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W-9

Request for Taxpayer

Identification Number and Certification

 

Crowd Control Gear, LLC

A Corporation

  • 305 South 24th Avenue
  • Hattiesburg, MS  39401-7306

Part I     Taxpayer Identification Number (TIN)

86-1078888

Part II     Certification

Under penalties of perjury, I certify that:

  1. The number shown on this form is my correct taxpayer identification number, and
  2. I am not subject to backup withholding, and
  3. I am a U.S. person.

 

Signature on file:  Robert S. Maloney

Date: 11/13/2004

 



Copyright © 2004 Crowd Control Gear - All Rights Reserved
305 South 24th Avenue | Hattiesburg, MS 39401-7306
Phone: 601-544-3670 | Fax: 601-544-3671
E-Mail: info@crowdcontrolgear.com

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