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MAYOR <br />Miguel A. Pulido <br />MAYOR PRO TEM <br />Snl Tinajero <br />COUNCIL MEMBERS <br />F. David 13enavides <br />Angelica Aomwuo <br />Michclr C Mm[incz <br />V inccn�1'. Sunnienw <br />Roman A. Revna <br />CITY OF SANTA ANA <br />FINANCE & MANAGEMENT SERVICES AGENCY <br />20 CIVIC CENTER PLAZA, P.O. BOX 1988 M-16 <br />SANTA ANA, CA 92702 <br />PHONE: (714) 647-6941 FAX: (714) 647-6944 <br />CITY MANAGER <br />David Cavazos <br />CITY ATTORNEY <br />Sonia R. Carvalho <br />CLERK. OF THE COUNCIL <br />Maria D. lluizai <br />The Tax Equity & Fiscal Responsibility Act of 1982 and Backup withholding Regulations of 1983 <br />require us to have a Social Security or Federal Tax Identification Number (TIN) on file for all <br />vendors subject to form 1099 reportable payments. Please print, sign and return this form, along <br />with your completed and signed W-9 (attached) in order to allow us to process purchase orders <br />and payments. <br />Business Name First American Title <br />DBA (if applicable) <br />Purchase -From Address <br />( First American Title _ <br />4 First American Way <br />Santa Ana, CA 92707 <br />Phone 1714-250-4958 <br />Fax <br />714-913-6358 <br />Email I ereardon@firstam.com <br />Web Address � off <br />Payment Terms I upon receipt <br />Remit -To Address <br />First American Title <br />4 First American Way <br />Santa Ana, CA 92707 <br />Sign Here <br />cF— Title I en(Frank LaBlanc - Vice Presidt/Op erations <br />