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C185142 Shorewood Boulder Bridge IC1347/18/2019 https: / /www.mndor .state.mn.us /tp /eservices /_/ Retrieve /0 /c- /gOmBk3uhXtRwNVrlCDS3gQ_ ?FILE_ = Print2 &PARAMS= 21545810707... EPARTMENT iii °br c°t it Affildavl[t SObinrjJltted Thank you, your Contractor Affidavit has been approved. Confirmation Summary Confirmation Number: Submitted Date and Time: Legal Name: Federal Employer ID: User Who Submitted: Type of Request Submitted: Affidavit Summary Affidavit Number: Minnesota ID: Project Owner: Project Number: Project Begin Date: Project End Date: Project Location: Project Amount: Subcontractor Summary 0- 937 - 156 -640 18 -Jul -2019 3:35:57 PM AE2S CONSTRUCTION LLC 26- 2006442 Brooke.Branvold Contractor Affidavit 1294012416 1442587 CITY OF SHOREWOOD C185142 03- Oct -2018 13- May -2019 28125 BOULDER BRIDGE DR $138,127.47 Name ID Affidavit Number MN MECHANICAL SOLUTIONS 3940009 2003951616 Important Messages A copy of this page must be provided to the contractor or government agency that hired you. Contact Us If you need further assistance, contact our Withholding Tax Division at 651- 282 -9999, (toll -free) 800 - 657 -3594, or (email) withholding.tax @ state.mn.us. Business hours are 8:00 a.m. - 4:30 p.m. Monday - Friday. Please print „this....ggg for your records using the print or save functionality built into your browser. https: / /www.mndor .state.mn.us /tp /eservices /_/ Retrieve /0 /c- /gOmBk3uhXtRwNVrlCDS3gQ_ ?FILE_= Print2 &PARAMS_= 2154581070704115173 1/1