
BREWSTER N-7 Drilling Rigs - Land Rigs
- Manufacturer: Brewster
complete brewster n-7 1,000 hp rig ready to move onto location and drill. just came off of job and has new swabs and liners. motors rebuild and don't smoke. has 2 backup cat 3406's and 1 cat 353 backup. comes com...
2007 MAN TGA26.440 / 6x6Hydrodrive / VDL Unwinding hook up to 6,5m
- Manufacturer: MAN
- Mileage: 495,000 km
man tga 26.440 with vdl unwinding hooks for container lengths up to 6.50m / 6x6 hydrodrive / switched / l-house / engine smokes man tga 26.440 with vdl unwinding hooks for container lengths up to 6.50m first regi...
Fessmann Turbomat 1800 RT 182298
- Manufacturer: Fessmann
fessmann turbomat 1800 rt, single trolley smoke house, electric powered, microprocessor control, smoke generator integrated in door
Fessmann Turbomat T 3000 181889
- Manufacturer: Fessmann
fessmann smoke house, turbomat t 3000, 1 trolley, steam heated, dp 11 control, smoke sticks 100 cm, 2 pcs. available.
Bastramat 1500 C-FR 182034
- Manufacturer: Bastramat
bastra smoke house bastramat 1500 c-fr, electric heated, cooking, baking, smoking, with cooling battery, mc 600 control, emission-free smoking because of liquid smoke, length smoke stick: 1000 mm, trolley size 10...
2016 DAF CF 460 Sleeper Cab K FT tipping hydraulics
- Manufacturer: DAF
- Mileage: 90,000 km
vehicle number: 150109 other features cab: h3279whte h3279 / 1 brilliant white chassis: anthracite gray scheinwerfereinf. u. bumper: stone gray abd., st., f-house. and fenders: stone gray mirror housing: gray va:...
- Manufacturer: DAF
- Mileage: 10 km
space cab driver's cabin air-cushioned central locking, 3 keys sunflower outside 'smoke gray translucent' adjustable roof spoiler, for space cab scheinwerfereinf. u. bumper: driver's color unt st f-house, driver'...
2017 DAF FAN XF 510 SC Meiller Dispenser
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- Mileage: 100 km
driver's cabin air-cushioned central locking, 3 keys sunflower outside 'smoke gray translucent' halogen headlights with height adjustment nebel lights and cornering / cornering light scheinwerfereinf. u. bumper: ...
Peukert Finish Roboter 156
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peukert finish roboter 156 used machine peukert finish roboter 156, smoke house for one trolley, electric heated. you are very welcome to inspect the machine at our facility in koblenz, germany.
Stein and Seydelmann 1 & 2 Truck Smoke Houses
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Maturing chamber Travaglini
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batch: 40 trolleys | maturing: with smoke
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I don't have unlimited time to surf the Internet, but even I am amazed at how many of these memes are out there! This image is from the Know Your Meme site. And I wouldn't even have started looking if it weren't for that NPR story. Now I have to get back to some productive activities, but I thought I would share my discovery. Incidentally, I am not a cat (yet).
Category Archives: cats
Grumpy Cat Meme Phenomenon
On my way home from work the other day, there was a piece about grumpy cats on the radio that caught my attention. I think this is a variation on the Hitler Rage Meme; for that matter, it seems a lot like drawing a moustache on a photo (that some of us engaged in as teenagers). Funny, up to a point. But is it really worthy of making a movie about it?
It does have a long history. In my mind it is just another variation on word balloons (a.k.a. speech balloons). According to Wikipedia, this method of expression (commentary) has been with us for a very long time [as early as the 13th century].


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Precision Driver is a Driving Skill available in Watch Dogs.
Located within the Driving section of the skill tree, this skill greatly reduces the chance of tire blowouts. This is especially useful in Multiplayer, when your opponent raises road spikes, or in a police chase where the police deploy spike strips (appearing as rectangles on the minimap).


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My collage is probably the best gift I have ever received.
Site Sponsor: Netsparker — find vulnerabilities in your web applications before someone else does it for you.
If you have a comment, please engage me on Facebook, Twitter, or Email. And if you liked this you'll probably also enjoy my other content, and my book about the future of the Internet of Things.
Thanks for visiting,


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"Billions Of Lives Are At Stake As China Threatens India With War", SHTFPlan – 7/18/2017 Bible Prophecy Commentary: War/s are Coming – I seem to be writing a lot about war, global war and nations against nations these days. Could … Continue reading
Tag Archives: China
"US Deploys Two More Aircraft Carriers Toward Korean Peninsula: Yonhap", Zerohedge – 4/18/2017 "China and Russia dispatch ships to shadow Donald Trump's 'armada' as it approaches North Korean waters – Japanese media report", The Telegraph – 4/17/2017 "Report: US to … Continue reading
"Tillerson warns Russia time to re-think Assad support'", India News – 4/6/2017 "Is The United States About To Bomb North Korea? The White House Says 'The Clock Has Now Run Out'", The Economic Collapse Blog – 4/4/2017 "'Mad Dog' Mattis … Continue reading


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FOSSI TOWER ART and LIFE
I am interested in the blurring of Art and Life.
I will not stick to the traditional exhibition format and create regular Art Salon events in the family home "Fossi Tower Art & Life".
Click here and Subscribe to the mailing list
It does include:
– Viewing a large number of artworks, including work made earlier on, as well as family objects and my own findings.
– Participating to an Art Charade, and the chance to win an Artwork!
– Drinking, eating, talking Art & Life..
If you wish to take part of my Art Salon exhibitions, please send me an email and I will add your name my Art Salon list.


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Engineering Services
World-class diesel engine manufacturers depend on Paragon specialists to provide exceptional expertise in fluid management engineering…


