Laserfiche WebLink
11 / 26/ 2018 12 : 05 (FAX) P . 001 / 001 <br />Page 1of1 liar. <br />MA% DEPARTMENT <br />OF REVENUE <br />Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit hes been approved. <br />Confirmation Summary <br />Conflmtetion Number: 1.980.351.936 <br />Submitted Dale end Time: 19-Nov-2018 8:34:08 AM <br />Legal Name: MID STATE RECLAMATION INC <br />Federal Employer ID: 39-1727526 <br />User Who Submitted: brendapetsch <br />Type of Request Submitted: Contractor Affidavit <br />Affidavit Summary <br />Affidavit Number: 95706560 <br />Minnesota ID: 1719553 <br />Project Owner: CITY OF RAMSEY <br />Project Number: 17141 <br />Project Begin Dale: 23-Aug-2017 <br />Project End Date: 23-Aug-2017 <br />Project Location: SUNWOOD DRIVE, RAMSEY <br />Protect Amount: 579,011.29 <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 1Mthholding Tax Division at 651.282-9999, (toll-fres) 800-657-3594, or (email) <br />wIMholdtng,taxeetate.mn,ue, Business houre are 6:00 a,m, - 4;30 p.m. Monday - Friday. <br />Please print this oaae for your records using the print or save functionality built Into your browser. <br />'J(05—V741ac{ <br />https://www.mndor.state,mn.us/tp/eservices/ /Retrieve/0/c-/wCQj8ufmuE_p80sbU135tg... 11/19/2018 <br />