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10/05/2015 14:53 6514648288 CENTRAL LANDSCAPING PAGE 03/83 <br /> Page 1 of 3, <br /> f � 9 <br /> MINNESOTA-REVENUE J <br /> Contractor Affidavit Submitted <br /> Thank you,your Contractor AMdavit has been approved, <br /> Confirmation Summary <br /> Confirmation Number. 1-964-966-784 <br /> Submitted Date and Time: 24-Nov-2014 3:30:07 PM <br /> Legal Name: CENTRAL.LANDSCAPING INC <br /> Federal Employer 1D: 41.0968934 <br /> User Who Submitted: RobmA <br /> Type of Request Submitted:Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 1083146240 <br /> Account Number. 7663076 <br /> Project Owner: CITY OF CENTERVILLE <br /> Project Number: 2013 ST&UTIL <br /> Project Begin Date: 06-May-2013 <br /> Project End Date: Wun-2014 <br /> Project Location: PETERSON TRAIL-CENTERVILLE <br /> Project Amount: $26,715.20 <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 /> If yeu need further assistance,contact our Withholding Tax Division at(Metro Area)651-282.9999,(Greater Minnesota) <br /> 800-657-3594,(TTY Users)Call 711 for Minnesota Relay,or(email)Withholding.tax0state.mrims. Business hours are <br /> 8:00 a.m.-4:30 p.m.Monday-Friday. <br /> How to View and Priut this Request <br /> You can see copies of your requests by going to the History Tab. <br /> Please prim this confirmation nage for your records using the print or save functionality built into your browser. <br /> https://Www.mndor.state.mn.us/teleservices/_/Rete.eve/0/b-/u2Su4mxEG40zmnggyIsPi A... 11/24/2014 <br /> 96 <br />