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Please join us for the Somerset/Hunterdon Unit Holiday Gathering!
We are having a fun night out to celebrate the Holiday Season.
Come join us with a giving spirit! We are also collecting donations for a local animal shelter, Somerset Regional Animal Shelter. For their "wish list" visit, http://members.petfinder.com/~NJ32/WishList.html.
Appetizers are on us!
Register today!
7/31/2017*SOLD OUT* (5 CEUs) Maintaining Boundaries in 21st Century Social Work Practice
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8/15/2017Mercer/Burlington Unit Event & Presentation
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pages: 1-8
DOI: 10.22067/ess.v3i1.31039
S. Shao, E. Abdi, F. Barati, and R. McMahon, "Stator-flux-oriented vector control for brushless doubly fed induction generator," IEEE Transactions on Industrial Electronics, vol. 56, no. 10, pp. 4220-4228, October 2009.
S. Tohidi, M. R. Zolghadri, H. Oraee, P. Tavner, E. Abdi and T. Logan, "Performance of the brushless doubly-fed machine under normal and fault conditions," IET Electric Power Applications, vol. 6, Iss. 9, pp. 621–627, 2012.
J. Poza, E. Oyarbide, I. Sarasola, and M. Rodriguez, "Vector control design and experimental evaluation for the brushless doubly fed machine," IET Electr. Power Appl., vol. 3, Iss. 4, pp. 247–256, 2009.
H. Gorginpour, H. Oraee, and R. A. McMahon, "Performance description of brushless doubly-fed induction machine in its asynchronous and variable speed synchronous modes," Journal of Electromagnetic Analysis and Applications, vol. 3, pp. 490-511, December 2011.
H. D. Lee, S.J. Kang, and S. K. Sul, "Efficiency-optimized direct torque control of synchronous reluctance motor using feedback lineariztion," IEEE Transactions on Industrial Electronics, vol. 46, no. 1, pp. 192-198, February 1999.
A. Consoli, G. Scarella, G. Scelba, and A. Testa, "Steady-state and transient operation of IPMSMs under maximum-torque-per-ampere control," IEEE Transactions on Industry Applications, vol. 46, no. 1, pp. 121-129, January/February 2010.
M. Hajian, J. Soltani, G. Arab Markadeh and S. Hosseinnia, "Adaptive nonlinear direct torque control of sensorless IM drives with efficincy optimization," IEEE Transactions on Industrial Electronics, vol. 57, no. 3, pp. 975-985, March 2010.
S. Bolognami, L. Peretti, and M. Zigliotto, "Oline MTPA control strategy for DTC synchronous-reluctance-motor drives," IEEE Transactions on Power Electronics, vol. 26, no. 1, pp. 20-28, January 2011.
M. Ahmadian, B. Jandaghi, and H. Oraee, "Maximum torque per ampere operation of brushless doubly fed machines," Renewable Energies and Power Quality Journal (RE & PQJ), no. 9, pp. 1720-1725, May 2011.
S. WiIliamson, A. C. Ferreira, and A. K. Wallace, "Generalised theory of the brushless doubly-fed machine. Part I: Analysis," IEE Proc. Electr. Power Appl., vol. 144, no. 2, pp. 111-122, March 1997.
R.A. McMohan, P.C. Roberts, X. Wang and P.J. Tavner, "Performance of BDFM as generator and motor", IEE Proceedings - Electric Power Applications, vol. 153, Iss. 2, pp. 289-299, March 2006.
P. C. Roberts, "A study of brushless doubly-fed (induction) machines," Ph.D. Dissertation, University of Cambridge, 2005.
C. Lascu, I. Boldea, and F. Blaabjerg, "Direct torque control of sensor less induction motor drives: A sliding-mode approach," IEEE Transactions on Industry Applications, vol. 40, no. 2, pp. 582-590, April 2004.
O. Anaya-Lara, N. Jenkins, P. Cartwright, and M. Hughes, Wind Energy Generation: Modeling and Control. Chichester, West Sussex, United Kingdom: John Wiley and sons, Ltd., pp. 4-6, 2009.
M. Thurston and M. Priestley, "Influence of cracking on thermal response of reinforced concrete bridges," Concrete International, vol. 6, pp. 36-43, 1984.
S. M. Kazemi, H. Goto, H. Guo, and O. Ichinokura, "Review and critical analysis of the research papers published till date on maximum power point tracking in wind energy conversion system," Energy Conversion Congress and Exposition (ECCE), pp. 4075-4082, 2010.
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Forum indexOlympus Compact Camera TalkChange forum
Em5 lockup of lens release button. Help needed!
Started Jul 6, 2012 | Discussions thread
TPS88 • Junior Member • Posts: 36
Re: Em5 lockup of lens release button. Help needed!
In reply to Ncedra • Jul 6, 2012
Have you tried removing the battery to "reset" the camera?
TPS88's gear list:TPS88's gear list
Olympus E-M5 II Panasonic Leica Summilux DG 25mm F1.4 Olympus M.Zuiko ED 75-300mm 1:4.8-6.7 II
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Brushing Teeth
Written by Mari C. Schuh
Illustrated by
Part of the Healthy Teeth Series
when in stock
As soon as this book is back in stock we will send you an email.
Brushing Teeth by Mari C. Schuh
About the Author
Other Formats
Book Info
24 pages
Interest Age: 5-7
Mari C. Schuh
More books by Mari C. Schuh
Capstone Press an imprint of Coughlan Publishing
Publication date
31st March 2008
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Single Family
- 3 beds
- 1 baths
- $149,900 price
- 201713345 mls id
- Square Feet: 1,144 sqft
- Days on Market: 19
- Status: Active
Updated in 2012 this 2 story home is located in desirable Whitehall Road neighborhood. Modern kitchen & bath, hardwood floors, energy efficient natural gas heat with central air, fenced rear yard is ideal for children or pets and much more. Contingent on owners finding home of choice.
School Details
- School District Albany
Kitchen Amenities
- Appliances Range W/Oven, Refrigerator, Microwave, Washer & Dryer
Heating & Cooling
- Cooling Type Central Air
- Heat Fuel Natural Gas
- Heat System Hot Air
- Amenities Ceramic Tile, Crown Molding, Sliding Glass Door, Wood Floors
- Area Albany City - South East
- Attic Description Hatch
- Basement Full
- Condition Excellent
- Dining Room Type Formal Dining Room
- Exterior Aluminum, Vinyl
- Exterior Features Deck, Fenced Yard, Lighting, Porch/Enclosed
- Garage Description None
- Interior Features Cable Hook-Up, Sump Pump
- Laundry Area
- Lot Description Privacy, Landscaped
- Price Per SqFt 131.03
- Roof Desc Asphalt Shingle
- Sewer Public
- Water Public
Related Listings
3 Family +
8 Pictures
Just Reduced. Great 3 family investment opportunity. Fully leased with long term tenets. Positive cash flow. Coin operated laundry in the basement for additional income. A must see. Two 2 bedrooms units. One 1 unit apartment. Close to Central Ave. Call for appointment 518-788-6730.
3 beds, 1,960 sqft, $139,900
Listing Agent: Mark Peterson
Courtesy of: Community Partners Realty Grou
Single Family
22 Pictures
Adorable! Lovingly maintained for years - easy living on this dead-end street close to Shopping, Restaurants, Hospitals, Schools and all major roadways. Sit back and enjoy the sun-drenched front porch or entertain friends in your private fenced backyard. Young boiler, roof, & windows....
3 beds, 1 baths, 1,224 sqft, $139,900
Listing Agent: Patrick Bergeron
Courtesy of: Albany Realty Group,LLC
Single Family
16 Pictures
Lovely brick ranch with great finished area in the basement. Walk to SUNY, Colleges, hospitals. 3 bedrooms, 1 BA, Living rm and eat-in kitchen on the first floor. Finished basement level offers a family room, office, 1/2 bath, storage and laundry hookups. Side yard and off street parking....
3 beds, 1 baths, 975 sqft, $143,500
Listing Agent: Melissa Hems
Courtesy of: Berkshire Hathaway Blake
Single Family
25 Pictures
SITTING PRETTY is our tastefully updated home w/character & full of Light. There is no doubt about pride of ownership. Jump right in & enjoy the fruits of his labor...from the nicely updated kitchen w/SS Appliances to the Gorgeous Wood Beamed Ceilings & Hardwood Floors. You will not...
3 beds, 1 baths, 1,402 sqft, $147,000
Listing Agent: Christina Hennessy
Courtesy of: Keller Williams Capital Dist
Single Family
25 Pictures
Extremely well maintained Albany home close to Montessori School, parks, shopping and bus line. Tons of character including natural wood work, stained glass windows and decorative wood mantle. Newer roof, vinyl siding and tilt in thermopane windows. w/w over hardwood floors. Large enclosed front...
3 beds, 1 baths, 1,400 sqft, $149,800
Listing Agent: James Caputo
Courtesy of: Yankee Realty, Inc.
Single Family
13 Pictures
Showings will begin after 4/14/2017. Call agent for additional information.
3 beds, 2 baths, 1,330 sqft, $149,900
Listing Agent: Ira Bethea
Courtesy of: SJW & Associates
Listing Agent: Edward Brewer
Courtesy of: RealtyUSA.com
Office Phone: 518-286-1000
Updated: 26th July, 2017 2:58 AM.
12 MCDONALD RD Albany, NY


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Love these images from Harpers Bazar UK.
Braiding has been hot for a while and it doesn't look like its going to stop. Lots of upstlyes are incorporating braids for both fun and elegant looks.
Looking at these pics, makes me want my long hair back!!!
Exclusive | Hugo Leclercq by Sylvain Norget - French model Hugo Leclercq is photographed by Sylvain Norget in a sexy Homotography Exclusive story. THERE IS MORE, CLICK HERE TO SEE REST OF THE POST ...
5 hours ago


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informed consent
Research should be based, as far as possible and practicable, on the freely given informed consent of those under study
Research involving human subjects can pose complex ethical issues which require careful thought and consideration on the part of both researchers and research participants. Prospective participants should always be given adequate information on both the possible risks and the potential benefits of their involvement to allow them to make informed decisions about whether or not to participate in the research.
- Research should be based, as far as possible and practicable, on the freely given informed consent of those under study. However, it is recognized that in some cases it may be necessary to employ covert methods should these constitute the only means to obtain the required data.
- It is the responsibility of the researcher to explain as fully as is reasonable and appropriate, and in terms meaningful to the participants: the aims and nature of the research, who is undertaking it, who is funding it, its likely duration, why it is being undertaken, the possible consequences of the research, and how the results are to be disseminated.
- The power imbalance between researcher and researched should be considered. Care should be taken to ensure that the latter are not pressurized into participation. Research participants should be aware of their right to refuse participation at any time, including withdrawal from a research project at any stage, and should not be given the impression that they are required to participate. It should also be recognized that research may involve a lengthy data-gathering period and that it may be necessary to regard consent not as obtained once and for all, but subject to re-negotiation over time.
- The researcher should explain how far research participants will be afforded anonymity and confidentiality and participants should have the option of rejecting the use of data-gathering devices such as tape-recorders, video cameras, and digital recording devices.
- If there is a likelihood of data being shared with or divulged to other researchers, the potential uses of the data should be discussed with the participants and their agreement to such use should be obtained.
- Where access to a research setting is gained via a 'gatekeeper' external to the University, researchers should also obtain the informed consent of research participants, while at the same time taking account of the gatekeeper's interests. It should be borne in mind that the relationship between research participant and gatekeeper may well continue long after the research has been undertaken.
- Where research participants are young children or other groups that may be made vulnerable in or by specific social conditions relevant to the research such as elderly, disabled or sick people, or people with learning difficulties whose understanding is impaired in some way so that they are unable to give full informed consent, it may be necessary to use a proxy in order to gather data. In this case great care must be taken not to intrude upon the privacy of the vulnerable participants. The researcher should consult relevant professionals, parents/guardians and relatives, as appropriate. Researchers should attempt to obtain the informed consent of children and their parents and in relation to schoolchildren those who are in loco parents.
- In addition to obtaining the informed consent of those under study, researchers should attempt to anticipate and guard against the possible harmful consequences of their research for participants.


