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���r� T � <br />R ��J lA Document G703° -1992 <br />Con#inuation Sheef <br />AlA Document U702�, Applicatlon and Certification Y`or Payment, or U732TM, APPLICATION N0: <br />Applicatiun and Certificate Cor Payment, C�nstruction Manager ds Adviser Edition, APPLICATION DATE: <br />containing Contractor's signed certification is attached. PERIOD T0: <br />Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT N0: <br />A B C D � F G <br />WORKCOMPLETED �,qTERIALS TOTAL <br />ITEM DESCRTPTION OF SCHEDULED ���M PRESENTLY COMPLETED AND % <br />NO. WORK VALUE PREVIOUS THIS PERIOD STORED STORED TO DATE (G-C) <br />APPLICATION {NOT IN D OR E) (D + E+ F) <br />D+E <br />001 Roofan Labor 342,230.00 34,223.00 205,338.0� 0.00 239,561.00 70.pi <br />002 Roofin Maf7 338,900.06 338,900.00 0.00 0.00 338,900.00 100.01 <br />003 Sheet Metal MaYI 75200.00 0.00 75200.00 0.00 75200.00 IOO.Oi <br />005 <br />Lighlning <br />16,570. <br />o. <br />0.00 <br />o.ao <br />o.00 <br />o.00 <br />o.00 <br />o.00 <br />o.00 <br />o.00 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />0 <br />TOTAL <br />o.00 <br />o.ao <br />0.00 <br />741.00 <br />o.00 <br />o.00 <br />May 23, 2023 <br />YIay 31, 2023 <br />Z3-103 Palmer West Construction <br />H I <br />BALANCE TO RETAINAGE <br />FINISH (IF VARIABLE <br />(C - G) RATE) <br />102.669.00 11.978.05 <br />[� <br />o.00 <br />o.—oo <br />o.00 <br />o.00 <br />o.00 <br />o.oa <br />$167 <br />AIA Document G703 — 1992. CopyrighE OO 19fi3, 1965, 7966, '1967,1970, 1978, 1983 and'1992. All rights reserved. "The American InstituEe of Archilects;' "American Institute of Arohitects," "AIA," the AIA Logo, and <br />"AIA Contraet Documents" are trademarks of The American Institute of Architects. This document was producetl at 15:13:56 CT on 05123/2023 under Order No.3104237269 which expires on 0 812 0202 3, is not for � <br />resale, is licensed for one-time use only, and may only be used in accordance with the AIA Contract Documents� Terms vf Service. To repart copyrighi violatians, e-mail docinfv@aiacontracts.com. <br />User NoSes: (3B9ADAB6) <br />