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� 0 " <br /> ���'R�: TM j <br /> -�: Document G703 - 1992 ; <br /> Continuation Sheet I <br /> i <br /> AIA Document G702,APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NC1:A93' Z <br /> containing Subcontractor's signed certification is attached. APPLICATION DATE: <br /> In tabulations below,amounts are in US dollars. <br /> Use Column I on Contracts where variable retainage for line items may apply. PERIOD T0: <br /> ARCHITECT'S PROJECT N0: 1225.00 <br /> p B C D E F G H 1 <br /> WORK COMPLETED MATERIALS TOTAL <br /> FROM PRESENTLY COMPLETED BALANCE TO RETAINAGE <br /> ITEM SCHEDUL,ED % <br /> NO. DESCRIPTION OF WORK VALUE P�VIOUS THIS PERIOD STORED AND STORED �G_C� FINISH (IF VARIABLE <br /> APPLICATION (NOT IN D OR TO DATE (C-G) RATE) <br /> (D+E) E) (D+E+F) <br /> O 1-00 <br /> 0 <br /> Gener <br /> al <br /> Condit � <br /> ions 11,000.00 � 1 0.00 11,000.00 100.00% 0.00 550.00 <br /> OS-OS <br /> 0 Misc Metals/Anchor Bolts 750.00 750.00 0.00 0.00 750.00 100.00% 0.00 37.50 <br /> 07-04 <br /> 0 Buildin Insulatiou 12,500.00 12,500.00 0.00 0.00 12,500.00 100.00% 0.00 625.00 <br /> 07-06 <br /> 2 Sheet Metal&Flashin s 20,000.00 �u,�a �t�(� � ' 0.00 20,000.00 100.00% 0.00 1,000.00 <br /> 13-34 <br /> 19 Metal Building Matl. 181,895.00 181,985.00 -90.00 0.00 181,895.00 100.00% 0.00 9,099.25 <br /> 13-02 _ <br /> 0 Erection Labor/Equipment 65,600.00 �, _ 3,,� � 0.00 "�";' 60,460.00 92.16% S,140.00 3,023.00 <br /> .. . <br /> 17-02 ° <br /> 0 Overhead/Profit 23,450.00 �'� �,l�(�� 0.00 � 20,000.00 85.29% 3,450.00 1,000.00 <br /> 0.00 0.00 0.00 ' 0.00 0.00 0.00% 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 , 0.00 0.00% 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 <br /> 0.00 0.00 0.00 0.00 0.00 0.00% 0.00 0.00 <br /> AIA Document G703TM'-1992.Copyright�1963,1965,1966,1967,1970,1978,1983 and 1992 by The American Institute of Architects.All rights reserved.WARNING:This AIA� Document is protected by <br /> U.S.Copyright Law and Intemational Treaties.Unauthorized reproduction or distribution of this AIA� Document,or any portion of it,may result in severe civil and criminai penafties,and will be • � <br /> prosecuted to the maximum extent possible under the law,This document was produced by AIA software at 12:48.32 on 12123l2014 under Order No.1276189683_1 which expires on 09/26/2015,and is not for <br /> resale. <br /> UserNotes: (1630695796) <br />