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700-010-69 <br /> STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Construction <br /> WAGE AND HOUR RECO RD 02/11 <br /> Ice: <br /> c EXCEPTIONS <br /> EXCEPTION(CRAFT) EXPLANATION <br /> (Title) <br /> the persons employed by <br /> on the <br /> (Building or work) <br /> day of <br /> all persons employed <br /> ned,that no rebates have been or will <br /> j REMARKS <br /> from the full weekly <br /> ,e been made either directly or indirectly from the <br /> deductions as defined in Regulations,Part 3 <br /> der the Copeland Act,as amended <br /> U.S.C.3145),and described below <br /> NAME AND TITLE SIGNATURE <br /> contract required to be submitted for the above <br /> laborers or mechanics contained therein are not <br /> le determination incorporated into the contract; THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE <br /> ,r mechanic conform with the work he performed. STATEMENTS MAY SUBJECT THE CONTRACTOR OR <br /> above period are duly registered in a bona fide SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION SEE <br /> eship agency recognized by the Bureau of SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF <br /> )f Labor,or if no such recognized agency exists THE UNITED STATES CODE. <br /> iip and Training,United States Department of Labor <br /> ID TO APPROVED PLANS,FUNDS OR PROGRAMS <br /> ly wage rates paid to each laborer or mechanic listed <br /> roll,payments of fringe benefits as listed in the <br /> made to appropriate programs for the benefit of <br /> noted in Section 4(c)below <br /> ID IN CASH <br /> >ted in the above referenced payroll has been <br /> yroll,an amount not less than the sum of the <br /> e rate plus the amount of the required fringe <br /> ract,except as noted in Section 4(c)below, <br />