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WTR2700251(3)
ROLLING HILLS W-2 51 T pled _ ! 'tsS2< 'i!M '.:Wk t CftYrY wawa v o33 � i iCp;' L. tic le 44%etw, y'7 T, Aul&",,A)X gPeo tic -- .000p, ` e- LOCAL PUGLIC WIDAS PAYROLL REPORTING FOftA .. o®■a■� ■Eee ■� ® ee ■c � � �mm m■HHminm■m■lmun ■ _�.!■■■ It E® ■ ©■ ° ■��i �® a mail misolumii■Winn■■■ Ins i wmen � Ec af■©©■we■ oo a e 7■e©En■unn■w s sang w■ n ®©/■ I lam m SO room w®A©■■■■ ■/ell a ell■!/� mn !sIns na■■ molls ■ ■m ■ ■■. lonnones I n ■ Ens■ ®n�Bo■n■Ena■sM■NU ON w CHss ■small Hnss ■ Enos Cesmlm mll■!/ on ■mn■ 1 l■s®sam s■/■snl ■■■■ ■ ■ Kn ■aHs mossess ■ wso=us lnH■lmn 1n H ■ ■w■ moon R an name m as on ■ somm■■s�as■mmloal■m ■son■ man ■ smog= ��rrmsmlgo■esgm■on�on ■ lesson®■ssl INN!■ ■Elmo■ L�sounsassael Ins oo ■ ■ ■onE o■©s!a soon MOON ■ �moaas �■ slmsgsnsoN ■nW■n a Inn on n■imaan ■esemoes■En E smog m !ma■■■small■ en■snm ■ ■ea n sgEson■aoaEEa■ mo m m E ■Emma■ FE� ! asx February 21. :076 s ':are Coca er�>�N maSe r a+fr:!rat:arr Fear-ra.ia!K M Yuri Suzuki W=M of"Clk mag:0yeet,mcrtyt as noted a Senn, a(e) Wi 4 _ Bookkeeper `r`,'�•'-'"'°'r'"'fit pert (D) WHOM FRVCGE SE\EFIT3 AS£I-AID iX CASO �o Atreay atat: M-..^ach :.Carer er rec]ao2 -,-.4 t� t!t at.aae relrrratad "Trod RM)em t $horel ine ys:d as ,dtttt d sa the Payra.9, ea asccs ao: wa :laa mom o 1e '.il 7"sftiPay e:suptrrise :.e Pa err ns:o:tCc P:Hoar .,toy. �y- cyp::ub:e 3+.fr _ca::y va;t ti .• ^r as+au:1 a 3t re�a.r� r:a,,. bon4t;as Uel.t te. ric coatrar.,ealp:as anal h SRrtaa attl lriN. Construction ye Water Project t251 n- Rolli Hills tCa.ro.nr wwr...0 rr: t _`.•A (c) SSCS?TI�E 1i! Line trot da tan F..r Payro'! Period mson ciag a' the 9 dsr of February :9 and ta.lict Lhe 1{..dy or February i4 38 �X_i?+tu; C::...'T• :`:ri;.;�-:;Cf� 1 —on. �r:grcd OR +a:d ---i Ptajat C.tre beer rx;d the 4,u: a-dr:r nt,.- vraK itat at rchatte -. or R6:be made ri::er dnce'1y or iadutetly to or m ieha:f of acd r Shoreline Construction Co. ,Caraxw. .rarataetrrl from the!bl: — trc6-br c:b otned C7 aRy ?rta® Gard Wa: no drduetlor hart]ter sale ntCa w7W4 as .n•::etexe from 'az faS waned by -* Person .nCer dm Pe Stna4 c_.uttkmo ma celaed { - •� '.Wt I 429 CF r- .;Qh Al aanr3 by eS,- Sr_..::ry at L.tbe:urtw Dar CaPatcd t ACL is araendW fU Se_ Slot lOe, 72 Stat SO?:7,; Sat.`..r-T;60 t:.CC. Me).nod.:-r. - ta9 I'bdcatc i { M loaf t+a0 F-t•:a:a CC.e.'-.e ' !Eft eoatmc Mm;red to uc ru:-=zd fo:tY-.axe ie a�na PMod ate eo:tee tad te.,q.rx 'trat t:c ea,;e rstc :or laboteta ar ashan-. :-a-ta:aod tmr= 1 co:;ta •s:, !be apPi!e_..'<!•.-a;r r:n eoota:.ed in any tra-e deRt•.r.:e;loo f.Yar»r.:ttd icy !Rat Oft :.<ayara t t fcr-r gt-.:A for rah ia]o:er or==re.^.;e torn=-Mt r.o writ ae;:e;(atmoA ' tS! hat .nr to me 4W., Pet!o-: are hdy rite"1 a brm F+t apPr..t►eaSle X..Yreea, a-::.,cur: .: .il_Y .;r?-^mt:cO;s`P !t,-wci .m,;Ww-1 Sy Sae tt-C j a: Att?tt'rC+:mjrtp ar» ::::,.w• .'.N•.3 �:i:r: J,-r+rSamt c! ..a!•.a. ar 1 a.:aGl!ee•Tt:ea chat' :_1b fn r .Sus, art n-:mn•! .i:a :x Laeeau of.1•pv-- ;-ftbb cx: !a: W3SCS 5.^.3XC': '::X'.'i75 AaR PAID TO A:"COED PL WFy :t•YOS, ("+Twf i, Bookkeeper el:3OG i:a4E 1 r iat- {� • 1 'st( t'p-.C! .r% tt.r v •y. V`yrS .'l._l:d'< .. -.S` - r^.- --: h addtth, to it battc a,a:rly v&"motet Pall b each labour or me,r,!r :�y :' ""ie.--wa-r9 qa.. pt to-• .•�aYs�Cr sr sue:N. ,t. ar -:ttt _ r+F l'NM :u:cd to :te -.Joet m::trceeC yay:ofL Pa-mm:ta ,f frtrl; ctaef..: 33 -•:3 t a c' !•Ot* 1� :dS; 1 �ar,ace t:yro.tc YAl'1WLl ,..,. yT-ua ' - MW G°nt-acfei s Opttx.�l Uia=°°1°itrt,c4i°% f°r.°tYN- wrc v:cvriuc yeLJ we SUZCO%MR c; - -- SHORELINE CONSTRUCTION CO. { P 0 Boa 358, Woodinville, WA 98072 wnAvu ai sqa tY[Lw PWIaiG �°o.:.xV iN,�� Mitt, C' Gv'c 1 February 15, 1978 (Water Project +251, Rolling Hills Tie Line i EPA 0�-51-�l39& `tl +-' yl w Cie fND WTC 111 lal i eh LJCSip;a via .: ) clew t�01,;tM°rt ; rtr or a.L� Ec `�-: c rK+T 12 13 M i1T4 JS - a+tra. =" S Iwv+a wee.ca�rti-v wt oarm •ie• wao-•w M.A. or.,o •°+�. we Roy L. Frye 11730 93rd Ave. RE t53 Kirkland, WA 98033 ! 0 2827 ISO Pipelayer •1 - 8 8 8 - - ? - 24 11.50 3 216.00 I6.70 39.40� 2.64 .25 59,19 216.81 Cecil Sizemore 1 219 37th P1 SE 1 ! Auburn, MA I +540 l2 8897 2 _ IN I Pipelayer i - 8 8 8 - - t - I 24 11.50 276.00 16.70: 29.80 2.84 .25 49.59) 226.41 illiam J. Peters I 1107 N. E. 15th St Bellevue, WA 98004 a { I - { AMA 14, M4 Pipelayer - 8I 8 8 , - I - 24 11.5 2276.00 16.70 36.201 2.84 .25 t 155." 220.01 Earl Breaar 10004 N. E. 200tb Bothell. WA 92011 1 { e l s532 12 8631 laborer a - 8 8 18 24 11.02 264.48 16.00 30.80� 2.84 .25 i 49.89{ 214.59 Keith Struthers JL L 18909 101 Ave. N. E. 17 ! ° ! Bothell, WA 9MI1 ! + 4492 ISO Laborer a! 8! 8 8 - ! - - 24 111.02 26a •.S 16.001 37.20 2.84 PS 56.e^9M EOB-.3 Charles T. C ion +-+----_ 12721 SE 167 Renton, WA 6'M 0535 64 6439 ,M2 I Laborer al _ - g _ _ � _ 8 11.02 88.16 5.33 .001 .95 .08 6,3K! 91.80 1 ; I 1 I i • I s ( e a' t • I t CITY Of REN'TON EDA-LPM PR(X" MINORITY BUSINESS ENTE"RIIE UTILIZATION REPORT e.-'� MONTN/YEAR Project e 07-✓�'Y -r �0�s�' Title /i.t/( �LI.S TE L!A)e Contract � Ifl//tT�iti 6(�7' if�i4iA-'-, (CAG a074-77) Prue Contractor ale __x/l�.D --n IC Minimum Dollar Amount Allocated - S-24041-2f. (• / f C....—act) Minority Enterprlsr Amount Paid Name 1 Address Type of Mork This Month 1 IRS Number f� I n<t Subtotal This meport s 17 142) a� Amount Vaud Prior feports Combined Total P,yswnts (A Percentage of Contract) Prepared !y: Dow g,te-z, Title: � �•',- � Oat.! Wa 44wai K.r..r.sl.M� n.+n�•..wr-ra a.4...t , aco..a..coa.a.awa.• 0....-w.. �. PLFASf READACCMPAR7'MG 0STERf71ORS F.L eaep,r.aa a,o LOCAL ►UREIC WORKS^A►ROLL Rf►OITMG ForM REFORECDWILITINGARYP49TOFMISFORN ►wrest Wr Y - ►what lsaoa..,cM,r r.—.Gam►.a" x ss 7-7,c •LIAN Wart{wWMM E a=rtn. ,, /art 1 23456 � 8gO Y' ESE OaLr aN.r F.arca aw E4aA'a m M F 44 s VIA"Edda/ FMaRYf lar►aPMa r Wtn BALL FrWr FA N TPE r r.. Aw[ pp�E �F Oc-ab.- Fa A:►.a+ &osa nowt a tra.a a s wit Mao c i - saga'sec.,t, Cnaa aw.t _ - ' t N awwl A•s a.ea.cwt Ewaa 4 csN Cafe WawN ar u.a ww_ s=yy to.w _ YT Na w,W �� .bE1a € t W aNe cabs wYW Mc He ,. waN a: F tab fill �' r • Sa H M a• of K ! >1 � � c _ j � r w s. a• r �i tw 7 _ u I i u 1 sFTI a I n i � I � II 1 lR n a n I �•� War A Elowwwta traaa abs ra.aabea b I 1 RAW PREPARE! yy Mbe.L aaal a..a w+w,.PaEa,a.r Rnwc •Ear 1� rf . �,.c ~ RRa T@ QWL bhffA = t Derma' y foa rRer )t.� I�Y'A EaaEftfaER>�RE RMEiIMU MEE�� c G RtMrrado 1 tabor at aN a.i.f+RrEEI Ohs cab Rt.Rat Lyb.7MM 21► t f�f:R'L/h. Ad mmar trrR.ftb comm�is >�suRa l' �� pa,aadd r. •Cr Mae Aar OEM E :, ) ttrrr , • M SL a tw id raarr.ac aNra. /�[• (/�'� V7T J Inc se�4-R[1 AaR 4taa r[er!1 ie bAoe!r swr.-[,Ry r-- - .. .e b.. t:. La1•4[ I C TG�S ___ �� -'�f{C1�{• �eRafk Yf aatl llRBfgwPa,saeewt RA Ned Y'1[te.... t(ry ti[ew- ` - -•- �'�' / Y (D) iYAS3E FA3V'G8 E�YFTlTS A4'7?+!9 [S CASa L ibom or Aa[haWc f•r:`t ,[ f>thrtcd a f►e pyre -_ . -.. . It ' •. ./j'/�-C.pay"=t of e,M•RRRR wS `r tali rR87t� lP-r `.Rsr`r rck-:fw.l!tr."W awdar`..r. '# 4• ''. : that termz tL• �_ !z}seL' pRdlyd ttevxrA.elw6 rn tM� aNiL�V •.il-.�tC:.:.'. v^ .`. ___ .:s{ .::.1 Prszi•'rAc bna Pa:2 Cee'.a1 s-ekS w_;.v:u•iti. • w. •.r!.rOn j 'r`'' "•"' �.r c..'•aY�-cc"ya tad::ac:Yba[Re ir�aC.a[sald '__ ._. -_ _ �-__.,_.__._ �_�.__.,___�.._ LWrem, -- ee¢`.7e er;,ea earazd 8p �7 ?Taea z-t Ss: ra tkiaefeu lace aeea matte etfe��e: i----- --- _ 4';:xzsY,s [:Pre •fir+t:t „yK,+rvl K eS n-'«r+. asp+�,-a.'ss.•�+R ea`�'ae:iR +�r! � Z'i.ai 01 CF: "^m tly a*�Stu'.V-t;of �.3DOr Lf��r 9-rT:l�C Al :[ 1'R.'PZ•l{.fa: P-: SgE.f7 S!;!t :^P. M Rat wr:U. -- tf�4U.RGer i U 2oWn, m: "ar bbt-ra IN an '�[e3,r�'!YR?e s`-..'Sr:-...... . •-'cr r-.4 h�¢ae.n-.- -•. - .. t .- car2 a 13! Tian .2y o}gr.RE _ •'ar•: :e -e elePe - 1 tip' ;!.-1^-a [ :`z:4 .. .-:r :•ue d hc• - _ _ 1 ti ALE PAID -O A_:' r=vV PL99fc. : :NKM ` GG � GC Sr QfG04" - CR i YOG:.1]:e _ la et!'f" y ... r.s'.. :w rly-. ' r-e=s. r e� S-c•!e ie 4p sRtt y_- K vta -:. y-t-:.._ �- ads raiet peW t� �] :aMr. er ' ::Xd is _•s c.4-st c:'-:r_e�:: pa:ei ►z^>:res -•[ Y.-;; .•A[r: ez _:'t t :._ � •- _-�. �- , t 1 . Y • �4 91 .e'Le rY� cry_ +tiz3� _ .