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efta-efta01223302DOJ Data Set 9Other

INVOICE

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DOJ Data Set 9
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efta-efta01223302
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EFTA Disclosure
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INVOICE 340-244-9930 8501 Red Hook Plaza SL Thomas USVI 00802 LSJE LLC Mention: Date: 2/13/19 Project Description: Clean and Detail motor vessel <30 ft Invoice Number: 73 Description Quantity Unit Price Cost Lrtte C 1/15, 1/17, 1/23,1/25,1/292/1 6 S 50 S 330 PRO 1/23, 1/25, 1/29. 2/1 S 50 S 200 Inflatable 2/1 1 s 50 S 50 Subtotal S 550 S 0 Total S 550 Sincereby yours, 300 - x 60252ci 4200 Tgb 02,52 th 50 EFTA01223302 INVOICE LS-1E U_C 340- 44- lention: Date: 2/13/19 6501 Red Hook Plaza Project Description: Clean and Detail motor vessel <30 ft St. Thomas USV1 00802 Invoice Number: 76 Description Quantity Unit Price Cost PRD 2/5.217, 2/11.2/19, 2122 5 $ 50 $ 250 Inflatable 215.2/7, 2/19, 2/22 4 $ 50 $ 200 Ltte C 2/5.2/7, 2/11.2119. 2/22 5 $ 50 S 250 Nana 2/11.2122 2 S50 8100 Subtotal $ 800 0 Total S 500 Thank you for your business. 3 2.50 ?Y (oozszit l oo 2.0);a_c te02-52a- U4-He C (0232.1 I 2sci) 1 I OD NhO1144-41-• (062,52-b EFTA01223303 Form W-9 (ROY- October 2018) DePonment of the Tress..ry Internal Revenue sennce Request for Taxpayer Identification Number and Certification . Go to www.irs.gov/FormW9 for instructions and the lateNt information Give Form to the requester. Do not sand to the IRS. Print or type. See Specific Instructions on page 3. 1 do rot leave tt* line Nan,. 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of tne fell • g seven boxes. Incividuatotote proprietor or 0 C Corporation 0 S Corporation El Partnership 0 Trust/estate sirolemember LLC 4 Exemptions (codes apply only to cedar. enMies. not individuals: soo remotions on page 3): Exempt payee code (if any) 0 tended lability company. Enter me tax classification (CC corporation. S$ corporation la New: Check the appropriate box in the line above for the tax dassnication of the singe-member owner. Do rot check LLC it the LW is classified as ask-wale-member LLC that is de/married from the oemet unless the owner of the LI.0 is another LLC that Is disregarded tom the owner for U.S. federal tax P/POSCS Otherwise. a SelgIO•inembet LLC oat ElernPti0n Irom FATCA reporting Cotle s any) is disregarded from the owner should diem the appropriate box for the tax classification of its owner. IN Omer two inemactions) a weer) NICCOJC nIleGet•4 Pale rat IS, 5 Requester's name and address (wiener) S 7 Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However. for a eMities. is your employer identification number (ElN). If you do not have a number. see How to gel a resident alien. sole proprietor, or disregarded entity. see the instructions for Part later. For other TIN. later. Note: If the account is in more than one name. See the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Part II Certification Under penalties of perjury. I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be Issued to me); and 2.1 am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a resuh of a failure to report all Interest or dividends. or (c) the IRS has notified me that I am no longer subject to backup withholding; end 3. I an a U.S. citizen or other U.S. person (defined below); and 4. The FATCA codelS) entered on this form (if any) indicating that I an exempt from FATCA reporting is correct. CertalcatIon Instructions. You must cross out item 2 above if you have been nailed by the IRS that you are currently subject to backup withholding because you have failed to repel"' al interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage armrest paid, acquisition or abandonment of secured property. ea Iron of debt, contnbuticns to an indrvidual retirement arrangement (IRA), and generally. payments other than interest and diVidendS, you are sign the certification, but you must provide your coned TIN. See the instructions for Part II. later. Sn ignature of Here I S u.s. posseC General Instruofions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions. Such as legislation enacted after they were published. go to wwwIrs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an vxformation rattan with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number =IA Individual taxpayer identification number (ITN). adoption taxpayer identification number (ATM). or employer identification number lEIN). to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns Include. but are not limited to. the following. • Form 1099-INT (interest earned or paid) Date /9 • Form 10948-DIV (dividends. include', those from stocks or mutual funds) • Form 1099-MISC (various types of income. prizes, awards. or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest). 1098-E (student loan interest). 1098-T (tuition) • Form 1099-D (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use FormW-9 only if you are a U.S. person (including a resident alien). to provide your correct TIN. II you do not return Form W-9 to the requester with a TIN, you might be subject to backup withhotelkg. See What is backup withholding, later. Cat. No. 10231% Fenn W-9 (Rev. 10-2018) EFTA01223304 EFTA01223305 EFTA01223306

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