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o-x'mn a ax[ci+.G orvrtxuïż½v s:'[ <br />Company I® Number: 486671 <br />North American Industry <br />Classification Systems <br />Code: <br />236 <br />Administrator: <br />Number of Employees: <br />100 to 499 <br />Number of Sites Verified <br />for: <br />1 <br />Are you verifying for more than I site? If yes, please provide the number of sites verified for <br />in each State: <br />a INDIANA I site(s) <br />-Information relating to -the Program Administrator(s) for your Company on policy <br />questions or operational problems: <br />Name: James Keldsen <br />Telephone Number: (574) 237 -1811 ext. 368 Fax Number. (574) 344 - 5533 <br />E-mail Address: jkeldsen(a-)zbuild.com <br />Page 13 of'13 1 E-Verify MOU for Employer i Revision Date 09101/09 wrvjw.dhs.gov/E-Verif.V <br />