> xd��7 � 3•'Y�f'�9f✓ Shy%/ ��lw �/ ----- r f '•'-� -�a_y"-� ". � M� Mom. S �i� T,..• '� - -S[k1 vv �r i ., r } NEWS =am �_® �■■■/a■aa■■■aaan mass ■ liaaanmi■/s/t/a■■�iir�■nn■taa ■ = ■in ias�■■NEWS a■■a ■n■� ® ia/ ■nu■/■�■■ ■ n c� m■i as i� �ii ■ �iaa�■t/u �iiian irMit c a/at /an ■■t/■n©naa/snt■nn to ■n= o ■■■ai■nnaan na■mm�Maas■■■■a�■a��inn■ ■ in■ e ■nn■so an an ■a■iq Ni■at■ai■a■ ■n■■■■n ■ ■ an C s�N so on I■■N risen■//ntltlt/tm �_%M �MW//s ■■Ns■■mi/a///i/ti�����NiNla ■ ■ M �!■ n■N■■�■�aa■t ■ . ■Y■■■■■ ■m mans■■ins■a■■�i/! ■Ma�M p is■■ ■■■■■■/N ■ ■■t■■Hm■!!! i/i/■n■an man ■�■A mate// mom an ■ ■teass■on/ii //t■ssum /t■mass ■tnam tnaaam■■i■ntn■a■atatM ■ ■ia■■ne■■a// ■/t■/■nms■■s/tea /■■�■ ■ /mN■■rise■munn Its tla■■■�t�aiai//tt/s/s■a■■//ts■ t aMat i I - z c �, - . ,��� :< ta< efatr�rt Mre Uaaa ar a� k<aaer fr p•.-_ :.. L L ,� � 4<slRt o[asc►l+FN7<'<>Rr^+f.a�Nc1!Wq1^�. A(y le:w. f¢� `71c�vt +-+�.� -.n• (D) W V S 3 C F tING E®S V EPiT6 Alt-rf.1 t INCAr+t �Af"Sj f2'f1e :.bot M wc@aaa4 r�lt t- Pr a*.wnrs c<�-.-afd r._--i. aa•M . :atlatd a qr PaT*+�, •v -sec,: -e.. ' wa _• -+•+. R "tit +i• - i I'ar _.,,.-c .�tl.r PaXa+:..w•r.ti. p<-!eaa ta•iteT^" Sr CnINab`< /��,���--�� ��-�� (/J}� Dr•d!b ff 11f.�R+1t[waarY RC._ . P r[errrWCs � : ta<t ia`ctL Me P'Jt•tt R+asasAnC of Mr„�.e— i c,O�l7 . 141L. F:.:E:•.O:.l:r..t• _-_..—__ — -+:-0i•a'a• C•e 'a::a^eYt.:�:•.:a. .a. t �o re`•aks maw- :•-er.. -:sac«r:.`Gd-e<c`Fw fx^„neN7 is erw}alnn:..ay:i � �,-_�-__ __�_�.��-..- __-_.__.—��� i tf.znmi f=- e;•:', y-n . (y afi' P '4 t!a 3Sa•_xeat r ems:=r.;r-. u..a`s<j Y '-s'.a•.L_z "v. S t_'9 C:; .�:n•�e.,w Kona' �s �•e��•:.r et'.sEa•�-r r•`.••r+-as£ � . A� n &M-mee' (s3 <-,•. SOX3 z+fa e:9. 72 Qse NY-.U as'%3:.•!Z C-SC. 97:c\sae c '••• Tba.' cr m-_.tea AA»-r3e e• �:s ec�Lt' re••a.7� -! .,,•^. 1 -.. . _ ' 1lrAe '-trNT.Q .mil ate`-`•• n.>• -. ��... yr LaY.era s sa,. a:. - .. - . R`..2C y'M�!D^.•:CiNJ .... •',:<:�:R<<r e^^It iJti¢:i<W:.��-:_r._. . Ri} Tlot :37 ar9�uaK-tis. a v ga-1 a *e fbafr i am' to-<!'y. 7t':sTrw ,....,.e+. :a :: »-r- =a-�kely C.^'A •.avesn'sF .. �" i K dF:r're:..a's ai �::•,;. .`!�3 rtG.s Ju+fe`r•et d ZO... *sum =Y.f = : =vk M Tz t Scea 9="t"..w�,�at LeStMc ea; iTllL�£ ea:!\"CS =Sti=:TS AME PA_J -D A:`!-Q':ttD ?LAB .y� 5 cr., - r..+- :a ate"aa x •'<lest_+Me!)slCe Bata rw w eaA 'abam !r sae]�ale _ ':' ' _• `-+ - '`.+e. ari i - La!<! `e r'xrc W,. 7tV;03. ra.> rb dh+. :neS: is :_•c.! A Y S N —i M hN M � � r. r� a M i M �1``i,•�_ �wM �47�t r�tt �n a 1 r 1 IL � I` yyA �8 b , I �� k 1 E4t 4 E r LOCAL PUBLIC WORKS PAYROLL OVPOITIMC rOSIX •r ���■ern■�■■�■�■s,�s�g'Rs■ M T■■■ ■so■tsa■sN■ u■a■■slss■n ■ ■■■ ■■■ E599s3ss 1111sser�csscs,ciI �sN�issmsssasn■■INssssss■sn■ ■ UR su ■■! 19S2l�li.1l l � C� ■�®317a I� ' ■■■®►elm■■■a■sN■n■N■■■sns■■ s ■M■sn c� s�® ��r��■■ �■ n® s ■■N■IUmnsasssssnsn■s■snsss ■ smas■s Es/sssss■■■ssnN■sns■■ ■ ■nss■smss■asss■ssssssss■sMason ■° ■u■sm lion asman n■ ■■s■■■s■■ on ■■©■ssa■as■ss logo■a■ssmall ■ , sua ■s ensssN■■■■s■ ns■s■sss _ ■ =N Ina■Inn ssusssusRules ■ ■IN=■s ssM■s■ ■sss■■ss! ■ s�isson soon■110!sn■sN■s■/ns ■ - ■sss�s � s■assss�iN■Nssnss ■ N■■ssm Eno■s ■■ssaa■■Ns asu ■ : ■s/ssss ' ■■■mono N■■!■■■n■■■■ ■ �N■■■■m Bonn■!�■■■s■s■■■■!li/!■■ ■ ■s//!■■ m sa■sass ■■sass■■■ss■ ■t ■Inn■a■©■■s■ss son sss■■■■s■sses■ ■ ■n m s■ss■n ■u■■s■■■s■■ ■ ■ss■■■■mns■ssn■■nN■■■s■s■■■ ■ =on 4 �■■ssssu ■■!/nss■sss ■ ■surnos mono s/■s ■sss■sss■s/s ■ ants■ z sssusas�i■s■ss■s■■ Nss ■ ■sas■■■osssass■sss sans■■!■■ s son mnsassnsus■srn ua ■ ssassss©ns■s!■■l on Uo■sssssss ■ omenWhim H Date �•a,'�.0 a«iL .lrti / / /Q y .ryrrcw p..... //—�-�,T• a—s ;a U'< ra+l-aH eve becw r. s:'1 he n�ie!w a <:atr !+ :•-. E:c )• /C't'— i'3Li"< bovem at'wb emplorev%excvwt as wr srd'.a 4e6•.-. {(r) ►e.. . •• �'1' .tvet (b) WURRE FRI]GE P:.v F.F)T5 Alto-AtD M CAcll do Ar-by ••-- a r-� Faeb :.boar or to TAaa-e Pit' d N ter +fir re• •;-tvd ;•a is N 7-.kd, as ilekvkd va the payeoe • ..s :e •+z - •� 'Te •' -•atrvi+�der pa_n:a of the Pero w, employee: NY appP Ule lm.$r T yr y .+ ra T< n •A< s/l __[� br^ctlb as47 IIM.�'tr: •Te rnwhx`.e-_. r _ .. ' <:. _. -x I<! II.CCTSTfOSS ,���� ; t',:•t�.1vr!•r;; the Payrol: D4rtl—od eo+++me�nA<1::f on eM��_. la'• r, err6: lame r:'•C. d'rrr=} o. iay..'eN) to or on c:}a:: ..!•^alb � t2 from tie lva w� ' eee:c r.re+ a-xi }:: qy ;`soa Qad tLa: to d<icet:ou have bran made nth- aHrG'y t: �— --- --�--- _ ._ 'r•:::cesy sets :ic"L'j a=n«r^rri by In, pe-rnr• ether :c.' at :e'er+ . Put 3(''9 CY. }y the 4»:_:r.• of Labe-. ...:r Tr:•r-beau +lam Ae- :s = -mdod f4* `.n: 94&" -0.3t f^l 14 otac S67;7::':^,t 71.ST;44 C.c.C- "— er'.}ai bar: i t ) • 7hat <ey. t:y'_o'-s +ba _ r ls! z.�ity ':�. cc:.f.-_d rrvlrt�:LL- •._ _ .._,, -v act _. Inn r-o-. ..:c.nr - , t .c rt l-r-zj Y.at h L. . `.c1�.aa. -_ . ...� -x c.n•tr ere"'1" .er a• r•-}.., n r........:•' ao:'.a^?eeicraeeeL � Rt 'f)•a! zr aparar:e.: �;'!ayr! to :]t %beve perkm at.,»:•y .�:�r:.d 1a,:bars G::: j l aiPr'S'-r'ay► #='Leer . rte' _;n .,;rtaeM1en:rDa„eery tr�+•ytt✓-.a:�:.r. ' :.r•. i tr: di'xe�ir y`.[a a.:i ..:+..-. ,'•r.-? �:,z Dparberd er! sl•.•-, or�._^e9 r.c-• 1 d9laR 2-Ns :. s :`wa:4 ar. .......Y.. .'::_a ::ee l.'-=CAt N�6L::: LrLly _z•I T-t-: .. i`t(rs*. mrta m N Labor' ---� fv) LyT.S:E T!:fSGS IISNS?TTS AF.E PAID :D AYvRC^i:D PLAVS. FC\DS. �• G+"� i �` —' '_� Ot l.T 30C i1ia (=.F(_ i�ll9�• el ]r '� -. �r etratrt[ !.;ss.7rac u�; - r_.-- .•.� _ )a t La to to the Aet4 Lx •.a tiy Ce ntq paw to each r ra ,r axe or Ten e1 )aber-r er r4e w ��. ..^w�s_<ar�r�}-.-r_w :_ i_. •.L •. t:a ' Waitle Le Jove re.'err..cd pryrol, Pv7ncrts •t ter.-.- Leader as :ad i _ l loft .e,m..rla;...... I icy { ?441"Z F.. : } i •... ac:ror:r r rw,a ( corn:, - cl - '..v tie,cuo,i teWo { u�► { •:w !�, dC� i uorr..^_��.s•:r-] .c, { , ''I cip,u ,P 4, I M, _ I 'f' 'aa o':: .-C n! r.i .0 mwlith^ ^�:•+R- -J of ILIA ,ror;re ;:a eel,,:.Ie.e;:2p F _ r t ffi - INSTRUCTIONS FOR FILING EMPLOYMENT UTILIZATION REPORT (SF-151) The Employment Utilization Report is to be completed by esrh subject •contractor (both prime and subcontractors) and signed by a responsiblt official of the company. The reports are to be filed on the day required, each month during the term of the contract, and they shall include the total work-hours worked for each employee level in each designated trade for the entire reporting period. The prime contractor shall submit a report for its aggregate work for -.• and shall collect and submit reports for each subcontractor's aggregate work for a to the Federal Compliance Agency that is funding their construction project. Reporting Period . . . . . . . . . . Self-explanatory. Compliance Agency . . . . . . . . . U. S. Government contracting or admini3- tering agency responsible for equal employ- ment nppurtunity on the project. Contractor . . . . . . . . . . . . . Any contractor who has a construction con- tract with the U. S. Government or applicant (See OFCCp Regs. 60-1.3). 1. Company's Name . . . . . . . . . . Any contractor or subcontractor whc has a federally involved contract. 3.. Trade . . . . . . . . . . . On.y those crafts covered under sppt .cable Federal EEO bid conditions. 3. Work-hours of Fmploym.�nr The total number of hours worked b, all employees cn each classification; the total number of hours worked by each aminirity group in etch classification and the total work-hours for all women. Clessificatiun . . . . . . . . . The level of accomplishment or status of the worker In the trade. (C - Craftworker - Qualifled, Ap . Apprentice, Tr - Trainee) 4. Percent of minority work- hours of total work-hours . . . . The percentage of total minority work-hours worked of all work-hours worked. (The sum of columns b, c, d and a divided by column a.) 5. Total Number of minority employees . . . . . . . . . . . . Number of minority employees working in contractor's sggregste work force during reporting period. 