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CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO.: 10 <br />containing Contractor's signed Certification is attached. APPLICATION DATE: 08/20/20 <br />In tabulations below, amounts are stated to the nearest dollar <br />PERIOD TO: 08/31/20 <br />High Five Erectors II, Inc. PROJECT NO.: 19520-0033 <br />A B C D E F G H <br />WORK COMPLETED MATERIALS TOTAL <br />ITEM <br />DESCRIPTION OF WORK <br />SCHEDULED <br />FROM PREVIOUS I PRESENTLY COMPLETED % <br />BALANCE TO <br />RETAINAGE (IF <br />NUM <br />VALUE <br />APPLICATION (D THIS PERIOD STORED (NOT IN AND STORED TO (G + C) <br />FINISH (C - G) <br />VARIABLE RATE) <br />+ E) D OR E) DATE <br />$844.00 $844.00 100.00% <br />$42.20 <br />1 <br />Structural Steel Erection (CO <br />$844.00 <br />#11) <br />PAYMENT TOTALS <br />$457,223.001 <br />$456,379.00 <br />$844.00 - $457,223.00 <br />100.00%1 <br />1 $22,861.15 <br />Page 2 of 2 <br />