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CONSTRUCTION COMPANY

Subcontract Payment Certificate

Subcontarctors Address:

Tel: Fax: Contact Person Certificate No Total To Date $ 5000 200 30 250 10 5490 10% 5% 6% 1% 14%

Site No Subcontract No Subcontracts VAT No Date Contarct signed Subcontract type Order number Original Contract Value:

Work Carried out: Materials On site: Escalation: Extras: Dayworks: Other: Sub Total Retention Percentage: Retention Limit: UIF: SDL: Sub Total: Vat @: Total Certified Less Contra Charges Totals:

Perivous Payment $ R 800 $

This Payment 4200 200 30 250 10 4690

329.4 54.9 5105.7 714.798 4390.902

329.4 54.9 4305.7 602.798 3702.902

4390.902

3702.902
(AMOUNT DUE NOW)

S/C Certificate Date: Prepared By: Authorised By:

Payment Due Date Date Submitted: Date Authorised:

ue:

This Payment

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