Form Cra - Combined Registration Application For State Of Delaware Business License And/or Withholding Agent - Division Of Revenue Page 19

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Contracts have been awarded to the following nonresident contractors and nonresident subcontractors:
Name & Address
DE Business License No.
Employer ID No.
5
Business Code
Amount of Payment
DE Business License No.
Employer ID No.
6
Business Code
Amount of Payment
Employer ID No.
DE Business License No.
7
Business Code
Amount of Payment
DE Business License No.
Employer ID No.
8
Amount of Payment
Business Code
DE Business License No.
Employer ID No.
9
Amount of Payment
Business Code
DE Business License No.
10
Employer ID No.
Amount of Payment
Business Code
DE Business License No.
Employer ID No.
11
Business Code
Amount of Payment
Employer ID No.
DE Business License No.
12
Amount of Payment
Business Code
DE Business License No.
Employer ID No.
13
Amount of Payment
Business Code
DE Business License No.
Employer ID No.
14
Amount of Payment
Business Code
DE Business License No.
Employer ID No.
15
Amount of Payment
Business Code

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