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11/19/25, 11:27AM mndor.state.mn.us/tp/eservices/_/Retrieve/O/Dc/ynGPbaOigRPNKcHhWiHEOg_?FILE_=Print2&PARAMS_=10272956288817... <br />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 />Subcontractors: <br />345288704 <br />6322955 <br />CITY OF ARDEN HILLS <br />CITY OF ARDEN HILLS MN <br />17-Sep-2025 <br />17-Sep-2025 <br />ARDEN HILLS MN <br />$1,477.97 <br />No Subcontractors <br />2-093-120-992 <br />19-Nov-2025 11:26:56 AM <br />SIBLEY ELECTRIC INC <br />75-3100677 <br />sibleyelectric <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 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 />https://www. mndor.state. mn. us/tp/eservices/_/Retrieve/O/Dc/ynGPbaOiq RPN KcH h W i H EOg_?FILE_=Print2&PARAMS_=1027295628881783429 1 /1 <br />