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Company ID Number: 486671 <br />North American Industry <br />Classification Systems <br />Code: 236 <br />.... ............. . <br />Administrator: <br />Number of Em to ees: 100 to 499 <br />Number of Sites Verified <br />for: <br />Are you verifying for.. more <br />..t an _ _ ..__ _......� _ �...... <br />an 1 site? If yes, please provide the number of sites verified for <br />in each. State: <br />® MIANA 1 site(s) <br />-Information relating to the Program Administrato.r(s) for your Company on poli <br />questions or operational problems: I <br />. . ......................... <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 1 Revision Date 09/01/09 vdwwdhs.gov/E-Verify <br />