Contractor Payroll Receipt Record (Template).doc

DOC document 174 KB Posted

Attached to
Install exterior lighting fixtures Federal contract opportunity
Solicitation number
N0025321Q0047
Issued by
Department of the Navy Naval Sea Systems Command

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CONTRACTOR PAYROLL RECEIPT RECORD

Contract No.
Contract Description & Location

Contractor (Name & Address)

Prime Subcontractor Contractor (Name & Address)

Contractor (Name & Address)

Subcontractor, check if

SF 1413 is submitted Subcontractor, check if

SF 1413 is submitted Subcontractor, check if

SF 1413 is submitted

Payroll #
Weekend-ing Date
Checked By (Initials)
Date Checked
SF 1445 # Conducted
Payroll #
Weekend-ing Date
Checked By (Initials)
Date Checked
SF 1445 # Conducted
Payroll #
Weekend-ing Date
Checked By (Initials)
Date Checked
SF 1445 # Conducted

NOV 2015

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