NatureWorks Registration 2023CITY OF BLAIR
218 S 161h Street
Blair, NE 68008
(402) 426-4191
Fax (402) 426-4195
Email: building@blairnebraska.org
FOR OFFICE USE ONLY
Date Paid: l —�
Receipt No:
Date Issues:
BOND EXPIRES:
CONTRACTOR REGISTRATION / LICENSE RENEWAL
NATUREWORKS LLC
P0BOX 564
BLAIR NE 68008
Type of Business: CONTRACTOR LICENSE
Contact information on record:
Please verify and correct the
company / business
Information listed here:
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 or those which will or have expired:
Name: Reciprocating License: Expires:
Please suhmit new certificates or bond renewals and NDOL for those which will or have exnired.-
Name: ,
Certificate of Liability or Bond:
Expires:
NATUREWORKS LLC
GENERAL
12/01/2023
NATUREWORKS LLC
NDOL
10/01/2023
Place a check in the box next to the licenses you wish to renew. -
Renew?
Name:
License / Registration:
Expires:
Amount:
NATUREWORK-S LLC
CONTRACTOR LICENSE
1/01/2023
60.00
Contractor/Subcontractor Name Nat ureWorks LLC
Corporation Name
Business Entity LLC
Address P.O. Box 564
Blair, NE 68008
City Blair
State NE
Zip 68008
Telephone (402) 237-3841
Registration Number 44473-22
Registration Expiration 10/1/2023
Sales Tax Option 2
Number of Employees 111
Worker's Compensation Status Certificate on File