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12/3/2018 ' htlps://www.mndor.slale.mn.us/lpleservices/ /Retrieve/0/c-/Q9NzvLzaG61BE0ixhNyv6w_?FILE=Prin12&PARAMS`=4401497990366... <br />DEPARTMENT <br />OF REVENUE <br />Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit has been approved. <br />Confirmation Summary <br />Confirmation Number: 0-865-576-384 <br />Submitted Dale and Time: 3-Dec-2018 4:11:36 PM <br />Legal Name: ALLSTATES PAVEMENT RECYCLING & STABILIZATION INC. <br />Federal Employer ID: 47-3023160 <br />User Who Submitted: APRSINC <br />Type of Request Submitted: Contractor Affidavit <br />Affidavit Summary <br />Affidavit Number: 260104192 <br />Minnesota ID: 3908651 <br />Project Owner: CITY OF RAMSEY <br />Project Number: SAP 199-112-008 <br />Project Begin Date: 20-Aug-2017 <br />Project End Date: 22-Aug-2017 <br />Protect Location: ALPINE DRIVE <br />Project Amount: $13,529.60 <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 />withholding.tax@state.mn.us. Business hours are 8:00 a.m. - 4:30 p.rn. Monday - Friday. <br />Please print this page for your records using the print or save functionality built into your browser. <br />htlps://www.condor.state.mn.us/lp/eservicesl_/Retrieve/O/c-/Q9NzvLzaG6f8E01xhNyv6w ?FILE= Prinl2&PARAMS_=4401497990366431153 1/1 <br />