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Form CR-347-2 01/2012 NEW JERSEY DEPARTMENT OF TRANSPORTATION STATEMENT OF COMPLIANCE Date I Name of signatory party do hereby state Title 1 That I pay or supervise the payment of the persons employed by on Contractor or subcontractor the that during the payroll period commencing on the day of 20 and Project Name ending the day of 20 all persons employed on said project have been paid the full weekly wages earned that no rebates have been or wil.

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