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Contractor Affidavit Submitted <br />Thank you, your Contractor Affidavit has been approved. <br />Confirmation Summary <br />Confirmation Number:1-662-822-624 <br />Submitted Date and Time:23-Oct-2024 10:21:02 AM <br />Legal Name:ALLIED BLACKTOP COMPANY <br />Federal Employer ID:41-0827871 <br />User Who Submitted:N10503 <br />Type of Request Submitted:Contractor Affidavit <br />Affidavit Summary <br />Affidavit Number:215732224 <br />Minnesota ID:8606387 <br />Project Owner:CITY OF LITTLE CANADA <br />Project Number:2240291604 LITTLE CANADA 2024 ST IMP <br />Project Begin Date:24-Jun-2024 <br />Project End Date:19-Jul-2024 <br />Project Location:LITTLE CANADA <br />Project Amount:$30,531.92 <br />Subcontractors: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 />withholding.tax@state.mn.us. Business hours are Monday through Friday 8:00 a.m. to 4:30 p.m. Central Time. <br />Please print this page for your records using the print or save functionality built into your browser. <br />10/23/24, 10:21 AM mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/zDIkLuu6vaoHFd5p8q9Qtw__?FILE__=Print2&PARAMS__=3151890196056766… <br />https://www.mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/zDIkLuu6vaoHFd5p8q9Qtw__?FILE__=Print2&PARAMS__=315189019605676687 1/1 <br />Docusign Envelope ID: 3FD52EC2-113E-47E2-998E-542900EAE514