6. Total Number of Emp,oyees . . . . Number of all employees working in con- tractor's aggregate work force during reporting period. Is Minority is defined as Including Blacks, Hispanics, American Indians and Asian and Pacific Isleaders - both men and womn n. e•n rn r��i wwwmr�War ITIVII w UM. ODf OV 4�- 96 STANDARD FORK - 257 (•port irks •r o MONTHLY CN• �.OYn[NT Ibncn, year) (Aug. 14176) UTILIZATION REPORT pre•eribod ►1 the Dept. or 6.bur (OPCCP) (t•e r••eroo for tnreructiawe) 4' This report is required by Executive Order 11246, Section 203. rsilwtt to rarort um result in sanctions which include suspension, termination, canceilatismb or debarmeat Laf r Tot (Rage dM Ammbstam at dawpNbes Ammar) /r�}J (MM and ltab{tme of dww�eaer! �> � e Qua lo s EGA ho�et No. �� ` �' jwct scriptions E 1. �. elm. 7etol t■1 r York Hour& or raplorweit (So• footnote) rltl number r AD or of . cloeoi . • /h of mimrlt Gp)r1 Hie- er. I&tan/ toe total CMPWIO Mom (Z.O.) Cioonn; Tot. Block penla Indian nerve •- w/h M le1" e•• 2•lend 1• CAE GfJBa �� Tr C AD Tr AD Tr Tr T Tr ,empon► Official's Stane ur• •n • M. Dad Signed • • one er !Ln•1uN arM Cod.) if ALL FEOERAUY INVOLVED ::ONTRACTS OF THE f ,o M 10 ARC+► of h U� �NOOCTOYN PUN FOR MONTH OF 1* 7 GOVERNMENT AGENCY � Lo= _ BAMOUKI 3. TAP PNMECTED 2mumldlm ALL NL'N-FEDERAL CONTRACTS (ANARDED SUBSEQUENT TO EDA-ASSISTED CONTRACT) IN PLAN AREA TOR ABOVE KNTN ;'NAME"Of CO njLACT CONTRACT NUMBER VOCATION S AMOUNT 7.f,Qj1PLF.TED PRO)EC-;ED :xY.�LETIOX DA'YE INSTRUC'i.dNS FOR rILING EMPLOYMENT UTIL_ ..TION REPORT (SF-257) The Employment Utilisation Report is to be completed by each subject contractor (both prime and subcontractors) and signed by a responsible official of the coupany. The reports are to be filed on the day required, each month, during the term of the contract, and they shall include the total work-hours worked for each employee level in each designated trade for the entire reporting period. The prime contractor shall submit a report for its aggregate work force and shall collect and submit reports for each subcontractor's aggregate work force to the Federal Compliance Agency that is funding their co-itruction project. Reporting Period . . . . . . . . . . Self-explan. .ory. Compliance Agency . . . . . . . . . U. S. Government contracting or adminis- tering agency responsible for equal employ- ment cpportunity on the project. Contractor . . . . . . . . . . . . . Any contractor who has a construction con- tract with the U. S. Government or applicant (See OFCCP Regs. 60-1.3) . 1. Company's Name . . . . . . . . . . Any contractor or subcontractor who has 6 federally involved contract. 2. Trade . . . . . . . . . . . . . . Only those crafts covered under applicable Federal EEO bid conditions. J. Work-hours of Employment . . . The total number of hours worked by all employee , in each classification; the total number o hours worked by each •mincrity croup it each classification and the total work-ho•,rs for all women. Classification . . . . . . . . . The level of accomplishment or status of the worker in the trade. (C - Craftrorker - Qualified, Ap - Apprentice, Tr + Trainee) 4. Percent of minority work- hours of total work-hours . . . . The percentage of t,,tal minority work-houts worked of all work-pours worked. (The sum of columns b, c, d and a divided by column a.) 5. Total Number of minority employees . . . . . . . . . . . Number of minority employees working in contractor's aggregate work force during reporting period. 6. Total Number of Employees . . . . Number of all employees working In con- tractor's aggregate work force during reportiag period. a Minority is defined as inc.uding blacks, Hispanics, American Indians slid Asian and Pacific Islanders - both men and women. •ee MMU NAW lace s (OF-66 0 toy N 44-R 96 Reporting Perio STANDARD FORM - 257 MONTHLY EMPLOYMENT (Nenth, Year) (Aug. 1976) UTILIZATION REPORT As prescribed by the Dept. or Labor (r?CC?1 (gee reverse for instructions) This report is required by Executive Order 11.24e, Section 203. Failure to report can result in sanctions which include suspension, termination, cancellations or debarment of contrac,. Tot (Nsme and location of Compliance Agency) From: (Naze and location of contractor) 1700 le4E-LMK—" A✓Sr- X/e atq1TL-&� aw 4129/ p 5 3• myna. Total ova, am Mork Hours of Employment (See footnote) rity nu01 um der Clessi a• c. T °r minorI t:mpby • RSs- Amer. As7 -o4I tatel Company. Nam* (i.D. Trade nice- rote Black 'ndlan Caetflc se- Employ' see D tions ?anlo !eland ale v/h ees r AD AD Tr Ao Tr AD Tr AD Ap Tr An Tr It AD Tr oapaty Ofr eta'=A ure ..e 8, ;:ate Maned 9. T•:ephoms "bar Ilnelude Area -ode) (e Na la.s S Females e+ M norities 6 non-minorities) Page of � FORM LOCAL PUBLIC WORK$PAYROLL REPORTINC !!!ll goggle N■H ®H9a ® ■■■av-2Qma■■an■■H■■n=a■■■■■■■N CUSON^Slvsla2,911■ ■mass ® ■■ ■' ^ms■■■ na■■!aa■ ■N■■■Cnaaa■aa■nnn�■= ■ ■ nun m■■�'I monn■nonato on 5 an on=2 11:01 an In cna■lnavnn■■ns■ as no ■ ■ammo■ ©■a ■am■nnn■■nan■a■■■■n an Ron Boom ■■Han ■ mama■■=miini�in@m an■■■i■i�ii� ' ="Nam Mason mom =onN■■N ■ mama cnannn■son ■■■ ■ ■nnn ■ N■�i=am■aaa an■omann ■■■ ■n I:: :�nommoneilii■nii i s 'logo nommom ''o's'n■■aa"'o'■" "' nna■n■mana■■■■ana■■I sun an = Hasa m■H■■■■■=■■��in■ MINIM ■ ■n■a■■■mN■■■n■■a■an■■■■�t■oH ■■iBRUNEI ■ ■■■�■■ ■ ■■mama■©non■mans■■■ ■H0■■■ ■ sn■n ■vansnN■■n n ■■nsn■s©■ ■a■■H■■■ ■■ ■■ eE'nn IN sa■nn ®anaa nvaasanasso an ■sna■a©s aaanss■■sns■■lu�vn nsnsas rt - EF-T ^a:r/�/'ate+• /�/]may/-•/a �7 7� to the eoovan !+an becu a• ."I be made M apwee�r:a.e p•. _. .. . • f�• ;'•t 101410f of eaeb a PIOVe . encrVl o.Mtd be%Wl-.. d(e) ► O,w, •,�. •t•_-.-:.,x .ary, .__—.. . -�-_ t ) (b) wimc yIIl\OE itnxErm A!`•r A!•))3 CAell de At-1.7>Ln'e -I:a••h :abonr or ro.cb ao'c I•:!nl i- twe ntrr-u>d : ,-9:: ce. Jn-. ?'Id u :-•.rlr ie{ on tie pay"..: ro •rt •! r > _ a^, 'It •`t a;roe-....�. _ .o ♦ e n++cnv.e baOc `:vur- a ra .a!1 pay or fi.pn}n :a r•!Y-., p,r.on> !mp' y r P y .. IT, re.ah�r.r_r :.. p ;;v .i_• • z (e) SCCF.PTIO\S that durinw rtepayM!/�p�j>.o` .!(UA�R itlynd ending lidaziy(_of r.�4�' . 19 7�, f:C(.'••(}.ti •.l'_!_�__._._._�___-_ .�_ =+: a9 +.ewer •-:^vyd e. aid prefix!ha+•a b^m Pa.! L':e hxt! r^ek:y fare"ra er c3:b^. cde c:.^er&ree9y o: Im!:rccQy to or or e from toe!ua .ee„!.• rZ m •araed Dy syy ,e:toa ::d that ere deioetion> haw hm made rr.-mvdr 40.r '+r" ,.2.e1 eaarnr: by .a- ne:.n•L aebee Linn p-�'sa:s'e fear!3 ('_9 C?: :.aSr;r ♦ ?and by the Sr.::;�e- of '.abor r r `•--r a=d Ae- all .a,senio! (dC `!t'. 1'4&Cn hL I•.rl 12 eat SC..% ^:•rt.:.-7i 4-3 L'.S C -.�_!, :.ad Yr► 1— --________�. , c.bee;beo+r- 1 I _-.xr ray 22ra! rye L=)"•>;:a O!D tTT he at•der 1%i1 ectxt^et rtcu;raL!at-. .. . 1 •. _ . .. _ j - ! period arc rorr.cr mad earl Vk% &V. C+c-,�: rv.: 'ar laborer o:r... _e:~ _ •.r_ n ! `e c.� :•z ?o vpnimWe Oo:•c.:.r.M:.' ad ba any r;^e :.:.r .... ee-.r-.' '!at dr ti.n!Cralatx ....!Ae.:n!nr r..!'h labor .r mar`_r rar(eraed. i (1) 11at mq apprarr. .�.o,rd !w :St above perio•' ut,,:.!y ..�iaR::d to nla.:. ! r)iyur-Qeedfp }•rcgraa• .a•c-t-:• ,... .: .4rt .;s•1!adlets:+�7 4'.r^r'Y rrcregw;nd 1y:>•. ' r i d aei " . , .'�Y--! .y>; tlparDr:rn! e! :.11•,• eu!(ra aoe� ree•••+'.. ugaaey t^.Ma '-e > alala .•.- _::t..• x ::re 1acrau d An!•-r_•::tiDfp c.•rl l`.`rtb,. ... _ .__-� S-:to De+artSwm ed Labcr (S) S•ftP (-- �` ----- fa,' IVAS•:!E r':INCE ::ENS.'ITS A3E PAID 'O AP'•`Os80 PLANS, :C\OS, CP.I aoc;:A.U5 f OF�IfAG,� awe I,, `rrt e-4ar.'In) • • J_ Ia add'•:en ro _r be>!e:•x rly.al;e roM paid to YeD la►orrr or mnitllk -•' ctiti :e Cl • ,at ,• �`yq;3y s s _ �i f'•;e •�•r a ' t.1!ed m tP, abere rc:ntnr-�: Payro:L pr-Lama �( !er:: .raet!s ` 2-7 J -49 nAr; 9AF /r� d .-L ' ; - r�-ems C Q�w9 �` G 1 :., ;• 1 .a. ' cu-r. Aw,a 1 :an:, ... ... f1wl Lii-Sihl r..r►�'K!:r'�::'i wc� '. �:<so:;tp•,:e;ta::c:��:_� "'--Tr _ E� 22, zk4 ,// /I 7f b the rf%4ua-- love rs, at v'it be nave t, s;.wru+r:ate o,. TT,///TTTLLL)iii•••SSR!!!ff{"JJ^^^IIN//___ brne!It ur mc6 lw�p;eyera,esrewl of waled!w]aw11�• a(r) br:.�, L u t (b) WHERE F MNCE P774EF1^.•5 AR':MM I\CA'li de hereby r•a4. x•1 t_bertr or >n<\an c Pored 1 !`t +`• Kr^ eod �F. •e, Tw. ]tee paid. . e•lcatcd on the psyro-. nt . . 