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3, dIF V� <br />EVe i io <br />i�% Fs. OI IYI}1)M14tp/./i»t`h tiln'i4 <br />FY4���� <br />Company ID Number: 342560 <br />North American Industry <br />Classification Systems <br />Code: <br />i <br />Number of Employees: 10 to 19 <br />INumber of Sites Verified -_ _ <br />e you verifying for more fhan 1 sife? I£yes, please provide the number o£ sites vel•iiied for <br />each State: <br />a PENNSXLVANIA <br />1 site(s) <br />Information relating to the Program Administrators) for your Company on policy <br />questionsior operational problems: <br />Name: Ann Arrell <br />TeleplroneNumber: (610)363-9090 FexNumber: <br />E-mail Address: annaQshannonchem.com <br />rfarne: Daniel CFlynn FaxNumber: <br />Telephone Number: (610) 363 - 9090 <br />&mail Address: dellynn@shannonchemIcon, <br />Page 13 of 13 I E-Verify MOU for Employer I Revision Dale 09/01/09 <br />(610) 524 - 605D <br />(610) 524 - 6050 <br />vvww.d hs.gov/E-Verlfy <br />