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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />1 <br /> <br /> <br /> <br /> <br />NC DENR <br />DSWC <br />NC-CCAP-1P <br />(07/ 2008) <br />N.C. COMMUNITY CONSERVATION ASSISTANCE PROGRAM <br />CLIENT IDENTIFICATION INFORMATION <br />NOTE: Complete a separate NC-CCAP-1P form for each party that will receive payments <br />under the contract: <br />CCAP Contract Number: 13-09-507-16 <br />NAME: Joe Sides SSN: <br />BUSINESS: Cabarrus County Schools FED ID: <br />ADDRESS: 4401 OLD AIRPORT RD <br />CONCORD, NC 28025-7188 <br />SIGNATURE*: DATE: <br />*By signing this form, the CCAP participant certifies that the Social Security number or <br />Federal Tax ID number is the correct number for this individual/business. <br />Statement of Purpose for collecting personal identification information: <br />The Department of Environment and Natural Resources (DENR) is required to issue a <br />1099-form to the Internal Revenue Service (IRS) for any individual to whom it <br />issues a check. Because the IRS uses the Social Security number or Federal Tax ID <br />number as an unique identifier, the DENR must collect that information from any <br />individual to whom it issues a check. <br />DENR does not use the Social Security number or Federal Tax ID number for any purpose <br />other than that stated above. <br />Attachment number 2 <br />' F - 8 Page 98 of 199 <br />