2025-05 - 250518 R&BNO WORK PERFORMED REPORT
The Rise at Vallco Horizontal Ph1A (20240543108)
10123 N Wolfe Rd, Cupertino, CA
PAYROLL NO. 15
R & B Equipment, Inc
2215 Dunn Road, HAYWARD, CA, 94545
Phone (510) 782-3774 Fax (510) 782-4917
Date 6/10/2025
Name of the Contractor/Subcontractor: R & B Equipment, Inc
I,Ashlee Ford 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 5/12/2025 and ending on the 5/18/2025
NAME AND TITLE SIGNATURE
Ashlee Ford, Admin
06/10/2025 06:43:31
Printed Date: 6/27/2025 Page 1 of 1