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Rage I of I <br /> MINNESOTA- REVENUE <br /> per <br /> Contractor Affidavit Submitted <br /> Thank you,your Contractor Affidavit has been approved. <br /> Confirmation Summary <br /> Confirmation Number: 0-243-720-768 <br /> Submitted Date and Time: 27-Apr-2016 11:06:27 AM <br /> Legal Name: KOTZER EXCAVATING INC <br /> Federal Employer ID: 41-1963887 <br /> User Who Submitted: ckotzer <br /> Type of Request Submitted: Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 2059976704 <br /> Minnesota ID: 4640420 <br /> Project Owner: CITY OF RAMSEY <br /> Project Number: 15-12 <br /> Project Begin Date: 01-May-2015 <br /> Project End Date: 20-Apr-2016 <br /> Project Location: 5650 ALPINE DRIVE NW RAMSEY MN <br /> Project Amount: $230,912.00 <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 /> with holding.tax@state.mn.us.Business hours are 8:00 a.m.-4:30 p.m.Monday-Friday. <br /> Please print this page for your records using the print or save functionality built into your browser. <br /> https://www.mndor.state.mn.us/tp/eservices/ /Retrieve/0/b-/EfwkRkOAnXOHdenDuz6pIg`?FILE=Pr... 4/27/2016 <br />