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9/26/22. 4:38 PM https://www.mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/ymy_NGXfnl9OR4bY_J2hgg_?FILE_ Print2&PARAMS= 695966 <br />3� a <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 />1028755456 <br />3509324 <br />CITY OF ARDEN HILLS <br />2021.2103 <br />01-Apr-2021 <br />30-Aug-2022 <br />CITY OF ARDEN HILLS <br />$2,148.00 <br />No Subcontractors <br />0-787-936-160 <br />26-Sep-2022 4:38:06 PM <br />SIR LINES -A -LOT INC <br />46-5427787 <br />linesalot <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 />withholding.tax@state.mn.us. Business hours are 8:00 a.m. - 4:30 p.m. Monday - Friday. <br />Please print this oaae for your records using the print or save functionality built into your browser. <br />https://www.mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/ymy_NGXfnl9OR4bY_J2hgg_?FILE= Print2&PARAMS= 6959660720227755905 1/1 <br />