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NN e-ScTvtces <br />Contractor Affidavit Completed <br />Ttwnit ycu your ContiWot McWvn hes been approved <br />Confirmation Summary <br />CONimepon Number <br />1-78"79.040 <br />SubliftY ed Date end rune: <br />WWWIG 1}2&56 AM <br />Legal Name- <br />LINING UTES OF MINNESOTA INC <br />Federal Employer 0 <br />86-4752529 <br />User Vft Submilserl <br />warningdghts <br />TWO ofRequestSubmitted. <br />ConlrWorAffdawn <br />AfNdovit Summary <br />Affidavit Number: <br />216678944 <br />Mimeads ID. <br />$485622 <br />Project Owns. <br />CITY OF ORONO <br />Pro)eet Nranber: <br />C%10036 <br />ftw Begin Dale: <br />014Btq M5 <br />PrOJM End Dubs, <br />154D* -2D15 <br />Project Loca6en <br />BALOUR PARK ROAD IMPROVEMENTS <br />Projed Amount. <br />$1.000.0 <br />$Amntrpows: <br />No SDmmrlsadora <br />Important A%waages <br />A Dopy of this Page must be prowlded to the contractor or government ageriq that hired you. <br />Contact Us <br />It you need 4rriher+weistwm canted our WiAlhotling Tax Diviston al 651-2112-=% (w free) scW7�M94. or (emd] <br />withhoidtt 1weslate.mn us Buehress hatrre are 9:00 e.m -4:30 P.m. Monday - Friday <br />Now to vlow and Print this Request <br />YOU can we copies of your requests plr gdng tc the Kis M Tab, or by Gil*Ing the Aryl below. To print or smell a copy of this <br />con irrnalbn page. dick me of the k tons bduw. <br />1wui4klmr rrnd:y �a,;EMe <br />Conlect lis About Us Taxpayer Rights Other Language Fr0.•acy 6 Security Use of Information Link Pohcy <br />Minnesotagov FraUdAlErl Suehelp RelaledSnes Cateers <br />https://www.rnndor.state.mn.us/tp/eser%tices/—/ <br />Page 1 of 1 <br />1/512416 <br />