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DocuSlgn Envelope ID: BCE22727-B3F4-4OB7-AA4D-8AA95B6ABDO7 <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: 11/30/20 <br />In tabulations below, amounts are stated to the nearest dollar. <br />PERIOD TO: <br />11/30/20 <br />Kendell Doors & Hardware, Inc. <br />PROJECT NO.: <br />1952MO33 <br />A B <br />C I <br />D E <br />F <br />— - G <br />— <br />H <br />WORK COMPLETED <br />MATERIALS <br />TOTAL <br />1 <br />ITEM <br />DESCRIPTION OF WORK <br />_ <br />SCHEDULED ;FROM PREVIOUS <br />PRESENTLY <br />COMPLETED <br />°h <br />BALANCE TO RETAINAGE (IF <br />] NUM <br />VALUE STORED NOT IN <br />gppLICATION (D THIS PERIOD j ( <br />AND STORED TO <br />(G + C 3 <br />) <br />FINISH (C - G) ;VARIABLE RATE ) € <br />+ E) <br />? D OR E) <br />DATE <br />3 <br />I Hallow Metal Doors S Frames <br />$959.07 <br />$959.07 <br />1� - <br />$959.07 <br />100.00% <br />- <br />(CO #16) <br />1 Hollow Metal Doors & Frames g <br />$1,200.00 <br />$1,200.00 E <br />$1,200.00 <br />100.00% <br />- - <br />(CO #17) <br />E <br />i <br />1 Hollow Metal Doors & Frames <br />$950.00 E <br />$950.00 E <br />- <br />$950.00 ; <br />100.00%! <br />(CO #18) <br />1 Hollow Metal Doors & Frames <br />$808.22 € <br />$808.22 <br />- - <br />$808.22I <br />100.00%' <br />-j <br />(CO #19) <br />1 Hollow Metal Doors & Frames I <br />$808.22 1 <br />- <br />$808.22 - <br />$808.221 <br />100.00% <br />-, <br />€(CO #20) <br />3 <br />PAYMENT TOTALS = <br />$295,611.351 <br />$294,803.13 <br />1 <br />$808.22 <br />$295,611.35' <br />100.00%= <br />- <br />Page 2 of 2 <br />