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STiiTtMEfrT ur l;~hir'LiHi~i,E <br />Ga~e: JU~'r li, i59i ~ar~tr~act Nurber: <br />I, TN,AC''i WRIGHT, DFFICE MAt4A6Ek do hereby state; <br />(li That I pay ur supervise the payeent of tr~e pEl'SG~i, e~pluyed by~ STATON EQUIF'MEIJT RENTALS on the <br />]f,' CCiDEMu/~ALEM, that dur ir~g the pay~ oli pe~ iod co~oencir~g on tt~e ~9 day i~f iu~~E, 1~9i and ending the ~ da of <br />~::~,, 19`,7, GI1 person; employed or~ 5dlu Pi'O~eCt hdve been paid tr~e full ,~eekiy r~age:. earne~, that no rebates have been or <br />~ill Ge ~ade FitiiEr tllreCtly Dr liidireCti~ L[~ ur un bet~aii uf ~elu ~ihl+Jfv t[UiF~'iEtJT kEPJTH;.~ i~i~9 tl"ie full wFekly Wd9e5 edrned <br />by any pe~son and that no deductions hnve ueen ~ade either ai~e~tly u~ indirectiy tYGB the f~~ii waye, eet'fied by any person, other <br />tfia~i ~~Eri1s51~~1E ded~JCtluflS d5 dEiiiiEd ]fi Reguiai.iur~s, F'dY~ J~~L7 l,~r ~Uutliie Ai~ i55~aeu Gj Ciie Jt'CY'E4df'~ ur ~abor- under' Gfie <br />C,upeiana Hct, as a~ended i46 ~tai, ~~6.6~ Stat. 106, ic 5tat. ':~6i; ic Stet. 3~i; 4~c'~ U. S. C. ci6c?, and de5cr ibed below~ <br />Ic~ Ifidt dT~~ Gd~ru115 utiiErWl~e Uri~EI'' tti15 CG~itr'dCt regUir'Etl Lu bE subaitted tui` t~ie ebD`JE ~iPY'1G(1 dre COt'i'ECt ditd <br />coeplete; ihet the wdge i'ate5 fGt' ld~i0rer'~ oi' teChaniCS conteineu tiiei'rir dre nGt ie55 ti`ier~ the dppliCdGle wdge t'dte5 contained <br />lfi di~`f Wd9F deteroinatior~ iT1CDt'PGretetl 1tttG thE~ C'GT)tt'eCt~ tfidt LhE C~d'i~1t1Cdt1u~i5 5Et fuY't~i trie~'Elii iut- EdCf~ IdbOt'Pr Or' aechanic <br />confor~ with the work he perfareed. <br />!3) That any apprentices enployed in the abave period are duly registered in a bona fitle apprenticeship progi~a~ registered <br />with a State apprenticeship egency re~ugni:ed Gy the Bur~eau of Apprenticeship end Training, United JttlLES Uepar~teent of Labor, or <br />if no such recoyni.ed agency exists in a State, a~e registered with the Aurrau uf Appre;~tice~hip cnd Training, United States <br />Gepartbent of Labur. <br />14i Thai: <br />!ai WHERE FRIt~E AENEFIIS ARE F'AID TO AF'PRDVED F'LAtdS, FUPdt~S, OR GR06RAIriS <br />li;i - In additinn ta the basic hourly wage r~~etes paid ~.o each leburer ai reechcnic iisted in the above r~eferenced <br />payroll, pay~ents of fringe benefits as listed in the cantract have been or will be ~ade to appropriate <br />progr~a~s for the benefit of such e~ployees, except as noted in Section 4!c) belaw. <br />!hl WHERE FRIN6E AENEFITS ARE PAID IN CASH <br />! 1- Eac~F~ laborer or• oechanic listed in the above r•efer-enced payroll has heen paid a~ indicated an the payroll, an <br />aaount not less tr~an the sur of the applicabie ~ie51C fiGUY'ly wage rate plus the asaunt of the required fringe <br />benefits as listed in the cor~tr~act, except as rioted in 5ection 4fc) helow. <br />(ci EXCEPTID~~S <br />EXCEPTIDN (Cr~aft) I EY,F'L'HtJA i IC~~v <br />~ I <br />OF'ERATORS UtdIDN i4~1 ~ I <br />I ~ <br />i ~ <br />~ ~ <br />~ I <br />I I <br />kEMARKS <br />i <br />I <br />I <br />I <br />NNME NNU IIILE ~ <br />I '~I~N~TURE ~ <br />fRACY WAIGHT, uFFiCE MANA6ER i /~~ ~~~ /. ~ I <br />~ j ~ ~L <br />The wilf~~l falsification of any of the nbove statesents ~ay subject the contract or subcontractor civil or cri~inal I <br />;riosecutian. See Sectior~ IQ01 of Title 18 ar~d Section 231 of Title ~1 of the United StateS Code. ~ <br />_ ~ <br />