1 tart •r!']L :r ".',i•1 ray pa:-ncnt v!the persons erployrti `r •-- rppl'tab.e be,!ra:X-< - �y btrc�b ss ttr.: it a all, .v ... t� t/•RL_�w the v,rn,r cycr �- ...n �XvN.�..�r or.vai—� �. (e) uCCFt•?:O\$ —✓/-x;[��-ice/ that duris„ th, p.yroi! ,,led arommrnelas no the . " rag l9 gnd rndlr. h .y 0 19 27t- ..raoe• •e,�uycd o :aid poj xt uwr b,p;::d C-e%:1 rt Vy vrZ'.9 :arm` 6-1 xo +rhntrs � 1 Asa rrx er a C.bear 'r e!lher d.m.y or Inaf:rretly to or on (A7X1[.//7 . !•� frarfn tae full - 01•'^l^f'O'Wire]'•JehYt 1 vc,%IY r.Ces exrard b' aetY peesea and that re deduclism ha\r br•em trade Ct3,Ormegy er —_ —.—.— !rr•:.xedlt from ]t ht:: a Z" .w-rmcl 4Y se; pem- % otber &= ^^--n•;;:5'r:e =n:;ors n ro`3N_ 1 L. 7-eM_ imC*= !art 3(!9 C:: :;ub¢;_e n'r.'srrtd]y the 4ra.•— o: labor e::?x!hr^'v-dtrd A% s awteade3(<a 3' "&C7 %t't 1011 73 Sul 56T:u ^.:at-3T:<9 C.$:C. «T✓�apd.its. ----__._T_ —. — �. a:ttti beow- I erF rcy:i's ahr'.re ^.tx:er `:.it ec�t.—_d tro:ra: :o l:: 'c-'::: 'te-'a 'tried are .vmte and .+enpftT. L,.^.t ..c 4`^e rtt.i !or lab lv,% e: r• ��:e[T. .. . _•1�'a 1 3^ •pp::r'•`e atn.,.::.n eor.'tired In :ny v:^t .•: aer.r.4:; ' Ivt dr 5e, GrxSsas !3r..'aa!or ee-h We'rer or c-shr=r a.-:...:, wore a-�tiorsev j (3) 14at rap rep+nets.: apt gad In the *bore pertr. at.,i `y -ZI.Acc:d - appr78as]¢ le`s*r:n --.:gem-` �,:h Jtt'e .zptmCao:r:P %_--ney ev_,Vnr•..d tq r.. or ,lvl'rr,s} 'lZofe: .",;psrtnN a:0 l,s-,rt v it r_ y.a• ., 1 tiener law it avast ort ed T-, S`M 3va stwo ei Labct. tb) pJq r+E rrtf\CS A.'.E fAlD TO A?!P.O:•P.'D f2.AV5, :L'\D3t I af—�•. �/' Q f�CGC + Titc wwc ransi^ua - r� _��i{S 1(' 2^rpYi�..EV'J6E \ - •: r:. ' SO ld i iel SO �r t)ei!r i9l'S'Sy pezr aL1spW t0 rtet InMter♦♦r tt Tft i 'r-[.•f�J1�} �lfia7 ilr Tw_ `. , Q`� •. - •J' .- y. iid!ed rf 4•t LibCre te:rrCMl pL rs$ pn;iaets It fEr.«: ;tmdts as:.•t_i ! _ 1 i . I -1--}-�-/, j I QCa ..v_� Clr:.l r .'.:.. C>• ( QtK:C7 1 I r.rl: Y�.:f Xy :C YV � -�G1JIr`i0� ►. ►D � 31N ( YZJr �. _—�.., `}''�'ft,_I - - _'c`- -. ` CYp J -J �°__ _ - _ ate:. -�✓..rp .wee e- n 1 +r t 1 i 4 r •r i A fli■i■�9■■«��■Ri/■ ■ ■■/rrr■m■■ss■■/■■N■■ ■■■■=a■/■ ■ ■■■■■■■ E/r�rar■+■■ray■■ Al■/tt//■ Ii ■■■�tl�i� ■■ ■/!■■■■■■ /N■ ■■■■ r! /H■■ ! ! i!l3i� Jl■i■■R1i/ ■ /■■■■■!i H!N■■/■ ■■/■■■ ■ :■■■/■■ i�■ ■ /i/■■�i/r li13' /■■/�!! a ■■■r■u■��ii !//■■ ■■■■N■■■ ■ '■ ■■■■ H■n■■r/�■■■■//■■ ■ ■■■■■■■©■■/ ■H■/�■/■■H■■HN ■ / ■■N /N■■/■■■ ■■■■ ■/■/Ca/■/■!/! ■■�■ ■®a!r■■■S�■/!n�/■was ■/nn■■■■�■ e■N■/!■■■m■■N� ■® 3281an■ H■H■■H ln % � � �■■/ ■ �� � % %��p■ � � � �� N � ® u � lN ■/ ■ ■■■ /■■■■■■m■ /■ ■■■■■ / N■ ■N■ m■Hs■ ■ ■ NONE N ■ ■ H■/■ u' ■n rt■■Y3/■%■NH!■HN/■■■/■O■■n H N ii ■■■�■■ ■ ■■■■/N® i ■■■!■�i ■■■n■■ n ■■■ ■ ■■■■■■■a■■■■■■■■■■ ■■n■■■ m■�ri/■■/■■■H/■■■/■sun■�i ■ . ■n■/■■a■■■//!■n�na■■■/■■a ■r■ ■■■a■/■■■/■■■■■H■■HM in now ■rsrsa■■■ ■/n■r■■■ ■ ■ ■ ■■■ Ya , En t7 /y7F In the eontrnct have bon, or r I't name to a,••pt"Caae y—'^1.na La • ` / bettdit of each Mp)oyet•t,incept es Rate':•a"•red•.•r d(r) Mloa•. •� .+..;.,+e•> �arw• --� T--� (atN• (b) WIMLE FRINCR Ur VrrITS AM!'41^IN C.+S:! de►r.by..k: rars ::na cr or m ch.,n'c t's!M Ir Ilete{e+-µd �'-Tra haw 1w- ` pc:d, rs !,d1c.cd as I`,e payto", :n aa_t as • ne 'S -a a• '!e r. !pay ar aanerviv.1br pnr,ncnl of the prrnone etnpicyr.' by —_ epp:°ca u!e ba.,'e u•cp ,- ra: x _. tte ,_q* .:.a-r Y/ bend to as Ii.t r yr r..n•r:u e', ({/�r� a ..rwJl f . . ..... -�r"a the lh+V.l••Y o,wMl �0 (e1 S[CfTTID�S V I thnt d,•Hng the p:yrol! Period WmtaeneloF on the—_— /� It ':nd andlc[ fhNdoy of 1_ F::L6i lttl.S eh_, •a_ -,N _f: --,-'o.-K n. a;d praja i.tisrc bvcn pafC Cie ran r-dv .4,,; :treed. C,, o «hntry j 1 S31--��j or c;;:br ae"Je c:for d:m`•!y'. !n!;"Lly m me ";,,half J from 1]<A:1 Coe:--a-wr v.uvaon•.wiari "a% yr-r, earned b; =ry ps and that an dKuetisaa be"been made e:{brr :1rt•4y C. !rr:3rttdy fta.• ft !a:! Yat_e eam:l by ts. ns tt Jhe than pe:]1lft-* r1:-::"•' U,e:x.m ! b• ir!ylatona• :art 3(.S CF: .:abt: r n),"aced ay No °rr.tr: e7 LaDe'r:-�::r•`:•-•n.�ai ' Aet :t aneadew (44 F:.-. Hri I.SX. , andS i :Tn " ter► ----_.----__-,._—.—. _. ereb".bens` t— t_'. That rsy tmye,>::s ab:9 also ntLer "•i .. -.--. ( a e+,•nt^.et reesirts b!: •s:�`n:. d '.:- l period .m Nrreef and VK"O" tRn! L'+o ':• r"� or taharers c raotl•ma! _ .- re cat ice- r,., Qe r MT.!Czer sa-r::,n cor'.-:::rd to any wa^ ,L::e'ft']�-!L. '+:.n 1p• een:wC ': Jte 5n,:':kay,xa s;! ;:a for r.eh tnice. or Ro:'s arrfors<e j t3) T14d :Av ft""Itfll aplayt-: in 'be above petioS arc J'y am, o t* 73e=rcr t--,�Vnrt! •;:h .: ,:t t•- of •Mpee+Le'•p•p arti :.<:+.;,,. .'nit:w Dop u at•tment a' La; itc'nr c_ ::: • r .-••r_- t . a=eapr l:N4 tr t :talc et: :vT'etm^ .�::•;.e L,s w. of e::•1 T S=tea Dtyhat tem of Lebor. (e) WRS^E !RINOC. 9SNS-ITS A!!E PAID TO AF7!:0a:rD PLANS, CADS, j ' " t - CT 110C 7ANZ r—nwea f TMC WILvIr MlL,M•�Ca Jr asn�Y rMf wY']Y •_. t. -- . _ In atdMon to the bare Lo.Ay+ate rates paid to sweb labor_r er meeh"k ra �.t Batsd in the aDo.a rc:rrr_aed pgtel pa; b aen •tt ter.-2 :.mef.!a at :':d '`-�. - AW :a+041c; qar. at plud saw 62%c ijj�. Z:aitaq ZZ, a; U06:pji, at 4 > 3 !N"' 001 'SO.K.1-1 lsxv--� O.L civ.1 a.':v S1. Z;K.. 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LOCAL PUBLIC WORKS PAYROLL REPORTING FOIW on all ■■met!!v■■■■p/I !■!� 0 ■ �■!m■■Ss■■/■■■■■■In■l■■= DENSE■s v nNf■■■■e■ ■ ■ nor N s !■m■■■aN■■■N■H■■■■asNo ■ ■■■■■N ■! 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Giw1E : lbat der♦.: the paptoC period<eaatarcn<ieg an :ee< .a7 '- ,t �) : toy o!1�!/f7rlw`i 9 -sd twdGr Ae s7 of . Iq l? f::L E:a•O.ti!{:5.:.!. --_ ....�. . •=i: SII -rtees -.e;+'v�'+t M•. .a«f }eey t:' zvr b•sw}_:2 4^.e?.s.: r^Gk.V w} rcAsln ) / la((t/e�/�}!irn cr I . a mtCee vim-d.rm--y o-1-eEraedd qy w of ea uwax .t+ul+; AICNC from e!e lath __ _ e c-a -itt N l a!td du! GA dlitRdOOa Sa Y J<C Yadt=TIC :�lr(�'�Q: � �_�_ lrt•;rterLi hale 3:'f'? sl{ge�- wvacI 3' .s. s+e4t.a d.1r•1Aae --'^_.a.�-'a �r_�,:_s as•^elaN � __— !r r <la:c•=:� PL. 3(19 C`l ::zzt:_r ..>.Yltm »' 41 S^.':;__°.. of s•t,_+:r:*.- ACC a za..el'a:(ti. S. t ?4& Qt: !^!. '3 -!at M: T,; ^.trL VT.OM t•.[C. :MM%%re o-t• —'�-__ _ _ ,» a!bri ltieR- i 1 L ess .�: ?3! r=: �:^<•4 d'�al'e�l!R96A! r� rC^CCCt rttlUltf Elt '. '�•. � ':- _-: ��� (, }rtteC ar oo',d -^d t LwN tr _:_. rlta. 'ar laberrea or r. .t: _s '.?R r.•.t It .:..M C'L!a)•C'K err •t. . t !St hat s:rtr •►pr-aAwts �ti•al. : a aDure paio•- •.^K'y'ttSl} yt-`sres+ .•.c+a�' .,e-snfec.S' t K aP7rt s..•:S a^{ :''a.. - - .. _-...r�e�: c' :.aa.•; '+t 8 e_:tt�r�!._r. •SeQCn n-w it a :744• sr•_ .. - ..'� .. r `!mac of ha••tt•:.rx3t! 11a 7-x-•r.� ,;.y� �_ TSar ��W t:l1-_-t: TIUNCS CS%7-:rs Aar }Am To xn•rCVtW PLA\C PIVV 4-le--ans. <csr i IOC2.kL^, re I1 e[d�'Ot to •:e btv.t:•merle•t c +rt"5Y Nt]': ^t. - �� > t•f 4Fa1[y ---`,•.lt S Wr... :' Cfy i"4..a 4 J- aC''rarspaid , -4t !abem•r faebVe =y .. _ _ ;-1.'.` -_w. 'i :t s 1 Sial:•! s 'S.e cbere r<:::r_ti -ab1 }a-axelt �(}Grp_ r^ae+7 at _.-d / i . � � -�� -F j � �I I �� �� 1 ( W 1, F Y i ' �,�� aPR C�' �� �, .� _.. ..--- —._ _ I _ _ `� ,. {, �.4,. E;� . ` N ' � I r .. t'1 r _. _ ..,._ '�c�v r .... _.. ., '� ., �.1_ . ._ :__ .. . _ . : i . G U _ ._� ._ _ _ _,_ _ � ` v ,. \� G y �" . . I_ _ ._ _ ... . . ... _ � �, .. „�. ._ � _ ._. �_ .. _ . . � {{ j� I ++ _I ,Ni� N -- - - -- - .. _ _ _ _. . . .. _ .. . ��. _�__3 � � ---- -__ .-- _._ � - rt, � a � ;; } `� C i i �� �_s�.._.. ... _.___._ �.v � . . . _.�. _�_ f �. _. i � , � -. , . . _ .,. o I � � , ; . r ��„� � u ,�r�r,��r•�N��rsMNMrr�NrsrM�N�1nMrMr•Mrlrlwr�{1lrrrr�. ■/■/■■■ ■ mson n monsoon■m no a■ ■■m■■■mon m■s■sns© N■� ■ ■oo■■■■mm■■ol n■■em■o�s■■son ■ ■■m■N ■/■■/ ■mous ■ ■ ■m■e■■■u■■■ ■ mmse■o ■no m ■■non■N■■ ■�s■■son M nos N1011immo■so■ ����©181 ns 1 ��1, u�mmi/■ ■/■ m ■sae■imss■s■s■ Nso ■/siaen■©■s■■ ■ nassn�isne■ssoassu3 N■ ■ ■■o■/omes■u■s■■sesmees■®■ms■e■ ■ snms■ n■N■mm■m■■N7 ■ ■ ■■me■■ N■■■s/m■■s■©■m■N■■ ■ n N■m■■■som■o■i■lma■� ■sae/■ioiN■sinu■es■■mn■■e■■ linens■mmss■sssssa ■ ■/nmi■ssnnm■ms■mesnmsssn■■ �mom Nommo■mes� w■ ■ ■stsnssn/su■mom ssoon 0■/■ s■ /sson ■■■N■m■siiimm-3 moo ino/m■wmwmsu use son son■s�■mn■■m■m nm N■ us son ■e■■ 1111M ■ s/■■nionessum /m�i no ■ ■o■ ■■N ■meis mN■m■■■ RUN Essig mm�N3 man ■ IN NMIns■eems■mi■®�s m ■Smem■i6m� SamaS�83 s s :a iLe ronVOR '-sre bt.r or s•^t t•e aYe to syq.c.r:wv y..._., •. !, . :'-a J�e� __ , _ �twRlf ut.act•e!nDloy^'T.tat.;.f xr wsM:w 4Ht {ft) 4P:•w. FAI\CE IISVFFITS A'*[7WI IN CAP;1 do Arr-D-,•_'. ..