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2@16K259M850W2 <br /> 4/2912016 https:/hvww.iiijidor.state.mn.us/(p/eser\(tces/–,/Ret.rievetO/b-/BuE W9gi9Qf34nikV4LaCDg-_?FILE—=Print2 <br /> MINNESOTA-REVENUE RF-r71VED <br /> � <br /> Contractor Affidavit Submitted A'P�R 7 J <br /> Thank you,your Contractor Affidavit has,been approved. <br /> Confirmation Summary <br /> Confirmation Number. 0-670-622-272 <br /> Submitted Date and Time: 29-Apr-2,016 1:04:27 PM- <br /> Legal Name., GREENWALD ROOFING&SHEET METAL,LLC <br /> Federal Employer lb: 90-080002 <br /> User Who Submitted'. BGlIIespieGWR <br /> Type of Request Submitted: Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 61947904 <br /> Minnesota ID: 2418004 <br /> Project Owner: CITY OF RAMSEY <br /> Project Number: 215130 <br /> Project Begin Date: 12-Oct-2016 <br /> Project End Date: 05-Feb-2016 <br /> Project Location: 5650 ALPINE DRIVE NW RAMSEY,MN 55303 <br /> ProjectAmount: $266i330.00 <br /> Subcontractor Summary <br /> Name ID Affidavit Number <br /> CENTRAL ROOFING'COMPANY 8437140 68665344 <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 /> w1thhoIdIng.tax@state.mn.us.Business hours are 8,00 a.m,-4:30 p.m.Monday-Friday. <br /> Please print this paq for your records using the'print or save functionality built into your browser. <br /> https./Aimy,niiidor.stat6.mn,usAptoervices/-1RetrieVe/Olb-/BuE W9gi9Qf34mkV4LaCDq_?FILE—=PrInt2 1/1 <br />