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2012-123A
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2012-123A
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Last modified
12/30/2015 12:10:34 PM
Creation date
10/1/2015 4:34:28 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
07/03/2012
Control Number
2012-123A
Agenda Item Number
8.N.
Entity Name
Ranger Construction
Subject
Contract Documents and Specifications
27th Avenue Milling and Resurfacing
Area
27th Avenue, Oslo Road to SR 60
Project Number
0391
Bid Number
2012029
Supplemental fields
SmeadsoftID
11356
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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 - Contractor's Application for Payment - 03- 10 rev . doc <br /> 00622 - 5 <br /> F :\Pubic, Works\ENGINEERING DIVISION PROJECTS\0391 -27th Ave at 5th St SW Admim\Contract Documents\00622 - Contractor's Application for Payment - 03- <br />10 rev.doc Rev. <br /> 05/01 <br />
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