�( {a!-6aP1 hoter oP e+-c ;w'e t •e' it e`•e y rt'-r--red _- e.: . \r- Dsid ac .d:r_ta as INC lit ;'+i.Y say.» - P• �.m:n•of:hr D=:.00s txeploytd �y ap?)!sse.e baa•e 7rtec)7fa Se tlr•:, is •YP rnrwu •. - ifi s � l\7CltJ tl::t de Nei tfe D:yro'! Oe cd on ttu__-_ i t:t o'�it :vy iad eadice the&Qy of/,Q G. e9 prajae Tarr Um paid r-e: 1 a-e,:y v- •a eatmd. Lb! :t.-':.a c•. .:-Y-.cis r.,.4r dsa^_y w ia2!rRdp m or to?9a:'o!said Ace ete:7y tr.;et earaN_ ay =ei 7trsoa _-d :Sa: r.•> S,Coss bore bP wade athtr -- Y• •tt^Sr rre^ 'Lt In!! -`« .-__:.c'. -y .a 7e:.cry Sher than 4P. Sulu^t:_tS'.*ef: as 'o.rry { _. !r .:..... , s 2 1 C dIt Pr OF '_.t7Mt 4P�•t n..,.r•'Y�':i.d i As_ -n ;_^+e!ettC r{J St7t ca.U? VaG,^4. 72 "at Sol:i3 `;Y.a1 l'.R.C. ` P,ct,aid Sv ! i I a ! TT,a! r�r ryra::o a'hazise w.w;a. d•is co::hrR rra:r<' at2 ;. 3 �w +�-toG Je Nn.E Tsai yceplMG :'tat ti4. or Illarrra 0. •• .:at-.c.Y.p 'ira! h>r..rrllilt ^...3:s'.fil:w FM t^u )ak4 c• •rar--ry . . . t a t31 7}a2 -ay tyrtrede x w !Wat ➢a at tlorr Dena•: ar<.7 dy L•:_d Tr-'Tr+_r rr:aaeRd .�'* , .A:" -:n-mdteS i s:.'^r9 t.•:tYw• Sy ` 1 t .�arcmr%t a' :.ay.,.• nt :f.: =0 asat�t mrs :r t +`otK ado 5a,'} .. -.,e '_:^rx d.\o,r+.:.:tcSp� :-td i�a:•, _ �._� }.. !s 7�atted:t tF Labe& i (L) Tla_ • _ .. —__ • ;s: WItt:tt 7"I\CL' SS\F.":TS A? 4 i C.L)II ro A9'!'Oti SD 7LAY .�!'\DS. ,! Age L- CA.;)lOG7:.\Y3 : T4 a qtC a rY`x 4l Kt Of 'H: vas$ `C: J_ fa w[d':ew to Ae lesie:owt(.saCt rates DW to -ael :aMtar er aeela,'s sr_ w P us^A m da close rt:xeatet Day-am pa-atria of fe-3. Lat!:a as f I 1 I ffwl ���� o mcts©cam ��® a �aaac� ■■ some MEN ass®■ Moto ■ sn■/ gin m■o■ sa/■m■s■n■s moos ■ ■ /■/o s ■■■■■ �■■■ an�s000�i ■ sno■ ■m■■■ ■ens Nn=o■sn■ ■ ■o�in■0 norm ■■ ■■soon ■ ■ ■Hm■■■ ■Hng■i= ■■■■mo■no ■ gnomon ■ ■■■mom ■ n ■ ■ ■nmm■/ logoN■ONo■s■nu ■ ■ns n © snstm■■sum ■n ■ ■i son©m■snssmonsumm ■■soon ■SAME an osn ■son ■son ■n /■/s■nmmss/iinounno■ ■ m ■■Hon e■ Wool uon�imsom ■ ■nmm■oe■o■s■ ■m■m■s■m�is ■ ■ ■■s■ N c Hnsoo■ snson ■ ones oi■=sos■ ■■iogi o■o■■s mn■nn=■outs .:■No= �i=i nsnlo■o■■ mouse r ■■■sou m■ ■■o/■m■ ■ m ■nos ■ ■Noon©m■si omm�■■ m■s■H ■ r ■ - �■��nH■■�� o// ■ ■N■■■■® n/■ q■■ ■■■■■■■■0� miiin li>i i■oal oils■ ■ ■i■iND��i■isig■�■ignii� ; ■■ mN m ssensi■■o■■mo�i ■■■siH iis■ ■nomooeinnin■essn■="ON ■ ■ sn ® ssnnssoono■nm■Ho■■ ■ ■■ ■=mom©nsisisn■■■niii■■�toso ■ ■■��i ■■ u tt \ t i i c Da:e be.. or cCi tc nz_e to v bcaelit el sacs emyloytrF.escr�t a::. fN tr•;nr er vtb'=+wp panrl (b) W 113R6 FRINGE Dlt\EFI1S ARC PAID I\C A;ii! i do hereby state: —F.atS .aborer or mrehon;c )!t;d In t`t rrfe. eeyra 'Nas Scee i pal3. w taCltatcd on 4e payroll. :t:_ L:aa '.a +::a of•`.e (i I —hat I pay or superr ie t:tf paymrnt W t e persons ar pioyv. by a eppi:csb:e ba>c Sourly um" CC, ^>.z ;'.e sstaca; Of.St rqu:r._ I-rz; `• br..dl:i as tist,,C t::t c conteu:•r,c.^,.i a r,d to Rrioa 3{c) r'r:oc. on the ,wa.+cx er wYaxu.c:..rt —�'7 (t) L4CEPTIO\S ' tSnt during tTc payroC pavlad toantcneing an ttu�n Gac of /�/�.t/ .a'_.4.anC rs•'iag thtE"cy of�. r_�� a12 xrwn. �:+r:o.ad en saw profRl Tavc btrn p:::C the fn:: r.!C-'!V xQ ."earned, t::a! no rebuts Tase:rc or r'ui im mode t�,:-er directly or ind:roc0y tow on bchaH of sale _rNe or wamRaarter) from t!c fuR I c<e3Y cc;ts taracd b' i! ary prrsw sad Uai as deducdom Dave been •r.ade ztaa titrce;jr o: ' - ire::r.Cly fee= :h:(n'i ngn ettrnr.I by any eemon, o'.be: 'has pe. tsublt cs.Lr_'oaa as m'laf! 3(L7 C 2 3LbIUC hj••tra t� by tht £c^ .w:s:'.ary n: L.:bor_rae. Cop:;^:.3 > (.0 5:r: Sit..S;j Star iOA, '-2 fiat iG:7�;5:ai:3i;SO T.SC. 3:Lt), 1 - 1 — i I Mal car aay:i:s aM ^:eise hack ibis roatrtr. rera:red tL_e :cb•-::.;3 ! ;hr ata.'r 2'.aracs pe^bC are evttee; sad tae+pir:G 'Lai ;9e a;-,e rstc ::.r IaDaeesa or mo::ay.r-.. :•a'tuod r<:.o:ic:s ":-.n It appiue_DIe ca•tt r_tc-cc�lalnod to any ea:e deYr:a Wn �:}br * ixrort�Irto t`t cca :. Use Lc set±erhrrcb laborer or n:Den:c eo_b.. .ilh t^e ;..rare. i 1 (5) 7Ta! say npnra::cs tnplgnt in the above periai arc LOY t-gi.;r:d h c!:ua:LPs I 3 a>^prcC+es:Sn ar_^•rrn r;:BerC: :•i;D .: Jta•c :tpttntiterir' t.-ty avoejaie..3 by : ire.a e: Ap�:en:'n tT:p a;:d '.-.:in::to• .:nr.0 +:a:rr D,t.craacnt ^LO',•r. or S W:aea rm';•':et, cgcaeY :-fc!s ;,. t :'a!0. are rv3LWM-:' r::a :ac Larcau of.lv.....:" r aSlp cx:T ea .:-:. u a - S::tt-a Dn,:trot.:tt ci Labor. -- ij) l+at (a' *-Vl!M.E F"IXW< 8SK':i—.S A$E PAM :O A"_' Gti 3D PLANS, FUNDS. • '� � I ��' d r-� In addition to ;ae besie bxi. v p * : dt vt'.u•. t ' v - avr c -at^ •coos " s �rir:`s ms. y al;e rotes aid to cacl labor.: or mc^_.rnlf n L:.. c'v .FL ;plod la t_v t:beve rc:crreed payraR, pa;mats of kir;: rAd.:: ortrd 1 •��`{iF. ...•'ear . .c.:.rLs :'area .,)at. '°` r. i - c / , r t .�.__�_ emu:;::.::-:•_]:e..e:os a jfer CoM:ufar's Op::ar.]!Jsc:iae Irs'.rvc!;oa foYn Y.'N-..'J Imt) � � uvc cr cc•�rr,•c�ca os;s:u^yRo�trw:tea ,�1 � i �^�• ----�� � d �'.s.,�istt- 1�$h!d°c�l � � y � 4�J� .s.�{esaA r%�" / •3.� a 'LS�j'� �� _ _ .. i0.�>Mih♦�04YL IMkO.;AT AV.C....TGY I' K.+LYT C?LC\':�' '.� _ �i. ,3i .]� � .<� CA:'tV7�.tC :Si � t7♦ Iy a / cnt xacna \ j c�YCmC ii. GCl=F1CjtS0.Y NQ.1L5 ``� Ci iYY i AYQI:.\•* --,,,,. J�4`S Y O Nalas wG '.C7 iA"H tlAi I t Catt1Q, tY W*6 T tOPl --A of C4rdow,..: 7p,77 1 t 1 � j c I i 1 ram--1 1 1 , t $ s 1 1 w r V - • 11234567890 o son■■m■man s®man■�■!_ © r mm•�©cm■ n ■n■■■� iNNss ■�■, ■■■■ENmN ■ ■nson � ssssinasm■m■sons■!■■ � : a ■a■ ■N■nl ■ �i■■■■ ■ ■n■■n nMssissEN■■Nns■nssonso ■ ■!■_■■■ si s■ni■monsosnnni�ai ■ mns �■■■i■inuse son MINES ■ ■o■■■■=m ■Bonnn=■mom Enown r =�me Ewe N■=onM■n■ Nnnow ■ on So © Monosson ■N■■sI■n= ■ ■ � lomonl■o■Non■ ■ an ■ noon■■■® ■nano so on ■■■■sums ■ ■ mommonsnI■ ■ ■■nomom ■ on smogs also�■on■■R■■■ ■t■■sHn E■N■s■n■N/■n ■■noun ■ glass ID ■Mi■�M■■■■■■■■ N■!■■ ■,,-■an ■M■lMin ■ mm■■■�/■nn ■ mass so■m�simi■s■■ mon�Eoosls ■ x ■ns■■N counsel �long■m■■oo■■■ ■ - ■onmosdn woman m ■mom■snoloE ■boon m■om loss on ■■ No on o■l■nson nons!■s ■ ■■MM■ come I NC...■■N■N0 ■nmos■®NMI ■■Mn■■m onoN■n m mNM■� m■ s■■E■■ ■■■■■■n■■■n■ ■ ■INN■na■M INERS■■■Mm■■ns■mossm ■ ■ ■■ ms�ioosimo■mso■son■■soon ■ slogan MM onN■ossonss NINE Ii■ n ®Mo■isl■■nonosUsnman ■ monsoon©�Msani 1■s■E■■Enolon ■ n�IN [ 3 Date /t t L r :♦ IAe eonVatt tveve bhn er r!q be mxde W lwpev7t:aa y Fo�•��'�.•+ r Cee bmdil of•uch employees,evcagt as.*had in Serb•., d(e) ba:ur. "'�"'+•.'^'^"r"">' �1 ftfy (D) WIISRE FRl\CE G::'4rr TS A!t^rAIt) do herby tta:e: 1rJ—Ea!S 'ZbCMr or m.eSnn:c i r:rd In rie rr`r• ced ea;r• sa• her- ��[n u`J Tsld. as t"Cated an the payra,% rw rt a _r •u-w of 'st n•It :A t par nrsapetse dl.paymn,l of the person• employ JyJ �� applhable baa:p I:•[rly rat :r- / / bments as IIH.d In•`•e a.n•rat•. . e•v . rr•e�. the - • .. Itl+:rlrr•f{�NS<•'vrWt lla••:1.,•m.x ) (c) EXOTTIONS �,t� that .4 the payroll pperiod Comore,.rhiigr 0. the ley o,i:402 l.C. 19,nd eadlac dlt _ ay of i91 C� "_U,it r' ic2A:II _.__... dt perso -.. ayCd Ili, ppmjo!ilxce Frm paid the'WI r•tVv ra:.•t cnmM. tivot wo ,rhalo 1 have:rm or a U:be mtde 6--ter d:rerty or Ind Vetely to w on irAaa of soli t •, I / t p. •acesNraN :rxwrl �,- ` Irora t?:e!u:i red;Sy r-in earxi by may prtwa ad Sat ae deivn:rns tore been made Cd.r :1xrL`y cr trllrc rd• from the hll s en.-uKi h Ay • r �.�_ w —� — > ase'• y eteson, atAr hm arrm aA; e '•e!x� v,o.ara_ h! ZI`V, laLoa; part 3 429 CFI oo54 r AA ttsard by the °erne_r-of Labor t:r•! r!'•r•.-m.::awd ACL :_s unmdrd (42 e:x: 94b.C3 Shp IM 72 i,u S•T:7il '!a.`37:49 U.S.0 o7 ember Leon- --------------- i e vas / 1:: ?'Aar ray ear•a::s o!h r+ a illder L.s rout-et rre•u:ttc 20 b i -, .1 a .:c- • ` ' ;rrlOd afe eerred aad r `aplr b+ _.t . . r t+ha "or IAbttrra or n•Lt.JL r e re•i" <M, '3.'t' app?'t_:c [,.r.: ew ce.....ad to aey p:Ce s.:tt-t_«:`!ee• +:A•.