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Cia Sub-contractor Invoice Application lesueDote: 20422 62005 Work Paermod Ta s0iDeer1 80-19 Pipe Line Extension Works. Ini Tye: al Ios Munbar Z FScisoRP no. frasze ‘Wis Rita Constucton Co, Renil & Malrtanance for Tales. 10,560.000 KO Measurement Basis (Original Subconvect Value ‘Agreement Sning Date Reba O's -Additons!Omissions 3470.0 KD ‘Commencement Date Tez ‘Curent / Expected SC Valve 7,080.000 KO er ar = ROTETTaNV ere SC vole Ret. No ne H Exgactod Date for Complain 2eFeb22 SO-livole Received Date __1T-Jan22 Ti ate ‘Accumulated “Amount ‘Work Performed Description ‘Rema &sntanane or Foes Reserved and Deducled Amounts Total Deduction (As attached): oe ‘uwalt Dinar Four hundread lxty only | wate: Poy pried amos ony, hans corectors ty anyone KOT TO BE PAID” Postion & Name Dato & Signature Sai Names ame Pree ghar Sp on Core |_ name GLa Petes Name Fra nape PO ar Nae:egh Reintn ane Division G Manager P&E | conerai Manager 7888 “ SZ | eres aria ame (Wal: Ay UndenOve Paya! Sbje ts Adjnent alr, A Gale WA cours Daa an 7

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