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ooxumIgnEnvelope ID: u7s7oaAn'sre1 <br />CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />containing Contractor's signed Certification ioattached. <br />|ntabulations below, amounts are stated bothe nearest dollar. <br />APPLICATION NO.: <br />u <br />APPLICATION <br />08m5/20 <br />DATE: <br />PERIOD TO: <br />08131x20 <br />PROJECT NO.: <br />19520- <br />0033 <br />ITEM <br />DESCRIPTION OF <br />UNIT SCHEDULED <br />WORK COMPLETED <br />TOTAL COMPLETED 1 BALANCE <br />MATERIALS PRESENTLY % <br />RETAINAGE <br />NUM. <br />WORK <br />COST VALUE <br />FROM PREVIOUS 1 THIS <br />AND STORED TO TO FINISH <br />STORED (NOT IN D OR E) I (G + C) <br />(IF VARIABLE <br />QTY <br />PAYMENT <br />TOTALS <br />