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CON YINJuATioN srr EEET
<br />A!A DOCUMENT G703
<br />AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, containing
<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 />PACE 10 ` of 3? PACES
<br />APPLICATION NUMBER: 21.
<br />APPLICATION DATE: 1 2/30/81
<br />PERIOD FROM: 1 2/10/81
<br />TO 12/31/81
<br />AR( HITr(T C L ?(IICr-T MC\.
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<br />AIA DOCUA.fNT G,�3 CONTINUATION SHEET • APRIL 1978 EDITION • AIN& • 0 1978
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
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<br />G703 — 1373 La
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<br />ITEM
<br />DESCRIPTION OF WORK
<br />SCHEDULED
<br />WORK COMPLETEDTOTAL
<br />No.
<br />VALUE
<br />.
<br />This Application
<br />COMPLETED
<br />AND STORED
<br />%BALANCE
<br />RETAINAGE
<br />Previous +
<br />Applications
<br />Work in .Place
<br />Stored Materials
<br />(not in Dor E)
<br />TO DATE
<br />(D+E+F)
<br />(G=C)
<br />TO FINISH
<br />(C—G)
<br />AREA I
<br />iii
<br />.
<br />200
<br />201 REMOVE SALVAGE I
<br />2,500.00
<br />2,500.00
<br />2,500.00
<br />100
<br />250.00
<br />201
<br />202 REMOVE SALVAGE II
<br />2,500.00
<br />2,500.00
<br />2,500.00
<br />100
<br />250.00
<br />201
<br />203 DEMOLITION I •
<br />11,000.00
<br />11,000.00
<br />11 ,000.00
<br />100
<br />1,100.00
<br />203
<br />204s DEMOLITION II
<br />11,000.00
<br />11,000.00
<br />11,000.00
<br />100
<br />1,100.00
<br />20g M.S. PARTITIONS &
<br />205 CLOSURES I
<br />3,500.00
<br />3,500.00
<br />3,500.00
<br />100
<br />350.00
<br />203 E/M ROUGH -IN .THRU
<br />206 CONC FL
<br />2,000.00
<br />2,000.00
<br />2,000.00
<br />100
<br />200.00
<br />203 PATCH & REPA R INT.
<br />209 SURFACES • 0
<br />20,000.00
<br />20,000.00
<br />20,000.00
<br />100
<br />,
<br />2,000.00
<br />205 E/M ROUGH -IN. ABOVE FL
<br />207 I
<br />9,000.00
<br />9,000.00
<br />9,000.00
<br />100
<br />900.00
<br />205 M.S. PARTITIONS &
<br />208 CLOSURES II
<br />3,500.00
<br />3,500.00
<br />3,500.00
<br />100
<br />350.00
<br />207 E/M ROUGH -IN ABOVE
<br />210 FLS II
<br />10,000.00
<br />10,000.00
<br />10,000.00
<br />100
<br />1,000.00
<br />207 E/M WIRE, PIPE, DUCTS,
<br />2.11 DEVICES I
<br />18,000.00
<br />18,000.00
<br />18,000.00
<br />100
<br />1,8Q0.00
<br />207
<br />212 GYP BD WALLS I
<br />5,000.00
<br />5,000.00
<br />5•,000.00
<br />100
<br />500.00
<br />7T0
<br />211 C/M WIRE, PIPE, DUCTS,
<br />214 DEVICES II
<br />:18,000.00
<br />18,000.00
<br />18,000.00
<br />100
<br />1,800.00
<br />PAGE TOTAL
<br />116,000.00
<br />116,000.00
<br />116,000.00
<br />11,600.00 1334%.11
<br />TOTOAL OR SUB TOTAL
<br />920;850.00:''920,600.00
<br />250.00
<br />920,850.00
<br />•
<br />92,085.00 �`
<br />AIA DOCUA.fNT G,�3 CONTINUATION SHEET • APRIL 1978 EDITION • AIN& • 0 1978
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
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<br />G703 — 1373 La
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