�-r 1 1 � ":ec-.r_C'{ •fat i(•.e WAIa A tai:`I r_i teetcln for".eh la)om at taxkrl`wrl.:: .:=t • rori.r prr(ortted, 1 ; • j it i3) •Rai •'fi Itlpe•:a! •-w Dyed In the above IrMtr: or. ):'y r strr d a Tawv F:)e � • appn,9Map prevrm t• .'a+ere -ilk :ka a >p•maeeslt•p ti'ne'y raevga'Vtd by t 'rvja •t Agpretir-h`p and S(a we a•_ee t t astaey c!Ys r t .:11ttq az r„1 ter.- e::. .x t:a-tut, of tk!)r"�%.cesbip =4 T-a... .la;rvj S`,v"l7gaetm ut cr Labor (d) That: i t•) WRT C "ZIXOS 2SMSFITS AEE PAID TO API-ROVED PLANS, 71_\DS, • .MC s.... u.t-h •tiI Mee Y t .. is eddf'tov ro Les4`.eu tle vaf;e rotes paid to oaeb !above or meebnk rn yt rt'�'?tC:.a r�eni M elfe••e �M.♦` ,_�sic .•. t- W wa IWvd in Lee above ":rzentec rayon. pa;•m:xts +!SY.r�z ueaefiti as :.'.rd 1 �_�` " ••Id y d[trla�sa*C7:-aT3 Co9r o • uY.„ �. :.._ -ui a:sY.\'S '� •L::.:_3 _rr t • _-_ 1. , t .l � � :tf: :.0 .:�.s! W i `T �C-GfRG �t O!�✓.3{./•%�� .•, f.._r.� - ._. ..=� ' ! -.1 W.' IMa•. ' Batt ` ORCdF Q•AK'•gM_ nawr C` ti._v,.:. - C-4. :::i:tn 1 J ✓ps i f':WR: I C.MY ! t-tOV'-\T • .. ... io ` AV I`Tf Sol � i �0�+= cs/P-1Zy VF3s� " /s% s I c• i + 1 I I i e 1 , s ' 1 1 3 i 1 rrr E o■ ■■ Bill I M I '�■n on■one. �M■ i � 1■sonso miiin■■ii me sun i iwHas �liii��i■iiii ■■ ii ■_ ■ ■■moss■ o■oo.!■■■o■■Nl�ig ■N■■ I gnomon o.nom �i li ■ ■■none mlong■!■■s■=121 so so ■ onion an mg OEM ■ Z ■nssm.©■■ ones am.■ on on ©m■g!.!■■.■■■■■■■■■n■■ ■ ■■N■■■m.■ ■o■■■■■■■■No■n.N n ■MOOM ensnmligoN■o■■nN■!■= ■ moN■■■mo■i�■!■ ■onow■no■ ■ gn■oo■ C■■n■mm ■■onn.Olson os■ ■ ■onnsms■.mm ■=■■N■nnm■■■. ■-- on ME on■■■!.PIONEERogs■o■■■■N.so ■ ons■■■ mm■..m�N■g■■ongmo■N.o ■_, ■■m g Con s■■!. gN■no■o ■ ■No■■=©■■.Nlm■■g.■.■ ■■N.N ■ Mason 6 mn■!■aangn■■oso■■man ■ ■son■■■©o■o!o!o■■s■ng■�■.■■n■■ o ■n■■i■ �■■■■■aoo. ■ ■.■n■■■■■�i ■ ■■■■■■■m■■■�■■■■■■N■■�o■n■■n o ■■■o■s me man on Oman ■ ■.mg■■.oni .amm..i.■■.n sing. ■ ■ ■n Eno ones ■o■som■omomo ■ soon■ s■■m■osso.mo■so■o=■■ on oon song E■■■!m!■■n.n■■■■■■son■■ 0 ■■■■.118.■■lm..g■■mo■■■g■.gg�■■ o moss■■■ i f , t e f : a i Date :n thr mrt-am Lave berm or w!'l be ,Ade to aVpruwri*w y•-•v."e her rit __ b.9eftt of with n mpleye ,eatepl a."%-4 to tiaeN /(r) M:w. `�°"`'"-^"`•>"lv. �' .�;LM/ (b) WnEXE YRF\CE BrNEFITS ARM PAID IN CAS)1 do hereby lLY4- r.a ! Lahe•er or ala<t rel< I••`N 1_ ^. rtStxr.:ted sl-re:L ?!t Sw- _^ ptld, as Iat/atcd as the pane. •+ _+-n o. a. -» - .a•n V ^e L t `"+a•T pay ar^aprrrbt rhr perm mr of tht persons mptuyed SyI -4=/ epPP.taS!r ►a:e au y ra. .. St ".'iv • _ ;-•n,. L y Der d14 sa 1W:.i it tit c ntrx . .._ . t I t^:ea Iay.ral4 w..M^ chat du rla� the poymi". period eommeneing on the i 77 Illy o' land tedmg the(�di of rg/A fXCU'hU.� eL -•.o •-.^+i'tnor, 3aidm)a!:tave6m+p.::: tt•e••a:: s:•et:v va;.-t :orned. 1:,,t oe +,hot" --__.— hsv^'•r.•+or eC:br aw:e ra.r d:reeCy a lod'rmdy to or o Drha:e ,d salt ' i +d � flu.um .e full \ M- Tita:rictWl 7 a t,•:-.*e r•-rh tatatd by ray ,>t.•sos and tto: no dcdtmiou bat"lem made ettber::frtrly e: t-- ln•:-:rttt:c heat "be WJ vs.a •ntani hp ,a: 71nrn- . Other 3s rtT3% btt u •N`.ne' tr :rw:laLc_z. Pan S(•-•9 C^: s,:_._'_r ••i.•s-cod by the test,-r•• of !abor ur^w«:•:'+••;_a_d Act :x an.-+da2 (40 ft qs&CJ %"L 194 72 It M;7� '.!at*.3:140 C.E.C. 37.;ch t.xd ;r� �- —•--- — er:`!'be.aa': 1 _ tt: "rho! ter e:)•_i:s erb,r,Yt wader flia Bent-cct rrrutm:•'b _7-- .•�<, —.�---mac._—.�._.z= -rr_zs-.ass.— __ ___ .s ;+t+Iod are N'r.0 aeai _rtaplatr. Lint pc -.!e nt,: --<r s I .•e atd.c. :�� L .pp^eC•'ec_ c:vro : '.^. trty _e t• .r .^_eni r -•v s et`.r_C< 't al de ;`;.esbara •.5 r, r....for cn o fnsmvrr or t:- Y^t•n + '+ ^ <ori a-ptrfor r+etL (3) 71'al -m appe^nl-- at+Layvl 11 +e lbw pert,: at.d.`y r Z)ttr_d h t bc,,A i• tf,•`Ptr.tkesYp irvrer• ....tett h .?:' edOmhmp titer aeeetrm"d by t r• i 1 .tp}tesLr.ebS a, i I -"WI! :Z+arSaent e! L.al,r•nr.T a:r aitaay vx" :. t ale, r: ttr:. a :-. ac d Aap•t•artftimp =-.W 7`•a. In SY tm 9psete.a tt Labor. - y +__-- µ} to) WHS:!E "INCE DENe?ITS ARE ?AID TO AP"VIID PLANS, !ZUNDS, CP.F ROC:;.1J:3 1 • :M: It.1.rW rALi.'a.-�: F my Jr ta•T'6 �:SY,711 N •:..:._: -:.•r:a J_ La add:eas to Lt baste::o.rfy,age ml"paid to each laborer or aee`t^+le rp zt •a; •t,•_.: -t n._ wen :.:L - C•a`_v:-Zm s�E Lstt'.C. .:: 4 L•...a _ - Doled m Ott above re:>r r_r.2 payrel pa-atnts .•ir!r7c vr.ertt as L:ed s_0 ::.:til_• .. •. __ er -.._ o c_ _trZ — i I --------------- j � _ i I � • �i-- ! f�l t F �OY�w 1 _4�C]C� n 3C • 1 v"'W ' �• CSI:;JY] I 1 -'- ' Y f.1• •Y Fares :':. 6666 tt C ..w.i c tn/ . I ! �.w:'•a i f L�'1a'": � aY.3.'J , 'Yn i I ,.-;:a-_, :it i T/s ���1 RL'Y'J , iyYa I ay'LY? .•.,.....,o i t i t a i O i.l 0•-atA,SPaE 0K 31 B79 •••ECJM u.3. oa.al.r[Y• ur COrtK aKa ti I-L.14.y1, fYa.,tp, M. os.lcows.• .o.a.�ac•a.w.r PLEASEItEADACCOWAI"-*'GMSTRECT101TS eeL P L eaia, Tr1a l 4 t LOCAL PUBLIC WORKS PAYROLL REPORTINC FORK BEFORE CIMPLETIRC All►PART Of TTn Pon Pss10aS Bet "We LAia PLEASE wwn b1100E03 un nrsL 1234567990 RYuel Plyri w- Eiowws IBS M. Pq P.NO Euw Pirat ii • Last Pw•ti "WIT On MALL POINT PM M T►PE E.w.^L" a rM1n n fY+•Bur E ra c PaV.yt ra•A.a P+r/acr_ PAGE OF M 111 OMn.w LEAVE BLANK PAGES a GCCYYa- Pa At Wal Gms,..seat Socal xcnr nY Y ts, M m Q 4•Ls _ _ . Gress a t , •YWe Own en •syq M+s _ CCm•1' PaY ACMI •awN« WMs Pr0(!Ct E PRY, C SOCI•I xCY.+b coA! fWa Wilk"' t•r M+s _ ones- • BYwM, t•« psr.tq •Wrs M+•petict Prey Y Z} Pay plr+YU X"d z€ 2 [pE! COC! MOrtH NT s P S 5 2 su 'a sr r o s• sa • u : a as F n o a sr . •, as « i 11 a t 21 II I e13 2/ { 2S tl 2i I 27 U 1!1 11 I 21 IS 77 fill MTE PRF►ARt► tA'S B•s V•ae ►aP1•yms t+iW aes+w are e.pbyp A Ww ai Pw PwPr.E ROPrE •r s Mil TO: CIN,YM�If .3r*—ai Swalae RIEYiIa r. %� aer Stnwt Aefl•sa :IAP�w C MEoft �OiOs�Watesr IOmt+I+p a r. 1 - oKa Brr w I ob.ms .ZIP [_:t (^ /E1/ ,r a.iw�.a.M.�iIB EN�R! Oesra ' -•reErem Wa.a Cmtcs Arm C•ea�����^a' L .B.G)4?! .. a,KL.MOC IYtM» Date 4 ��� :n the mrullet IyVe be,.. or w"I be t%ade to for the ►tnelit of sot►eny!o}eta,"C11%t as aoM In he0• . dqe) ►rIM. S•'=.•+•;*«.r rsc>• —� (b)WItSRE FSI\CE BENEFITS ARF.-AM IN CASH i�Atr-'.tr•:1:r -Farb ::hoar or m TS.:a'.t !'+.d %, I%, "ter^c W. gad 0,7-63 has]s[ pcld. o fwdttatcd on At Pater•? ew �rar r •.. -.,ns t vast, o! '1e tt am 1 psy or anperri«•Mr pn ren;n!of the ersaes myloyeG b7 ^•�� ap,*NtDle bar•c tocr:y •.rr vs _ - It -t":+:,, a:a:; `7 btedLJ ea 1U'..'le. '1r rnM.x• r ,< C - ,,.. .t_l tr`f+�. tlaMneM Mrai-:.v:...- 11W.a..y./.a.t1 �. � � (el ECC EI'TID\S Hurt during the p.ymL' ported tomrnenet.0 on the Z drtr or �? EXCfi'.t):J it:rc:t. �.sl. 39 vnd mdira th<_ day o! )9 CG on ;s..•sa,w ^ay`oytd on said prajn l'.1rc b-en p_:: tI•e••a.•i r-et'r vx^• :o rrtrd, tr•t we• tchnas bare:+,or wi�l/:JLe mcde ti:a dirot:y or in2lrrdy to or on bchatt of laic ( r"l7L� .^.f7/A�'_ l �t'C✓_ �' LPL' from toe 14,:1 'tr'ar M w ttaea.l aad:1y re-w ea.-atd b3 c�7 ?-rsea :ad ffia: no dtiuetieM have lm made e::xr. :trY'y or lmiietd•: fox :h:!u.l Ino a z by n4* perse4 Other than 7r-n,!s+:b>t et-Ze::..-a tr-e'.ard h, .e+:te}:oaa, )`art 3(=9 C^ sobL_t •ti.`tm-d by the ee-::tsr-of !.abo-t^•'-r•tz ere[ v cassia: (fir Stan*. 9tt,GJ Stat S-R ?T aat SG7;7:; ^:at:•37:!�C.c.C. _: }.and.:-► r i tt:bec:boos- a r .�ds aaf set:.Ga eQexts'rt wXer B+h eol>tauf rrcnirtd bi: •wS-}-...} y-^•--`x. i ' ?tiled ere toast sad vwmpltrr. P+nt Gorr*-x« sz6; :or lab•rc-a a•raa.:sa.:.r•. •:'-_ :c:st e sw:t., r'a:.t 'ffi•.epp::Ri.'a•sa-:.-:ee mr.:a2-td In sap n.--e c•:rrn:a:?la,'.tee::o•.:.. .. i +'.t ee:!.r 9rtt rd dv---Ulmpl, r„4.r.�^.r.c:n!or reh Wwm or e.:r,!a-e•-:._,.. ,t�r t smirk a-.prrtermoL i ' sy —"re- roycd In :he above peelc-: err: il..•y apprtet[ttab¢ Ttcl[Mc n :,.:em: •.-ilb a Rve ra deaSy q,mty r.v:,y:: •:( :y :re r:•.: E [ s6 Ap•stfvr.S`.,f aad .'aF,d <W, .Va"Ment e. :.a!•u-. +r if n_,c'• r •t•�r,: ' &CWA7 eM" tr [ :Aaft ext.r :e-:vtm- '" :x L-J'. - of Apert:.5usStp x:rl 7-a.;•-�,•.:y.`:S t t S`.sttt 3!7=ttca[N Labor. -- ' t (4) That i t h) 9C1SS^E TT,INGH 951JaF)TS ARE MID 70 A!lP.DL'ED PLANS, :!'YD$• _ t .gals y •u.`.-'ya-C •`s t Is +dd;!es to •ter Lest.xely+ergo rates paid to teeh Iaboter or rasGhw+k '4 t.r:.'.,ev.:.tC`..: ..tt2,r 6`'Et^.sad, -ice s:.