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CONTINUATION SHEET AIA DOCUMENT C703 (Instructions on reverse side) wvcf 2 of2 R^clSAIA Document C702, APPLICATION AND CERTIFICATt FOR PAYMENT, containing Contractor's signed Certification is attached.In tabulations below, amounts are staled to the nearest dollar.Use Column I on Contracts where variable retainage (or line items may apply.APPLICATION NUMBER APPLICATION DATE PERIOD TO ARCH'iTEa'S PROJECT NO 8/26/920/31/92ITEM <br />NO. <br />1. <br />2. <br />3. <br />DESCRIPTION OF WORK <br />City Hall <br />Police Building <br />Public Works Building <br />SCHEDULED <br />VALUE <br />9,900.00 <br />4,245.00 <br />1,000.00 <br />15,145.00 <br />WORK COMPLETED <br />FROM PREVIOUS <br />APPLICATION <br />(D + E) <br />-0- <br />-0- <br />-0- <br />THIS PERIOD <br />8,500.00 <br />3,745.00 <br />-0- <br />-0-12,045.00 <br />MATERIALS <br />PRESENTLY <br />STORED <br />(NOT IN <br />D OR E) <br />-0- <br />-0- <br />-0- <br />TOTALCOMPLETED <br />AND STORED <br />TO DATE <br />(O + E <• F) <br />8,500.00 <br />3,745.00 <br />g —eOOrOO— <br />-0-12,045.00 <br />% <br />(C + C) <br />88 <br />BAIANCI <br />TO FINISH <br />(C-C» <br />1,400.00 <br />700.00 <br />1,000.00 <br />3,100.00 <br />IRETAINAGE <br />850.00 <br />374.50 <br />-0- <br />1,204.50 <br />AM DOCUMfNT Cm • AmiCATION AND CERTIFICATE FOR FAYMENT • MAY 1W EDITION • AIA* • C ISBJ <br />THI AMERICAN INSTITUTE OF ARCHITECTS, inS NEW YORK AVENUE, N.W., WASHINGTON. D C. 20006