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Plan Shares: Total Shares: You must submit your original certificates with this Letter of Transmittal. CMS 1539 ; Form Title.You have been sent this form to complete and return along with your certificate(s) to effect the exchange of the stock you hold. You are entitled to receive. >Does the licensee currently have a 'Certification and Transmittal'? SUBSTITUTE FORM W-9. TRANSMITTAL. FORM. (to be used for all correspondence after initial filing). Total Number of Pages in This Submission. Arizona Revised Statutes AnnotatedRules of Criminal Procedure ; STATE OF ARIZONA Plaintiff. The purpose of the certificate is to recognize industries that are in full compliance with their wastewater discharge requirements.