ABC Registration 2015.tif i
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CITY OF BLAIR FOR OFFICE USE ONLY
218 S 16TH STREET
1 BLAIR, NE 68008 Date Paid:
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(402) 426 - 4191 Receipt No:
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FAX(402)426 - 4195 Date Issued:
Email: cityofblair@ci.blair.ne.us
CONTRACTOR REGISTRATION / LICENSE RENEWAL
Please verify and correct
the company /business
ABC Seamless of Omaha information listed here.
8032 Maple St
Omaha, NE 68134
Phone numbers on record:
Type: Phone Number: _ Type: Phone Number:
Office 402 3914500 Fax 402 3914500
Mobile 308 379 3369
Email Address:
Type of Business: GENERAL
Please submit new certificates or bond renewals for those which have expired:
Name Certificate of Liability or Bond Expires
Franssen, Ted General Certificate of Liability 8/29/2015
Place a check in the box next to the licenses you wish to renew:
Renew? Name License / Registration Expires Amount
X Franssen, Ted General Contractor 12/31/2014 $60
Please list any additional license or registrations:
Name License / Registration Amount
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PLEASE SUBMIT A COPY OF Y OUR
CURRENT NEBRASKA DEPARTME
LABOR REGISTRATI
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
vocation and obey all order, requirements and regulations of its lawful constituted authorities.
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Nebraska Dopartrncnt of Labor
ContracLor Registration
550 So. 16th Street, Lincoln, NE 68508
(402) 471 - 2239
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Date Issued Date Ex ire
10/15/2014 Pi s
10/15/2015
CONTRACTOR REGISTRATION CERTIFICATE
This urtificatc is non- tracnfccnblc x
Fee Paid: $40.00 Registration #
26386
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Year
14
Business:
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ABC SEAMLESS OF OMAHA
m 8032 MAPLE ST
F OMAHA, NE 68134 Cvmmi�sionrror
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