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[]
[null,null,null,null,"COUNTY OF VENTURA"]
[null,null,null,null,"PUBLIC WORKS AGENCY"]
[null,null,null,null,"REQUEST FOR PAYMENT FOR MATERIALS ON HAND"]
[]
[null,"To:","COUNTY OF VENTURA"]
[null,null,"Agency Name (Select)"]
[null,null,"Project Name:",null,null,"Spec No:"]
[null,"From:"]
[null,null,"Contractor (Firm Name)"]
[]
[null,"  In accordance with the provisions of Section 9-3.3 ( and, if applicable, Section ",null,null,null,null,") of the"]
[null,"  Specifications, request ismade for payment for the following:"]
[null,"Bid Item #","Class # per §9-3.3","Quantity ","Description \n(Include Weight & Size Where Required)","Value \nInvoice # (Must be Attached)","Date Delivered to Site"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,"Agencies:"]
[null,null,null,null,null,null,null,null,null,"COUNTY OF VENTURA"]
[null,null,null,null,null,null,null,null,null,"VENTURA COUNTY WATERSHED PROTECTION DISTRICT"]
[null,null,null,null,null,null,null,null,null,"VENTURA COUNTY WATERWORKS DISTRICT NO. 1"]
[null,null,null,null,null,null,null,null,null,"VENTURA COUNTY WATERWORKS DISTRICT NO. 16"]
[null,null,null,null,null,null,null,null,null,"VENTURA COUNTY WATERWORKS DISTRICT NO. 17"]
[null,null,null,null,null,null,null,null,null,"VENTURA COUNTY WATERWORKS DISTRICT NO. 19"]
[null,null,null,null,null,null,null,null,null,"FOX CANYON GROUNDWATER MANAGEMENT AGENCY "]
[null,null,null,null,null,null,null,null,null,"LAKE SHERWOOD COMMUNITY SERVICES DISTRICT"]
[null,null,null,null,null,null,null,null,null,"VENTURA COUNTY AIR POLUTION CONTROL DISTRICT"]
[null,null,null,null,"TOTAL",0,null,null,null,"enter other agency name in cell J34"]
[]
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[]
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[null,"PPPMForms\\7_6-5RequestPayMat.XLS"]