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Philip Hawkins is a Multi Award Winning Photographer with
over 30 years experience and expertise. His impressive client list
ranges from OK! Magazine to ITV and he is one of the most published
photographers in the UK! He provides a full range of photographic
services including Weddings, Photoshoots and Photography Training.
Philip Hawkins PhotographyMedia , Photography/Video , Weddings based in/near to BORDERS , Roxburghshire
Philip Hawkins is a Multi Award Winning Photographer with
RoxburghshireWebsite: http://www.philiphawkinsphotography.com Email: email@example.com: 07850969036 / 01573450694
View Shoutouts (2)


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|Story Views
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This barely even made the news, why would this even need to be a hoax/psyop? You all are really stretching for clicks these days.
Yeah, hoax, heres video and pictures of them running people over http://www.bestgore.com/road-accidents/bronx-man-ram-dozen-people-car-times-square/
fuckface idiot.
The only thing I see that may come of this is someone will insist we blame the cars like we do guns.
anything is a HOAX on BIN
The attribution is mostly to be clickbait and like suckers, we clicked. Navy vet whacked out on spice. Nothing to see here. False flags/hoaxes have certain factors in common. A "disturbed" individual is the only criterion present, none of the other factors.
Why you always so nasty? You comments always so nasty. I bet you a white man liberal cuz white liberals, they the most nastiest people on this planet. If you say to me the thing you write on this site, I would tear you eyes out with my nails. Also, if you hate this site so much , then why you always on it leaving your nasty comments? I hope when the revolution come, nasty people like you are use for target practice.
How deep is your state, Tap?
Holy crap you suck.
I am waking up and by passing these ridiculous headlines, stuff like Lisa Haven and Leah used to post. I fell for warnings of dollar crashing.
Ex – CIA Director Calls for Coup if Trump Fires Deep State Mueller
US Judge Enforcing Nazi Eugenics as Prisoners Are Sterilized for Shorter Sentences
The Final Nail In The Economic Coffin: One Weekend Very Soon Around Midnight NY City Will Experience Something So Catastrophic That It Will Never Rise Again!
Fire Mueller
This Doomsday Map Is Causing the Elite to Panic—They're Running Scared...
In Early Tweetstorm, Trump Lashes Out at Sessions for Ignoring 'Hillary Crimes'
Anonymous: How Can Anyone Ignore These Warnings? (Video)
The globalist one world currency will be very similar to bitcoin
Pedogate – PA Catholic Priest Arrested for Sexually Assaulting 10 Year Old
Leading Pastor Makes Eerie Declaration About President Trump: Something CBN Refused to Air!
Why Is CPS Losing Tens of Thousands of Children Per Year? Where Do They Go?
Extreme Weather Footage: Rare Thunderstorm Sends People Airborne (Video)
Will This August 2017 Date Paralyze America: Are You Ready for the Darkness (Videos)
The PizzaGate Saga Continues: Was Chester Bennington and Chris Cornell Murdered to Cover-up a Pedophile Ring?
The globalist one world currency will be very similar to bitcoin
New Evidence Reveals Identity of Antichrist? Here's the Connection With the Arch's of Baal Being Placed Around the World (Video)
Important Watchman Report: The Temple Mount, the 3rd Temple & the Coming Prophetic Firestorm (Dynamic Video) JD Farag
iPhone Critical Alert: Apple Issues Warning for iPhone Users (Important Video)
Apparition in Brazil Scares Residents. Photos Went Viral on the Internet (Video)
There is something really big happening in the world of finance. Time to start paying attention
Incredible! Parrot Key 'Witness' in Murder Trial as Woman Is Convicted of Killing Husband (Videos)
Snopes.com Collapses From the Inside, Resorts to GoFundMe
White People: Aren't You Tired Yet…?
Scaramucci Shoots His First Leaker To Encourage Everyone Else To Shut Up
Will This August 2017 Date Paralyze America: Are You Ready for the Darkness (Videos)
The PizzaGate Saga Continues: Was Chester Bennington and Chris Cornell Murdered to Cover-up a Pedophile Ring?
Bias! Favoritism! Criticism Follows O.J. Simpson's Parole Hearing - Guess What One Parole Board Member Was Wearing? (Video)
Sweet Encounter With the Mysterious Sea Creature of Scilly Isles (Videos and Photos)
Apparition in Brazil Scares Residents. Photos Went Viral on the Internet (Video)
Engineered Western Meltdown To Cool The East


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Administrative Assistant Salaries in Little Rock, AR
The average salary for Administrative Assistant jobs near Little Rock, AR is $27,457*.
Top 10 Related Jobs and Salaries
Similar Locations
Popular Companies
* Please note that all salary figures are approximations based upon third party submissions to Simply Hired. These figures are given to Simply Hired users for the purpose of generalized comparison only. Minimum wage may differ by jurisdiction and you should consult the employer for actual salary figures.
Top Administrative Assistant jobs near Little Rock, AR
Database Administrator- AR509366
NationalTechJobs - Little Rock, AR
Responsibilities include capacity planning work (including migration) and monitoring database growth and design, maintaining and ensuring High Availability...
Office Administrator
thyssenkrupp Elevator Corp - Little Rock, AR
A High School diploma or equivalent is required A Bachelor's Degree or equivalent hours of college-level coursework plus professional experience is preferred....
Assistant Controller
Clearpointe Holdings - Little Rock, AR
On occasion, work may be required beyond normal office hours. To provide financial, clerical and administrative support to ensure efficient, timely and accurate...
Database Administrator
MISO - Little Rock, AR
MISO's Vision is to be the technology leader of the Independent System Operators (ISOs). Configure and maintain database software listed above according to best...
Property Manager
davisRE - Little Rock, AR
Word Processing/On-Site Rental System (Must be proficient with a calculator, Excel) *Work Hours:. Fair Housing, Americans with Disabilities Act, Fair Credit...


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Search 321,000 hotels worldwide.
Get the price guarantee available for your trip.
No Expedia cancellation fee to change or cancel almost any hotel reservation.
The Resort created a very special atmosphere through the building and room design, which make it quite different from other resort in the area. The hotel is quiet and cozy, with beautiful sunrise scene. The rooftop bathtub is a brilliant idea. The Hotel restaurant is good, Also the staff are very ...
A good distance away from the hustle and bustle of Hua Hin proper, you will need a motorbike or car to get around unless you are okay relying on the hotels decent but rather expensive restaurant. The facilities are adequate and well maintained, but this is really best suited to those wishing to spend ...
i went there low season, they up grade my room with no request, thanks. hotel is clean and quiet, next to the beach, pool is ok. break fast is just so so. friendly staffs.
Another excellent stay at the Evason. Holiday bliss!
A comfy big room close to the beach. Abit disappointed about the pool closing 6 pm. Plus the second pool near the building is quite dirty and lack of maintenance. Lobby is at the back side of the hotel which is about 5 mins walk from the beach side of hotel which they should have two check in and ...
Search for hotels in Pak Nam Pran on Expedia. You can easily find your hotels in Pak Nam Pran using one of the methods below:


