Laserfiche WebLink
4 *.N . <br />r' <br />• i ' •'•V ' <br />CONTINUATION PAGE Page 3 of 3 <br />PROJECT:03005 <br />Navarre Fue Station <br />Payment Application containing Contractor's signature is attached. <br />APPLICATION It: <br />DATE OF APPLICATION: <br />PERIOD THRU: <br />PROJECT #s: <br />8 Final <br />04/26/2004 <br />04/28/2004 <br />A B c 0 1____E ___F G H 1 <br />ITEM <br />#WORK DESCRIPTION <br />SCHEDULED <br />AMOUNT <br />COMPLETED WORK STORED <br />MATERIALS <br />(NOT IN 0 OR E) <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 />(IF VARIABLE)AMOUNT <br />PREVIOUS <br />PERIODS <br />AMOUNT <br />THIS PERIOD <br />30 Lockers $/,2ao.oo $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 Vlsua) Display Boards $812.00 $812.00 $0.00 $0.00 $81200 100%$0.00 $20.00 <br />33 Rre Eitinguishors $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 $1,915.00 $1,915.00 $0.00 $0.00 $1,915.00 100%$0.00 $46.00 <br />36 Identifying Devices $7,554.00 $7,554.00 $0.00 $0.00 $7,554.00 100%$0.00 $169.00 <br />37 Residential Appliances $4,466.00 $4,466.00 $0 00 $0.00 $4,466.00 100%$0.00 $112.00 <br />38 Crane 16.709.50 $6,709.50 $0.00 $0 00 $6,709.50 100%$0.00 $168.00 <br />39 WirxkMV Blinds $1.355.00 $1,655.00 $0.00 $0.00 $1,655.00 100%$0.00 $41.00 <br />40 Mechanical $236,000.00 $236,000.00 $0.00 $0.00 $236,000.00 100%$0.00 $5,900.00 <br />41 Fire Protection $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 com $10,857.00 $10,857.00 $0.00 $0.00 $10,857.00 100%$0.00 $271.00 <br />TOTALS 1 1 $1,148,657.00 $1,148,057.00 $0.00 $0.00 $1,148,857.00 100%$000 $28,721.00 <br />CONTINUATION PAGE FOR PAYMENT APPLICATION QSS. INC. DOCUMENT