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Page 5 of 5 <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\Public Works\ENGINEERING DIVISION PROJECTS\1219-Roseland Lake Improvements\Admim\Master Contract Documents\00622-Contractors Application for Payment-03-10 <br /> rev.doc Rev 05/01 <br />