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MS Registration 2022'umise o4 OP - CITY OF B;LAIR 218S 16th Street Blair, NE 68008 (402) 426-4191 Fax (402) 426-4195 Email: building@blairnebraska.org FOR OFFICE USE ONLY Date Paid: Receipt No: , Date Issues: BOND EXPIRES: CONTRACTOR REGISTRATION / LICENSE RENEWAL and correct the MS WIEKHORST ARBOR COMPANY Please verify c company /business 12 GINGER COVE RD Information listed here., VALLEY NE 68008 f' Type of Business: CONTRACTOR LICENSE Contact information on record: Type: Phone Number: Type: Phone Number: Work Fax Cell 402)215-6739 Email Address MSWIEKHORSTARBOR YAHOO.COM Please submit a current reciprocating license and NDOL or those which have expired: Name: Reciprocating License: Expires: MS WIEKHORST ARBOR CO NDOL 1/22/2023 Please suhmit new certificates or hond renewals for those which have expired: Name: Certificate of Liability or Bond: Expires: WIEKHORST MICHAEL TREE 9/20/2022 Place a rhe, -k- in the hnx next to the liren.re.c you wish to renew Renew? Name: License / Registration: Expires: Amount: ❑ WIEKHORST MICHAEL TREE TRIMMER LICENSE 1/01/2022 60.00 Nn Op- 4:3 O to T r='= NZ.g> N •fit, p, W'CA CY) (D uu CD 00 0 G) 00 rt w rt O n r r 0 rt I i8 0 %* M fA PIL cn (D 0 ;7 CD wN O CD PI► CA !I b=,: ; (_(DD z (ML 1 0. Cn CA p O N O C(C7 D O PIL Q _0 NU I W y CD CD n N I O 3 a