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CONTINUATION SHEET AIA DOCUStl Nr G703 (InsUuc linns on reverse side) iv\c;i \ Ofj PAT.ISAIA Dmumenl C702. APPLICATION AND CERTIFICAIE FOR PAYMENT, conlaininy Coniraclor's signed Cerlilication is attached.In labulalions below, amounts are slated to the nearest dollar.Use Column I on Contracts where variable retainage for line items may apply.APPIICATION NUMIhR:TV40 AI’PIICAIION DAI£:1/^>V|<^'L I’tRIOD lO.^h ARClUIECrS I’ROaa SO:A B C t)E F G H 1HIMtUSCKIPIION Of WORK SCMinUlLO WORK COMI'UUD MAIIRIAIS TOIAlcoMPium 1 AND SfORlD <br />U) DAlf <br />(Dt E«n <br />%IC + CI HAIANCC TO riN»SH tC - (.)KETAINAC.ENO.VAlUt IKOM I’KtVIOUS AmiCAIION <br />(U 4 El <br />mis 1‘tKIUD PKISINILY SIOKLD <br />tNOI IN <br />1) OK E)• •CMPUHMC WORKS <br />STRUCTi.’RAL STEEL <br />MISC. STEEL <br />1.020.00 <br />6,225.00 <br />$ 1,020.00 <br />2,625.00 <br />$ 1,020.00 <br />2,625.00 <br />100 <br />42 <br />-0- <br />3,600.00 <br />$ 102.00 <br />263.00 <br />3) . <br />4) . <br />5) . <br />6) . <br />CITY HALL <br />STRUCTURAL STEEL- <br />STEEL JOISTS <br />METAL DECK <br />MISC. STEEL <br />$U,240.00 <br />$ 3,365.00 <br />870.00 <br />s 3,100.CO <br />1,250.00 323.00 1,573.00 11 12,667.00 <br />3.365.00 <br />870.00 <br />3.100.00 <br />157.00 <br />7) . <br />8) . <br />9). <br />10). <br />POLICE BUILDING <br />STRUCTURAL STEEL <br />STEEL JOISTS <br />METAL DECK <br />MISC. STEEL . <br />$14,240.00 <br />1 3,365.00 <br />$ 870.00 <br />$ 3,100.00 <br />1,250.00 323.00 1,573.00 11 12,667.00 <br />3.365.00 <br />870.00 <br />3.100.00 <br />157.00 <br />H).BONDS $ 365.00 365.00 365.00 100 -0-37.00 <br />. <br />$50,760.00 2,500.00 4.656.0C 7,156.00 43,604.00 716.00 <br />AIA OOCUMINr C7« • APPUCAIION AND aRlinCAU fOR RVVAUNI • MAY I9BJ IDIIION • AIA* • © VMIJ <br />nil AMIKK AN INSIIUm Ul AKClIlltCIS. 171S NIW ^UHK AVINUI, NW. WASIIINC.ION, DC. lUUUb C703 IMJ <br />• J <br />I