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, 6fK25901,850M2 RECEIVED <br /> APR <br /> Brennan <br /> From: Patti Breher <pbreher@clark-eng.com> <br /> Sent: Tuesday, April 26, 2016 11:40 AM <br /> To: Brennan <br /> Subject: FW:Your Recent Contractor Affidavit Request <br /> From: MN Revenue e-Services [ma iIto:eservices.mdor(cbstate.mn.us] <br /> Sent: Tuesday, April 26, 2016 11:38 AM <br /> To: Patti Breher <br /> Subject: Your Recent Contractor Affidavit Request <br /> This email is an automated notification and is unable to receive replies. <br /> Contractor Affidavit Completed <br /> Thank you,your Contractor Affidavit has been approved. <br /> Confirmation Summary <br /> Confirmation Number: 0-278-635-072 <br /> Submitted Date and Time: 26-Apr-2016 11:37:21 AM <br /> Legal Name: CLARK ENGINEERING CORP <br /> Federal Employer ID: 41-1681494 <br /> User Who Submitted: Clarkengpmb <br /> Type of Request Submitted: Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 1995448320 <br /> Minnesota ID: 1106920 <br /> Project Owner: CITY OF RAMSEY <br /> Project Number: 15-12 <br /> Project Begin Date: 30-Apr-2015 <br /> Project End Date: 26-Apr-2016 <br /> Project Location: 5650 ALPINE DRIVE NW, RAMSEY, MN 55303 <br /> Project Amount: $8,685.00 <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 /> If you need further assistance,contact our Withholding Tax Division at 651-282-9999, (toll-free) 800-657-3594, or(email) <br /> withholding.taxestate.mn.us. Business hours are 8:00 a.m.-4:30 p.m. Monday- Friday. <br /> How to View and Print this Request <br /> You can see copies of your requests by going to the History Tab. <br /> This message and any attachments are solely for the intended recipient and may contain nonpublic/private data. If you are <br /> not the intended recipient, any disclosure,copying, use, or distribution of the information included in this message and any <br /> attachments is prohibited. If you have received this communication in error, please notify us and immediately and permanently <br /> delete this message and any attachments.Thank you. <br /> 1 <br />