OmahaD Registration 2016.tifCITY OF BLAIR
218 S 16TH STREET,
BLAIR, NE 68008.
(402) 426 - 4191
FAX (402) 426 - 4195
Email: cityofbiair@ci.blair.ne.us
FOR OFFICE USE ONLY
Date Paid: 1-5 —116
Receipt No: 441 o q `f
Date Issued:
BOND EXPIRES•
CONTRACTOR REGISTRATION / LICENSE RENEWAL
Omaha Door & Window Co., Inc.
4665 'G' St
Omaha, NE 68117
Phone numbers on record:
Type: Phone Number: Type: Phone Number:
Office 402 733 6440
Office 402 590 2847
Email Address:
Type of Business: GENERAL
Please submit new certificates or bond renewals for those which have expirea.
Name Certificate of Liability or Bond Expires
Omaha Door & Window Co., General Certificate of Liability 4/1/2016
Place a check in the box next to the licenses you wish to renew:
Ren Name License / Registration Expires
Omaha Door & Window General Contractor 12/31/2015
Please list any additional license or registrations:
Name License / Registration
Please verify and correct
the company/business
information listed here:
�M
PLEASEOF
AA,=.tW OF
LA13OR REGISTRATION
Amount
$60
Amount
All information contained in this application is true and correct. I will notify the City of Blair of any changes in the
information reported on or with this application form within 15 days of change.
I hereby make application to the Licensing Board of Blair, Nebraska and certify that I am competent and experienced to
engage in above said voc tion. I agree to conform strictly to the Ordinances of the City of Blair, Nebraska relative to said
vocation a II er, requirements and regulations of its lawful constituted authorities.
Authorized Signature Date
Date Issued
V�I�
09/15/2015
'41F�—NEn RAS KA
DEPARTMENT OF LABOR
Nebraska Department of Labor
Contractor Registration
550 So. 16th Street, Lincoln, NE 68508
(402) 471 - 2239
CONTRACTOR REGISTRATION CERTIFICATE
< .. This urtificate is non -transferable
Fee Paid: $40.00
Registration #
21334
Year
15
Business:
OMAHA DOOR & WINDOW COMPANY, INC.
ATTN: TOM MURNAN
4665 G STREET
OMAHA, NE 68117-1489
11 -CRA
Date Expires
09/15/2016