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CONTINUATION PAGE Page 3 of 3 <br />PROJECT;03005 <br />Navarre Fire Station <br />Payment Application containing ConUactor't signature is attached. <br />APPLICATION# <br />DATE OF APPLICATION <br />PERIOD THRU <br />PROJECT #s <br />09/2W2003 <br />00/29Fi!003 <br />A B c D E F G H 1 <br />ITEM SCHEDULED <br />COMPLE1 ED WORK STORED TOTAL PERCENT BALANCE RETAINAGE <br />(IF VARIABLE)#WORK DESCRIPTION AMOUNT AMOUNT <br />PREVIOUS <br />PERIODS <br />AMOUNT <br />THIS PERIOD <br />MATERIALS <br />(NOT INDORE) <br />COMPLETED AND <br />STORED <br />(0 ♦ E ♦ F) <br />COMPLETE <br />(G/C) <br />TO <br />COf4PLETION <br />(CG) <br />30 Lockers $7,280.00 $0.00 $0.00 $0.00 $0.00 0%$7.280 00 $000 <br />31 Louvers $244.00 $0.00 $0.00 $0.00 $0.00 0%$244.00 $000 <br />32 Visual Display Boards $81^00 $0.00 $0.00 $0.00 $0.00 0%$61200 $000 <br />33 Fire Extinguishers $350.00 $0.00 $0.00 $0.00 so 00 0%$350 00 $0.00 <br />34 Misc. Spedallies $960.00 $0.00 $000 $0.00 $0.00 ox $960 00 $0.0035Floor Mate $1,915.00 $0.00 $0.00 $0.00 $0.00 0%$1,915.00 $0.00 <br />36 Idonttfylng Devices $7,554.00 $0.00 $0.00 $0.00 $0.00 0%$7,554.00 $0.0037ResktenUal AppiianoM $4,466.00 $0.00 $0 00 $0.00 $0 00 0%$4,460.00 $0.0036Crane$6,709.50 $3,375.00 $0.00 $0 00 $3.37500 50%$3,334.50 $160.00 <br />39 Window BNndt $1,655.00 $0 00 $0 00 $0.00 $0.00 0%$1,655.00 $0.00 <br />40 Mechanical $236,000.00 $38,217.00 $31.71900 $0.00 $69.93600 30%$166,064.00 $3,497.0041FkeProie^on $12,560.00 $2.13000 $0 00 $4.704 00 $6,834.00 54%$5,726.00 $342.00 <br />42 Electrical $110,000.00 $15,000.00 S5.00000 $000 $20,000.00 18%$90,000.00 $1,000.00 <br />TOTALS $1,136,00000 $3».795.28 $171,380.00 112.97600 $570,151.20 50%$867,848.72 $28.50800 <br />CONTINUATION PAGE FOR PAYMENT APPLICATION OSS. ac. DOCUMENT