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VENDOR REGISTRY USE ONLY ACH AUTHORIZATION Date OFFICE OF MANAGEMENT AND BUDGET CENTRAL SERVICES - VENDOR REGISTRY Vendor Number SFN 51620 3-2012 Initials Privacy Act Notice - In compliance with the Federal Privacy Act of 1974 the disclosure of the applicant s social security number on this form is mandatory according to section 6109 of the Internal Revenue Code if it is provided in lieu of a Federal Employer Identification Number FEIN. When subm.

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