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Company ID Number:4 71 <br />North American Industry <br />Classification Systems <br />Code: 236 <br />Administrator: <br />Number of Employees: '10© to 499 <br />Number of Sites Verified <br />for: 1 <br />Are you verifying for ore than 1 site. p........vi 1 <br />... <br />� If yes, cease provide the number o sites verified f®r <br />in each State: <br />® INDIANA 1 site(s) <br />Information relating to -the Program Administrator(s)for •ur 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: jkeldsengzbuild.com <br />Page 13 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 iwtw.dhs.gov/E­Verffy <br />