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Contractor's Application for <br />�Owner: City of III River Owner's N.j- No.: <br />Engineer: Bolton & M.rk, Inc. Engineer's Project No.: OR1.129209 <br />Ocr-o— N.Ihd.l. Cm—ch- Company Agency's Project No.: <br />Project: Rolling HIM Sewer Extension <br />(Application No.: 7 Application Period: From 08/01/24 t. 09/17/24 — Application D.- 09/17/24 — <br />B <br />c I D I E <br />F <br />F1 F2 <br />G H <br />I <br />i <br />K <br />C.rt,.Ct Information <br />Previous E sd'_ <br />.,k Oc.pi—d! <br />Work Oc.pi—d! <br />% f <br />Estimated <br />Value Work <br />and Materials <br />Valuef <br />Value Bid It.. <br />Quantity <br />Completed t. Date <br />Materials Q, rtly <br />Stored t. Date <br />It.. <br />Bid It.. <br />Urt Nit. <br />ICXE) <br />Quantity <br />Value Previous <br />Incorporated <br />(EXG) <br />Stored in G) <br />(HI) <br />(J/F) <br />N.. <br />Description <br />Item <br />Units <br />M <br />I$) <br />dP'I <br />Estimate <br />Estimate <br />the <br />M <br />$) <br />(%) <br />El CDC C 620 Contractor's Application for Payment <br />Unit Price (c) 2018 National <br />.ti_A Society of Professional Engineers for EJCDC. All right, reserved. 2 of2 <br />Page 186 of 273 <br />