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5/24/16,4:26 PM <br /> RECEIVED <br /> MINNESOTA- REVENUE MAY 2 2016 <br /> Contractor Affidavit Submitted Per-, <br /> Thank you,your Contractor Affidavit has been approved. <br /> Confirmation Summary <br /> Confirmation Number: 0-310-243-904 <br /> Submitted Date and Time: 24-May-2016 4:26:24 PM <br /> Legal Name: ENVISION GLASS,INC. <br /> Federal Employer ID: 46-4107722 <br /> User Who Submitted: EnvisionGlass <br /> Type of Request Submitted: Contractor Affidavit <br /> Affidavit Summary <br /> Affidavit Number: 1956364288 <br /> Minnesota ID: 3300101 <br /> Project Owner: CITY OF RAMSEY <br /> Project Number: 15-12 <br /> Project Begin Date: 19-Oct-2015 <br /> Project End Date: 04-Mar-2016 <br /> Project Location: 5650 ALPINE DRIVE NW,RAMSEY,MN 55303 <br /> Project Amount: $98,046.00 <br /> Subcontractor Summary <br /> Name ID Affidavit Number <br /> VISION COMPANY INC 3529446 1389936640 <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.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—/F7Gf]DCYs13bD2PStQk)Tw_7FlLE =Print2 Page 1 of 1 <br />