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ATTACHMENT A <br />1. List of all subcontractors, laborers, materialmen and suppliers who have <br />paid from the payment received from the last Pay Request and the reasoi <br />they were not paid (attach additional pages as necessary): <br />age 5 of 6 <br />not been <br />why <br />2. List of all subcontractors, laborers, materialmen and suppliers for which <br />release of lien form (partial or final as applicable) is not included with thi <br />Request, together with an explanation as to why the release of lien form <br />included (attach additional pages as necessary): <br />a signed <br />Pay <br />s not <br />00622 - Contractor's Application for Paymen <br />00622 - 5 <br />F:1Public Works\ENGINEERING DIVISION PROJECTS11314-107th Ave Milling_90th St to 94th St1Adminthid documents \Master Contract Documents\00622 - Con <br />for Payment - 03-10 rev.doc Rev. 05/01 <br />- 03-10 rev.doc <br />actors Application <br />