Laserfiche WebLink
Pages 1 of 1 <br />DEPARTMENT <br />OF REVENUE <br />Gvntractvr Atfidavit SUbMitted <br />Thank you, your contractor Affidavit has "Been approved. <br />COnTlrmatlotr 5atrttrtaty <br />Confirmabun Number. <br />Submitted Date and Time: <br />Legal Name: <br />Federal Emplvycr ID: <br />User Who Submitted: <br />Type of Request Submitted: <br />Affidavit Summary <br />ATnca.it NornBer: <br />Minnesota iD: <br />Project Owner: <br />Prujuct Number- <br />Pruju�-t Bugin Datu: <br />Project End Date <br />Project Location. <br />Project Amocnt: <br />Subcontractors - <br />0 -952-189-632 <br />5 -Feb -2018 4:39:08 PM <br />HYDROXLEAN, LLC <br />45-2473053 <br />Hydrokleen <br />Contractor Affidavit <br />1271341056 <br />2177531 <br />CITY OF ORONO <br />102406 <br />19-0c;t-2017 <br />1zr-0ec-c0 i r <br />2017 SANITARY SEWER IMPROVEMENTS ORONO, MN <br />$25,535.77 <br />No Subcontractors <br />Important Messages <br />A copy of thin page must be pm.ided to the ntra�=.r ur gu.emment agency that hired you. <br />Contact Us <br />If you need further assistance: contact oar Withholding Tax Division at 651-282-9999, (toll -true) 800-657-3594. or (email) <br />_ithhuIding.ta„ Q3tat.-. nn.u3. Bo3ines3 hoara aru 8:00 a.m. - 4:30 p.m. Monaay - Friday. <br />Please or it this Baae for yuor records acing the print ur save functionality built int.- your bro.aer. <br />