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", G <br />Company Agreement <br />The information contained in this Company Application has been completed from information provided to us. Please check <br />the contents carefully and contact your Elavon Sales Representative if the information is no longer accurate or otherwise <br />needs amendment. This Company Application is part of your Agreement (as defined in the Terms of Service). <br />DBA Name City of Hugo <br />Contact Name Michele Lindau <br />DBA Address 14669 Fitzgerald Ave <br />Hugo MN 55038 <br />(Business Street <br />Address) <br />Business Country of Formation (Headquartered) <br />United States <br />Country of Primary Business Operations <br />United States <br />Chargebacks <br />Statements <br />Full Name <br />ID Type <br />Ownership Percent <br />Phone Number <br />Private Residential <br />Address <br />not applicable <br />Mail to: DBA <br />Fax to: DBA <br />Auto Send: Yes <br />Electronic <br />Legal Name <br />Year Established <br />Current Ownership <br />DBA Phone # <br />Email Address <br />Michele Lindau <br />Social Security # <br />0% <br />1-651-7626315 <br />14669 Fitzgerald Ave <br />Hugo MN 55038 <br />United States <br />(Business Street Address) <br />City of Hugo <br />1970 <br />47 years, 0 months <br />6517626300 <br />mlindau@ci.hugo.mn. <br />us <br />Retrievals Mail to: DBA <br />Fax to: DBA <br />Auto Send: Yes <br />Fast Track Funding <br />Document Version: 158446-01 EC-805B-OA52-EBDF-8F9B-2533-214A-1 E50 generated on 04/25/2018 10:52:29 <br />Date of Birth 01/05/1963 <br />ID Number *****4838 <br />Email Address mlindau0105@gmail.com <br />US Person Yes <br />Eldvon <br />Banenrp Company <br />