Takoda Registration 2018.tifCITY OF Bi.AIR
218 S 10 STREET
BLAIR, NE 6$00$
20,44.,frR.,
anewal Form
PLEASE SUBMIT A COPY OF YOUR CURRENT
Takoda Green Inc NEBRASKA DEPARTMENT OF LABOR
o,�nnc 1.7 Sora_ C± i2 q REGISTRATION
Omaha, NE 6 Cog 10
Contractor.Registratian R,epoirt
License N'uMber : LCL201500369
License Issued To: License Tv pe: Expires:
Takoda Green General Contractor License 12131/2 '992017
Certificate Issued To: Certificate Tyne: Expires:
Takoda Green Liability Certificate t e) / 19 / ( 8
Issued by:&.,Al"
1.
Brenda Wheeler, City Clerk
&Da l . 04' 0
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YOUR CERTIFICATE OF LIA131LITY
INSURANCE IS EXPIRED OR ABOUT TO
EXPIRE- PLEASE SUBMITANEW COPY
WITH YOUR RENEWAL.
Date Issued
6/1/2017
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NL,Brz,rsl;A
DEPARTMENT OF LABOR
Nebraska Department of Labor
Contractor Registration
550 So. 16th Street, Lincoln, NE 68508
(402) 471 - 2239
CONTRACTOR REGISTRATION CERTIFICATE
This certificate is non -transferable
Fee Paid: $40.00 Registration #
41330
Year
17
Business:
Takoda Green hie.
6302 Fowler Ave -- Omaha, NE 68104
Date Expires
6/1/2018
Commissioner of Labor