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.. , <br />COIVINUATION SH <br />E ET AIA DOCUMENT G703 Page 2 of 2 <br />AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing APPLICATION NO: 1 Revised <br />Contractor's signed certification is attached. APPLICATION DATE: 0 7 / 12 / 0 6 <br />In tabulations below, amounts are stated to the neazest dollar. PERIOD TO: 0 6 / 3 0 / 0 6 <br />Use Column I on Contracts where variable retainage for line items may apply. ARCHITECT'S PROJECT NO: <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) <br />1 DEPOT ART BASE WORK $11,814.00 $8,860.50 $8,860.50 75.00% $2,953.50 $443.03 <br /> TOTALS $11,814.00 $0.00 $8,860.50 $0.00 $8,860.50 75.00% $2,953.50 $443.03 <br />$0.00 <br />$0.00 <br />GRAND TOTALS $11,814.00 $0.00 $8,860.50 $0.00 $8,860.50 75.00% $2,953.50 $443.03 <br />- ..._, __ ...... ...........~.. ~. .....~ uv..uu.cna uy ~cyucauny u~ ~~~r naense a compieiea AIA vocument u4ui - certitication of Document's Authenticity <br />AIA D CUMENT 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 />a <br />