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CONTINUATION SHEET AIADocuMENTc�o3 PAGE oF PAGES <br /> AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT,contaimng APPLICATION NO: 3 <br /> Contractor's signed certificatton�s attached APPLICATION DATE: 12/11/14 <br /> In tabulatwns below,amounts are stated to the nearest dollar PERIOD TO' 12/31/14 <br /> Use Column I on Contracts where vanable retamage for line items may apply ARCHITECT'S PROJECT NO:City of Orono Police <br /> Dept. <br /> A B C D E F G H I <br /> ITEM DESCRIPTION OF WORK SCHEDULED WORK COMPLETED MATERIALS TOTAL % BALANCE RETAINAGE <br /> NO VALUE FROM PREVIOUS THIS PERIOD PRESENTLY COMPLETED (G-C) TO FINISH (IF VARIABLE <br /> APPLICATION STORED AND STORED (C-G) RATE) <br /> (D+E) (NOT IN TO DATE <br /> D OR E) (D+E+F) 5.00% <br /> Soft FloorinQ Work <br /> Submittals $1,000.00 $1,000.00 $0 00 $0.00 $1,000 00 100% $0.00 $50 00 <br /> Labor $4,305.00 $500 00 $3,805.00 $0 00 $4,305 00 100% $0.00 $215.25 <br /> Matenals $11,300 00 $2,000.00 $9,300 00 $0 00 $11,300.00 100% $0.00 $565 00 <br /> CO#1-add carpet $11,615.00 $5,000.00 $6,615.00 $0 00 $11,615.00 100% $0.00 $580.75 <br /> CO#1-add demo $2,305.00 $1,500.00 $805 00 $0 00 $2,305.00 100% $0 00 $115.25 <br /> GRAND TOTALS $30,525 00 $10,000.00 $20,525.00 $0 00 $30,525 00 100.00% $0 00 $1,526.25 <br /> Users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of DocumenYs Authenticity <br />