Alspach Registration 2015.tif CITY OF BLAIR FOR OFFICE USE ONLY �
218 S 16TH STREET
BLAIR, NE 68008 Date Paid•
. r (402) 426
-4191 Receipt No: d
Date Issued:
^ FAX (402) 426 - 4195
Email: cityofblair @ci.blair.ne.us
BOND EXPIRES
CONTRACTOR REGISTRATION / LICENSE RENEWAL
Please verify and correct
the company /business
Alspach Roofing information listed here:
16015 Josephine St
Omaha, NE 68136
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Phone numbers on record:
Type: Phone Number: Type: Phone Number:
Office 402 670 0364 Office
Office
Email Address: M2 SPaCVt�
Type of Business: GENERAL
Please submit new certificates or bond renewals for those which have expired:
Name Certificate of Liability or Bond Expires
Alspach, Michael General Certificate of Liability 4/1/2015
Place a check in the box next to the licenses you wish to renew:
Rene, Name License / Registration Expires Amount
Alspach, Michael 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 YOUR
CURRENT NEBRASKA DEPARTMENT OF
LABOR REGISTRATION
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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Authorized Signature Date
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1 Nebraska Department ofLabor
Contractor Registration
550 So. 16th Street; Lincoln, NE 68508
(402) 471- 2239
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f Date Expires
y' Date Issued 03/15/2016
?. 03/15/2015 --
CONTRACTOR REGISTRATION CERTIFICATE
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Fee Paid: $40.00 i Registration 4
23996 i
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Year
Business:
ALSPACH ROOFING INC.
s 16015 JOSEPHINE STREET --fl O r
OMAHA, NE 68136
11 -CRA
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