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Recovery Statement PA certificate 11 Principal …

certificate No:PA certificate 11 Principal building agreement Edition March 2014 Date of certificate :201?-02-07 The following amounts, detailed in supplementary documentation where required, are recovered in the current Payment CertificateABCTOTAL AMOUNTLESS PREVIOUSRECOVERY TO BE RECOVEREDRECOVERYTHIS DUE TO THE insurances, or paying charges [ ] executed by others [ ] of a n/s subcontract agreement [ ] not paying the employer an amount due [ ] of the agreement [ ] by the contractor [ ] payments to a subcontractor [ ]Subtotal of [ ] levied [ ][ ]Subtotal of [ ] interest [ ; ; ] from contractor of an advance payment [ ]Subtotal of [ ] DUE TO THE interest [ ] interest [ ] payment made [ ]Subtotal of [ ] [ ][ ]Currency Note: all amounts exclude tax SignatureDate:Name and address of the Principal agent's practiceJBCC PBA Edition Recovery Statement March 2014 Recovery Statementissued in terms of Clause of theEmployerContractorWorksSiteSigned by the Principal agent who, as agent for the employer, certifies that the amounts stated above are included in the current payment certificate

Certificate No: PA certificate 11 Principal Building Agreement Edition 6.1 © March 2014 Date of Certificate: 201?-02-07 The following amounts, detailed in ...

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