WEEKLY PAYROLL FORM REPORT c., Company Name: Prime Contractor E ·0g... Project Name. Subcontractor List Prune Contractor: Award111g Auth.: 0.. (/) ., Work Week Ending: u 'O § 5 °oo' ·cca 'O Employer § "5' °0.0', Signature: Print '§ 111 gr G & Name Title: i; '·io:; & gi ·a ., (/) .... c:::> "' 'r> .... :::> § "O' P:: NOTE: Every contractor subcontractor s requi red to submit copy of Lht:ir weekl I ret:ords to the awarding authority. and a payrol
WEEKLY PAYROLL REPORT FORM Company Name: Prime Contractor Project Name. Subcontractor List Prune Contractor: Award111g Auth.: c., E ·0g... Work Week Ending: Employer Signature: Print Name & Title: 'O 'O § "5' 111 G i; 0.. (/) ., u § 5 ·cca °oo' '§ °0.0', gr '·io:; & gi ·a ., (/) .... c:::> "' 'r> .... :::> § "O' P:: NOTE: Every contractor and subcontractor s requi red to submit a copy of Lht:ir weekl payrol I ret:ords to the awarding authority.
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