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• ...•,. y., ,'p•,G.'•..m®''.;�.. •:r:1e�7;r',rr.;L'7r,5�?:�agpi , <br />Enter Information Revlew am) $tiI nrit Completer <br />Thank you, your Contractor Affidavit hes been approved. <br />Confirmation Summary <br />Confirmation Number: 1-579.808.218 <br />Submitted Date and Time: 10-Nov-20.18 8:38:60 AM <br />Legal Name; FRENCH LAKE CURE CO <br />Federal Employer ID: 41-1813224 <br />User Who Submitted: dJohits <br />Type of Request Submitted: Contractor Affidavit <br />Affidavit Summary <br />Affidavit Numbur; 521370840 <br />Minnesota ID, 3825384 <br />Project Owner: CITY OF RAMSEY <br />Project Nunbur: 1234 <br />Protect Begin Date: 01-May-2017 <br />Protect End Dale: 01-Aug-2018 <br />Project Location: RAMSEY <br />Project Amount: $42,638.00 <br />Subcontractors: No Subcontractors <br />Important Messages <br />A copy of thle 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 et 651-282-9899, (toll -free) 800-667-3584, or (email) <br />withholdlny.laxestale,mn.ue. Business hours are 8:00 a.m. -4:30 p.m. Monday- Friday. <br />How to Vlow and print this Request _ <br />You can sea copies of your requests by going to your history, or by clicking the link below. To Print or email a copy of this <br />confirmation page, click one of the billions below. <br />Click h to go rr, your High y, <br />tor <br />outlitit <br />5rirlter Friendly Entail Me 1 Close <br />Cvrtaca 11:: AI:iodt Li T;nxllayer Rights richer language PrivDc, S f,ercu,tty Linn of Inh;rrnnli;rn Link Policy <br />Minn&' sola.gov Fraud Alen -IIr•. Help Ralnte.:l ;.ih„ S f.;arr+enr kip <br />Corylractor,gjtidaWt <br />Web coaftatine <br />'• U•/Clcoinu, !lave Johnsen <br />4�p <br />IL Sub tted <br />i <br />