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8H Consent 2016 0418
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8H Consent 2016 0418
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Last modified
4/25/2016 5:23:33 PM
Creation date
4/14/2016 10:34:31 AM
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CM City Clerk-City Council
CM City Clerk-City Council - Document Type
Staff Report
Document Date (6)
4/18/2016
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PERM
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_CC Agenda 2016 0418 CS+RG
(Reference)
Path:
\City Clerk\City Council\Agenda Packets\2016\Packet 2016 0418
Reso 2016-043
(Reference)
Path:
\City Clerk\City Council\Resolutions\2016
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<br /> <br />44 SECTION 2: MASTER AGREEMENT TERMS AND CONDITIONS | 2014_0122 <br /> <br /> <br /> <br /> <br />STATE OF MINNESOTA <br />DEPARTMENT OF ADMINISTRATION <br />MATERIALS MANAGEMENT DIVISION <br /> <br /> <br />TAXPAYER/VENDOR IDENTIFICATION <br /> <br /> <br />The Contract Vendor consents to disclosure of its social security number, federal employer tax identification number, <br />and/or Minnesota tax identification number to federal and State tax agencies and State personnel involved in the <br />payment of State obligations. These identification numbers may be used in the enforcement of federal and State tax <br />laws which could result in action requiring the Contract Vendor to file tax returns and pay delinquent tax liabilities, if <br />any (Minn. Stat. § 270C.65). <br /> <br /> <br />Firm Name: ___________________________________________________ <br /> <br />Address: ______________________________________________________ <br /> <br /> ______________________________________________________ <br /> <br /> ______________________________________________________ <br /> <br /> <br />Minnesota SWIFT Vendor Registration Number: ______________________ <br />If you are not registered as a vendor to the State in the SWIFT Procurement <br />System, you must register online at <br />http://www.mmb.state.mn.us/vendorresources. <br />(Note: If approved, you will receive your vendor number approximately two <br />business days after you register.) <br /> <br /> <br />Are you a sole proprietorship? Yes No <br /> <br />Are you an independent contractor? Yes No <br /> <br />
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