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DocuSign Envelope ID: 27E728AB-E761-4D8D-8B46-447BC430C75D <br />!CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />containing Contractor's signed Certification is attached. <br />APPLICATION NO.: <br />1 <br />In tabulations below, amounts are stated to the nearest dollar. <br />APPLICATION DATE: <br />08/05/20 <br />PERIOD TO: <br />08/31/20 <br />Becker Arena Products, Inc. <br />r <br />PROJECT NO.: <br />19520-0033 <br />A B C D <br />E <br />F <br />G <br />H <br />WORK COMPLETED 1 <br />MATERIALS <br />TOTAL <br />s <br />ITEM <br />NUM DESCRIPTION OF WORK SCVALUE�D I FROM PREVIOUS <br />PRESENTLY <br />COMPLETED % <br />BALANCE TO <br />RETAINAGE (IF <br />APPLICATION (D ' <br />THIS PERIOD <br />STORED (NOT IN <br />AND STORED TO (G + C) <br />FINISH (C - G) ; <br />VARIABLE RATE) <br />+ E) <br />D OR E) <br />I DATE <br />3 <br />1 [ Lions Park Batting Cage Turf $9 140 00 -• <br />635 64 , $6 <br />- $6,635.64 72.60% <br />$2,504.36 <br />$331.78 <br />12 Varsity Locker Room Rubber $24 761 00 ` <br />$15,921 76 ` <br />$15,921.76 64.30%- <br />$8,839.24 € <br />$796.09 <br />Flooring <br />j PAYMENT TOTALS $33 901 00 <br />$22,557 40 . <br />$22,557.401 66.54% [ <br />$11 343.60 1 <br />E1 127 87 <br />Page 1 of 1 <br />