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2025-05 - 250517 JJANO WORK PERFORMED REPORT The Rise at Vallco Horizontal Ph1A (20240543108) 10123 N Wolfe Rd, Cupertino, CA PAYROLL NO. 16 JOSEPH J ALBANESE INC P O BOX 667, SANTA CLARA, CA, 95052 Phone (408) 200-6235 Fax (408) 982-0185 Date 5/27/2025 Name of the Contractor/Subcontractor: JOSEPH J ALBANESE INC I,MANUEL BELLOT do hereby state that no persons were employed on the construction (Name - print) of the Project The Rise at Vallco Horizontal Ph1A ,20240543108 (Project Name)(Contract Number) during the payroll period commencing on 5/11/2025 and ending on the 5/17/2025 NAME AND TITLE SIGNATURE MANUEL BELLOT, Payroll Manager 05/27/2025 10:59:43 Printed Date: 6/27/2025 Page 1 of 1