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Page 1 of 1 <br />MINNESOTA- 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 />Account Number: <br />Project Owner. <br />Project Number: <br />Project Begin Date: <br />Project End Date: <br />Project Location: <br />Project Amount: <br />Subcontractors: <br />0-632416-128 <br />17 -Aug -2015 2:55:32 PM <br />DMJ ASPHALT INC <br />27-2243940 <br />Pave186 <br />Contractor Affidavit <br />472039424 <br />1546001 <br />CITY OF RAMSEY <br />14-28 <br />20 -Feb -2015 <br />08 -Jul -2015 <br />7550 SUNDOWN DRIVE NW-RAMSEY, MN 55303 <br />$21,810.00 <br />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 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 8:00 a.m. - 4:30 p.m. Monday - Friday. <br />Please print this confirmation page for your records using the print or save functionality built into your browser. <br />https://www.nmdor.state.nin.us/tp/eservices/ /Retrieve/0/b-/ld28nJVu2WpkL3EBrjkbsA_... 8/17/2015 <br />