NatureWorks Registration 2022'Omise of C�`'
CITY OF BLAIR
218 S 16"' 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:
14 1
CONTRACTOR REGISTRATION / LICENSE RENEWAL
NATUREWORKS LLC Please verify and correct the
company / business
P O BOX 564 Information listed here:
BLAIR NE 68008 A
Type of Business: CONTRACTOR LICENSE
Contact information on record:
Type:
Phone Number: Type: Phone Number:
Work
(402)237-3841 Fax 402 237-2801
Cell
402 306-6984
Email Address:
STEVE BRAY NATUREWORKSLLC.COM
Please submit a current reciprocating license and NDOL for those which have expired:
Name: Reciprocating License: Expires:
NATUREWORKS LLC NDOL 10/01/2021
Please submit new certificates or bond renewals or those which have expired:
Name:
Certificate of Liability or Bond:
Expires:
NATUREWORKS LLC
GENERAL
12/01/2022
Place a check in the box next to the licenses you wish to renew:
Renew? Name: License / Registration: Expires: Amount:
❑ NATUREWORKS LLC CONTRACTOR LICENSE 1/01/2022 60.00