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CONTINUATION PAGE Pago 3 of 3 <br />PROJECT:03005 <br />Navam) Fuo Station <br />Payment Application containing Contractor ’s signature is attached. <br />APPLICATION #. <br />DATE OF APPLICATION <br />PERIOD THRU <br />PROJECT #5 <br />8 Final <br />04/20/2004 <br />04/28/2004 <br />A B c D E F G H 1 <br />ITEM <br />n WORK DESCRIPTION <br />SCHEDULED <br />AMOUNT <br />COMPLETED WORK STORED <br />MATERIALS <br />(NOT INDORE) <br />TOTAL <br />COMPLETED AND <br />STORED <br />(D ♦ E ♦ F) <br />PERCENT <br />COMPLETE <br />(G/C) <br />BALANCE <br />TO <br />COMPLETION <br />(C-G) <br />RETAINAGE <br />AMOUNT <br />PREVIOUS <br />PERIODS <br />AMOUNT <br />THIS PERIOD <br />(IF VARIABLE) <br />30 Lockers 17.280.00 $7,260.00 $0.00 $0.00 $7.280 00 100%$0.00 $182.00 <br />31 Louvers $244.00 $244.00 $0.00 $0 00 $244.00 100%$0.00 $6.00 <br />32 Visual Display Boards $812.00 $812.00 $0.00 $0.00 $812.00 100%$0.00 $20.00 <br />33 Rre Extinguishers $350.00 $350.00 $0.00 $0.00 $350.00 100%$0.00 $9.00 <br />34 MIsc. Specialties $960.00 $960.00 $0.00 $0.00 $960.00 100%$0.00 $24.00 <br />35 Floor Mats $1.91500 $1,915.00 $0.00 $0.00 $1.91500 100%$0.00 $48.00 <br />36 Idontifyino Devices $7,554.00 $7,554.00 $0.00 $0.00 $7,554.00 100%$0.00 $189.00 <br />3/Residential Appliances $4,466.00 $4,466,00 $0.00 $0.00 $4,466.00 100%$0.00 $112.00 <br />38 Crane $6,709.50 $6,709.50 $0 00 $0.00 $6,709.50 100%$0.00 $168.00 <br />39 Window Blinds $1,655.00 $1,655.00 $0.00 $0.00 $1,655.00 100%$0.00 $41.00 <br />40 Mectuinical $236,000.00 $236,000.00 $0.00 $0.00 $236,000.00 100%$0.00 $5,900.00 <br />41 Tire Piuloclion $12,560.00 $12,560.00 $0 00 $0.00 $12,560.00 100%$0.00 $314.00 <br />42 Electrical $110,000.00 $110,000.00 $0.00 $0.00 $110,000.00 100%$0.00 $2,750.00 <br />43 COffI $10,857.00 $10,857.00 $0.00 $0 00 $10,857.00 100%$0.00 $271.00 <br />TOTALS $1,148,857.00 $1,148,857.00 $0.00 $000 $1,148,857.00 100X $000 $28,721.00 <br />CONTINUATION PAGE FOR f’AYMENT APPUCATION OSS. INC. DOCUMENT