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Vendor Data Sheet <br />New Vendor ~ Vendor Update <br />Vendor Number <br /> <br /> <br />~rp.r9n $~ RI1'! ~ ~5 <br />Vendor City, State, ip Code <br />303- rs~6-3.57 <br />Vendor Telephone <br /> <br />Payment Terms <br />J, <br />Contact Person <br />Corporation <br />Non-Corporation <br />Person <br /> <br />Select & Complete One <br />Federal EIN # <br />Federal EIN # <br />SS# <br />Name as it appears on Social Security Card <br />Departrnenl ~ Admin. ~ Sales ~ Alb Term <br />NKC © Stores ~ H/R ~ EI Paso <br />rJf~1bNJ+c~ 14~J(7 CDArL.- 11~1A W`(F21~ <br />Date <br />Date received by AIP <br />Date entered <br />3 <br />"The above Information must be obtained BEFORE payment can be made <br />