The instructions for
submitting this form (if required) are included in 7 CFR 1726, Electric
System Construction Policies and Procedures.
Fld Name / |
Instruction |
First Blank |
Enter name of manufacturer, material supplier, or
subcontractor. |
Second Blank |
Enter name of contractor |
Third Blank |
Enter name of RUS Borrower (Owner). |
Fourth Blank |
Enter Borrower’s (Owner’s) RUS designation (e.g., AL001) |
Fifth Blank |
Enter name of manufacturer, material supplier, or
subcontractor. |
Sixth Blank |
Enter total amount of payments to the manufacturer, material supplier, or subcontractor. |
Seventh Blank |
Enter name of contractor |
Eighth Blank |
Enter date prepared. |
Ninth Blank |
Enter name of manufacturer, material supplier, or subcontractor. (Sign printed copy.) |