Jorgensen Registration 2017.tifCITY OF BLAIR
218S16TH STREET -7
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Jorgensen Contracting, Inc.
530 Front St
Blair, NE 68008
PLEASE SUBMIT A COPY OF YOUR
CURRENT NEBRASKA DEPARTMENT OF
LABOR REGISTRATION
Contractor Registration Report
License Number: LCL201600001
License Issued To: License Type: Expires:
Jorgensen Contracting Inc General Contractor License
12/31/2016
Certificate Issued To: Certificate Type: Expires:
Jorgensen Contracting Inc Liability Certificate 01/01/2017
Issued by: &,Utk
Brenda Wheeler, City Clerk
YOUR CERTIFICATE OF LIABILITY
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EXPIRE. PLEASE SUBMIT A NEW COPY
WITH YOUR RENEWAL.
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