Laserfiche WebLink
AIA Document G703'" 1992 <br />Continuation Sheet <br />AIA Document G702T1-1992, Application and Certificate for Payment, or G732TK--2009, APPLICATION NO: Page <br />Application and Certificate for Payment, Construction Manager as Adviser Edition, APPLICATION DATE; 5 <br />containing Contractor's signed eertiiication is attached. 1Z�18f 2(?19 <br />In tabulations below, amounts are in US dollars. PERIOD TO; <br />Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO. 12/20/2019 <br />A <br />B <br />C <br />D I E <br />F <br />G <br />H <br />I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM <br />DESCRIPTION OF WORK <br />SCHEDULED <br />FROM PREVIOUS <br />PRESENTLY <br />COMPLETED AND <br />°/a <br />BALANCE TO <br />FINISH <br />RETAINAGE <br />NO <br />VALUE <br />APPLICATION <br />ICAT <br />THIS PERIOD <br />STORED <br />STORED TO DATE <br />( G + C i <br />(C - G) <br />variable rare <br />(lf ) <br />(D + E) <br />(Not in D or E) <br />(D+E+F) <br />14 <br />0.400: CH ORDER #4 <br />2,506.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0 <br />2,506.00 <br />0.00 <br />GRAND TOTAL <br />CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. <br />AIR Document G783T" -1992. Copyright 01963, 1965, 1966, 1967, 197Q, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This AIA .' Document is protected by U.S. Copyright <br />Law and International Treaties. Unauthorized reproduction or distribution of this AW Document, or any portion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent <br />possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, e-mail The American Institute of Architects' legal <br />counsel, copyright@aia.org. 101210ACD44 <br />