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Pat Wotzka <br />Subject: FW: Your Recent Contractor Affidavit Request <br />Contractor Affidavit Completed <br />Thank you, your Contractor Affidavit has been approved. <br />Confirmation Summary <br />Confirmation Number: <br />Submitted Date and Time: <br />Legal Name: <br />Federal Employer ID: <br />User Who Submitted: <br />Type of Request Submitted: <br />Affidavit Summary <br />Affidavit Number: <br />Account Number: <br />Project Owner: <br />Project Number: <br />Project Begin Date: <br />Project End Date: <br />Project Location: <br />Project Amount: <br />Subcontractors: <br />0-434-992-512 <br />31 -Mar -2015 10:28:36 AM <br />INTERIOR COMPONENTS GROUP INC. <br />20-2924735 <br />interior <br />Contractor Affidavit <br />830095360 <br />7831788 <br />CITY OF NEW BRIGHTON <br />1417 <br />01 -Dec -2014 <br />31 -Mar -2015 <br />NEW BRIGHTON COMM CENTER 100- 10TH ST NW NEW BRIGHTON MN 55112 <br />$23,314.00 <br />No Subcontractors <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 />With holding.taxastate.mn.us. Business hours are 8:00 a.m. - 4:30 p.m. Monday - Friday. <br />How to View and Print this Request <br />You can see copies of your requests by going to the History Tab. <br />This message and any attachments are solely for the intended recipient and may contain nonpublic / private data. If you are not the <br />intended recipient, any disclosure, copying, use, or distribution of the information included in this message and any attachments is <br />prohibited. If you have received this communication in error, please notify us and immediately and permanently delete this message <br />and any attachments. Thank you. <br />I <br />