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01-13-25-R
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01-13-25-R
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Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit has been approved. <br />Confirmation Summary <br />Confirmation Number:0-755-359-584 <br />Submitted Date and Time:19-Aug-2024 9:42:53 AM <br />Legal Name:PETERSON COMPANIES INC <br />Federal Employer ID:41-1934913 <br />User Who Submitted:jmiller@petersoncompanies.net <br />Type of Request Submitted:Contractor Affidavit <br />Affidavit Summary <br />Affidavit Number:815714304 <br />Minnesota ID:4235858 <br />Project Owner:CITY OF ARDEN HILLS <br />Project Number:23120 CITY PROJECT NO. 22-PARK-001 - FLORAL PARK 20- <br />PARK-003 ARDEN MANOR PARK <br />Project Begin Date:04-Aug-2023 <br />Project End Date:04-Jun-2024 <br />Project Location:1423 FLORAL DR W, ARDEN HILLS, MN <br />Project Amount:$713,167.15 <br />Subcontractor Summary <br />Name ID Affidavit Number <br />ADVANCED CONCRETE SAWING INC 4684667 1547620352 <br />COURT SURFACES & REPAIR INC 6489794 1032245248 <br />CURB MASTERS INC 2207114 333893632 <br />HUSKY CONSTRUCTION 5047998 1371131904 <br />TA SCHIFSKY & SONS INC 8648671 347000832 <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 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 />8/19/24, 9:43 AM mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/Tr_SB0ZQjh53X6mb0_l5Yw__?FILE__=Print2&PARAMS__=2941198394992853623 <br />https://www.mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/Tr_SB0ZQjh53X6mb0_l5Yw__?FILE__=Print2&PARAMS__=2941198394992853623 1/1
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