Laserfiche WebLink
DocuSign Envelope ID: 18BCC2EB-5C45-4AO3-BBDA-FOAFAF992DFC <br />NTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />containing Contractor's signed Certification is attached. <br />In tabulations below, amounts are stated to the nearest dollar. <br />CD Tile and Stone, Inc. <br />APPLICATION NO <br />APPLICATION DATE: 04/23/20 <br />PERIOD TO: 04/30/20 <br />PROJECT NO.: 19520-0033 <br />A <br />B <br />C <br />D <br />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 <br />% <br />BALANCE TO <br />RETAINAGE (IF <br />NUM <br />VALUE <br />APPLICATION (D <br />THIS PERIOD <br />STORED (NOT IN <br />AND STORED TO <br />(G + C) <br />FINISH (C - G) <br />VARIABLE RATE) <br />+ E) <br />D OR E) <br />DATE <br />0 <br />Labor <br />$85,790.00 <br />$21,448.00 <br />$21,448.00 <br />25.00% <br />$64,342.00 <br />$1,072.40 <br />0 <br />Materials <br />$70,190.00 <br />$52,645.00 <br />$17,545.00 <br />$70,190.00 <br />100.00% <br />$3,509.50 <br />1 <br />Tile (CO #1) <br />($14,500.00) <br />($14,500.00) <br />($14,500.00) <br />100.00% <br />($725.00) <br />1 <br />Tile (CO #2) <br />($3,000.00) <br />($3,000.00) <br />($3,000.00) <br />100.00% <br />($150.00) <br />PAYMENT TOTALS <br />$138,480.00 <br />$56,593.00 <br />$17,545.00 <br />$74,138.00 <br />53.54% <br />$64,342.00 <br />$3,706.90 <br />Page 1 of 1 <br />