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Get MI Sworn Statement

Contracted)(subcontracted)(supplied material)(supplied labor) for the improvement on the above referenced public works project and that the amounts due to the persons as of the date hereof are correctly and fully set forth opposite their names, as follows: Name of Subcontractor, Supplier, or Laborer Type of Improvement Furnished SUB TOTALS Total Contract Price Amount Already Paid Amount Currently Owing Balance to Complete Amount of Laborer Wages Due But Unpaid Retention Amount of Labore.

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