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eportment of Rev*nue
s— of W—g—
& Administration RECEIVED
udtt P—odwes
N 0—;12 Olynipis, Washington 98504-0090 600 316 060
JUN 19 198T
Certificate of Payment of State Excise
Taxes by Public Works Contractor ENGINERNG OEFr.
RENTON
Contractor:
CITY OF RENTON
70945 RPf-X=R1;rn
CORAL CONSTRUCTION COMPANY PWC
PO BOX 347
WILSONVILLE OR 97070 JUN —22 1987
PURCHASIW.DEPT
We hereby certify that taxes, increases and penalties due or to become due from the above named
contractor under Chapter 180, Laws of 1935. as amended, with respect to the following public works
contract:
CITY OF RENTON
1986 SM BRDG REPAIR GUARD RAILS
together with all other taxes, increases and penalties due from such contractor, have been paid in full
or that they are, in the Department's opinion, readily collectible without recourse to the state's lien on
the retained percentage.
This certificate is issued pursuant to the provisions of Chapter 60.28 Revised Code of Washington
for the sole purpose of informing the state. county or municipal officer charged with the duty of
disbursing or authorizing the payment of public funds to said contractor that the Department of
Revenue hereby releases the state's lien on the retained percentage provided by this Chapter for ex-
cise taxes due from said contractor.
This certificate does not release said contractor from liability for additional tax which may be later
determined to be due with respect to the above mentioned contract or other activities.
Date at Olympia. Washington.
STATE OF WASHINGTON
DEPARTMENT OF REVENUE
SUE MORRIS
C-rifymg offi-
R01, Tl'%(;: While Copy Dosbu—ng Officc, Canary Cop) Contracior,
FORM REV 31 0028 (3-85) Pink Copy File. Goldenrod k opy Special File.
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