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Page 1 of 1 <br />M <br />7 DEPARTMENT <br />OF REVENUE <br />Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit has been approved <br />Confirmation Summary <br />Confirmation Number: <br />1-098-545-344 <br />Submitted Date and Time: <br />6 -Feb -2018 8:55:00 AM <br />Legal Name: <br />INSITUFORM TECHNOLOGIES USA LLC <br />Federal Employer ID: <br />43-1319597 <br />User Who Submitted: <br />MN -ITU <br />Type of Request Submitted: <br />Contractor Affidavit <br />Affidavit Summary <br />Affidavit Number: <br />866017280 <br />Minnesota ID: <br />3560426 <br />Project Owner: <br />CITY OF ORONO <br />Project Number: <br />102406 <br />Project Begin Date: <br />01 -Oct -2017 <br />Project End Date: <br />29 -Dec -2017 <br />Project Location: <br />2017 SANITARY SEWER IMPROVEMENTS <br />Project Amount: <br />$207,134.50 <br />Subcontractor Summary <br />Name ID Affidavit Number <br />HYDRO KLEAN LLC 2177531 1271341056 <br />AMERICAN ENVIRONMENTAL, LLC 1250560 1301176320 <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/c-/sAlMhrkuyWhWYM_z15jS8Q_... 2/6/2018 <br />