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pAGE'CW O OF TWO PAGES <br /> A�j�(�jJjVIENT G703(Instructiona on reverse side) <br /> CONTINUATION SHEET ApPLICATIONNO 4 <br /> APPLICATION DATE• December 31,2014 <br /> �p,J�ocument G702,APPLICAITON AND CERTIFICATE FOR PAYMENT, pERIOD TO <br /> contsitung Contrectots s�gned Certificauon,is attached �ItCHiTECT5 PROJECT NO. <br /> In cabuletions balow,amounts are stated t°the ne��'�l��items may apply H I <br /> Use Column I on Co�rtracts where vanable retainage F G <br /> D E TOTAL <br /> A B C WORK COMPLETED ���Ls COMPLETED BALANCE RETAINAGE <br /> PRESENTT•Y % TO (II�VARIABLE <br /> SCFIEDULED FROMPREVIOUS �S PERIOD STORED AND STORED Rp� <br /> �M V�� APPLICATION TO DATE (G/C) FIIJISH <br /> DESCRIPTI�N OF WORK �+E� ��T IN C-G <br /> NO DORE +E+F <br /> 8 610.00 17,000.00 <br /> 340,000.00 - 340,000.00 97.53% ' 4,985.60 <br /> 348,610.00 99,712.00 100.00% <br /> 1 Earthwork 99,712.00 99,712.00 _ 4,000.00 <br /> 2 Utilities 80,000.00 - 80,000.00 100.00% <br /> 80,000.00 20,000.00 56.34% 15,500.00 1,000.00 <br /> 3 Asphalt Paving 35,500.00 20,000.00 ' <br /> 4 Landscaping - <br /> 5 " - <br /> ( 65,545.00 65,545.00 100.00% 3 258.50 <br /> � Change Order#1 65,545.00 1,170.00 1,170.00 100.00% <br /> g Change Order#2 1,170.00 <br /> 9 <br /> 10 <br /> 11 ' <br /> 12 <br /> 13 <br /> 14 <br /> 15 <br /> 16 <br /> 17 <br /> 18 <br /> 19 <br /> 20 <br /> 21 <br /> 22 <br /> 23 <br /> 24 <br /> 25 <br /> 26 <br /> 27 <br /> 28 <br /> 29 <br /> 30 <br /> 31 24,110.00 30,321.35 <br /> 32 539,712.00 66,715.00 606,427.00 96.18% <br /> 630,537.00 �.,�,_,� <br /> •�.qTt pp�J�u(gN1'HAS BEEN CREATED USING EXCEL 97 <br />