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EXHIBIT 7 : Payment Request Form <br /> Date: 11/11/21 <br /> Business name: Screen Printing Northwest <br /> Reporting period: 11/1/2021 - 12/31/2022 <br /> Grant amount: $17,000 <br /> EXPENSES FOR THIS PERIOD <br /> Budget category Item Actual expense <br /> Facade improvement mural Materials and prep $8500 <br /> Mural paint $8500 <br /> Total expenses for this period $17,000 <br /> EVERETT <br /> Z. WASHINGTON EFG Payment Request Form <br />