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Get TX MBE/WBE Annual Update Affidavit - Auston 2013

As 78767, Telephone (512) 974-7645 Fax (512) 974-7609 MBE/WBE ANNUAL UPDATE AFFIDAVIT 1. Vendor Code: 2. Business Name: 3. Mailing Address: Number & Street Name or PO Box # City/State/Zip County City/State/Zip County 4. Physical Address: Number & Street Name 5. Telephone Fax Mobile E-mail Website Address 6. Tax Identification Number 7. Contact Person 8. Have there been changes in the business operations? Yes No 9. Have there been changes in ownership within the past year? Yes No .

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