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1/8/25, 10:19AM mndor.state.mn.us/tp/eservices/—/Retrieve/O/Dc/cUlxNdiI 15ON7fPxlTbxgw_?FILE—=Print2&PARAMS= 5731805603755630734 <br />Contractor Affidavit Submitted <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 />Minnesota ID: <br />Project Owner: <br />Project Number: <br />Project Begin Date: <br />Project End Date: <br />Project Location: <br />Project Amount: <br />Subcontractors: <br />1628975104 <br />7863243 <br />CITY OF LINO LAKES <br />C240237 <br />23-Nov-2024 <br />03-Dec-2024 <br />LONESOME AND COYOTE <br />$35,400.00 <br />No Subcontractors <br />1-796-420-832 <br />8-Jan-2025 10:19:01 AM <br />VALLEY RICH COMPANY INC <br />41-0960072 <br />Vrich3002 <br />Contractor Affidavit <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 />https://www.mndor.state.mn.us/tp/eservices/_/Retrieve/0/Dc/cUlxNdll150N7fPxITbxgw_?FILE_=Print2&PARAMS— 5731805603755630734 1/1 <br />