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Page 1 of 1 <br />MINNESOTA- REVENUE <br />Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit has been approved <br />Confirmation Summary <br />Confirmation Number: <br />0-756-163-520 <br />Submitted Date and Time: <br />11 -Jan -2016 1:24:45 PM <br />Legal Name: <br />G M H ASPHALT CORP <br />Federal Employer ID: <br />41-1662485 <br />User Who Submitted: <br />gmhasphelt <br />Type of Request Submitted: <br />Contractor Affidavit <br />Affidavit Summary <br />Affidavit Number: <br />53569296 <br />Minnesota ID: <br />2837091 <br />Project Owner. <br />CITY OF ORONO <br />Project Number. <br />C13.109535 <br />Project Begin Date: <br />01 -Sep -2016 <br />Project End Date: <br />15 -Oct -2015 <br />Project Location: <br />ORONO <br />Project Amount: <br />$126,885.24 <br />Subcontractor Summary <br />Name <br />ID Affidavit Number <br />G F JEDLICKF INC <br />7579212 680099328 <br />WARNING LITES OF MINNESOTA INC 3086922 218578944 <br />ALVERO LLC <br />3051898 1586346032 <br />ASSURED ASPHALT CORP <br />1720800 1420509184 <br />AEG PROCESSING CTR No 56 INC <br />6619984 1371488256 <br />MIB STATE RECLAMATION INC <br />1719563 1752514560 <br />SHAWN GRAVES <br />2481444 1534771200 <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, confect our Withholding Tax Division at 851-262-9999, (toll -tree) 800-657-3594, or (email) <br />withholdtng.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:llwww.mndor. state.mn.usttpleservicesl lRetrievel0lb-I 1 td5 GaOgrnPiwsGQt4MzStQ... 1/11/2016 <br />