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I E Ve r 'I'm FV_ <br />Company I® Number: 406671 <br />North American Industry <br />Classification Systems <br />Code: <br />36 <br />Administrator: <br />Number of Employees: <br />100 to 499 <br />Number of Sites Verified <br />far: <br />9 <br />Are you verifying for more tham f side? If yes, please provide the number of sites verified for <br />in each State: <br />c 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) 287 -1811 ext. 368 Fax Number: (574) 344 - 5533 <br />E-mail Address: ikeldsen(a7zbaild.com <br />Page 13 of 13 1 E-Verify MOti for Employer I Revision Elate 09/01/09 vtnAw.dhs.gav1E-Verify <br />