-q.t s::x�fr'.e. is 9� :�i[ -_-is liKd V the above me rsaeet: paym!L pa-nests +I ter- mmcra as I:-d j =r••x.:�4a! ... Y rw.L►v+[b :�►. .a0 ; t � 1 � ' tii �fr�j' n� pfw r w I :t c • ... . . .. ..«�.,..n•rr� •r.arwv •.r rran.•�.r�.w�urv,wu r�srui ; r �v J t. 1 i LOCAL PUBLIC WORKS PAYROLL REPONTMG PONA ■■®man!■■■■gv�IRon ■!�!9 ® NNlsmNa goal"son■■■■■■■■MOM ■ ■Nnln■ NNsla■■/long■■■ ■� ■� ■■Nm ■■Nunn W■ an ■■ ■ ■■■■■■■ - nNuno■■gamm■■N■n■gnu■ ■ `uv=s■onm�a■N■o■ol ■a�■■■� 1 !, ■!n■N i t ago■■�■■n■■■■■■■■ ■ ■■!■MAIM■■a!■va■■ ■■■u■■■■ N ■ ■Nn■N C■N!!!a on N■■s■Nm ■ ■N■■n0■■ln!!/■■■lE■■■■■■N■■■ ■` ■gun■ /■■!■!all■■■■■■■nano■■■ ■ ■ loll®q !■■■■■■■ ■■,■N■l■ ■` ■n ■ ■■u!s!■■■■■■■■=■■Ann ■ �■ ■■■■®■a Bolen ■nN■■N■ ■ ■lain ENUNoINalong ■ ''■soonN®ENN E■glvmomq■■■m■s ■' ■■Isom N■■EM■ ■an ■■■®■■n� ■■N■■■■■mignon ■., ■mom oN■■smomamou"V■nN■n ■ . ■■E1i■■■©v■/!■!■■E■■■■nun■■■n■■v ■= million Eo■o■s o■somm Mons omom■ ■ ■■ion■■w iumme IN on ii■■a■■■1■■� mn■■■1iN■■n■mills Eon n ■ Evans ■©■=summons an son ■r om so NONE an mnsa■losing nsun■sss■n■ ■ molls=l©■lun■vn■■N■■En� ■�i ■ ■InEEN , a 4; l ENDING OF FILE FILE TITLE a / i I r•r�NM�sw�sl�+wn+�. .r. «r..s��..+�+••w++�l��w r.. �WM�9AY�Yt1+A�1l���I�. -- arn'aYCYiW01. . .. 7--.- ALL FEDERALLY IMNOLYm COMACS OF Ylr IM AIIi/. a �' MOKTOIAM ►{AJI MOB IOM1N a COW JlNNEXT AGENCY S COl/ti'RD lie 414le ALL NON-PEDFAAL CONTRACTS (AWAR)ED SUBSEQUENT TO ELM-ASSISTED CONTRA^') IN PUN MU FOR ABOVE MONTH "NAM"OI CONTRACT CONTRACT N MBER I!ICATION { AMOUNT 7. COMPLETED PROJECTED COMPLETION DATE i INSTRU . .NS FOR FILING EMPLOYMENT UTIL .ATION REPORT (SF-2:7) The Employment Utilization Report is to be completed by each subject contractor (botl prime and subcontracrors) aid signed by a responsible official of the exipany. The reports t to be ..led on the day required, each month, during the term of the contract, and they shall include the total work-hours worked for each employee level in each designated trade for the entire reporting period. The prime contractor shall submit a report for its aggregate work force and shall collect and submit reports for each subcontractor's aggregate work force to the Federal Compliance Agency that is funding their construction protect. Reporting Period . . . . . . . . . . Self-explanatory. Compliance Agency . . . . . . . . . U. S. Government contracting or adminis- tering agency responsible .or equal employ- ment opportunity on the project. f/ Contractor . . . . . . . . . . . . . Aay contractor who has a constriction con- tract with the U. S. Government or appliant (See OFCCP Kegs. 60-1.3). 1. Company's Name . . . . . . . . . . Any contractor or subcontractor who ices h federally involved contract. 1. Trade . . . . . . . . . . . . . . Only those crafts covered under applicable Federal EEO . d conditions. 3. Work-hours of Employment The total number of hours worked by all employees in each classification; the total number of hours worked by each *minority group in each classification and the total work bqurs for all women. Classification . . . . . . . . . The level of accomplishment or status of the worker in the trade. (C - Craftwrker - Qualified, Ap - Apprentice, Tr - rrafnee) 4. Percent of minority work- hours of total work-hours . . . . The percentage or total m!.ority work-hoists worked of all work-hours worked. (The sun of columns Is, c, d and a divided by column a.) 3. Total Number of minority employes . . . . . . . . . . . . Number of minority employees working i- contractor's aggregate work force during reporting period. 6. Total Number of Faployecs . . . . Number of all employees working in con- tractor's aggregate work force during reportiag period. - • Mincri cy is defined as !nciuding Blacks, Hispanics, American Indians and Asian and Pacific Islanders - both men and women. sea MM�. !•e JIe�el.11eM al7eti�e�•a AVM eI1M M�YJ.�Ie.eeY/Ne n. •e u. . ,p�e.�.n• 1ePlaces OP-66 M va -Rl 396 Htporting Period STANDARD FORM - 257 MONTHLY EMPLOYMENT (Month, tear) (Aug. 1976) UTILIZATION REPORT AS proderib.d by the Dept. of Labor (CV.cl, (doe revrso for instructor ) /t`f+ '• This report is required by Executive Order 11246, Section 207. Failure to report can result in sanctions which include suspevii I,n, termination, cancellations or debatment of contract. Tog (Mom and location of Cospllance Agency) Prow (Mane and loostfon of contractor) 67- /dif- �f'il.M..5 cFr'iCrz' >°o LSnr 47dt E.D A /_IiIIIW1,440 uJAIAle-I97,I 'I 5� 0- 4J,0). e*/n9 •j mina- Total ctai �+'y„r York Hcurs of Employment (See frutmtel rlty number iumbor CLni a• • • • ! • /h of mitnrl Cmpi/� Nta. er. AA Lan/ cal total company's verve (1.D.) Trade Lion■ill- Tota B1seH Manic ndiin Paetfte Pe. v?• Employ- es• Poland ale �B� r 100/ A:Z. E-_' T r Ap Tr r r _ AD Tr r AD Tr I if r. G 1LTr tAn AD Tr Compete Oft:c.l a .,ijn: Coro a Date .i 1gMd 9 Telephone =*Co (Lsalvsa arN Code) ?6t[ V7. dal.•! (� !ales L Famalat Ark Minorities 6 non-mlnoritlss) Pap of / • ,v xi0 - i i _ I i 8q0 aim Lim 0 m ©© �©�® 0 ,mom®C! a■■/■sosmmmass sow■ ■Qi u " � ®■�®■■■sEno■N=■■■■■■■■!■ ■#■W■ MIN non�sn■o■■o� I ■oI�■on I I Olson ME I mosellnalso 0 ■roN■■N■N■s■ione "Nunn a a BE ■ Mon Enn■■n ■ ■■ ■ N onn/■■non IN ■ � ■■n■E■ �■■■o■■s■■mn■n■so■an ■ ■■■■s■■ 'N■ E son an no■Non 1 . ■■ so ■■noon■ no■■■so■on■■■ ■ sn■�on ns■a■o noon mom INRo■ ■r ■obis■ ousssRE■�in■■ o■■ ■/n ■' ■■son o ■■/ s■ ■snER R ■NE/n ■■s■n■■■■■■s��n■�■m ■�■■■■■■■mi�■� ■r■ s■�■mass ■ noun/■ ■■■sn■■■■■■■■■■■■■■n■ ■ ■n■Bo■■m�i■■sinns■i=■■■=■■onion■ ■ Ronson ms o goal on i su■ ■■ iimgoingaso mom�ii �i1 Inn 1 ioiiii iiEE i ■E■E/ Eggs ■ ii/sso©1n niiEE■Ru■ /■■■/■■■■ ■ m■sgs n� ■■■iii ■ n1100130�eso■son■ m■■sa ■�i'�onnss�i ■ ■■■■■■■ is■a■ansooiii=ii=■Bonn ■410 an - z n 1 t t`G C ate 71 :n . ., .....: :tare beta or will Fe rna6a N anpro�Kate pea-••.0 AT be - bent"o!•aeb tm;::oycra,t:crpt as noted A Sati,--, e(<} k:or. ' S, 'Smc of•t nao .+,ryi tlW l (b) WHERE FAINC£BENEFITS A-M MID IN CASII So hereby,fate: EO —:aeb :ahoeer er mechan:; 1!e:.d I-. t`t ,her: reSrrtmrad aavro$baa la,a psid, as trek,,t,d oo rht payew), to a¢eei: ao! Lea tbaa wen 0.%c 4 :"tat I par or so peer ire C.e prim;rt o.the ersoas emp{oy ay 1444tep '!CsWe bate -oc::y v4e ra:` i . _n.r sea:: d 1e rKa.rt E: e 1 , / �/�l btndlta as Bsl.'t It the contract,emerri ar aokd in areaao i(c) `+elor. 'Wa+,4eMnbr..tr.Xa.r' _nn the=3w3i✓ // - _,r.�l Al— - t.ew.•.'Lt r 1 (e) LCCEPTIDNS : Ctot�dueel,; the payroll period rommcndns on U. ��r do) of - a[Q antl <od1sC the/i.4ay of t 19 / r••. '�.t.:31C3A:T 'Ant'IN t;cry —� all :•-"wm .a .� on :a:d yro;at hnvv been p:ad tilt SC r.rtk:r wa;a• at ;.at no rebato love':.-t or wa:Le m cW.er d.ra0y or Iadimlly to or on"',xII of Gait: / /i'• / lei. ' aa from the hall Yaerar m w:rewVa[t,e) wtG::le yr 7cG ctlel d 117 4101 r^rt'aatt Gad that ne dcdueWaa bave beta tnaie dibet Qr,eL'y o: ___ __•1 :it eal( N%ma evrxd by ft" �.:..eq other llt o n,-nss:bIt c czucgc is as collar± 1 :r 0.'..:.. :art d ('1'9 CF1 -:o:rcuf A),tuu Ni b ra y the S ,tary of Labor uMvr IAe Copse:d t :4: `11 . me toed (<C 5::: 93LG: %l. 108. 72 :tu 967;75 S-al,137.<0 l'.Sc. 27Cc).a.•a .' acb, ke;" t i 'otu.rns (2} 11?At asap pcvroi.1 easts'ttYe elder ibtt contract rerulret to ie •.y�•ar: -Ll:_GCt'i Pezlod are eo-MI Gad a 10bft bat the ea.e rctc toe ltbo.-er, or mmhaa:- Pte cot in th. ppiRCble rave rarer tonta:::d !a any vane drxrn:a.76a tag, 1a:� I t`:«as..ct: that Ite tSar...r'iealOu ad!erh 4e.c:n!or etch laborer or exhnnic a do.�.lei ^e work be Peroem. ed. ; t 131 1T4t eay gPrrotie n c 0oy,d In :he above pe"w; aru d ly rx=)wkeecd :n a hoe-.r-!a a;pr, rr 9P >,r •'raas t^::aictt- .:h 'la tJ-rnGttr;+�F 4'�'V rost.-tv y .r r•-.: : o: 1p�tt.'r. }t ar :•.ti,:aa nY.! J�araaent e! L*h^ , ar J,R=cr r t.r!: at:cacy -c!n i a 116 eft r.,,lsier•." .. .,. ....tau d APPrea:craiilp Ta:..!';,. ..s•:. i .lATE£ p^S\-' PA[D 70 AP.v!!CS=;D PL 1N5, :L'VDS, i Zee '�� /�C�L//JLL 7 —1 r� 1 '.tL w4^p' „tYK� `v ,'i NY rr ,am ', >•.•.. a..,.'.. :2C+ 'ti tCv. ♦ . t in addlOaR to _e betle:x A)'sate Reel yW b ra la►erer or isee`.enM - fisted 19 the above rcl:retcr.: pay.