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^ ww'' w'''wT~~~~ ~+~~CT <br />V~T'~ ~ f!'I"T~7T1. _~Tf1CL'~7 _. ..~.. . _.- A1A DOCU1C~lENT G703 _ _ Pale 2 of 2 <br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 3 <br />Contractor's signed certification is attached. <br />In tabulations below, amounts are stated to the nearest dollar. <br />Use Column I on Contracts where variable retainage for line items may apply. <br />APPLICATION DATE: <br />PERIOD TO: <br />10/19/06 <br />10/31/06 <br />ARCHITECT' S PROJECT NO: <br />A B C D E F G H I <br />ITEM DESCRIPTION OF WORK SCHEDULED WORK COM PLETED MATERIALS TOTAL % BALANCE RETAINAGE <br />NO. VALUE FROM PREVIOUS <br />APPLICATION <br />(D + E) THIS PERIOD PRESENTLY <br />STORED <br />(NOT IN <br />D ORE) COMPLETED <br />AND STORED <br />TO DATE <br />(D+E+F) (G _ C) TO FINISH <br />(C - G) (IF VARIABLE <br />RATE) <br />1 DEPOT ART BASE WORK $11,814.00 $11,360.50 $453.50 $11,814.00 100.00% $0.00 <br /> TOTALS $11,814.00 $11,360.50 $453.50 $0.00 $11,814.00 100.00% $0.00 $0.00 <br />$0.00 <br />$0.00 <br />GRAND TOTALS $11,814.00 $11,360.50 $453.50 $0.00 $11,814.00 100.00% $0.00 $o.oo <br />users may obtain validation of this document by requesting of the license a completed AIA Document D401 -Certification of Document's Authenticity <br />AIA DOCUMENT G703 CONTINUATION SHEET FOR G702. 1992 EDITION •AIA®• ®1992 <br />THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVENUE, N.W., WASHINGTON, D.C. 20006.5232 G703-1992 <br />