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MAYOR <br />Miguel A. Polido <br />MAYOR PRO TEM <br />Vincent P. Sanniento <br />COUNCIL MEMBERS <br />Angelica Amezeva <br />P. David Benavides <br />Michele Martinex <br />Roman Reyna <br />Sal l'Inajero <br />CITY OF SANTA ANA <br />FINANCE Ba MANAGEMENT SERVICES AGENCY <br />20 CIVIC CENTER PLAZA M-16 • P.O. BOX 1988 <br />SANTA ANA, CA 92702 <br />PHONE: (714) 647-6941 FAX: (714) 647.6944 <br />CITY MANAGER <br />David Cavazos <br />CITY A'rroRNEY <br />Sonia R. Carvalho <br />CLERK OP THE COUNCIL <br />Maria ll. 1luiaar <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 I J Lee Engineering, Inc. <br />DBA (if applicable) <br />Remlt-To Address <br />430 S Garfield Ave Suite 301 <br />Alhambra, CA 91801 <br />Sign Here <br />Title President <br />