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,��.ir'y)�l� � TM � <br /> �Q�;� D���m�n� 703 � 1992 <br /> Contrnuation Sheet <br /> r1iA Document(T7U2,APPLICATION�\�l)CERTCFICA'I'lON FOR PAXn4ENT; APPLICATION N0:�z4310-00004 <br /> containing Comr�ctor's signed cenificaiiun is altached. APPLICA710N DATE: 12/t7/2o14 <br /> Lt tnUulatiuns bclow,attwunts are stated In the nearesl dc�llar. <br /> U�c Column l un Conlracts�vltere vari161e retainage 1'ur[ine ilems may apply. pERIOD 70: 12/31/2014 <br /> ARCNITECT'S PROJECT N0: �z-a3io <br /> A B C: D E F G H 1 <br /> WORK COMPLETED __ MA?BRIALS TOTAL <br /> BALANCE <br /> St'HEDULI:D PRES�.NTLY COMPLFTED Rti'fA1NACi1: <br /> 1TLM UE,SCRIPTION OF�VORIi FROM PREVIO�IS Sl'OIZF.Ia AND STORED �" T� (II'VARIABL� <br /> NO. VALUE r�f'PLICATiON THIS PERIOD (G=C) FINISH <br /> (D+E) (NOT 1N TO DATF. �C-�.7) 1tAT1:) <br /> D OR E) {D+E+F� <br /> O1 Labor 15,867.50 6,347.00 7,933.75 14,280.75 90.00 1,586.75 ! 714.04 <br /> 02 Material 10,097.50 10,097.50 10,097.50 100.0 0.00 504.8 " <br /> 03 Design 2,885.00 2,885.00 2,885.00 100.00 0.00 144.25 <br /> TOTALS � 28,850.00 19,329.50 7,933.75 27,263.25 94.50 1,586.75 1,363.17 <br /> CAUT10�`�:Yau�houlrJ sign an originc�l ''A����niract C1o�umcnt,un vvhich this text appears in FIED.An or€gina!assures that changes wi(i not be ohscured. <br /> AIA Document G703T�^—1992.Copyright OO 19E3,1965.1966,1967,1970,1978,1983 and 1992 by The Amerlcan Insdtule of Architects.QII r(ghta reserved.WARNlNG:Thts AIA'�ocumeiit is protecled by U.S.Copyright <br /> Law and Inierq�tionAi,.T.reetfes.UneulhorirF�' �pimtur.tion nr di5tributlon ol this AIA' Document,or any portinn ot it,may result in severe civf!and criminal penalties,ar�d vrill be proseculed ta the mflximtim extAnt <br /> posslbie.unde�the faty.PurcFiasers are permi[t�d to reproduce ten(10)copies ot Ihis document when compieted.To report copyright violaUons ot AIA Conlract Documenis,e-mail The American Instilute of Architecls'iegal <br /> counsei,copyri�Ml@aia.org.� � y <br /> �_`1 <br /> . '. .. ...� � <br />