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• MlNt',IESOTA.~REVENQE. <br />Contractor's Withholding Affidavit <br />Confirmation <br />RANDY S KIRSCHMAN ID 8414399 <br />Please keep this nformation for your records. <br />Submit a copy of this page to the business that hired you to receive your final payment. <br />Confirmation number 383012 Mon May 23 20:02:12 CDT 2011 <br />Project owner L|NDLAKES <br />Prc�motnumnbwr 2011|inolakee <br />Project begin date May 2011 <br />Project end date May 2011 <br />Project location LJNO LAKES MN <br />Subcontractors No subcontractors flsted. <br />• <br />• <br />9a��lofl <br />- P56 <br />