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Takoda Registration 2019.tifCITY OF BLAIR 218S16 TH STREET BLAIR, NE 68008 (402) 426-4191 2019 Renewal Form FAX (402) 426-4195 EMAIL: building@BlairNebraska.org Takoda Green Inc 2905 N 59th St Omaha, NE 68104 February 8, 2018 Contractor Registration Report License Number: LCL201500369 License Issued To: License Type: Expires: Takoda Green General Contractor License 12/31/2018 Certificate Issued To: Certificate Type: Expires: Takoda Green Liability Certificate 10/19/2018 Issued by: &,mk k �)hal4c Brenda Wheeler, City Clerk 1/2/2019 Official Nebraska Department of Labor - Contractor Registration - Contractor Details II Contractor Details Contractor/Subcontractor Name Takoda Green Inc. Corporation Name Takoda Green Inc. 2905 N 59th St. Address Omaha, NE 68104 City Omaha State NE Zip 68104 Telephone (402) 916-4128 Registration Number 41330-18 Certificate Expiration 6/1/2019 Contractor Option 2 Number of Employees 5 Worker's Compensation Status Certificate on File https://dol.nebraska.gov/conreg/Contractor/Details/4133018 111