contract number contract date (yyyymmdd) …asktop.net/wp/download/25/eng 3180rcontractor payroll...
TRANSCRIPT
ENG FORM 3180, APR 1994 PREVIOUS EDITIONS ARE OBSOLETE.
SIGNATUREDATE (YYYYMMDD)
CONTRACT NUMBER
WAGE DETERMINATION NO. & DATE (YYYYMMDD)
CONTRACTOR PAYROLL RECORD For use of this form, see ER 1180-1-8; the proponent agency is CECC-C DATE WORKDOLLAR VALUE
CONTRACT DATE (YYYYMMDD)
STARTED DATE (YYYYMMDD)
COMPLETED DATE (YYYYMMDD)
PROJECT, LOCATION AND DESCRIPTION OF WORK
PRIME CONTRACTOR (Name and ADDRESS)
BID OPEN DATE (YYYYMMDD)
SUBCONTRACTOR (Name and Address)
FOR
STARTED DATE (YYYYMMDD)
SF 1413 SUBMITTED DATE (YYYYMMDD)
NAME AND TITLE
ALL WORK PERFORMED UNDER THIS CONTRACT HAS BEEN COVERED BY PAYROLLS FROM THE PRIME OR SUBCONTRACTORS. THESE HAVE BEEN CHECKED AND FOUND TO BE CORRECT
P-R
NO
.
W-E
DA
TE
(YY
YY
MM
DD
)
CH
EC
KE
D B
Y
AN
D D
ATE
(Y
YY
YM
MD
D)
DA
TE
SU
BM
ITTE
D T
O
DIS
T O
FF
(YY
YY
MM
DD
)
NU
MB
ER
E
MP
LOY
ED
NU
MB
ER
IN
TER
VIE
WE
D
DA
TE
INTE
RV
IEW
IN
FO
(YY
YY
MM
DD
) &
P-R
EN
TRY
C
OM
PA
RE
D
MA
NH
OU
RS
W
OR
KE
D
(Tot
al)
Page of Pages
ENG FORM 3180C, APR 1994 PREVIOUS EDITIONS ARE OBSOLETE.
P-R
NO
.
W-E
DA
TE
(YY
YY
MM
DD
)
CH
EC
KE
D B
Y
AN
D D
ATE
(Y
YY
YM
MD
D)
DA
TE
SU
BM
ITTE
D T
O
DIS
T O
FF
(YY
YY
MM
DD
)
NU
MB
ER
E
MP
LOY
ED
NU
MB
ER
IN
TER
VIE
WE
D
DA
TE
INTE
RV
IEW
IN
FO
(YY
YY
MM
DD
) &
P-R
EN
TRY
C
OM
PA
RE
D
MA
NH
OU
RS
W
OR
KE
D
(Tot
al)
FOR
STARTED DATE (YYYYMMDD)
SF 1413 SUBMITTED DATE (YYYYMMDD)
SUBCONTRACTOR (Name and Address)
FOR
STARTED DATE (YYYYMMDD)
SF 1413 SUBMITTED DATE (YYYYMMDD)
SUBCONTRACTOR (Name and Address)
Page of Pages