HomeMy WebLinkAbout16MINIMUM WAGE AFFIDAVIT FORM
City of Re to
ss
COUNTY OF
1. the undersigned, having been duly sworn, deposed, say and certify
that in connection with the performance of the work of this p�,uject,
I will pay each classification of laborer, workman, or mechanic
employed in the performance of such work; not less than the prevailing
rate of wage or not less than the minimum rate of wages as specified
in the principal contract; that I have read the above and foregoing
statement avid certificate, kr-)w the contents thereof and the
substance as set forth therein is true to my knowledge and belief.
C 0 N T
3 (-cl
Subscribee- d sworn to before me on this day of -JU-ne—
I 9-3�-
ZL:�2�� ::4 ��N
Notary Publir in and he State
of Wa*bi*qt-&r- 0Pe6-6AJ
Residing at
CYKN'b� I ok
Q
- J-