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The Mid-American Conference always has been a sort of "little brother" to the Big Ten, a proving ground of sorts. The two conferences have their roots in the heartland of the nation. And the two leagues often play each other in the non-conference.
Iowa senior OL Sean Welsh opens up about depression
Iowa senior offensive lineman Sean Welsh penned an op-ed Wednesday that chronicled his struggle with depression. Welsh started battling depression as a redshirt freshman in 2014, when the mood disorder had him eating less and spending more time in front of the TV than with friends.
Nebraska students spin stories of science: BTN LiveBIG
Student productions span varied research and a variety of media.
Dienhart: Predicting 1,000-yard Big Ten rushers
This could be the "Year of the Running Back" in the Big Ten, with many big-time options doting rosters across the conference. And no back is better than Penn State's Saquon Barkley, who is the league's top Heisman contender and could be primed for a 2,000-yard season.
A Maryland startup's sticky innovation is a game-changer: BTN LiveBIG
Former Terp's new business is making athletes a little crabby.
Take Ten Podcast Episode 8 with Darien Harris
Former Michigan State LB Darien Harris joined Alex Roux of BTN.com to discuss his football and broadcasting aspirations, his love of superheroes and Kobe Bryant, and much more.
Dienhart: Here are my top 25 Big Ten games of 2017
There is no shortage of great games that dot the Big Ten schedule in 2017. The best non-league game? Oklahoma at Ohio State. The best conference tilt? Penn State at Ohio State. Here is my ranking of the Top 25 games on the Big Ten schedule.
Yes, Michigan State's Tom Izzo subscribes to the 5-second rule
The 5-second rule is one many implement in their daily lives. Drop something on the floor or ground, and you have five seconds to pick it up before it's no longer edible. Hall of Fame coach Tom Izzo subscribes to the theory, and he showed last week in the video below. Hey @espn @SportsCenter is this #SCtop10 or #SCNotTop10 worthy?#MSU bball HC Tom Izzo picking up popcorn & eating it off floor! #Spartans pic.twitter.com/V6Qc38bgzm — Tyler Cupp (@TCupp13) July 15, 2017 Based on the tweets of those who know Izzo well, the coach is a good sport about being caught
B1G Summer Camp - Michigan State Summer Discovery Cruises: BTN LiveBIG
Learning about life on the banks of the old St. Clair.
Rutgers Geology Museum showcases some ancient Jersey Devils: BTN LiveBIG
Just mind the free-range Grallator.
2017 Big Ten football uniform rankings: Penn State tops the list
What are the best uniforms in Big Ten football? BTN.com's Brent Yarina ranks his seven favorite designs entering the 2017 season inside.


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If a California employee identifies as having bipolar disorder, should you request a doctor's note? What rights does he or she have under the ADA, FEHA, and other laws? What qualifies as reasonable accommodation? What about CFRA leave? Similarly, how should you respond when employees disclose other mental health conditions, such as depression?Bipolar disorder affects 1 in 20 Americans, but because there's a stigma attached to it, employees who have it seldom reveal it. It's considered a disability under the ADA and the California Fair Employment and Housing Act (FEHA), so you have to be prepared.Bipolar disorder can appear as mood swings ranging from manic stages to depression and can affect an employee's performance. Workers with bipolar disorder may seem to be the most talented and productive, then quickly become the least so. The same worker may exhibit sluggishness and have difficulty concentrating or remembering things. This inconsistency presents accommodation and management challenges for HR.As with other disabilities, leaves of absence may be requested as an accommodation, so you must understand your legal responsibilities under both FMLA and the CFRA.Join us when our presenter, a skilled California employment attorney, will provide an in-depth view of the ins and outs of how best to deal with employees with bipolar disorder, depression, and other mental conditions, as well as what the state and federal legal bounds are around handling leave requests and associated accommodations.Learning Objectives:
Certificate Program For HR Generalists
How To Conduct A Reasonable Accommodation Discussion
Agile Basics For HR
Creative - And Free - Ways To Use LinkedIn As A Recruiting Tool
Strategies For Managing FMLA Abuse &Catching The
Payroll Requirements For Terminated Employees
Multi-State Payroll Tax Compliance
Return-To-Work Strategies
Internal Investigations Certificate Program
Certificate Program In FMLA &ADA Compliance
Developing HR′s Credibility To Influence Meaningful Change
I-9 Compliance Issues: Things That Most Employers Don't Realize They Need To Know
Succession Planning Strategies
Certified Payroll Adminstrator
Guidelines For Taxing Gifts, Awards, &Other Fringe Benefits
Evaluating Your Paid Time-Off Strategy: PTO Or Traditional Vacation &Sick Pay?


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25% off Pillows, Tapestries, Acrylic Blocks, & Duvet Covers. Use YOURDECOR25
He does, however, remember the frostbite.
adventure time ice king the ice king simon petrikov simon snow blue sad frost i remember you
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Explore Gentlemens Guide, Bow Ties and more!
Explore related topics
Gentleman's Guide to a Bow Tie Art Print
97f65486fb92221db82fb54e246105e8.jpg 750×1,125 pixels
Buy the Extra Large Caramel Concealed Cabinet or shop more mirrorless recessed in-wall medicine cabinets with picture frame doors!
Fab.com | Fab is Everyday Design.
Joanna's five favorite Fixer Upper paint colors #paint (scheduled via http://www.tailwindapp.com?utm_source=pinterest&utm_medium=twpin&utm_content=post118029205&utm_campaign=scheduler_attribution)
Decorative MDF Partition (Mashrabiya) idea: dremmel?
The top 5 paint colors for deep, dark, moody walls! Click to read the full article and download a free printable cheat sheet!
Oh my gosh... this is my livingroom once I tear up carpet. Layout, windows, trim, and everything. how weird.
For general kitchen lighting ceiling mounts, semi-flushes, cans, or even recessed fluorescent fixtures are acceptable. Mini-pendants or island lights may be used for increased task lighting and should be hung about 30" above the counter depending on ceiling height. Mini-pendants should be spaced 12"-18" apart. For lighting a smaller eating area like a dinette, the fixture should be hung 30' - 36' inches off the table top and should be at least 12" less the width of the table.
Visual Comfort Thomas OBrien Mercer 3 Light Bath Wall Light in Hand-Rubbed Antique Brass TOB2005HAB #visualcomfort #lightingnewyork #lighting


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Human-Nature counsellors are skilled in working cross-culturally and from a social justice framework. We are committed to providing you with a healing environment regardless of race, culture, gender, sexual orientation or religious affiliation.
We help people of all ages with:
- stress, anxiety and depression
- self esteem and self awareness
- grief and loss
- trauma, and post traumatic stress
- sexual, physical and emotional abuse
- mental health crisis
- family of origin issues
- family conflict, communication, and parenting support
- life transitions
- reconnecting with the natural world to support physical, emotional, mental, and spiritual health


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Hours before fatally attacking a 64-year-old man and seriously injuring an 85-year-old woman, the dogs belonging to former Grover Beach police officer Alex Geiger broke loose and chased a mailman, according to a court filing.... (Continue reading)
The San Luis Obispo County Board of Supervisors approved a plan on Tuesday to construct a $13.7 million animal shelter. The seven cities in SLO County will share the cost of the new facility. SLO... (Continue reading)
In addition to facing criminal charges, former Grover Beach police officer Alex Geiger has now lost both of his dogs that attacked and killed a 64-year-old man and injured a 85-year-old woman. Shortly after noon... (Continue reading)
San Luis Obispo County Animal Services has competed its investigation into the deadly Grover Beach dog attack and has submitted the case to the District Attorney's Office. Prosecutors are expected to announce later this week... (Continue reading)
The Grover Beach Police Department has identified the owner of a dog that attacked two people last week, killing a 64-year-old man, as Officer Alex Geiger. He is currently on paid administrative leave while the attack... (Continue reading)
The Grover Beach Police Department has placed the officer who owned a dog that attacked two people last week, killing a 64-year-old man, on paid administrative leave. On Tuesday, two of the officer's dogs got... (Continue reading)
The Grover Beach man attacked by a police officer's dog died Friday evening. He was 64 years old. On Tuesday afternoon, the dog attacked Betty Long, 85, in her front yard. Long's neighbor, David Fear,... (Continue reading)
The K9 officer-type dog that attacked and nearly killed an 85-year-old woman and a 64-year-old man belonged to a Grover Beach policeman, according to San Luis Obispo County Animal Services. Authorities have not identified the... (Continue reading)
Video footage of a San Luis Obispo County Animal Services volunteer swinging a plastic chair at a pit bull has prompted outrage from animal rights activists. SLO County Animal Services officials are investigating the incident,... (Continue reading)
Law enforcement officers seized 40 dogs from an Atascadero woman Thursday before arresting her on animal cruelty charges. Suzanne Sollenne and her dogs were living in unsanitary conditions and many of the dogs needed treatment... (Continue reading)


