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NIN e-Services Page 1 of 1 <br /> Contractor Affidavit Submitted <br /> ,:111-sr 1.110%'Nil o,l flePkici ar,A Wynl( Own(JkAo <br /> Thank you,your Contractor Affidavit has been appro,ed <br /> Confirmation Summary <br /> Confirmation Number 0.261.853-056 <br /> Submitted Date and Time. 22-Sep-2015 4 21 03 PM <br /> Legal Name HARDRNES INC <br /> Federal Employer ID 41.085DC08 <br /> User Who Submitted Hardrives <br /> Type of Request Submitted ContraBtor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 1600135424 <br /> Minnesota ID- 9245362 <br /> Project Oansr. CITY OF CENTERVILLE <br /> Project Number NA <br /> Project Begin Date 31-Ju4-2013 <br /> Project End Dole. 02-Jul-2015 <br /> Project Location CENTERVILLE 2013 ST AND UTILITY <br /> ProleG Amount- $292,34512 <br /> Subcontractors, No Subcontractors <br /> Important Messages <br /> A copy of this page must be p1wided to the contractor or go.ernmant agency that hired you <br /> Contact Us <br /> If you need further assistance,contact our Wthhokdklg Tax Division x1651-282-9P99,(tolf-free)8W-657.3694,ar(I.,I) <br /> withholding tax@state mn us Business hours are 8.00 a.m -4 30 p in Monday-Friday <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 belov To Print or email a copy of this <br /> confirmation page,click one of the butions below <br /> Click here to go to the History e9 <br /> Printer friendly 1 EmaG Me Close <br /> Ccntr,ct U. About lla T.,<p..yrr R40 Olhm Lonnuagr Privacy 1.S•a.,t, Ll-tit Inlorn,,licn urt JuI. <br /> Minnf.,A,]ov F,and hw., ba,1-11113 1 Sm• Cat tt..,� <br /> bttps: '/w,.vw mndor.state.mn.us/tp/eservices/­/ 9/22/2015 <br /> 93 <br />