Monthly Payments To Subcontractors/suppliers - Page 2

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MONTHLY PAYMENTS TO SUBCONTRACTORS/SUPPLIERS – FORM B
Contractor Name:
Non-DBE :
DBE:
Reporting Month/Year:
Contract No.:
Dollars Paid to Contractor:
Submit this form with invoice. Below list all Subcontractors, Subconsultants, and Material Suppliers that have worked and/or that your company intends to use on this Project.
List actual payments made in the reporting month listed above.
Total Dollars
Dollars Paid this
Total Dollars Paid
Company, Contact Person, Email and Phone.
Work performed or materials provided
Commitment
Month
Since NTP

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