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CITY OF SA,NTA ABTA <br /> FINANCE AND MANAGEMPNT SIIRVTCP.S <br /> 20 Civic Center Plan r P.O.Box 1988 <br /> Santa Ana,California 92702 <br /> www.sitnta-ano..org <br /> Yendor Inf <br /> for atign i <br /> The Tax Equity & Fiscal Responsibility Act of 1982 and Backup withholding Regulations of 1983 require <br /> us to have a Social Security or Federal Tax Identification Number (TIN) on file for all vendors subject to <br /> form 1099 reportable payments,. please print, sign and return this form, along with your completed and <br /> signed Wd9 (attached). <br /> Business Name F4th Watch Educational Services <br /> l713A(If applicable) Fmachi ist Career College <br /> Purchase-from Address Remit-To Address <br /> 1717 S. Grove <br /> Onatario CA <br /> 91761 <br /> Phone Fax Payment Terms <br /> 909-729.0338 X <br /> Email <br /> dskinner mcc-education.org <br /> Web Address <br /> rwww.mcc4me.org <br /> 51 Mere Tilde <br /> Founder/president .�..�_._._rm... <br /> Page 2 of 20 <br />