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i ._ CERTIFICATE OWNER DEDUCTIONS $ ORIGINAL CONTRACT SUM. . s 21,729 00 ITE Ecr CHANGE ORDERS FOR PAYMENT RACTOR O in previous months by F D a AIA DOCUMENT C703 OTHER PROJECT: SHERIFF[ S DEPT. AND JAIL (name, address) ADDITION AND ALTERATIONS TO (Owner) — ARCHIITECTS PROJECT NO: #7109 Board of County Comdssionerd Indian River County CONTRACT FOR: $21,729.00 Vero Beach, Florida L J CONTRACT DATE: June 11, 1971 In accordance with this Contract and the attached Application For Payment the Contractor is entitled to payment in the amount stipulated below. The present status of the account for this Contract is as follows: Net change by Change Orders $ Architect'/-, John J,., Sghlitt, .Tr. AIA By: Date: 19_. // —'7 This-tdicate of ne;otiable. It is j arable only to the payee named herein and its issuance, payment and acceptance are without pre(d a to any hts of the Owner or Contractor under their Contract. If AIA DOCUMENT 6702 APPLICATION FOR PAYMENT, or other apph ion form containing satisfactory evidence of payment for Work previously completed DOES NOT ACCOMPANY THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following: State of: Florida Subscribed and sworn to before me this County of: Indian River day of 19 The undersigned certifies that the Work cowered by this Certificate fer Payment has been completed in accordance with the Contract Documents, Notary Public: that all amounts have been paid for Work for which previous Certificates for Payment were issued and payments received, and that the current payment My Commission expires: shown herein is now due. Contractor: N�fe�Jttti/{o/_Construction, Inc). CERTIFICATE NO: Four - Final DATE OF ISSUANCE: AIA DOCUMENT G70] • CERFIFIC.AfE FOR PAYMENT • SEPIEMOER 1'n,6 EDITION • ")1966 AIA'* ONE PAGE THE AMERICAN INSTITUTE OF ARCI IITECTS, 1733 NEW YORK AVE., \W, WASHINGTON, D.C. 200% "EC - R ,n-7, i LI ADDITIONS $ DEDUCTIONS $ ORIGINAL CONTRACT SUM. . s 21,729 00 Change Orden approved CHANGE ORDERS in previous months by TOTAL ADDITIONS . . $3.00 Owner— . TOTAL SUB TOTAL . . . . . . $ 21-729.00 TOTAL DEDUCTIONS . $ _0.. CONTRACT SUM TO DATE. . s 21,729.00 Subsequent Change Orders Number Approved (date) BALANCE TO FINISH . . $ -0 TOTAL COMPLETED TO DATE $21 .792 - On MATERIALS STORED . . . $ �� TOTAL COMPLETED & STORED $-X9.00_ RETAINAGE ...0.% —O0 TOTAL EARNED LESS RETAINAGE . .. . $ 21,792.00 LESS PREVIOUS t CERTIFICATES . . . . $ 18.685 00 THIS CERTIFICATE . . . . .$3.106.00 TOTALS Net change by Change Orders $ Architect'/-, John J,., Sghlitt, .Tr. AIA By: Date: 19_. // —'7 This-tdicate of ne;otiable. It is j arable only to the payee named herein and its issuance, payment and acceptance are without pre(d a to any hts of the Owner or Contractor under their Contract. If AIA DOCUMENT 6702 APPLICATION FOR PAYMENT, or other apph ion form containing satisfactory evidence of payment for Work previously completed DOES NOT ACCOMPANY THIS CERTIFICATE, the Contractor shall first provide the equivalent certification by completing and executing the following: State of: Florida Subscribed and sworn to before me this County of: Indian River day of 19 The undersigned certifies that the Work cowered by this Certificate fer Payment has been completed in accordance with the Contract Documents, Notary Public: that all amounts have been paid for Work for which previous Certificates for Payment were issued and payments received, and that the current payment My Commission expires: shown herein is now due. Contractor: N�fe�Jttti/{o/_Construction, Inc). CERTIFICATE NO: Four - Final DATE OF ISSUANCE: AIA DOCUMENT G70] • CERFIFIC.AfE FOR PAYMENT • SEPIEMOER 1'n,6 EDITION • ")1966 AIA'* ONE PAGE THE AMERICAN INSTITUTE OF ARCI IITECTS, 1733 NEW YORK AVE., \W, WASHINGTON, D.C. 200% "EC - R ,n-7, i LI