HomeMy WebLinkAboutTED4001896(16) PRO-1 N. 1st St. Improv. Burnett N. to Park N.-Cert. Payrolls 1
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Qvest Loast tction coo., Inc.
GENERAL CONTRA 10 AAND ENGIN
P.O.Box 419 24205 Waq,L;nvillo-Snohomish R.
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WOODINVILLE, WASH INGTON 98071
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ERRIA'nlllr BtYf.
TRANSMITTAL RECORD t7st 6 C;.:16Y1
TO cit Of Renton DATE December I. 1aR7
ngineer1.8 epartment
200 Mill Avenue South JOB N. 1st St..Bnrnett Ave. to Perk Ave.
CAC 029-87
Renton, Washington 98055 LOCATION NI 1st SC,�Bur ett Ave. to Park Ave
City f e0 Raton
ATTENTION Joe Armstrong - Project Enpineer A
We are sendh g Herewith® Separate cover by
Drawings prepared by
NO. PRINTS DRAWING NO. DESCRIPTION
Certified Paveyll for week ending NUID!BI R 1987 for SIGNAI FLECTRTC. INC.
I For Approval Approved, as noted _
1 Aoproved Not Approved - Pleuse resubmit
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REMARKS
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WEST COAST CONSTRUCTION CO. , INC.
Copy to: By Q_....(.��
Tim Buchanan
87-9 File Title Secretary
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Call ANe NOVA.,w Mow STATEMENT OF COMPLIANCE r Neill—nw.n.n x, ..^P\I
CORexAC Is MY a".
VAN, 11/2'/[)
Pa M. Cut*iller Payroll Clerk .do.coin Ab,
"—I; - — nits ' Signal Electric, Inc. a
(1)ThAl1 Per A. the p.,me.,.11M Perean.eaPl.,.d by�_Te��, - Nov
the gt„IL WI/N. 1 N, $C rPP[ __ ;tha emina tb Palnll naiad rmmmellelnm nn 11" ,••1..__1_.
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.eehlr••me•..,.ad,Ill.,an reb.to h.Y.been u,rill be it.either db.ctly nr edb"etl,In m nn behalf n1 add
Signal Electric, Inc. ho,n th.bD M.hh••me.I.n"d be Anr rer.ml aml'ha m•d..ln w.�•-ben.n
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n1A Iil Sbl. IUIh r7 glal 9rd;76 81.1 JJr:M U SC 7)ad.and described Iwl•.w:
FICA, Withholding, Medlin Aid and Vacation.
IA i'hal nnr pAYral.nlhaNv under this rantr.cl.•,abed to M u'lealll•d tar the IIMrn Land nr^ .,r '1�•1 win,l•I,..
,he,Ih...,"ale.Inr InFeren.r mmeFndra all n hied Ihoeln An link I...the.Ibe .pplirabie one, 'a"" ' ,Iab�.i • 1
a.G^dn,elminalnn Incmlm,med iota the I.-ItTt"t that the du.11lcalnm met faith therein Inr.«YI b........ n Inn•
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III that any Apprcnllrna..Pl.y.d In the .Inr•ye'i.d... laly .Ab,•.ed In A hnn.Ild•n,pn al ..n,,1+'Inu„n,• •••' '
.Ilk A $I.,, .,,n,a,1r..A1P .pm'r mn.n1.M be Ill. Dunes Of Ap n-wenhh, .-it llAlni^p,
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P/ WHERE FRINI'.E nENEFI'rS ARE PAID TO APPROVED PLANS, FUNDS.OR PR(PMR
X� In a<h1NLm 1. be Ma^Im.d,..A"rate.paid 1.each haler nr m.ch.nlr Ihl••.1 In Ill'd••ve nhn.,,I l' p't
all, painenn 1.1 IUn,.• h.arlln'.. It'tell In the .1...t h.r.bell.ar.111 1+m.A•I+np•n•pda••rot.r'xn•^
tar the i-relit al..Ill emPlnl.<a, •A<MI an..,M In Smti.A(r)bell,.
Ill) WDERE FRINGE UENEFITS ARE.PAID IN CASH
R.•.h 1-honer.r meehnnlr Ila•d le Ill. .1—nle.•n rr!p,I-11 he. been P.I4 A. Inll•n,ed•m ,he p•nr.l,.
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henelll.a.Ibnd in roe CanhAel, except an noted In arcUnn qr)belaw-
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eXCrPTION(CRAPI) __ IRPLARA 110N
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P. M. CoLMillet, Payroll Clerk • �1•_ �eo7.�+�s.-l�(.0
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