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02-12-24-R
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02-12-24-R
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2/8/2024 4:25:01 PM
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'} DEPARTMENT <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 />Subcontractor Summary <br />0-902-625-632 <br />16-Jan-2024 1:19:23 PM <br />BITUMINOUS ROADWAYS INC <br />41-0646864 <br />Cindy Ladzun <br />Contractor Affidavit <br />912838656 <br />8225235 <br />CITY OF ARDEN HILLS <br />PW-20-0103 <br />30-May-2022 <br />02-Nov-2023 <br />ARDEN HILLS CITY HALL PARKING LOT IMPROVEMENTS <br />$242,283.46 <br />Name <br />ID <br />Affidavit Number <br />C R FISCHER & SONS INC. <br />1605604 <br />1161351168 <br />CUSTOM GROUNDS & RESTORATION SRVCS <br />8185608 <br />2054115328 <br />KILLMER ELECTRIC CO INC. <br />6718331 <br />1158369280 <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 />withhold ing.tax@state.mn.us. Business hours are Monday through Friday 8:00 a.m. to 4:30 p.m. Central Time. <br />Please print this page for your records using the print or save functionality built into your browser. <br />
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