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DocuSign Envelope ID: 27E728AB-E761-4D8D-8B46-447BC430C75D <br />CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />APPLICATION NO.: <br />6 <br />containing Contractor's signed Certification <br />is attached. <br />APPLICATION DATE: 07/22/20 <br />In tabulations below, amounts are stated to the nearest dollar. <br />PERIOD TO: <br />07/31/20 <br />RTL Construction, Inc. <br />PROJECT NO.: <br />19520-0033 <br />A B <br />C {D <br />E <br />F <br />G <br />H <br />[ I 1 <br />j <br />I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL i <br />ITEM DESCRIPTION OF WORK <br />NUM <br />SCHEDULED FROM PREVIOUS <br />VALUE APPLICATION (D <br />PRESENTLY <br />THIS PERIOD STORED (NOT IN - <br />COMPLETED <br />AND STORED TO <br />% <br />(G = C) <br />BALANCE TO <br />FINISH (C - G) <br />'. RETAINAGE (IF <br />s VARIABLE RATE) 1 <br />j <br />+ E) <br />D OR E) <br />DATE <br />1 Bonds/Shops <br />$6,000.00 1 <br />$6,000.00 <br />$6,000 00 I <br />100.00% <br />$300.00 <br />2 Allowance <br />$15,000.00 <br />$15,000.00 <br />) <br />$15,000.00 <br />100.00% <br />-1 $750.00 <br />1 3 Drywall Assembles <br />$190,000.00 <br />$180,500.00 <br />$9,500.00 <br />_ <br />$190,000.00 € <br />100.00% <br />$9,500.00 , <br />4 Insulation <br />$15,000.00 <br />$15,000.00 <br />-[ <br />$15,000.00 <br />100.00%1 <br />$750.001 <br />5 E Materials <br />$83,300.00 _ <br />$81,634.00 <br />$1,666.00 1 <br />- <br />$83,300.00 <br />100.00% <br />- _ $4,165.00 E <br />1 I Gypsum (CO #1) <br />$23,308.52 <br />$23,308.52 <br />$23.308.52 <br />100.00% j <br />- $1,165.43 <br />r 1 €Gypsum (CO #2) <br />$1,241.68 <br />$1,241.68 <br />- � <br />- <br />$1,241.68 <br />100.00% ? <br />- , $62.08 f <br />1 Gypsum (CO #3) ; <br />$2,196.261 <br />_ <br />$2,196.26 <br />- <br />$2,196.26 <br />100.00% <br />- $109.81 <br />)1 � Gypsum (CO #4) <br />$11,175.00 <br />$10,616.25- <br />$558.75€ <br />-- <br />$11,175.00` <br />100.00% <br />- $558.75 <br />PAYMENTTOTLSj <br />$347,221.461 <br />$335,496.71 <br />$11,724.751 <br />$347,221 46 t <br />100.00%3 <br />$17,361.07 <br />Page 1 of 1 <br />