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<br />_ Docuent G703TM ®1997
<br />Continuation Sheet
<br />AIA Document 13702TM-1992, Application and Certificate for Payment, or G732T"4-2009,
<br />Application and Certificate for Payment, Construction Manager as Adviser Edition, APPLICATION NO. 12/18/2019
<br />containing Contractor's signed certification is attached. APPLICATION DATE: 12/31/2019
<br />In tabulations below, amounts are in US dollars. PERIOD TO:
<br />Use Column I an Contracts where variable retainage for line items may apply. 19-9211
<br />A yARCHITECT'S PROJECT NO:
<br />B C D E F
<br />G H I
<br />WORK COMPLETED
<br />ITEM
<br />NO. DESCRIPTION OF WORK
<br />SCHEDULED
<br />DULED
<br />FROM PREVIOUS
<br />MATERIALS
<br />PRESENTLY
<br />TOTAL
<br />COMPLETED AND
<br />' %
<br />BALANCE TO
<br />VALUE
<br />APPLICATION
<br />THIS PERIOD
<br />STORED
<br />STORED TO DATE
<br />(G C)
<br />FINISH RETAINAGE
<br />(If variable rate)
<br />(D + E)
<br />(Not in D or E)
<br />(D+E+F)
<br />(C _ G
<br />)
<br />7100 Precast Plank
<br />316,319.
<br />_ —9 489.58
<br />7200 Precast Beams
<br />7,838.00
<br />783.80
<br />3,919.00
<br />4,702.80
<br />60.00
<br />3,135.20 235.14
<br />7500 Precast Stadia
<br />347,040.00
<br />34,704.00
<br />173,520.00
<br />208,224.00
<br />.00
<br />138,816.00 10,411.20
<br />8100 Labor- Plank
<br />117,851.00
<br />11,785.10
<br />58,925.50
<br />70,710.60
<br />0.00
<br />47,140.40 3,535.54
<br />8200 Labor- Beams
<br />1,964.00
<br />196.40
<br />982.00
<br />1,178.40
<br />0.00
<br />785.60 58.92
<br />8400 Labor -Stadia
<br />94,282.00
<br />9,428.20
<br />47,141.00
<br />56,569.20
<br />0.00
<br />37,712.80 2,828.46
<br />8600 Misc/Trucking
<br />175,631.00
<br />17,563.10 1
<br />87,815.50
<br />105,378.60
<br />0.00
<br />70,252.40 5,268.94
<br />Totals GRAND TOTAL 06 ,
<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 />AIA Document G703TA' —1992. Copyright m 1963, 1966, 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 Trey 1jn' -.ns or distribution of this Ale 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.
<br />101210AC044
<br />
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