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Vauxhall Vivaro 1.6 CDTi Sportive 2900 L2H1 Panel Van 5dr LOW MILEAGE, AIR CON
Key factsPrint summary
LOW MILEAGE, AIR CON, BLUETOOTH PHONE PREP, CRUISE CONTROL, FACTORY REAR PARKING SENSORS, ELECTRIC WINDOWS, REMOTE CENTRAL LOCKING, ABS, FRONT FOG LIGHTS, LED DAY RUNNING LIGHTS,6 SPEED GEARBOX, FULL OWNERS BOOK PACK, 2x REMOTE KEYS, NICE VAN EXCELLENT CONDTION INSIDE & OUT Cloth interior, Long wheel-base, CASSIOPEIA GREY, WE ARE LOCATED CLOSE TO BATH TRAIN STATION AND IF YOU WANT TO COME AND VIEW THE CAR WE CAN ARRANGE TO COLLECT YOU. WE TRY TO DESCRIBE OUR CARS AS ACCURATELY AS POSSIBLE TO AVOID ANY DISAPPOINTMENTS. READ OUR EXCELLENT 5* GOOGLE REVIEWS, IF YOU HAVE ANY QUESTIONS PLEASE FEEL FREE TO CALL or E-MAIL AND WE WILL DO OUR BEST TO ASSIST., £12,995 +VAT
This van comes with
Air Conditioning with Air Recirculation Facility, Cruise Control with Speed Limiter, Rear Parking Distance Sensors, One-Touch Electrically Operated Front Windows, Two-Coat Metallic Paint, Bluetooth connectivity, Cruise control, Electric windows, Front Fog Lights, Electric mirrors, Drivers airbag, Immobiliser, Side loading door, Remote central locking, Ply-lined, LWB, Factory fitted bulk head, ABS
- 201706196582411
- 2016
- 16
- £12,995
- 1300
- 7,736
- Vans
- YDg15aisyIE=
Vehicle summary
|Body style
|Panel Van
|Engine size
|1598 cc
|Fuel type
|Number of doors
|Number of seats
|No details available
|Gearbox type
|CO2 emissions
|170 g/km
|Insurance group
|No details available
|Standard manufacturer's warranty (miles)
|No details available
|Standard manufacturer's warranty (years)
|1 years
|Standard paintwork guarantee
|6 years
Performance & economy
|Fuel consumption (urban)
|36.2 mpg
|Fuel consumption (extra urban)
|49.6 mpg
|Fuel consumption (combined)
|43.5 mpg
|0 - 60 mph
|No details available
|Top speed
|No details available
|Engine power
|113 bhp
|Engine torque
|221.28 lbs/ft
|1971 mm
|Height inclusive of roof rails
|No details available
|5398 mm
|0 mm
|1956 mm
|Width including mirrors
|2283 mm
|Fuel tank capacity
|80 litres
|Minimum kerb weight
|1717 kg
|Interior features
|Exterior features
|Air Conditioning with Air Recirculation Facility
|Two-Coat Metallic Paint
|One-Touch Electrically Operated Front Windows
|Selective Door Locking
|Cruise Control with Speed Limiter
|Front Fog Lights
|Rear Parking Distance Sensors
Please note
This includes MPG figures which are calculated under European Standards, in test conditions, and will vary under normal driving conditions. The information displayed above describes the typical specification of the most recent model of this vehicle. It is not the exact specification for the actual vehicle being offered for sale which may vary. Specifications for older models may also vary. Please contact us prior to purchase to confirm the exact specification of this vehicle.
Newbridge Motors Bath
Based on 46 customer reviews
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This is really bad news. Why can't the parties involved accept the inspector's recommendation?
I find these people really arrogant. Why will they not accept the wider benefits of this scheme.
Re: Ordsall Chord being challenged in High Court
There are no comments. Why not be the first?
Grayling confirms HS2 phase 2 route
Elizabeth Line trains first to run without yellow front ends since steam era
Grayling throws three major electrification plans out the window
Fatal smash at level crossing prompts safety calls
'Why not do some re-engineering?' Adrian Shooter on the Vivarail D-Train
Arriva signs £490m rolling stock contract to replace Northern's Pacers
Cognitive Publishing Ltd
Magazines That Mean Business
2nd Floor, 82 King Street, Manchester, M2 4WQ
phone:0044 (0) 161 833 6320
Other brands produced by Cognitive Publishing Ltd
Web Design by Senior
Enter Now! Remind me later


text:
It's Christmas, the celebration of the birth of Jesus, and here I am meditating on death! But perhaps it's not entirely out of place. This baby was born to die. His life was a life ordained to service, and this service was to die.
However, his death would bring life. Speaking of himself, Jesus stated that "unless a grain of wheat falls into the earth and dies, it remains alone; but if it dies, it bears much fruit." (John 12:24) He was speaking of his approaching sacrificial death for the sins of humanity. And this principle goes well beyond the circumstance of Jesus' ministry; it applies to the whole of human existence. It takes dying to self to bless others. It requires self-denial to care for and serve others, for our sinful human nature is basically selfish.
Interestingly, just like the death of Jesus, our 'death' produces true life. We do not truly live unless we are giving our lives for a cause or a person. And so many thinkers and figures in history have pointed this out. Our own ordinary experiences confirm this. Mothers know what it is to give their lives for their children, husbands die to their own interests in order to love their wives, friends make sacrifices for the sake of one another. Yes, we die. But in dying, we live. Self-denying service is a death unto life – true life.
And this is what Christmas is about.


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ALL >> Shopping-Product-Reviews >> View Article
It Only Takes Three To Extend Your Iphone 4 Battery Life
Total Articles: 16
Just admit it - smart phones are not as worth it as you thought it would be. It takes up most of your time using applications that you really do not need or wastes your time logging in and out of social networking sites just looking up friends, and sometimes stalking people you really like or really hate. Mankind just has not found out the real reason why these were made, and phone companies are quick to adapt to the mentality of man that smart phones lost its purpose. The worst part of it all is that smart phones have a short battery life.
This unfortunate circumstance is true for every smart phone that was released and worsened by operating system updates that drain the battery's life even more. This rapid draining for battery life has been evident since the time of the iPhone 4 battery.
Looking around in the internet, tips have been given that can help in hopefully extending the battery life to some extent. Even a little is a huge help. However, there are so many of those sometimes, these tips contradict one another. Its number overwhelms the public that they just could not figure out which ones are more effective and which ones are hoax because even though they have tried some of them, the battery life is still the same – it drains as rapidly still.
Amidst the many tips that promise to help extend your battery life since the time of the iPhone 4 battery, but among those, there are only three tips that you might want to remember.
First is to change your phone's settings especially if the settings that you are currently using are those which were pre-set by the company as a standard for all the phones that it has released in the market. This basically tell you to turn off anything that you are not using at a particular time. For example, turning off the WiFi when you are outside your home running errands for your mother and if you anticipate going to a place without phone service, then it might be smarter if you shift your phone to airplane mode.
In addition, you might also want to turn off Siri, settings that automatically update the applications that you have in your phone and frequent location updates.
The second tip is to get a real Apple charger. They may be more expensive that the imitations that you can find in stores, but, you are guaranteed that it will be worth it. It charges the iPhone 4 battery faster and provides your battery true charge. In addition, there were reports that fake chargers caused injuries to owners.
Lastly, you may want to consider buying an external battery which will allow you to charge your phone even when an outlet is out of reach. You might consider a cased external battery so that your iPhone will be kept safe while charging.
It does not take as much explaining in order to extend your battery life. All you really need to think of are these three and it will sum up just nicely.
To get more information please see Online Batteries for iPhone 4
Shopping/Product Reviews Articles1. Why You Need A Women's Wetsuit
Author: Vikram Kumar
2. How To Choose Stylish And Cheap Bridesmaid Dresses Nz
Author: Bell Hart
3. How To Look Beautiful In Cheap Plus Size Swimwear For Women
Author: Piper
4. Buying The Best Cosmetics And Beauty Products Online
Author: Racheal Christion
5. Stylish Ladies Bags Can Help You To Fulfill Many Purposes
Author: Ryan Joel
6. Cheap Newborn Cloth Diapers
Author: Smartipants
7. 5 Precautions When You Buy From Stationery Sale In The Uk
Author: storeforshopping
8. Invicta Quartz Chronograph 17887 Men's Watch| Dress-chrono Meant For Real-life Adventures
Author: Jasson C
9. Citizen Quartz Chronograph An8071-51e Men's Watch: Simple, Easy And Useful
Author: Jasson C
10. Beautiful Stylish Chinese Cheongsam
Author: Chinese Cheongsam
11. Buying Cool Gifts For Diwali Festival
Author: Namrata
12. Tips On Ensuring Proper Personal Grooming For Women
Author: Nanshipache
13. Usb Travel Chargers – A Must Have Item For Every Business Man
Author: Lider Accessories
14. What Are The Different Iphone Replacement Parts
Author: Lider Accessories
15. Different Protective Iphone Cases To Choose From
Author: Lider Accessories


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1220 1220 Detroit Ave, Concord, California
$275,0002 Beds1 BathActive
$275,0002 Beds1 BathActive
1220 1220 Detroit Ave, Concord, California 94520 - Spacious 2 bedroom, 1 Bath condo. All Dressed Up and Ready to Go! Newl Paint , One car garage and two assigned tandem parking spots, Laundry hookups, Close to Bart, Shopping & Parks. One Level, no neighbors above or below, Duet-style condo.
View Virtual Tour
Listing Courtesy of Matt Irvin~RE/MAX Accord
"Christina, we would like to extend our thanks for all of your hard work and diligence. This whole process could not have gone as smooth as it did without the great communication you have provided. I will gladly recommend you to anyone who wishes to buy or sell their house. We can't thank you enough!"


