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Page 5 of 6 <br /> ATTACHMENT A <br /> 1 . List of all subcontractors , laborers, materialmen and suppliers who have not been <br /> paid from the payment received from the last Pay Request and the reason why <br /> they were not paid (attach additional pages as necessary) : <br /> 2. List of all subcontractors , laborers , materialmen and suppliers for which a signed <br /> release of lien form (partial or final as applicable) is not included with this Pay <br /> Request, together with an explanation as to why the release of lien form is not <br /> included (attach additional pages as necessary) : <br /> 00622 - Contractors Application for Payment - 03-10 rev.doc <br /> 00622 - 5 <br /> F:%Public Works%ENGINEERING DIVISION PROJECTS10545=66Th Ave SR60 to 57th St (Arcadls)Vidmim'Sid Documents\00622 - Contractor's Application for Payment <br />= 0340 rev.doc <br /> Rev. 05/01 <br /> f __ <br />