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Page 1 of 1 <br />DEPARTMENT <br />OF REVENUE <br />Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit has been approved. <br />Confirmation Summary <br />Confirmation Number: 1-983-407-552 <br />Submitted Date and Time: 30-Nov-2018 11:12:06 AM <br />Legal Name: SAFETY SIGNS LLC <br />Federal Employer ID: 41-1991774 <br />User Who Submitted: nlcole drotning <br />Type of Request Submitted: Contractor Affidavit <br />Affidavit Summary <br />Affidavit Number: 1209607840 <br />Minnesota ID: 5139558 <br />Project Owner: CITY OF RAMSEY <br />Protect Number: SAP 199-104-011 <br />Project Begin Dale: 30-Jun-2017 <br />Project End Date: 12-Sep-2017 <br />Project Location: SUNWOOD DR <br />Project Amount: $2,750.00 <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, (toll -free) 800-657-3594, or (email) <br />withhoiding.tax©state.mn.us. Business hours are 8:00 a.m. - 4:30 p.m. Monday - Friday. <br />Please print this paste for your records using the print or save functionality built Into your browser. <br />https://www.mndor.state.mn.us/tp/eservices/ /Retrieve/0/c-/druooRsWj46f8m56_pxSbw... 11/30/2018 <br />