WEEKLY PAYROLL RF:POIH FORM Company Name. Prime Contractor Project Name: Subcontracto; List Prime Contractor: Signature: Awarding Auth.: "=0' & Print Name Title: Work Weck Ending: - I .s (G) (B) (/\.) Employer Contributions (F) [B+C-D-E) [A"F) E o<:! - & Employee Work Class1fication I luU1s Wurked Hourly llourly Weekly 0 Base Address Tot. Wage Total (/) 11r... [:: Wage (nrcv. wHgc} Amoun t (E) (C) (D) & Hea.ltb Supp. Welfare Pension 0 s s r w ti ' M T T 0 ..... 0 .., f:l "' E · .... :=:l o;- "' .... ::l § u 0 'O' &:; /\ OTE: Every contractor and subcontractor is required to submit a their weekly I records to the awarding authority. copy or payrol
WEEKLY PAYROLL RF:POIH FORM Company Name. Prime Contractor Project Name: Subcontracto; List Prime Contractor: Awarding Auth.: Work Weck Ending: Signature: Print Name & Title: (/\.) (B) Employer Contributions (F) I (G) [B+C-D-E) [A"F) "=0' - .s o<:! - Employee & Work Class1fication I luU1s Wurked Hourly llourly Weekly Address Tot. Base Wage Total 11r... Wage (nrcv. wHgc} Amoun t (C) (D) (E) Hea.ltb & Supp. Welfare Pension s M T w T r s "' E 0 (/) [:: 0 ti ' 0 ..... 0 f:l .., E · .... :=:l o;- "' .... ::l § u 0 'O' &:; /\ OTE: Every contractor and subcontractor is required to submit a copy or their weekly payrol I records to the awarding authority.
security-system-maintenance.docx