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Page 5 of 5 <br />ATTACHMENT A, <br />1. List of all subcontractors, laborers, materlalmen 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 />N/A <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 />NONE <br />00022 - 6 <br />Mare Proleel$IVERO BEACH FtESTOREVBlLLUNGURC-1923 PAYAPP &doe Rev. OM <br />IRG1923 PAYAPP 5.doc <br />