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15 1 (A) <br />Total <br />10/30/1 <br />6 <br />Date <br />Work Sheet for Weekly Wage Computation <br />Office Administration <br />Manufacturing Supervisor <br />QC Technican <br />Foreman <br />Lead Ooerator <br />QC Supervisor <br />Laborers <br />Total Annual Salaries/Wages <br />Divide (E) by 52 <br />Weighted Weekly Wage Average' <br />Signature of the CEO/Authorized <br />Company Representative <br />1 20,000 1 <br />346,500 (B) <br />6,663.46 (C) <br />444.23 (C/A) <br />Owner/Manager <br />Title <br />By signing this document you are certifying that the wages indicated meet the funding eligibility for this <br />program. You are also certifying that you will provide at least 0% of health benefits to each position <br />committed to the program. <br />Page 13 of 14 <br />Building Reuse Program - North Carolina Department of Commerce February 1, 2016 <br />