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11. November
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2016-11-01 10:00 AM - Commissioners' Agenda
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Entry Properties
Last modified
6/13/2018 11:49:35 AM
Creation date
6/13/2018 11:48:20 AM
Metadata
Fields
Template:
Meeting
Date
11/1/2016
Meeting title
Commissioners' Agenda
Location
Commissioners' Auditorium
Address
205 West 5th Room 109 - Ellensburg
Meeting type
Regular
Meeting document type
Fully Executed Version
Supplemental fields
Alpha Order
c
Item
Request to Approve a Professional Services Agreement between Kittitas County and Richard Diaz
Order
3
Placement
Consent Agenda
Row ID
32766
Type
Agreement
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PERSONAL SERVICES AGREEMENT <br />ATTACHMENT "F" <br />Form W-9 <br />Request for Taxpayer Identification Number and Certification <br />_W-9 Request fOr Taxpayer <br />ldentlflcatlon Number and Certlflcatlon <br />m-Formto .. <br />~ __ .Dunot <br />......... IRS. <br />N~~-Y_._II<><n_ <br />tlt~~_~~~~;w~¥~_~~_~~~a»~[~:~:~f;~='~f,~~~-----------------------------------------------------------------~~~~~~~~ma~------ <br />8 Ufl. 0 0 0 ~ O~ <br />~~--"...,.---fj I....-~ c~ 1l00rpcr_ <br />• 0 lmftd -., ............ ~ --.. ==--"'" [C-C oarp<if.alI\ B-6 cap:ndICn. P-~.___ EsIBifIID"o _ FlirCA"'fUU'9 <br />Itr.=~==~~~·~~~--------------------~====~~--==~=~==~------J ~ ..... ,.".. ---fOI'llaWl <br />.t <br />EJ1IIIr ~ TIN In hi appropnate .bar. T11e TIN proWJ8d mull INIID1 h IWTIeIP\lBll 011 \he "NIme· ... <br />10 ""* ~ ~ ~ 1tcIt1llOulls. IN.'I. yau"1IOWI NIY1IY runber (.SSt4 ~. fOf Ii ~t -. ""·pn!p1Blor. or(tlaregaroea arany.-_ ... Part j IMIiudlonI 00 '1)1198 3 .1'or 01I">ef <br />I!riI:tIM, n 18 yo.. EfI1~ Iden1IJIC8lIm r'lImbllf"·I"N)..1I '(QJ 00 lIOlllIMJ • nun~. _ UDW 10 Ii <br />TIN 011 page 3 . <br />..... " Iha ~.In _!han ana _. _ lie aIW'I an paQB 41br ~ an WhOM <br />runbBrllll_. <br />lUll. Ciriilkiltion UI1cIIIf.,..,.. C6 perJWy. I carary bat: <br />1. T11e IUIIDar IIIDWII 0II1h1S tnrm • my comte:f.lilXpayw IdenIII1CatIOII runDer tor I am w-.g ID' a runoa-tu be 1..uecI tu met. ana <br />2. 1 am na 1lJ)I..c:\ 10 !IKIWp ~ ~ l am aecnpt IrOII'I bIICk&Ip WlltrlCIIGI(WJ. or (I:lJ I h811'11 nol bftrl notmed by I"Il! W)1!IIYlII ~ <br />~ O.A9} ... I am ~ 0 ~ .. . flO III 8 resUlt Of .. \3JI\Ie 10 ItIp!!It .. 1Illins1 or 11M ...... or (l;l \hIIlRS flU noIIfIIIc2 me hit I ·~ no lOnger ~ ID ~ WlllmDdnQ.. ana <br />3. 1II1II. u.s. cmz.n or CItW U.S. paqan.(OMIl"IICI Det:JW). ana <br />•. nw ~Tt:A COCII!I(5) ~on U. 101m Dr ~ rdcaIng ttwt 111/11 ~ tom ~TCA raponmg II camICL <br />C8ItIIIc.aDn 1tII!I"UC:IIOna. You nsmt erma out l-.n ~ IIbOW If you Ilal/& bM!n /lOtlII!CJ or ... 1m lnal you _ c::ml!nII~ IUlf8d to boldt"" ~ortg <br />oa::auIie you raw IIIItd Ie f"I!P)I1 .. trIfere8t B1tf INaI!naIt 011 ywr ID: reIIJm. I=~ n!IIII 9'lbIIU tr~ 118m :2 ~ na apply. F« rnortgIIge - <br />In...., 1MIa. ~ or ~enl 01' 1Ie(:inCI~' ~OI'I OICMOt. ~ona .lr;la'1l~ ~ IfTIIYiI'II'TIat om-.J <br />~. P'ymenll 0IhI!r 1IWl1n1l!lelll ·1In:J CI~ you ~ I1CJI reqW.a 10 IIIJIItw cerI1IC.IIa\,. bUt )QI1IIUIt pnMaI ycJtI' conct TIN. see tne <br />~ 00 PIQIIl3. <br />OeneraIlnstructIons --.""'O-_ID .. __ OOdD __ _ <br />""""" _""""'* .... lliII-. .... _. pogo> "" RB..g<>w I\:>' ,,_ <br />.-. r ...... 'III Q.. .. --. ..... !iD""/)IIII.--iIIDJI:"::L.z -:" -..q.o_ _1!9_W.D~._~"""" __ . ~wtll>o'_l"" ........... <br />Purpo5 of Form <br />,.. ~-""'" • """",,," ..... IrrIOnNIIIron _ .... *'" IRQ,-_.,.... <br />--.....,...~ ...... ~cnM to .............. ~"'~p.:IlO <br />'I'll" pqnOnf._1O jClU In ~ dt~c.a..J1IIi<i 1*1Y-- <br />~--.... r-.~P'9'-"",p*\''''''-'a ::'''r'AA'~ "'-.ad ~.-"'-''' c-..-.. P'''- <br />\MO ktrm w-O....,.)aU .. 01.1.& poqooI fnOtd"9 • .-......" ... <br />po~,.,...........a 'Iw ki ...... pG<I<lI1 -.--.u.,.... ~ .... __ <br />~oa; <br />1_ cartf\i ....... --.,... _ ~ IO-ocm.<:t flit \IOU _ ~ brll...- <br />... l1li ....... <br />~-CGIW\' .... ,.... ... not....,." -.p~ or <br />~'=":""..,~.:.·:.~I~~!.....~-=· q ~ ........... _. U.s. _ or __ ...... 0UIljIEl " .... <br />~ .. .., 1ilnI!J1~ _or--...y ___ rod <br />4. CGrIIy _FATCAOOOO(lII_"" _ ..... "..".-.g _.,... ... ...... __ FAlCA ........... _ <br />_.II.,..._.u ,s.~_."""""''''\IOU. ___ '-'''''' <br />W .. "'~ 'PI ...... .,.,..-______ a __ 'H. "--'1IiIr <br />_ ltD ... IbftII WoD • _"".u.a......-. __ .. ~,.... ... __ .U.B. <br />"'""'" ....... .a: ...... __ •• ua_ ... U.B • .-....-.. <br />.A~~ • ..........,..,..--...~ar~ .. _ UIeId_ ... "'-__ "'_~ __ ...... -tw--....... --.. ... <br />Page 16 of 19
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