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Get Certified Payroll

Yroll # 1 Contracting Public Authority 210 Lakeview Road Sometown, PA 99999 Check if subcontractor 06/30/2007 1. Employee Name, Address and Social Security Number 2. Work Class Jane Doe 71 Pineapple Lane Sometown, OH 99999 Pipe Fitter John Doe P.O. Box 999 Sometown, OH 99999 Sheetmetal Worker John Q. Public 2300 Arena Avenue Sometown, OH 99999 Truck Driver John Smith 36 Mimosa Lane Sometown, OH 99999 Laborer 7. Fringes Cash Approved Plans Project Number 54-67-89 3. Hours Worked.

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