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Fillable APPLICATION AND CERTIFICATION FOR ... - Merrill Contractors Inc

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APPLICATION AND CERTIFICATION FOR PAYMENT TO CONTRACTOR: MERRILL CONTRACTORS, INC. 3205 NE 78th St., Suite 10 Vancouver, WA 98665 FROM SUBCONTRACTOR: PROJECT: APPLICATION NO: PAGE ONE OF TWO PERIOD TO: VIA ARCHITECT: PROJECT #: SUBCONTRACT FOR: CONTRACT DATE: SUBCONTRACTOR'S APPLICATION FOR PAYMENT Application is made for payment, as shown below, in connection with the Contract. 1. ORIGINAL SUBCONTRACT SUM 2....
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