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<br />COUNTY OF ORANGE CHILD SUPPORT ENFORCEMENT <br />CERTIFICATION REQUIREMENTS <br /> <br />A. In the case of an individual Contractor, his/her name, date of birth, Social Security number, and <br />residence address: <br /> <br />Name: <br /> <br />O.O.B: <br /> <br />Social Security No: <br />Residence Address: <br /> <br />8. In the case of a Contractor doing business in a form other than as an individual, the name, date of <br />birth, Social Security number, and residence address of each individual who owns an interest of <br />I 0 percent or more in the contracting entity: <br /> <br />Name: <br /> <br />0.0.8: <br />Social Security No: <br />Residence Address: <br /> <br />Name: <br /> <br />O.O.B: <br /> <br />Social Security No: <br />Residence Address: <br /> <br />Name: <br /> <br />D.0.8: <br /> <br />Social Security No: <br />Residence Address: <br /> <br />(Additional sheets may be used if necessary) <br /> <br />Con""'" N I 000009880 <br /> <br />42 <br /> <br />312~108 <br />