T

VA L I D AT I O N
T

Number of
Sins Forgiven

VA L I D AT I O N
I

CSB Number

Weather Conditions

Pretty Good

Not Bad

Recipient

Month

Eh

Foul

Life-Threatening

Validation Code

Day

Year

T
I
M
E

Self-Validation:

Number of
Sins Forgiven

CSB Number

Number of
Stars Awarded

Weather Conditions

Gorgeous

A.M.
TO
P. M.

Gorgeous

Pretty Good

Not Bad

Recipient

A.M.
P. M.

Third-Party Validation:

Month

Eh

Foul

Number of
Stars Awarded

Life-Threatening

Validation Code

Day

Year

T
I
M
E

Self-Validation:

A.M.
TO
P. M.

A.M.
P. M.

Third-Party Validation:

1. Get along well with others.

1. Well-dressed.

1. Get along well with others.

1. Well-dressed.

2. Work hard.

2. Amazing cook/homemaker.

2. Work hard.

2. Amazing cook/homemaker.

3. Recycle trash.

3. Loving spouse.

3. Recycle trash.

3. Loving spouse.

4. Clean up after myself.

4. Sight for sore eyes.

4. Clean up after myself.

4. Sight for sore eyes.

5. Honest.

5. Worlds best parent.

5. Honest.

5. Worlds best parent.

6. Talented.

6. Excellent breadwinner.

6. Talented.

6. Excellent breadwinner.

7. Courageous.

7. Fantastic team player.

7. Courageous.

7. Fantastic team player.

8. Generous.

8. Great sense of humor.

8. Generous.

8. Great sense of humor.

9. Number of FB friends________

9. Terric in bed.

9. Number of FB friends________

9. Terric in bed.

10. Other (please explain) ________

_________________________________
_________________________________
_________________________________
_________________________________

10. Other (please explain) _______

________________________________
________________________________
________________________________
________________________________

Signature

10. Other (please explain) ________

_________________________________
_________________________________
_________________________________
_________________________________

10. Other (please explain) _______

________________________________
________________________________
________________________________
________________________________

Signature

Instructions:

Instructions:

For self-validation, check appropriate box(es), sign name, add ANY comments
below, and give yourself a PAT on the back.

For self-validation, check appropriate box(es), sign name, add ANY comments
below, and give yourself a PAT on the back.

For third-party validation, check appropriate BOX(ES), sign name, add any
COMMENTS below, and serve recipient with ticket. Follow with heartfelt HUG
and/or kiss if possible.

For third-party validation, check appropriate BOX(ES), sign name, add any
COMMENTS below, and serve recipient with ticket. Follow with heartfelt HUG
and/or kiss if possible.

COMMENTS (Use reverse side if necessary) ______________________________

COMMENTS (Use reverse side if necessary) ______________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

THIS notice is issued by the Center for Supportive Bureacracy (hereinafter

referred to as CSB), a privately funded NGO with ofces in Beacon, NY. CSB
(in collaboration with the Empowering Clerks Network) SPECIALIZES in issuing
ofcial documents SUCH as the Forgiver's License (Class A&B), Joy Permit
(JP-33), and Refurbished Report Card (RRC-202), ETC., ETC., that promote
personal advancement AND social healing.

THIS notice is issued by the Center for Supportive Bureacracy (hereinafter

referred to as CSB), a privately funded NGO with ofces in Beacon, NY. CSB
(in collaboration with the Empowering Clerks Network) SPECIALIZES in issuing
ofcial documents SUCH as the Forgiver's License (Class A&B), Joy Permit
(JP-33), Refurbished Report Card (RRC-202), ETC., ETC., ), ETC., ETC., that
promote personal advancement AND social healing.

Do not mail cash, CHECKS, money orders, credit, debit or library cards, or
PICTURES of your children or pets. Not payable at City Hall, NOR authorized by
anyone acting IN an ofcial government capacity. (G.L. Chapter 36, SECTION
15-23.) Please direct all inquiries TO the: Center for Supportive Bureacracy,
60 Anderson STREET, Beacon, NY 12508.

Do not mail cash, CHECKS, money orders, credit, debit or library cards, or
PICTURES of your children or pets. Not payable at City Hall, NOR authorized by
anyone acting IN an ofcial government capacity. (G.L. Chapter 36, SECTION
15-23.) Please direct all inquiries TO the: Center for Supportive Bureacracy,
60 Anderson STREET, Beacon, NY 12508.

HAVE A NICE DAY!

www.supportivebureaucracy.org

HAVE A NICE DAY!

www.supportivebureaucracy.org