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ep Tom Smith SEP-13-2006 02:63PW fR01A-DIV 6E[LhNATIDN WINING 6 SAFETY 30363261p2 KLt (jULt s~ l r vn lAAttf i asa aarass~ a aa• a~saa ova. W-9 NUMBER (TIN) VERIFICATION name IONNaR ~ TIO:ON Oa SSN As NAME i1pPCaR1 ON 1R1 R swa, SSVaIIT IlweamaAmw RFIDIIDT) pp NOT eN1ER 1116 WSINais xnl® OP A SOIe P-Mx1e1eK9aP [M1a17 4Ka - $ee ae1aR9 far Imponaot lafollllodoa 7tsde Name calwtle ar`v o wtNa ~ u (tYaIA) !J n AAA i'.~ /~a~.rcNd SvR~KS C°n FIl2~Z T-161 P.D02/ODZ F-366 Do NOT send to IRS Sec Pan Il lavlllclioaa on CTeUt legnl emi[y type and enter 9 diQlt 7yapayer hfemificatian Number (1'IN) below: Inaivldoat (Individual's SSN) !~ q L _ ~ U - (~ ~~ rtplf4 rA YR[iY WN.111I M. Lai AawA RIImnYR in CMt aAI fiG OKNI M!V-m1[09nLN i ~ Y lrL1G aAAAS IiOe6 O Sote proprietorship (Owllrr's SSN or Busitless F6[N} 55N _ ` _ _ ^ - NtJIEG emo aRF mamma sam tnt # mvsa Ed t:rlwan Rll:w r M+nnO EIN rartnoreh(p ^ Genera! ^ Limited (Partnership's EIlY) - , i _ _ - - &,ststo f 1lvtat (Legal EnRty's EIN) - y ^ ` NOYf• On ul bnill 0¢ imntlr4a4oa aammr nr 9LLmlY m/lausltlint m vnW aaMN u. uaal nmOr iml(il .4 ON1tnnUJ m ~ - ~ ~ - W ueewltin~, LiN W vu(b 4l Mmt Lt nG kj1141fL ClnlG nG jRntiln IAN. ~]~ ^ Other ~ ---~.-~.-~--..-- M~-u-~.-~_r-~~--~-.-+-- ` ~t~•s ~) ~- - ~~ r ~ ~. limlNJ Lia4ili11 eenaanr. tulm yGman, elYa. Ln. COtpOra[ioR Dn you Dlnaide Ir.0a1 Or Incdicat scrvitts2 ^Yts ^ No (Co[p'S EIN) - _ - Y w tntlmka celrytmlioN, tmndine mefieN MIG~ wrkea Govelnmmt (or Government Operated) Eniry (Entity's EIN} _ - - `_ - - OrgAn~attoa Fattnapt hnm't71ac Hader Section 5@1(a) (ms's EIIV) On )^+ In°'am -dls.l .et.RatT ~ wa O Nn ~' ~'- - L7mek Here it you de nor )wva a SSN or E1N, but have appllw toe Ku. 500 revere Imr inPormotian an Haw ID Obtain A TlN. Word Rll! 8WR atlYSrT ~ )m ~ An Undtt Prnahies of pecjury.l certify the[: (l) 7'he member l4ted on this form is my Cartnct T9apayer ldemifitatlon Ttumbrt (or I am waidng for a number ro be issued to me) AND (2) Ian rwt a96ject tD backup withholding beaux: (a) I am exempt fran beeltup w)[hhoWing, or (b)1 have not been nott8ed by the Laemal Revenx Servim (IRS) that 1 am srobjeel to backup widlhotdirlg as a result of a failure to rcpoR ei) Irtmrest or dividends' of (c) the iRS has nadEcd me thaz f am no kmger subject to backtrp widtlahlinS (~ ltot apply W reel extata teansecdons, mortgeea intuest paid. the acgtdsitiwl of abandonment of secured property, conttibulion to ao indivltbtat mdratlad emngemeot (IPA), and paymenu other than interest and dividends). CERT'~RA170N INSTRUCTIONS - You most crone out item (2) above if yon bout bern notified by the 1RS that you are tvtrendy subject to backup withholdi,la because of Ilndel repmling iMelen 1u divitkads Dn your tax rmw. (Sa Slplina the CeniScation on the revtYx of thin fostn) NAME {Pnn[or Type) ?NoN 41 N, Sls i'F ~i/i _s, TITLE {Print or Type} ~ sTC9NnTURE oru.s. rERSON ~!/x4i 7%-~.~` DATE ^ /~-u s PtaoNE 1~., S3 0 -- o8?Z 11r1 NATVVRITa BftnW THIS LINE AF,TIIRN BOTH COP1aS'fO ADDAiSS ABOVE A 1S1Nl,Y NL Aaercy~ 1099 Y~ N VEND AddiYm ~ tTmgc _ AGninn Cnmp4md By 719-539-4973 p,~ Dim tan alldi.]DNM {KYa3)