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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 />11 <br />containing Contractor's signed Certification is attached. <br />APPLICATION DATE: 07/24/20 <br />In tabulations below, amounts are stated to the nearest dollar.. <br />PERIOD TO: <br />07/31/20 <br />Sentra-Sots Sheet Metal Inc. <br />PROJECT NO.: <br />19520-0033 <br />A B C <br />D E <br />F <br />G <br />H II <br />WORK COMPLETED <br />MATERIALS ( <br />TOTAL <br />ITEM SCHEDULED <br />DESCRIPTION OF WORK <br />FROM PREVIOUS <br />PRESENTLY ( <br />COMPLETED % <br />BALANCE TO RETAINAGE (IF <br />( <br />NUM VALUE <br />APPLICATION (D ( THIS PERIOD <br />STORED (NOT IN ! AND STORED TO G + C <br />( ) <br />FINISH C - G VARIABLE RATE <br />( ) ) , <br />+ E) <br />D OR E) <br />DATE <br />i 1 E HVAC (CO #13) $680.00 <br />e ( <br />` <br />—I <br />- <br />- -1 <br />$680.00 —I <br />PAYMENT TOTALS' $1,873,377.33 <br />$1,769,131.33 J $68,444.00 <br />- <br />$1,837,575.331 98.09%1 <br />$35,802.00 1 $91,878 77 <br />Page 3 of 3 <br />