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A post on Moneta-L let me know that a supplement to Roman Provincial Coinage is online.
The supplement is 110 pages and 21 MB. It can be downloaded using the browser in the usual way (shift-click, or right-click 'save target as'). Get it from http://www.uv.es/~ripolles/definitivo/web/val.htm, a personal site at the Universitat de València in Spain.
I assume this is legit. The copy is high quality, not a scan job, and the URL of the download site is in the PDF itself.
Virtual CPAC Meeting on Libyan MOU Request - On July 19, 2017, the U.S. Cultural Property Advisory Committee held its first "virtual" meeting where some CPAC members and all speakers were linked via a...
1 week ago


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KMB CARRIERS OTR Truck Driver in HALLSVILLE, Texas
We are looking for OTR truck drivers to join are growing company. Must have a Class A CDL with a clean driving record and no felonies in the last 7 years. 2-years Experience preferred. The company offers: - FULL coverage insurance including vision and dental -Bonuses Job Purpose: Transports and delivers product or material by operating a tractor/trailer truck. Duties: * Determines condition of vehicle by inspecting vehicle before and after use; logging inspection; reporting requirements. * Ensures correct loading of vehicle by loading product or material; directing material handlers.* Delivers product or material to destination by identifying destination; selecting route; driving the vehicle. * Ensures operation of equipment by completing preventive maintenance requirements; following manufacturer's instructions; troubleshooting malfunctions; calling for repairs; maintaining equipment supplies; evaluating new equipment and techniques. * Maintains safe vehicle and conditions and protects load by complying with organization policies and procedures and highway rules and regulations. * Conserves resources by using equipment and supplies as needed to accomplish job results. * Maintains records by completing driver log; obtaining shipper and receiver authorizations; filing documents. * Contributes to team effort by accomplishing related results as needed.Skills/Qualifications:Energy Level, Deadline-Oriented, Dependability, Persistence, Time Management, Customer Focus, Safety Management, Equipment Maintenance, Scheduling, Map Reading, Reporting Skills


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Paris: Defending champion Justine Henin-Hardenne won the French Open women's singles title for the second consecutive year on Saturday. Hardenne defeated Russian eighth-seed Svetlana Kuznetsova in straight sets 6-4, 6-4. This is Henin-Hardenne's third French Open title The fifth seed Belgian wrapped up the first set in 50 minutes. Kuznetsova, however, rose to the challenge in the second set breaking Henin-Hardenne in the second game. The defending champion wasn't to be left behind. She ended Kuznetsova's challenge with a service winner on her second match point after 96 minutes. The 24-year-old now joins Margaret Court, Chris Evert, Steffi Graf and Monica Seles as the only women to have won back-to-back titles at the claycourt grand slam in the professional era.
Topics : Tennis Lyon Marseille
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MOSCOW, November 14 (Itar-Tass) —— The Moscow City Court on Monday, November 14, ruled to leave three persons incriminated in the Altyn jewellery smuggling case in custody until April 21, 2012.
A lawyer of one of the defendants, Alexander Gofshtein, said, "The court partly upheld our appeal today by announcing a week-long break in the hearings to allow the defence to study the 18-volume case materials."
Hearings at the Moscow City Court will resume on November 21. The lawyer said the defence planned to file one more appeal next week and may request a trial by jury.
He said the defendants "are tired by the two-year detention" that, in his opinion, has gone beyond all reasonable limits.
The defendants are the Altyn jewellery retail network's Supervisory Council, Antonina Babosyuk and her husband Vladimir Fenkov, Altyn Director-General Valentina Shadrina, and Tyan-Shan firm Director-General Vladimir Sukhoveyev, as well as Sergei Titenkov. All of them have been charged with creating a criminal ring and running it using their official positions, as well as of contraband carried out by an organised group.
Shadrina and Babosyuk have been released on bail.
Previous court meetings were held behind closed doors, as the materials concerning Babosyuk's arrest were marked "classified".
The Investigation Committee of the Federal Security Service (FSB) had requested Babosyuk's arrest.
Moscow's Lefortovo District Court issued an arrest warrant for Vladimir Fenkov, Babosyuk's husband, born in 1963, suspected of a crime punishable under Article 188 (4) of the Russian Criminal Code /smuggling/ should be placed into custody.
Fenkov was the executive director of the factory Altyn in St. Petersburg. He is a citizen of Russia and of Kyrgyzstan.
The judge refused to release Fenkov on bail against his written pledge not to leave the city. She said the arrest warrant could be appealed within ten days in the Moscow City Court.
Fenkov said he understood the court ruling but he would not appeal it.
The Lefortovo District Court had also sanctioned arrest of Altyn Director-General Valentina Shadrina, who had been charged with involvement in smuggling of large batches of gold jewellery.
The court ruled to issue an arrest warrant for Shadrina, born in 1959, suspected of committing a crime (involvement in smuggling, Article 188 (4) of the Russian Criminal Code).
The Russian Federal Security Service suspects a number of employees of the Altyn Jewellery Holding, one of Russia's major gold retailers, of gold smuggling.
Investigation operations were conducted in the company's shops and offices in Moscow, St. Petersburg and Omsk in early October 2009.
On October 5, 2009, the FSB Investigation Department opened a criminal case against some of the employees of the jewellery holding company Altyn suspected of smuggling punishable under Article 188 (4) of the Russian Criminal Code, an FSB spokesman told Itar-Tass.
The Lefortovo District Court also sanctioned the arrest of Tyan-Shan company Director-General Vladimir Sukhoveyev for involvement in smuggling.
Kazakhstan's financial police also began a probe into the activities of the Altyn jewellery retail network.
The Altyn network was founded in Bishkek, the capital of Kyrgyzstan, in 1990. The company now controls a network of jewellery shops in Moscow, St. Petersburg and Omsk. It has shops in Kyrgyzstan, Kazakhstan and the United Arab Emirates. The company also has jewellery factories in Bishkek and St. Petersburg.


