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Accounting Information Form <br />Please provide the following Accounting Information in the table below: <br />Customer Name <br />Tax Identification Number <br />Are you Tax Exempt? <br />If yes, please attach a copy of your Tax <br />Exemption Certificate <br />State Tax Exempt Number (if applicable) <br />Billing Contact Name <br />Billing Contact Phone <br />Billing Contact Email <br />Billing Contact Fax <br />Are there any Special Invoicing needs? <br />Special Invoicing Needs (if applicable) <br />DocuSign Envelope ID: AF469A1B-3B5E-4682-8248-5645B6A34E7BDocuSign Envelope ID: DC14D055-C40F-49F2-BD98-F6CDF83231D7 <br />Orange County Emergency Services <br />No <br />56-6000327 <br />N/A <br />Sally Kadle <br />skadle@orangecountync.gov <br />Yes <br />Please include PO number in invoice <br />919-245-2281 <br />DocuSign Envelope ID: 06B1D125-C12C-4A65-82D5-195B5A052468