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� � . <br /> Document G703TM — 1992 <br /> Confinuation Sheet <br /> A.IA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION N0: 124310-00003 <br /> containing Contmctor's signed certiFication is attaclied. <br /> In tabulations below,aroounts are stated to the nearest dollar. APPLICATION DATE:11/21/2014 <br /> Use Colwnn I on Contracts where variable retainage for line items may apply. PERIOD T0: 11/30/2014 <br /> ARCHITECT'S PROJECT N0: �2-a3io <br /> A B C � E F G H I <br /> WORK COMPLETED MATERIALS TOTAL <br /> SCHEDULED PRESENTLY COMPLETED BALANCE <br /> 1TEM DLSCRIPTLON OF WORR FROM PREVIOUS o�a T� RL-'TAINAGE <br /> VALUE STORCD AND STORED �G_C� ��H <br /> NO: APPLICATTON THIS PERIOD (NOT IN TO D�TE «v��'B� <br /> (D+E) D OR E) (D+E+F) (C-G) It'°'TE� <br /> Ol Labor 15,867.50 3,966.88 2,380.12 6,347.00 40.00 9,520.50 317.35 <br /> 02 Material 10,09'7.50 7,573.13 2,524.37 10,097.50 100.00 0.00 504.88 <br /> 03 Design 2,885:00 2,885.00 2,885.00 100.00 0.00 144.25 <br /> TOTALS 28,850.00 14,425.01 4,904.49 19,329.50 67.00 9,520.50 966.48 <br /> CAUTION:You abould sign an original.AIA Contract Document,on whlch thts iext'appears.in RED.M origlnal assures that cha�es wlll not be obscured. <br /> AlA bocument G703�+-1992 Copyright�1963,i 965,1966,.i 967,1970,1978,1983 and 1982 by The American InsNlute of Architects.AII rights reserved.WARNING:This AIA�Document is prolected by U.S.Copy�ight <br /> Law•and Internalfona!Treaties.Urtaulhorizad reproduction or dlstribuiton of this AIA�Document,or any portlon o(it,may result'in severa civil and c�iminal penallies,and will be prosecuted to the mexlmum e�ctent <br /> pnsslbte under 1he.law.Purchasers are permifted io reproduce ten(10)coples of this document when completed.7o reporl copyright violapons of AIA Contract Documenls,e-mail The American InsHlule o(Architects'legal <br /> counsel,copyrightCg�aia.org. <br />