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Exhibit 7: PAYMENT REQUEST FORM <br /> Date: 12/02/2021 <br /> Business name: At Large Brewing Company <br /> Reporting period: 11/01/2021 -12/31/2022 <br /> Grant amount: $20,000 <br /> Expenses for this period <br /> Budget category Item Actual expense <br /> Outdoor Seating Gazebos $6258.60 <br /> Outdoor Seating Asphalt Anchors to secure gazebos $996.83 <br /> Indoor Furniture Tables and chairs $12,744.57 <br /> Total expenses for this period $20,000 <br /> EVERETT Everett Forward Grant Program Payment request form <br /> WASHINGTON g Y <br />