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�1DEPARTMENT <br />OF REVENUE <br />Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit has been approved. <br />Confirmation Summary <br />Confirmation Number: <br />Submitted Date and Time: <br />Legal Name: <br />Federal Employer ID: <br />User Who Submitted: <br />Type of Request Submitted: <br />Affidavit Summary <br />Affidavit Number: <br />Minnesota ID: <br />Project Owner: <br />Project Number: <br />Project Begin Date: <br />Project End Date: <br />Project Location: <br />Project Amount: <br />Subcontractors: <br />1699975168 <br />4799188 <br />CITY OF ARDEN HILLS1 <br />2021 PMP <br />21-Sep-2021 <br />30-Oct-2021 <br />ARDEN HILLS <br />$57,491.42 <br />No Subcontractors <br />0-768-133-024 <br />12-Nov-2022 7:14:07 AM <br />RAY JORDAN & SONS INC <br />41-1968905 <br />cherylhegquist <br />Contractor Affidavit <br />Important Messages <br />A copy of this page must be provided to the contractor or government agency that hired you. <br />Contact Us <br />If you need further assistance, contact our Withholding Tax Division at 651-282-9999, (toll -free) 800-657-3594, or (email) <br />with hold ing.tax@state.mn.us. Business hours are 8:00 a.m. - 4.30 p.m. Monday - Friday. <br />Please print this page for your records using the print or save functionality built into your browser. <br />