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Accounting Information Form <br />Please provide the following Accounting Information in the table below: <br />Customer Name <br />dl.company.2 <br />Tax Identification Number <br />dl.taxID.2 <br />Are you Tax Exempt? <br />dl.taxexemptyes.2 <br />If yes, please attach a copy of your Tax <br />Exemption Certificate dl.Taxexemptdocument.2 <br />State Tax Exempt Number (if applicable) <br />dl.taxexemptnum.2 <br />Billing Contact Name <br />dl.billingcontactname.2 <br />Billing Contact Phone <br />dl.billingcontactphone.2 <br />Billing Contact Email <br />dl.billingcontactemail.2 <br />Billing Contact Fax <br />dl.billingcontactfax.2 <br />Are there any Special Invoicing needs? <br />dl.specialInvoicingneeds.2 <br />Special Invoicing Needs (if applicable) <br />dl.specialinvoicingcom.2 <br />Orange County <br />No <br />Lysa May <br />919-245-6152 <br />lmay@orangecountync.gov <br />919-732-8140 <br />Please send the invoice to lmay@orangecountync.gov <br />We will need to pay prior to May 31, 2024 <br />Yes <br />56-6000327 <br />DocuSign Envelope ID: 879252DB-B673-4D05-87E0-12B9D09DAB98