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9/27/22, 3:13 PM https:/Nvww.mndor.state.mn.us/tpleservices/_/Retrieve/0/Dc/_bGSlYs7nhS8kPuzBld_FQ_?FILE= Print2&PARAMS_=573471... <br />a� u re <br />JIL <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 />1277792256 <br />2177531 <br />CITY OF ARDEN HILLS <br />2021.2103 <br />01-Apr-2021 <br />30-Aug-2022 <br />ARDEN HILLS <br />$4, 000.00 <br />No Subcontractors <br />0-169-642-912 <br />27-Sep-2022 3:13:26 PM <br />HYDRO-KLEAN, LLC <br />45-2473053 <br />Hydrokleen <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 pagg for your records using the print or save functionality built into your browser. <br />https://www.mndor.state.mn.usltpleservicesl /Retrieve/OlDcl—bGSlYs7nhS8kPuzBld_FQ_?FILE= Print2&PARAMS— 5734715437231418830 1/1 <br />