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<br />, .CON Y'INUATIoN S! EET
<br />AIA 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 1 on Contracts where variable retainage for line items may apply.
<br />rAGI: 11 c)[ 32 • P•u,i:
<br />APPLICATION NUMBER: 21
<br />APPLICATION DATE: 12/30/81
<br />PERIOD FROM: 12/10/81
<br />TO: 12/31/81
<br />ARCHITECT'S PROJE• 9
<br />CT NO�(5:.
<br />A
<br />0
<br />• C
<br />D
<br />/
<br />F
<br />G
<br />11
<br />I
<br />ITEM
<br />No.
<br />DESCRIPTION OF WORK
<br />AREA I
<br />SCHEDULED
<br />VALUE
<br />WORK COMPLETED
<br />FOTAL COMP!
<br />AND STORED
<br />TO DATE
<br />(D+E+F)
<br />°6
<br />(G_ -C)
<br />BALANCE
<br />TO FINISH
<br />(C—G)
<br />niTAINAGE
<br />Previous
<br />Applications
<br />This Application
<br />Work in Place
<br />Stored Materials
<br />(Wolin Dorf)
<br />212
<br />213
<br />GYP ED TO WALLS II
<br />5,000.00
<br />5,000.00
<br />5,000.00
<br />100
<br />500.00
<br />212
<br />215
<br />CERA!'IC TILE
<br />4,500.00
<br />4,500.00
<br />4,500.00
<br />100
<br />45o.00
<br />212
<br />215
<br />GYP EO TO CEILINGS
<br />3,000.00
<br />3,000.00
<br />3,000.00
<br />100
<br />300.00
<br />212
<br />217
<br />LAY -Ii! CEILINGS
<br />8,000.00
<br />8,000.00
<br />8,000.00
<br />100
<br />900.00 I
<br />212
<br />218
<br />DOORS & HARDWARE
<br />3,500.00
<br />3,500.00
<br />3,500.00
<br />100
<br />350.00
<br />212
<br />219
<br />��
<br />!•1ILLt,�RK & FIN CARP.
<br />5,000.00
<br />5,000.00
<br />5,000.00
<br />100
<br />1 500.00 1
<br />212
<br />220
<br />PAINTING;• .
<br />12,500.00
<br />12,500.00
<br />12,500.00
<br />100
<br />1,250.00
<br />213
<br />221
<br />SPEC. ITEMS & ACCESS.
<br />9,000.00
<br />9,000.00
<br />9,000.00
<br />100
<br />900.00
<br />214
<br />222
<br />E/M EOUIP. FIXTURES,TRIII
<br />64,000.00
<br />64,000.00
<br />64,000.00
<br />100
<br />6,400.00
<br />220
<br />223
<br />FL COVERINGS & BASE
<br />9,500.00
<br />9,500.00
<br />9,500.00
<br />100
<br />950.00
<br />223
<br />224
<br />INSPECTION &CORRETION
<br />500.00
<br />250.00
<br />250.00
<br />500.00
<br />100
<br />50.00
<br />PAGE TOTAL
<br />124,500.00
<br />124,250.00
<br />250.00
<br />124,500.00
<br />12,450.00
<br />TOTAL OR SUB TOTAL
<br />1,045,350.00
<br />1,044,850.00
<br />500.00
<br />1,045,350.00
<br />104,535.00
<br />AIA DOCUMFNT G703 • CONTINUATION 5IIF[T • APRII 1978 EDITION • AIA • 0 1970
<br />THE /MFR.ICAN IUS711UTE OF ARCIHIItCIS, 1735 NEW YORK AVE., N.W., WASHINGTON, D.C. 20006
<br />G703 — 1573
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