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CONTINUATION SHEET <br />APPLICATION AND CERTIFICATION FOR PAYMENT, <br />APPLICATION NO.: <br />10 <br />containing Contractor's signed Certification is attached. <br />In tabulations below, amounts are stated to the nearest dollar. <br />APPLICATION DATE: <br />10/19/20 <br />PERIOD TO: <br />10/31/20 <br />Kendell Doors & Hardware, Inc. <br />PROJECT NO.: <br />19520-0033 <br />A B C <br />D E <br />F <br />G <br />H I <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />ITEM DESCRIPTION OF WORK SCHEDULED <br />FROM PREVIOUS <br />PRESENTLY <br />COMPLETED % <br />BALANCE TO RETAINAGE (IF <br />NUM VALUE <br />APPLICATION (D THIS PERIOD <br />STORED (NOT IN <br />AND STORED TO (G + C) <br />FINISH (C - G) VARIABLE RATE) <br />+ E) <br />D OR E) <br />DATE <br />1 Hollow Metal Doors & Frames $959.07 <br />$959.07 <br />$959.07 100.00% <br />(CO #16) <br />1 Hollow Metal Doors & Frames $1,200.00 <br />$1,200.00 <br />$1,200.00 100.00% <br />(CO #17) <br />1 Hollow Metal Doors & Frames $950.00 <br />$950.00 - <br />$950.00 100.00% <br />(CO #18) <br />1 Hollow Metal Doors & Frames $808.22 <br />- $808.22 <br />$808.22 100.00% <br />(CO #19) <br />PAYMENT TOTALS 1 $294,803.13 1 <br />$293,994.91 $808.22 1 <br />1 $294,803.13 1 100.00% <br />Page 2 of 2 <br />