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MN e-Services Page 1 of 1 <br /> i <br /> Contractor Affidavit Completed <br /> Thank you,your Contractor Affidavit has been approved. <br /> Confirmation Summary ! <br /> Confirmation Number. 0.492-919-680 <br /> I <br /> Submitted Date and Time, 14-Jul-2015 11:05A4 AM <br /> Legal Name: WARNING LITES OF MINNESOTA INC <br /> Federal Employer ID. 36-4762529 <br /> User Who Submitted: waminglights <br /> Type of Request Submitted: Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number. 1736196096 <br /> Account Number. 3086922 <br /> Project Owner. CITY OF CENTERVILLE ! <br /> Project Number. 15-06 <br /> Project Begin Dale: 04-May-2015 <br /> Project End Date. XWun-2015 <br /> Project Location. CENTERVILLE OVERLAYS f <br /> Project Amount: $1,100.00 <br /> Subcontractors: No Subcontractors <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 /> It you need further assistance,contact our withholding Tax Division at 651-282-9999,(toll-free)600-657-3594,or(email) <br /> Withhold tax j <br /> mg. �state.mn us Business hours are 8:00 a.m-4.30 pm Monday-Priory. Ii <br /> How to View and Print this Request <br /> You can see copies of your requests by going to the History Tab,or by clicking the link below To Print or email a copy of this <br /> confirmation page,click one of the buttons below <br /> i.,.ck tieie to au to pte iestoij ToY. <br /> I <br /> i <br /> Printer Friendly Email Me Close <br /> ! <br /> I <br /> I <br /> i <br /> i <br /> 1 <br /> Contact Ue Abovl Us 10)payer R,ghtr Other I anguagn Povacy 6 Secunty Use nt Intormahnn i ink Fogey ! <br /> Minnesole gov Fraud Alen Site Help Related Sites Caieers to ! <br /> i <br /> i <br /> 3 <br /> i <br /> i <br /> I <br /> i <br /> i <br /> I <br /> I <br /> https://vtnvw.condor.state,mn.us/tp/eservices/_/ 7/14/2015 <br /> 34 <br />