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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, togetherâ–ºwith 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 /> FAP ublic WorksIENGINEERING DIVISION PROJECTSl121O-Sand ridge Driving Range Tee RenovatioOAdmimlbid documentslO0622-Contractor's Application for Payment-03-10 <br /> rev,doc Rev.05101 <br /> SmeadSoft Reprint Date:Monday,January 11,2016-09:22:00-OfficialDocuments:9069,Attachment Id 1,Page 61 <br />