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O'Neill Skins Short Sleeve Womens Rash Guard
The O'Neill Skins Short Sleeve Rash Guard is a must have for the women on the move. It's easy to pack and carry and adorable to wear. UPF 50+ UV Protection gives ladies all the time in the world to be out in the sun. For the girl who is an outdoor enthusiast, The Skins Rash Guard serves a function of attributes. Designed to be multipurpose with Boardshort Connector integration, it features FlatLoc seams for a comfortable feel with a loose fit that won't stick to you too close. UPF 50+, UV Protection, Quick Dry with Rash Protection, Boardshort Connector, Flatloc Stitched, UV Protection?: Yes, Fit: Tight, Hood: No, Sleeve Type: Short Sleeve, Model Year: 2015, Product ID: 381215, Shipping Restriction: This item is not available for shipment outside of the United States., Model Number: 4116 218 S, GTIN: 0603731997320
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The only thing this hotel has is the stunning view of the lake! So save your money, spend your day by the lake; you can freely explore the hotel if you wish, and go to sleep to the hotel next door.
We had to wait over 20 minutes for our luggage to be delivered, as a matter of fact, we couldnt wait any longer, so we left the room.
Rooms are extremely small for what you pay and, most importantly, they do NOT have A/C!!!!
Our "suite" not only smelled bad, looked so old, was in extreme need of renovations, had opened pairs of slippers, but it also had this portable A/C unit that made so much noise and barely worked. We were offered to move rooms to a regular renovated room which had A/C, but it was soooooooo small that we had no option but decline the offer.
Service in this property is none to zero. Nobody cares, they think that you are one of the tourists that overtake the hotel during the day time.
Food tastes like it was refrozen.
Breakfast buffet is rather disgusting. I ordered a smoothie which lacked half of the ingredients from its original description on the menu.
Would not stay there again even if you paid me to.
- Official Description (provided by the hotel):
- Surrounded by some of the most breathtaking scenery in the world, the iconic Fairmont Chateau Lake Louise resort is nestled deep within Banff National Park, a UNESCO World Heritage Site. Enveloped by soaring mountain peaks, the majestic Victoria Glacier and a glistening emerald lake, the natural beauty of this destination permeates every nook of the historic resort - originally built as a base for outdoor enthusiasts and alpinists. The Fairmont Chateau Lake Louise is a year-round luxury resort which specializes in offering extensive Guided Mountain Heritage programs, unparalleled skiing in the winter, exceptional food and beverage experiences and a new spa, The Spa at the Fairmont Chateau Lake Louise. ... more less
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0 responses to "The Crap We Missed – Thursday 3.14.13"
What the hell is Doc from The Love Boat doing in the background…..thought he was Jewish!
Please take us to your young boys.
"Where are de boys???"
"No, I don't think the microphone or the way he is holding it is 'hawt'! And now, a hymn I've written, "Oppa is Papal Style."
"And to celebrate my election, I'm pleased to announce the Vatican gift shop has all boys pants half-off."
"The name's Pope Francis, but everybody calls me Psycho. Any of you guys call me Francis, and I'll kill you. And I don't like nobody touching my stuff. So just keep your meat-hooks off. If I catch any of you guys in my stuff, I'll kill you. Also, I don't like nobody touching me. Now, any of you homos touch me, and I'll kill you."
I watched this on the news last night. Talk about the modern world passing you by. It's not like there's anything else these newsreaders can even do.
You know what I love? How all of you all generalize the behavior of a few disgusting, depraved child-molesters to become the official crime of men who are overall good and devout men. So am I to assume that because Arabic terrorists killed lots of Americans on Sept. 11 that the entire race are murderous and hateful? Or am I to assume that because some men rape women, all men are rapists? Or hey, how about this…that everyone who comments with hate-fueled rants on a blog are actually overcompensating for an overwhelming self-hatred that forces them to irrationally lash out in a juvenile attempt to make themselves feel better by using humor to sublimate their rage, therefore you must all be sociopaths? You should be ashamed of the smallness of your mind, and the ugliness of your hearts. If you would spend a little more time promoting what you love instead of bashing what you hate, the world would be a better place. Shame on you all.
Fuck off. Maybe you have a few words about the good work Jerry Sandusky did as well? If it were one or two priests, that would be one thing. The numbers of molestations and other inappropriate actions is staggering and the ruin of many, many lives. And now all kinds of other accusations are coming out about male prostitutes at the Vatican and all kinds of other shit. And it's all in the name of God. And people live their lives and do things because this man tells them to…to everyone's detriment. People say that this new Pope is an intellectual. There's no such thing as an intellectual Catholic. It's an oxymoron. Emphasis on moron.
Yeah… you are absolutely right, there is no such thing as an intellectual Catholic. See also: Leonardo Da Vinci, Galileo, John F. Kennedy, Christopher Colombus, Alfred Hitchcock, Sean Connery, Frank Sinatra, just to name the first few who spring to mind. Maybe do a quick check before you make blanket statements like there is no such thing as an intellectual Catholic. And for clarification, I am NOT excusing the disgusting acts of those child-molesters, and I am NOT excusing the church for covering for them. It is beyond contempt.
Sorry, but "intellectual" would imply that you possess the faculty of reasoning and understanding objectively. You can bang Marylin Monroe, sail a big boat or make scary movies all you want, but it's not enough to overcome your willingness to believe the bullshit and hocus pocus of the Catholic church. If you buy into all that nonsense, you just don't qualify.
Vatican City?!? Are you ready to ROOOCCCKKKKK?!?!
Abstinence makes the church grow fondlers…
no one else read that as "just after his erection" ?
I don't see how anyone can remain a Catholic and seeing this shit about the picking of the new Pope all over the media as if it's really news has been sickening. It's a church of hypocrites, pedophiles and the closeted gay men who helped to cover it all up (and i'm gay myself).It was these closeted priests, fearful of calling attention to their own behavior that decided not to turn the child molesters over to the police. Religion is mainly for idiots anyway but stupid Catholics are some the worst and ugliest people on the face of the Earth.
the jewish are obviously uglier, but otherwise you're right.
"I've chose the moniker Francis in honor of St-Francis of Ass Easy, whom I admire greatly. Nuff said."
" and I said to God "she'sa gotta to have big tits"" (rim shot).
"Hey, tanksa everybody for coming tonight, my next show starts at 10 pm. Remember, I'ma gonna be here for an extended run in the Cistine chapel room – 2 shows nightly with a 2 drink minimum – and I willa be doin' all your favorite comedy gags from the 1600's".
Whether it's torturing evil pagans, profiteering from a holocaust, or passing around an eleven year old boy like a basket of bread, nobody carries it quite as well as our sharp dressed Catholic leaders. Looking good Pope. Go get those homosexuals.
"A21…A21. B4…(and if anyone yells "before what?, you're a douche)…B4." "BINGO, your holiness!"
Goes to show how often I play bingo…should have said, "N21", as there is no "A" in BINGO. (for all you bingo nazi's…I'm looking at you, you George Hamilton muthafaka!)
Pope Francis is rarely talked about without mention of his humility, his reluctance to talk about himself. The self-effacement, admirers say, is why he has hardly ever denied one of the harshest allegations against him: That he was among church leaders who actively supported Argentina's murderous dictatorship. It's without dispute that Jose Mario Bergoglio, like most other Argentines, failed to openly confront the 1976-1983 military junta while it was kidnapping and killing thousands of people in a "dirty war" to eliminate leftist opponents.
But the new pope's authorised biographer, Sergio Rubin, argues that this was a failure of the Roman Catholic Church in general, and that it's unfair to label Bergoglio with the collective guilt that many Argentines of his generation still deal with.
"In some way many of us Argentines ended up being accomplices," at a time when anyone who spoke out could be targeted, Rubin recalled in an interview just before the papal conclave.
Some human rights activists accuse Bergoglio, 76, of being more concerned about preserving the church's image than providing evidence for Argentina's many human rights trials.
"There's hypocrisy here when it comes to the church's conduct, and with Bergoglio in particular," said Estela de la Cuadra, whose mother co-founded the Grandmothers of the Plaza de Mayo activist group during the dictatorship to search for missing family members. "There are trials of all kinds now, and Bergoglio systematically refuses to support them."
Bergoglio twice invoked his right under Argentine law to refuse to appear in open court in trials involving torture and murder inside the feared Navy Mechanics School and the theft of babies from detainees. When he eventually did testify in 2010, his answers were evasive, human rights attorney Myriam Bregman told the AP.
Bergoglio's own statements proved church officials knew from early on that the junta was torturing and killing its citizens even as the church publicly endorsed the dictators, she said. "The dictatorship could not have operated this way without this key support," she said.
Rubin, a religious affairs writer for the Argentine newspaper Clarin, said Bergoglio actually took major risks to save so-called "subversives" during the 1976-1983 dictatorship, but never spoke about it publicly before his 2010 biography, The Jesuit.
In the book, Bergoglio explained that he didn't want to stoop to his critics' level – and then shared some of his stories. Bergoglio said he once passed his Argentine identity papers to a wanted man with a similar appearance, enabling him to escape over the border to Brazil, and added that many times he sheltered people inside church properties before they were safely delivered into exile.
The most damning accusation against Bergoglio is that as the young leader of Argentina's Jesuit order, he withdrew his support for two slum priests whose activist colleagues in the liberation theology movement were disappearing. The priests were then kidnapped and tortured at the Navy Mechanics School, which the junta used as a clandestine prison.
Bergoglio said he had told the priests – Orlando Yorio and Francisco Jalics – to give up their slum work for their own safety, and they refused. But Yorio later accused Bergoglio of effectively delivering them to the death squads by declining to publicly endorse their work. Yorio is now dead, and Jalics has refused to discuss these events since moving into a German monastery.
Both priests were eventually dropped off blindfolded in a field after a harrowing helicopter ride, two of the few detainees to have survived that prison.
Rubin said Bergoglio only reluctantly told him the rest of the story: that he had gone to extraordinary, behind-the-scenes lengths to save them.
Then in his 30s, the Jesuit leader persuaded the family priest of feared dictator Jorge Videla to call in sick so that he could say Mass instead. Once inside the junta leader's home, Bergoglio privately appealed for mercy, Rubin wrote.
All this was done in secret, at a time when other church leaders were publicly endorsing the junta and calling on Catholics to restore their "love for country" despite the terror in the streets.
"It's a very sensitive subject," Rubin told the AP. "The Argentine church was one of the most conservative in Latin America. It showed a good disposition toward the military authorities, who, to make matters worse, considered themselves Christians and called themselves good Catholics."
Within the church hierarchy at the time, there were about 50 bishops, and most were conservatives. Some were very progressive, and ended up killed. Bergoglio was somewhere in the middle, Rubin suggested.
"There were some who were in it up to their necks," he said, citing Christian Federico von Wernich, who served as a police chaplain then and is now serving a life sentence for torture and kidnapping.
"There were those who risked it all to openly challenge the junta, and some of those ended up dead," Rubin added, among them Bishop Enrique Angelelli who was killed in a suspicious traffic accident in 1976 while carrying evidence about two murdered priests.
Rubin says activists closely allied with the government of President Cristina Fernandez have "have tried to insert Bergoglio into some human rights trials, even when he truly shouldn't be."
On the other hand, activists say the Argentine church waited far too long to apologise for its human rights failures, and has yet to identify those responsible for many human rights violations that the church was aware of at the time.
Bergoglio was named Buenos Aires cardinal in 2001. But it wasn't until 2006, after then-President Nestor Kirchner declared an official day of mourning for Angelelli on the 30th anniversary of his death, that Bergoglio called him a "martyr" in the church's first official recognition that the bishop was murdered.
Under Bergoglio's leadership, Argentina's bishops also issued a collective apology in October 2012 for the church's failures to protect its flock during the dictatorship, but the statement blamed the era's violence in roughly equal measure on both the junta and its enemies.
"Bergoglio has been very critical of human rights violations during the dictatorship, but he has always also criticised the leftist guerrillas; he doesn't forget that side," Rubin said.
Bergoglio also was accused of turning his back on the De la Cuadra family, which lost five relatives to state terror, including Estela's sister Elena, who was five months' pregnant before she was kidnapped and killed in 1977.
The family appealed to the leader of the Jesuits in Rome, who urged Bergoglio to help them. Bergoglio then assigned a monsignor to talk with police, who gave them a heartbreaking statement: The woman was a communist, and therefore doomed, but she had given birth in captivity to a girl. That baby, in turn, was given to a family "too important" for the adoption to be reversed.
Despite this evidence in a case he was personally involved with, Bergoglio testified in 2010 that he didn't know about any stolen babies until well after the dictatorship was over.
"Bergoglio has a very cowardly attitude when it comes to something so terrible as the theft of babies," Estela de la Cuadra told the AP. "The question is how to save his name, save himself. But he can't keep these allegations from reaching the public. The people know how he is."
The Holy See rocks! Hail Holy Queen Mother of Mercy! AVE MARIA! May more come to Christ's Holy Mother Church!


