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4/30/2016 https:Nvrww.mndor.state.mn.tWWeservices!/Retrieve/Wb-/xWTp OtbL egH4jlzv3Z6Q—?FILE =Prii#2 <br /> MINNESOTA' REVENUE <br /> Contractor Affidavit Submitted <br /> Thank you,your Contractor Affidavit has been approved. <br /> Confirmation Summary <br /> PerConfirmation Number—, 1-365-660-928 <br /> Submitted Date and Time: 30-Apr-2016 7:49:54 AM <br /> Legal Name: JSH CONSTRUCTION,LLC <br /> Federal Employer ID: 27-2801249 <br /> User WhoSubmitted: jshconstructonllc <br /> Type of Request Submitted'. Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 1157414912 <br /> Minnesota ID: 1642790 <br /> Project Owner: CITY OF RAMSEY <br /> *Project Numbers 15-12. <br /> Project Begin Date: 02-Sep-2015 <br /> Project End Date: 07-Jan-2016 <br /> Project location: 5650 ALPINE DRIVE NW <br /> Project Amount: $44,293.00 <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, 800-657-3594,or(email) <br /> with holding.taxc('@state.mn.us.Business hours are 8:00 a.m_-4:30 p.m.Monday-Friday. <br /> Please print this nage for your records using the print or save functionality built into your browser. <br /> httpsJ/www.mrxioF.state.mn.usVeservices//Retr1eva/0/b/xWTp Otbu_egH4jizv3Z6Q_?FILE =Print2 1/1 <br />