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rM <br />iAlA Document G703 _ 1992 <br />Continuation Sheet <br />AIA Document G702Tk-1992, Application and Certificate for Payment, or G732T"L2009111E-00001 <br />Application and Certificate for Payment, Construction Manager as Adviser Edition, APPLICATION I`lO: 11/30/2019 <br />containing Contractor's signed certification is attached. APPLICATION DATE: 11/30/2019 <br />In tabulations below, amounts are in US dollars. <br />Use Column I an Contracts where variable retains g Yapply. a for line items may PERIOD TO: 19-9211 <br />ARCHITECT'S PROJECT NO: <br />— E F G H I -� <br />WORK COMPLETED 1 <br />1O N" DESCHEDULEDSCRIPTION OF WORK <br />NO. VALUE FROMPREVIOUS <br />APPLICATION THIS PERIOD <br />(D + E) <br />7100 Precast Plank <br />7200 Precast Beams <br />7500 Precast Stadia <br />8100 Labor - Plank <br />8200 Labor - Beams <br />8400 Labor - Stadia <br />8600 Misc/Trucking <br />Totals GRAND TOTAL <br />7,838.00 <br />347, 040.00 <br />117,851.00 <br />1,964.00 <br />94,282.00 <br />175, 631.00 <br />783.80 <br />34, 704.00 <br />11,785.10 <br />196.40 <br />9,428.20 <br />17, 563.10 <br />MATERIALS TOTAL <br />PRESENTLY COMPLETED AND <br />STORED STORED TO DATE <br />(Not in D or E) (D+E+F) <br />783.80 <br />34,704.00 <br />11,785.10 <br />196.40 <br />9,428.20 <br />17,563.10 <br />% <br />(G=C) <br />10.00 <br />10.00 <br />10.00 <br />10.00 <br />10.00 <br />10.00 <br />BALANCE TO <br />FINISH <br />(C - G) <br />284Xd7-1 -- <br />7,054.20 <br />312,336.00 <br />106,065.90 <br />1,767.60 <br />84,853.80 <br />158, 067.90 <br />RETAINAGE <br />(If variable rate) <br />1,581.60 <br />39.19 <br />1,735.20 <br />589.26 <br />9.82 <br />471.41 <br />878.16 <br />304.64 <br />CAUTION: You should sign an original AIA Contract Document, on which this text appears in RED. An original assures thatchanges hh nges will not be obscured. AIA Document G703T07 —1992. Copyright ©1963, 1965, 1966, 1967, 1970, 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 AIA°'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, a -mail The American Institute of Architects' legal <br />counsel, copyright@aia.org. <br />ia�s�oncoao <br />