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ATTACHMENT C <br />CONSULTANT'S APPLICATION FOR PAYMENT NO. <br />for <br />Rikht-of-Wav Acquisition Services <br />To: INDIAN RIVER COUNTY PUBLIC WORKS DEPARTMENT <br />Contract for WORK ORDER NO. 4 TO THE PROFESSIONAL SERVICES AGREEMENT — <br />INDIAN RIVER COUNTY — <br />INDIAN RIVER COUNTY PROJECT No. 03-100 <br />For Work accomplished through the date of <br />Task <br />Contract <br />Amount <br />(2) <br />Percent <br />Complete <br />From <br />Previous Pay <br />Requests <br />Percent <br />Complete <br />This Pay <br />Request <br />3 <br />Gross Contract <br />Amount Due <br />This Pay <br />Request <br />(2)x(3) <br />Reimbursable Expenses (1) <br />TOTAL GROSS CONTRACT AMOUNT DUE THIS PAY REQUEST <br />AMOUNT OF RETAINAGE <br />(10% of Total Gross Contract Amount Due This Pay Request) <br />( ) <br />CONTRACT AMOUNT EARNED TO DATE <br />(Total Gross Contract Amount Due This Pay Request minus Amount of Retainage) <br />TOTAL AMOUNT PAID TO CONSULTANT PRIOR TO THIS PAY <br />REQUEST <br />( ) <br />AMOUNT DUE THIS PAY REQUEST <br />(Contract Amount Earned To -Date minus Total Amount Paid To Consultant Prior To <br />This Pay Request) <br />(1) Attach copies of all invoices for Reimbursable Expenses <br />J.\03-0023 Indian River County\SR60 & 58th Ave\Contract Info\AAG Work Order 4 Final.doc <br />