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MS Registration 2023CITY 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: 3gL) Receipt NO. - Date Issues: BOND EXPIRES: CONTRACTOR REGISTRATION / LICENSE RENEWAL MS WIEKHORST ARBOR COMPANY 12 GINGER COVE RD VALLEY NE 68064 Type of Business: CONTRACTOR LICENSE Contact information on record: Please verify and correct the compmry / business Information listed here: Type: Phone Number: Type: Phone Number: Work Fax Cell 402 215-6739 Email Address: MSWIEKHORSTARBOR YAHOO.COM Please submit a current reciprocating license or those which will or have expired.- Name: Reciprocating License: Expires: Plecne su.hrnit new certificates or hoed renewals and ATDOT, for those which will or have exnired..- Name: Certificate of Liability or Bond: Expires: WIEKHORST MICHAEL TREE 9/20/2022 WIEKHORST MICHAEL NDOL 1/22/2023 Place a check in the hox next to the 'licenses von wish to renew Renew? Name: License / Registration: Expires: Amount: ❑ WIEKIIORST MICHAEL TREE TRIMMER LICENSE 1/01/2023 60.00 2/14/23, 10:55 AM Official Nebraska Department of Labor - Contractor Registration - Contractor Details Contractor Details Contractor/Subcontractor Name M S Wiekhorst Arbor Company, LLC Corporation Name i i Business Entity LLC i j Address 12 Ginger Cove Rd Valley, NE 68064 i City Valley State NE Zip 68064 Telephone (402)215-6739 Registration Number 83753-23 Registration Expiration 1/22/2024 Sales Tax Option 2 Number of Employees 0 Worker's Compensation Status Certificate on File https://dol.nebraska.gov/conreg/Contractor/Deta1Is/8375323 1/1