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b urnrtma.cztti ory m .s <br />Company ID 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 />far: <br />9 <br />Are you verifying for more than 1 site? If yes, please provide the number of sites verified for <br />in each State: <br />® INDIANA 1 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; jketdsen(a zbuild.eom <br />Page 13 of 13 1 E-Verify MOU for Employer I Revision Date 09/01/09 v-rv'tN.dhs.gov/E-Ver1-L�y <br />