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Downs Registration 2013.tif CITY OF BLAIR F OR OFFICE USE ONLY 218 S 16TH STREET BLAIR, N E 68008 Date Paid: �" 3 .2.D Receipt No: 3a1o71 (402) 426 - 4191 p FAX (402) 426 - 4195 Date Issued: Email: cityofblair @ci.blair.ne.us BOND EXPIRES i CONTRACTOR REGISTRATION / LICENSE RENEWAL Please verify and correct the company /business Downs Electric, Inc. information listed here. 1808 Madison St Omaha, NE 68107 Phone numbers on record: Type: Phone Number: Type: Phone Number: I Office 402- 733 -3080 Mobile Email Address: I Type of Business: ELECTRICAL Plrs uZmltnw recipro9ti0 license for those which hove-expired: N Name Reciprocating License t Expires Arett, Al Electrical State Card 12/31/2012 Downs, Dan L. Electrical State Card 12/31/2012 Hall, Ryan Electrical State Card 12/31/2012 Hazelton, Art Electrical State Card 12/31/2012 Suden, Steve Electrical State Card 12/31/2012 Please submit new certificates or bond renewals for those which have expired: Name Certificate of Liability or Bond Expires 2_61 3 rinur,c n - I f onaral ('a rtifirata of I is hility — J "L' f °��°'° Downs, Dan L. Electrical Bond 1 Place a check in the box next to the licenses you wish to renew: Renew? Dame License / Registration Expires Amount Arett, AI Journeyman Electrical 12/31/2012 $25 Downs, Dan L. General Contractor 12/31/2012 $60 Downs, Dan L. Electrical Contractor 12/31/2012 $60 Hall, Ryan Journeyman Electrical 12/31/2012 $25 Hazelton, Art Journeyman Electrical 12/31/2012 $25 Suden, Steve Journeyman Electrical 12/31/2012 $25 P�Alue, :su k,6 rN '� VA tj 4 cc c i Please list any additional license or registrations: Name License / Registration Amount -------------------------------------------------------------------------------------------------------------------------------------------- All information contained in this application is true and correct. I will notify the City of Blair of any changes in the information reported on or with this application form within 15 days of change. I hereby make application to the Licensing Board of Blair, Nebraska and certify that I am competent and experienced to engage in above said vocation. I agree to conform strictly to the ordinances of the City of Blair, Nebraska relative to said voca " n obey all 0307 r, Uu ' m ents and regulations o its lawf I constituted authorities. r eft ©r�zEl; natii "re bate I I I I i i t i