Form 1093 - Schedule Of Withholdings Under The Davis-Bacon Act (40 U.s.c. 276a) - U.s. General Accounting Office Washington - 1971

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SCHEDULE OF WITHHOLDINGS UNDER THE DAVIS-BACON ACT (40 U.S.C. 276a)
AND/OR
THE CONTRACT WORK HOURS AND SAFETY STANDARDS ACT (40 U.S.C. 327-333)
TO THE CLAIMS DIVISION
U.S. GENERAL ACCOUNTING OFFICE
WASHINGTON, D.C. 20548
Contractor or subcontractor charged
with violations
Prime contractor
Contract No.
,
(Date)
Report concerning irregularities transmitted to--
,
(Date)
Deducted from amounts otherwise due the contractor, for deposit to the account "05X6022," covering wages due
the employees whose names, social security numbers, and current addresses are listed on the attached schedule, are
withholdings pursuant to the following laws:
$
Davis-Bacon Act
$
Contract Work Hours and Safety Standards Act
$
Total
, dated
Forwarded herewith is check No.
for $
(Disbursing officer or other administrative official)
Standard Form 1093
October 1971
4 GAO 46

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