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CONTINUATION 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 />Hakanson Anderson Associates <br />I A B C <br />ITEM DESCRIPTION OF WORK SCHEDULED <br />NUM VALUE <br />Construction Staking $41,280.00 <br />Survey (CO #1) 1 ($15,158.00) <br />PAYMENT TOTALS $26,122.00 <br />APPLICATION NO.: <br />9 <br />APPLICATION DATE: <br />09/01/20 <br />PERIOD TO: <br />09/30/20 <br />PROJECT NO.: <br />19520-0033 <br />D E F G H I <br />WORK COMPLETED MATERIALS TOTAL <br />FROM PREVIOUS PRESENTLY COMPLETED % BALANCE TO RETAINAGE (IF <br />APPLICATION (D THIS PERIOD STORED (NOT IN AND STORED TO (G = C) FINISH (C - G) VARIABLE RATE) <br />+ E) D OR E) DATE <br />$23,622.00 $17,104.00 - $40,726.00 98.66% $554.00 $2,036.30 <br />- ($15,158.00) ($15,158.00) 100.00% - ($757.90) <br />$23,622.00 $1,946.00 - $25,568.00 97.88%1 $554.00 $1,278.40 <br />Page 1 of 1 <br />