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<br />VENDOR CODE FORM 1/ <br /> <br />To: Natural Resources Conservation Service From: City 01 Casselberry <br />Alt8ntlon: Jesse T. Wilson <br />2614 t>m 4~ Street <br />Gainesville. FL 32606 <br /> <br />Emal: iesse.wilsonillllfl.usda.aov <br />Telephone - 352-338-9557 <br />FAX - 352-338-9578 <br /> <br />3 <br />I Emergency Water&hed Protection Program - CIty 01 Casselberry - PA 69-4209-8-1i8:t 'I D'l t; t.~ <br /> <br />,. Action 2. Vendor Code CSSN Fed 10 #1 3. Vendor Name: <br />New Modify 59-1056912 City oICasselbeny <br />C8I 0 <br /> <br />4. Address Line 1 (RIlnuired\ <br />95 Triplet Lake Dr. <br /> <br />I'. -- 'M' "-.J <br /> <br /> <br />16. Address Line 3 lCity, State. Zip) <br />CasselJerry, FL 327f1T <br /> <br />I' ~'--' <br />407-262-7700 <br /> <br />8. EFT Infonnatlon (Mandai"",) <br />Bank Account NOOlber AcoountTvoe Bank Number <br />005482900930 Checking C8I Saving 0 06310Q2n <br /> <br />j/ Vendor EFT (Electronic Fund Transfer) information <br /> <br />The National F"1Il8I1C8 Center (NFC) '- directed al agencies to provide electronic funds transfer (EFT) <br />Information for aI vendors doing business with this agency. This action wi. allow USDA NRCS to meet the <br />requirements of the Debt Collection Improvement Act of 1996 (DCIA). Electronic funds transfer efminates the <br />PClSSlbllty of lost or sloIen check$ end vendors IllC8ive payments faster. <br /> <br />NRCS is responsible fDr providing to NFC acante vendor etectronic fwlds transfer information (bank account. <br />account type and bank routing number). Please complete this form and returned to as soon as poeslble. In lieu <br />of complemg the form. you may attach a voided/cancelled check tu the form. The form may be mlliled or faxed <br />to the addrass or fax number listed above. Future payments wII not be proc:essad wIthoul1his ~ oformation. <br /> <br />Thank you for your CllOp8rellon. If you have any questions concemlng this mattar, faeI free to call Sherry Brown <br />al (352)338-9564 or Cindy Seeds at (352)338-9523. <br />