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LIA Document G703TM ®199
<br />Continuation Sheet
<br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION N®': "
<br />containing Contractor's signed. certification is attached. 2/25/2020
<br />In tabulations below, amounts are stated to the nearest dollar. APPLICATION DATE:
<br />2/21211
<br />Use Column I on Contracts where variable retainage for line items may apply, PERIOD TO:
<br />ARCHITECT'S PROJECT N�9-9211
<br />A B C D E F G H I
<br />WORK COMPLETED MATERIALS TOTAL
<br />PRESENTLY COMPLETED BALANCE
<br />ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS STORED AND STORED % TO RETAINAGE
<br />IF VARIABLE
<br />NO. VALUE APPLICATION THIS PERIOD (G _ C) FINISH
<br />(D + E) (NOT IN TO DATE (C G) RATE)
<br />D ORE) (D+E+F) `
<br />7100 Precast Plank
<br />7200 Precast Beams
<br />7500 Precast Stadia
<br />8100 Labor - Plank
<br />820 Labor - Beams
<br />840 Labor - Stadia
<br />860 Misc(Trucking
<br />Totals
<br />316, 319.00
<br />189, 791.40
<br />126, 527.60
<br />7,838.00
<br />4,702.801
<br />3,135.20
<br />347,040.00
<br />208,224.00
<br />138,816.00
<br />117, 851.00
<br />70, 710.60
<br />47,140.40
<br />1,964.00
<br />1,178.40
<br />785.60
<br />94,282.00
<br />56,569.20 :
<br />37,712.80
<br />175,631.00
<br />105,378.60
<br />57,352.40
<br />1,060,925.001 636,555.00 1 411,470.00
<br />I
<br />316,319.00 '100.00
<br />' 15,815.96
<br />7,838.00 100.00
<br />391.90
<br />347,040.00 100.00
<br />17,352.00
<br />117, 851.00 100.00
<br />5,892.56
<br />1,964.00 100.00
<br />98.20
<br />94,282.00 100.00
<br />4,714.10
<br />162,731.00 92.66
<br />12,900.00
<br />8,136.56
<br />1,048,025.00 198.78 1 12,900.00 52,401.28
<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 G703TM —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 A10Document, 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.
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