Laserfiche WebLink
] 07 05 09:Z8a Curb Masters 6513519300 P.2 <br />(NNE50TA PeparOnent uf Revenue IC-134 <br />Hto$0 M*« Of prim cUarhr.Vu*_^^J^"^;;B A« eompJoted form. <br />/■--------- ' Oayfhneplnne <br />S I ,66113519200X ' Curt) Masters. Inc_______________________ <br />^ I Addnti <br />• I 500 WPoptar Street <br />I (i;;:;:;:;— __jr^ <br />* I Total coblrocl omounf <br />I $ 14.352.21 <br />I AMUOI 9ti do* <br />Mitvtrtoio loa ID nynbe« <br />2207114 <br />Monih/yyar wotk b«gon <br />11/2004 <br />Moait/yoor wo»V ended <br />11/2004 <br />II <br />fraiKf iwfMbof bcaMen <br />Birch Lane Storm Sewer Orono <br />PrsiMt <br />qtyofOfooo <br />Addrau CiV <br />Ofono <br />Sloli Zip code <br />MM <br />* I Old0>^«Ono d«o.«*o<M*«'«o.U <br />Check the box that describes your Invohrnmem fn the profacl eruf fill ir» all mformaHon requested. <br />I I Sale controefer <br />|71 Subcawtrartor <br />NonMolcoMiactarwfcotiltAdyew <br />Midwest AsphaM Corporation <br />P n Him S477 Hookins. MN 55343 <br />. n Mina canlrmlar^lf you wbconttocted out any work on this project, oil ol yoor »ubconlroclor» mutt file ^ <br />nmd mor« spoc«, oHa^ o ••porol* she«t.Owner/Offscf <br />iMi hK MNO^. WNtiholdiog OMvon. Mol SWion 6A10. Sr. Pool. MN 551464610 <br />Ceftificote off CompKonce <br />O^panmtnf nfRmfmmf appf^f <br />SM(kH*MM13r . ------p«., I |/W| (iMiid •» <«>tW rea •»* 1« r *«*•**■« ••*«§ *ew«d m. <br />i