-On. pa;mcnU ni true, uaeLo at :;-:d j •=_.x+Lt .: ^...1• ,Y 1+2 sx.,c: r -.ta' 2 c T i a • i i i t i OF yti0° � �.nAirllsnwsc. "AYROLL -- - r.n.A•?...e WM.7 {fer C Irq aoya raft...44 C463 �enl-«bia 9�t�oro!Ufo: f_a•!nsWt•+e�, ora A� r.�v[Dr c,•.cruClDn '� a:�i�.J/1i�.r, �z..r�` tl: l �/ ( � Q,�� �/�C..!lir.t� C{ ���3 . iisa *"r b9 Ni ' •0.wT0� �� ,.� M 01lCt O.COMt eA.�y��IQ iu [..T AND DAt[ tit t/1 cft. .5 11� MD.M ! t l M7[ O O•DUClINC ! NR_[cm ftafw��2U ]• Ct.:s.r.CATON d[ru10n[[ a_.1 71,Fi /� NDYRS Of Mr I I•IR"CD O 1lONAy WC!+tU' :A-v DAT (AaNm •'"t NOtD:.6 waY IDv •MD • tax tDN tt6t IPAi�- I { i l ! is 'JI I �°T-I� ! � t i ! t t' I ■s■ms!!■OORE ■ ®m■O man■■■■maa■ MM o©E�■nn!mmnlO■■n m■■■1 � �■■ep eec ■miss■ms ■■ ■ n ■■ ■ ■on ■ n - s■ Igloos■ an■■ s ■ ■ ■■ ■■�■�■H ■� N tn■■ n■■■■■ ■n■■■■■!■ ■ ■ son■memo noun 11Honn2 moo■smae■mnn ■ ■ l UN■ . on■ ■ , n s■m■mmmmms■on■■■o■■looms ■ ■■■■a ■mo�■s■!O■ mO■■■n■o■� ■ as �mmmmsmme■mm s■mm■Moomol ■ s■o■ ■©■mHmem0 oH■ mm mama ■ ■ =■�im■n ■ens■m■H■■�■o■naN! ■ ■ lose■■o®■■■ ■■MO■m�m■le■011o ■■Hen CN!■!■ ■■■Oo■■o ■ ■ n■■■■■E�omO� ■ns■mno■■!so Via■ on o - m ms� ■■■■■■■■mmoon ■ ■■!■ n©s �in■■H■■■■■um■ ■ ■■■■■ ■■mN■Immmnsimi mmmn■N■■0s ■- ■■= u� m si iiu ■■ ■■ommU■ m■nm■m ■ mr■ �■■ me ■ osmosis 0111100 ms©■■s ■ o©s■m —nom■On■m a Bonn m ■mmoo■■ ■n ■ ■ Islas J 1 i 1 t i s •r .,. -:. -lase been or ,ul Fe raada N s?prepr:aY pro:r a..ta lair AN �/ D<aeAt cF rad em_leytea.eatgl ne anted +"Ww'. d(e) bc:eR d ' 1 1. r d ryarar 1'srbl `<?'.aet (D) WHERE PAI\CS IIEfriSa ARE?ltlD IV CASA o lherebywta: \F. t { —f:ach :.hoar or mttlaat 1 d L L`t a�ov- ta{cr<vgd 1ayrelt Dw bee a .y//_/ ;atd, as :ndlcmvI on its* pa�roll en vmeca: ae: :"$ ,.aa u- n�f nt'be (I Y ;'ynt I pay or/�supervise cw payo,cut of the peraeea employed by(� w'!L' cpp:%%b:e bas'c Loc-:7 wa r ta, +:.. ❑e amm o: If le r--Gn:e t Ir:r:r E �, J7 1/ 1�- bendlt.as Wt.•d le lac coatr.x. e.c-,.ac avM Is ;.tips a(•:. icier. #y �,. -_on the^ u(a' L/2a �O IGsawwrarHwk.-:vrwn / ( are�r.al a : 1--tat during the payroll perled commencing on a.27 Gac of a y ,87` vnd endltg mt�dny of roj ti Easc boom ra!v the fall are%:v raZ,,m uai no «hafp �/ t -- t lasr,Cea or-it;be made cwotr directly ar indlrrtly to at on bahalf of Said ! �f !'.(L f t caa__ner or w.aoa'raefvrl from the Mu ctdl?' tr�w aatEW by A" ;crap. and that no dcr:uelloas Lave bee.trade etbe Qrwt y er trn:ilvc y from :\t?Cl vases «I.-aid by .vt arrann. -the. Ihaa pr-nbt:ble L- •i rntloLw-a• ?art 3 (20 C-�: .•v'atifit ni,'-=c:•d :,y thr Secf.•.ary of Labor•urlr thr C1p4t¢d 1 ACL a .>_mosdod(43 3:-. :A&C;; hat jolt, r3 :tat M; 7i; S.-al.3.:y:e0 t.S.C. 27se). +•'Id cribali bier - f i :2) ?f•3l r:Ji:a Nbrlt:e •f¢dr M13 wrtrcct Ba c t C br ited t tt !i:�'�.' d 1 ' : Lw.Y say fc, ye.Nd a.c form; sad Im Pldr. that Jc :a:r ntm ;or labotra or uahan::; :- ta:ard . --ct 1! t .ex rut i<z •':nn :b• rpp;h_`.:r v�a+,e tarn eonte;:.:d !¢ say weir droern:acYan !arogonne,d L,> `t fear-c'L tilt L!c 'cr%'leer;¢for ead labam or =,chanic euu%.-;ri f ^.e work:it perfmvv& +� (31 TlTml cry nppeen .,s cnrlor,4 in the above perlvi are dry r.iatrcd :w a to• S*:: or+prv-er• vp x:atata r::..fetr: :•::h : .it.'r •pprvauccl:vp V:TO' lecsl"¢v.d by Sr. "r; 1 !1 Y. .'+Ir.J '::a:wt .�.larS^en: O. LtI•,r• :tr 'a vu:rd coil•.:.'.rti n, ' 1 a4cmer %% I$ • :Lft nrr rt,istWA I" : of Lurtate App. !:ctallp :.-•:2`as}^3. Uz-:1 S='S'a Departravt of Later. —� (4) TkaE i•.Hsi - (a) 1�18 LL'8 y^,l;\CS :7 ,\^a:5 h3b PAID TO a?+ ':R6 f.D ?LAYS, c.'SDS, �/y xfJ ���1 a6 �r�-�SS� 4C�lr �)��1�� •� h-n."t!. rs�51.K.. sr' aMs a, trm -r'Cv:w'3". C. a,a t�s •`t b e44Waa Y• the ::rlc hweiy¢art nice paid N eaeD !.Doter ay aaCM1e ` on sV..Cr e+•+sCttr :I CA pa er•••• .mot. aCx Y.-,iOa ::•cx-ay+ ...- Y'FLr a:ai 1Gtat 41 ffie abo rGseett� pay oll. N;me¢ta et rr uea shin sa I tzd L a_.c+za . _..• Jr ?t clams .<a .oar 1 !;F..-, • i 7 • S f s• f '-. Ystrriai�:a+ce:s.aoe v PAUOLL i um ac:mwa r«. e • (fsr Cenl:rtb/s opt;*,a! Us•;:»Insfrvt!ieq tom 1YH-3/7 Yusl � ! iDoa� i+nm,c„-fsvm w.i*av -f=. .rortcs m cw+n+ca wo s ZK P i T :' T' �L • w pa iw CA76 ,.l.VF.LA113i ism i ' 'I ?.•- aMl�l ! n.rF 1 wwww �� m[OUGifOK S 1 Of Fps\OK[ a.. CL/.:G:.IC%afG1 3 owns c..i. t Sit, woes welncFD rw:+.a• F+ •"" wo.o:— wwi +�. we i 0 lei I !o I fi _t i INSTRUC. AS FOR FILING EMPLOYMF,NT UTIL'6ATION REPORT (SF-251) The Employment Utilisation Report is to be completed by .each subjec, contractor (both prime and subcontractors) and signed by a responsible official of the company. T'u reports are to be filed on the day required, each month, during the term of the contract, and they shall include the total work-hours worked for eAch employee level in each designated trade for the entire reporting period. The prime contractor shall submit a :eport for its aggregate work force and wall collect and submit reports for each subcontractor's aggregate work force to the Federal Compliance Agency that is funding their construction project. Reporting Period . . . . . . . . . . Self-explanatory. Compliance Agency . . . . . . . . . U. S. Government contracting or adminis- tering agency responsible for equal employ- ment opportunity on the project. Contractor . . . . . . . . . . . . . Any contractor who has a construction con- tract with the U. S. Government or applicant (See OFCCP Regs. 60-1.7). 1. Company's Name . . . . . . . . .. Any contractor or subcontractor who has • federally involved contract. 2. Trade . . . . . . . . . . . Onl- those crafts covered under applicable Federal 990 bid conditions. J. work-hours of Deployment The total number of nours worked by all employee in each crsssif:cation; the tote) number of hnurs worked by each ftinority group in each classification and the total work-hours for all women. Classification . . . . . . . . . The level of accomplishment or status of the worker in the trade. (C w Craftworker - Qualified, Ap w Apprentice, Tr a Trainee) 4. Percent of minority work- hours of total work-hours . . . . The percentage cf total mfnorlty work-honte worked of all work-hours worked. (The sum rf columns b, c, o and a divided by column a.) 5. Total Number of minority smployees . . . . . . . . . . . . .jumbo. of - nority employees working in contractor's aggregate work force during reporting period. 6. Total Number of Employee . . . . Number of all employees wurkiLg In con- tractor'. aggregate work force during report'.tg period. • Minority is defined as including blacks, Hispanics, American Iudians and Asian and Pacific Islanders - both men and women. a!e NMI. Rho • .- • . ..•I �II rYIMI.!lIYILY.Ir•.fIw.4MwlwM IN�HlIw lMawtV.N 11IM1111111 MIwI111.i Replaces F '6 kooro,al No. 44-PI396 Rvportlnq F-ried STANDARD iCRM - 257 MONTHLY EMPLOYMENT (Month, Year) (Aug. 1976) UTILIZATION REPORT As prescribed by the Dept. of Labor (CFCC'i (See rov+roe for instructions; /�/�/•j/ /f�7� rhLa report is required by Executive Order 11246, Section 203. Failure to report can result in sanct'ons which include suspension, termination, cancellatiot.s or debersnat C]ntrant. Tot (sue and location of Compliance Agency) From: (Name and location of controctor) 1"./'eel-4 I /-1 c:�6;foc�3 c<dn 4*'(6 > f' i%, Ale 0' K✓�,CG�hrJ , 1 . 3. R 5. mino. Total rotal York Flours of Emplovmsnt (See footnote) pity number nu ..Cer of of Choi '• • • . ' cf minors Ea0107 tics- Ni;- sr. ASLM/ .otal tote, Empicy- sac compam's abuse (I.P.) Trade tics; Tots Black oanlo nd,an eaetfte ?e. v +es roles al+ m AD !_ F! f�/ 2 cam' r G- ��//'F_ , _ N Tr A AD I Tr Tr T AD Tr Aa Tr f r — AD Tr 7. ompam Or ale -s .,Lana ure r . Data �Lanso elophwN Inciter (Include Area Cod;l (a Mato i Ia�elu *d Miner ties 6 non-minorities) Page of eee11'NW•I�Ileiee H.e�e�fmMeeee'e e'ereMeYe♦eeeet�++M' • .. ♦uH .♦r� .e eweH _ c/ ALL FEOENALLY INVOLVED CONTRACTS OF THE; M AMA W WWM M RAM FM ON CrlommwNT AGENCY COMAO mmggYam.. �..mrj= Vli UATY FAA -_ �'' T�:cL �6��'_� �D� �L1�►f; / , , ALL NON-FEDERA! CONTRACTS !AWNDEU SUBSEQUENT TO EM-ASSISTED CONTRACT) IN PLAN AREA FOR AlOVE MONTH "NAK"OF CONTRACT CONITACT "SYR WCATION 1 AMOUNT X CQiP1p7P�D L'ROJLC7ED lttOM aSL r1�1M•1►�Y1....• ....Ir.1Y11�111'^�� •III1�• r r