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NG ADDRESSES PURCHASE ORDERS: City Telephone State Fax Zip Code ACCOUNTS RECEIVABLE (if different from above) City State Telephone Zip Code Fax ATTENTION MINORITY/WOMAN OWNED BUSINESS ALL MINORITY OWNED BUSINESSES ARE REQUESTED TO COMPLETE THE FOLLOWING IN THE MANNER THAT BEST DESCRIBES THEIR BUSINESS. PLEASE CHECK ALL THAT APPLY. African American Native American Hispanic American Asian American Woman Owned Substitute W-9 Request for Taxpayer Identification Number and Certification.
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