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2016K25901850=' ' <br /> Page I of I. <br /> RE, <br /> MINNESOTA-REVENUE <br /> Contractor Affidavit Submitted per <br /> Thank you,your Contractor Affidavit has been approved. <br /> Confirmation Summary <br /> Confirmation Number: 0-071-459-392 <br /> Submitted Date,and Time: 29-,Apr-2016 12:31:21 PM <br /> Legal'Name: CENTRAL ROOFING COMPANY CIIWWdd <br /> Federal Employer ID.. 41-07W'407 <br /> User Who Submitted: TUltevIq <br /> Type of Request Submitted: Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 68066344 <br /> Minnesota ID: 8437140 <br /> Project Owner: CITY OF RAMSEY <br /> .Project Number: 215130 <br /> Project Begin Dater 12-Oct-2015 <br /> Project End Date: 05-Feb-2616 <br /> Project Location: 5650 ALPINE DRIVE NW RAMSEY,MN 65303 <br /> Project Amount: $237,905.00 <br /> Subcontractors: No Subcontractors <br /> Important,10essages <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 Wthholding Tax Division at 061-282-9999,(toll-free)860-657-3594,or(email) <br /> withholding.tax@state.mmus.Business hours are 8!00 a.m.-4:30 p.m.Monday-Friday. <br /> Please wint this gage for your records using the print or save functionality built into your browser. <br /> httl)s,//www.mildor.statfe.iiiii.i.is/tp/eservices/—/Reti-ievc/O/b-/yOvU2swo2gIYOICSIJ911QX9—... 4/29/2016 <br />