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Exhibit 7: PAYMENT REQUEST FORM <br /> Date: 12/7/2021 <br /> Business name: Talenta Theos DBA Artisans Mercantile <br /> Reporting period: 11/1/2021-12/31/2022 <br /> Grant amount: $20,000 <br /> Expenses for this period <br /> Budget category Item Actual expense <br /> Plumbing Water heater-Invoice 1055 Pietro Plumbing Inc $5031.29 <br /> Plumbing Bathroom-Invoice 1056 Pietro Pluming $8000 <br /> Electrical Deposit-Dec. 2,2021 Email receipt from Eylander's Electric $10,000 <br /> Total expenses for this period 23,031.29 <br /> ` WASHINGTON <br /> WVERE Everett Forward Grant Program Payment request form <br />