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Medicare Physician Payments:
Fees Could Better Reflect Efficiencies Achieved When Services Are Provided Together
GAO-09-647: Published: Jul 31, 2009. Publicly Released: Aug 31, 2009.
Additional Materials:
- Highlights Page:
- Full Report:
- Accessible Text:
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Office of Public Affairs
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Medicare's physician fees may not always reflect efficiencies that occur when a physician performs multiple services for the same patient on the same day, and some resources required for these services do not need to be duplicated. In response to a request from Congress, GAO examined (1) the Centers for Medicare & Medicaid Services' (CMS) efforts to set appropriate fees for services furnished together and (2) additional opportunities for CMS to avoid excessive payments when services are furnished together. GAO examined relevant policies, laws, and regulations; interviewed CMS officials and others; and analyzed claims data to identify opportunities for further savings.
CMS has taken steps to ensure that physician fees recognize efficiencies that occur when certain services are commonly furnished together, that is, by the same physician to the same beneficiary on the same day, but has not targeted services with the greatest potential for savings. CMS is reviewing the efforts of a workgroup created by the American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) in 2007 to examine potential duplication in resource estimates for services furnished together. However, the RUC workgroup has not focused on services that account for the largest share of Medicare spending. For this and other reasons, its methodology to identify and review services furnished together likely will result in limited savings. The workgroup's process is also resource intensive because it depends on input and consensus from specialty societies. Independent of the RUC, CMS has implemented a multiple procedure payment reduction (MPPR) policy for certain imaging and surgical services when two or more related services are furnished together. Under an MPPR, the full fee is paid for the highest-priced service and a reduced fee is paid for each subsequent service to reflect efficiencies in overlapping portions of the practice expense component--clinical labor, supplies, and equipment. For example, a nurse's time preparing a patient for a medical procedure or technician's time setting up the required equipment is incurred only once. The MPPR produced savings of about $96 million in 2006 for imaging services. However, the scope of the policy is limited because the policy does not apply to nonsurgical and nonimaging services commonly furnished together, nor does it specifically reflect efficiencies occurring in the physician work component--the financial value of a physician's time, skill, and effort. For example, when two services are furnished together, a physician reviews a patient's medical records once, but the time for that activity is generally reflected in fees paid for both services. CMS has additional opportunities to reduce excess physician payments that can occur when services are furnished together and Medicare's fees do not reflect the efficiencies realized. GAO's review found that expanding the MPPR to reflect practice expense efficiencies that occur when nonsurgical, nonimaging services are provided together could reduce payments for these services by an estimated one-half billion dollars annually. GAO's review also indicated that expanding the existing MPPR policy to reflect efficiencies in the physician work component of certain imaging services could reduce these payments by an estimated additional $175 million annually. Under the budget neutrality requirement, by law, savings from reductions in fees are redistributed by increasing fees for all other services. Thus, these potential savings would accrue as savings to Medicare only if Congress exempted them from the budget neutrality requirement, as was done in the Deficit Reduction Act of 2005 for savings from the changes to certain imaging services fees.
Matter for Congressional Consideration
Status: Open
Comments: As of May 2017, we are awaiting an update from HHS on the status of this recommendation. We will update the status of this recommendation when we receive additional information.
Matter: To ensure that savings are realized from the implementation of an MPPR or other policies that reflect efficiencies occurring when services are furnished together, Congress may wish to consider exempting these savings from budget neutrality.
Recommendation for Executive Action
Status: Closed - Implemented
Comments: CMS has taken several steps to implement MPPRs to capture efficiencies that occur when services are performed by the same physician for the same beneficiary on the same day, as GAO recommended in July 2009. The Patient Protection and Affordable Care Act requires that the Secretary of Health and Human Services identify potentially misvalued codes by examining multiple codes that are frequently billed in conjunction with furnishing a single service. In implementing this provision in 2011, CMS expanded the imaging MPPR to the technical component of additional imaging services (i.e., the portion of the payment that covers the actual performance of the service) and implemented a 25 percent MPPR for the practice expense component for certain therapy services. The Physician Payment Therapy and Relief Act of 2010 subsequently reduced the MPPR for these therapy services from 25 to 20 percent. However, under the American Taxpayer Relief Act of 2012, Congress increased the MPPR for therapy services to 50 percent for services provided on or after April 1, 2013. The Congressional Budget Office has estimated that this MPPR increase will save $1.8 billion over 10 years. Furthermore, in 2012, CMS implemented a 25 percent MPPR for the physician work component of certain imaging services (i.e., the portion of the payment that covers a physician's work). On the basis of its analysis of services that are commonly furnished together, CMS is implementing an MPPR for the technical component for certain diagnostic cardiovascular tests and diagnostic ophthalmology procedures for 2013. In addition, in 2013, CMS is applying the MPPR for imaging services to services furnished in the same session by physicians in the same group practice. As a result of CMS's actions, the Medicare physician fee schedule better reflects efficiencies that occur when certain services are provided together.
Recommendation: The Acting Administrator of CMS should take further steps to ensure that fees for services paid under Medicare's physician fee schedule reflect efficiencies that occur when services are performed by the same physician to the same beneficiary on the same day. These efforts could include (1) systematically reviewing services commonly furnished together and implementing an MPPR to capture efficiencies in both physician work and practice expenses, where appropriate, for these services; (2) focusing on service pairs that have the most impact on Medicare spending; and (3) monitoring the provision of services affected by any new policies it implements to ensure that physicians do not change their behavior in response to these policies.
Agency Affected: Department of Health and Human Services: Centers for Medicare and Medicaid Services
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Jun 26, 2017
Generic Drug User Fees:Application Review Times Declined, but FDA Should Develop a Plan for Administering Its Unobligated User FeesGAO-17-452: Published: May 25, 2017. Publicly Released: Jun 26, 2017.
Physician Workforce:Locations and Types of Graduate Training Were Largely Unchanged, and Federal Efforts May Not Be Sufficient to Meet NeedsGAO-17-411: Published: May 25, 2017. Publicly Released: Jun 26, 2017.
May 30, 2017
Medicare Advantage:CMS Should Use Data on Disenrollment and Beneficiary Health Status to Strengthen OversightGAO-17-393: Published: Apr 28, 2017. Publicly Released: May 30, 2017.
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