Tax I.D. No. insert the tax identification number of the vendor that appears in the preceding column
Tax I.D. For the purpose of this Provider Agreement, the term “Parties” may be used to collectively refer to both ODH and Provider. In order to be valid, this Provider Agreement must be signed by Provider and returned to ODH, at the above address. PROVIDER AGREEMENT TERM. “Agreement Beginning Date” shall be defined as the date indicated here, or the date of execution by both Parties, whichever is later: “Agreement Ending Date” shall be defined as the date indicated here, or the date of termination, whichever is first: This Agreement is in effect from the Agreement Beginning Date through the Agreement Ending Date, unless this Agreement is renewed or terminated pursuant to the provisions of this Agreement prior to the termination date.
Tax I.D. No.: ------------------------------------- ----------------------------------- Signature Advisor (if applicable): ------------------------------------- ----------------------------------- Name of Seller Custodian: ------------------------------------- ----------------------------------- Name and Title of Signatory (if applicable) Account No.: Address: ----------------------------------- ------------------------------------- ------------------------------------- Dated: IMPORTANT - READ CAREFULLY The SIGNATURE GUARANTEED BY: signature(s) to this Certification must correspond with the name(s) as written upon the face of this certificate(s) or Sign here__________________________ bond(s) in every particular without alteration or enlargement or any change whatever. Signature guarantee should be made by a member or member organization of the New York Stock Exchange, members of other Exchanges having signatures on ___________________________________ file with transfer agent or by a (PERSON(S) EXECUTING THE POWER commercial bank or trust company having SIGN(S) HERE) its principal office or correspondent in the City of New York EXHIBIT "F" RULE 904 OFFSHORE RESALE BROKER CERTIFICATION [DATE] The undersigned is the authorized broker appointed by ___________ (the "Seller") to handle the offshore resale of _________ shares of Common Stock (the "Shares"), of Pacific Energy Resources Ltd. (the "Corporation"), beneficially owned by the Seller and represented by stock certificate number _____. The Seller has instructed the undersigned to resell the Shares in, on or through the facilities of the Toronto Stock Exchange (the "Resale") in accordance with Rule 904 of Regulation S ("Regulation S") under the United States Securities Act of 1933, as amended (the "Securities Act"). The Seller has advised the undersigned of the following: The Seller is the beneficial owner of the Shares, having acquired and fully paid for the Shares by purchase of the Shares on [date]. The Seller wishes to sell the Shares in, on or through the facilities of the Toronto Stock Exchange in accordance with Rule 904 of Regulation S. The undersigned desires to effectuate the Resale in, on or through the facilities of the Toronto Stock Exchange, and as a condition thereto, hereby certifies to the Corporation, [name of law firm], and the custodian, if applicable, who has custody of the Shares (the "Custodian"), as follows:
Tax I.D. 00-0000000. Donation gift is tax deductible as allowed by law.
Tax I.D. The Tax ID for your organization.
Tax I.D. The Administrative Agent shall have received the tax identification or social security number of each Borrower.
Tax I.D. The Chapter must have at all times a valid tax identification number from the governing taxing authority of its jurisdiction.
Tax I.D. No.: ______________________________________
Tax I.D. License ID #: TN0504T0791 Tenant ID #:T079 EXHIBIT A SITE LICENSE This Site License to the Master License Agreement dated December 31, 1998 ("Agreement"), between SIGNAL ONE, LLC ("Licensor") and TRITEL COMMUNICATIONS, INC. ("Licensee") is executed this ____ day of March, 1999. This License Supersedes all previous Agreements, both verbal and written between the parties for this Site.
Tax I.D. 9.01 BIDDER to enter federal tax id number on PennBid where requested.
