|
CNI
<br />CO
<br />01
<br />CO
<br />LU
<br />Li—
<br />CONI INJA"CIO J SHEET'
<br />A/A UOCUMLNT 0703
<br />1',c.T 17
<br />32
<br />AIA Document G702. APPLICATION.AND CERTIFICATE FOR.PAYMENT, containing
<br />Contractor's sigred Certification is attached.
<br />In tabulations below . amounts are stated to t -e nearest dollar.
<br />Use Column I on Contracts where variabit retainage for line items may apply.
<br />APPLICAI ION NUMBER: 21
<br />APPLICATION DATE: 12/30/81
<br />PERIOD FROM: 12/10/81
<br />TO: 12/31/81
<br />ARCI111 LCT'S PROJECT NO: 9363
<br />A
<br />8
<br />C
<br />D.
<br />E
<br />F G I
<br />I i
<br />ITEM
<br />No.
<br />DESCRIPTION OF WORK
<br />AREA H
<br />SCHEDULED
<br />VALUE
<br />WORK CO''PLET[D
<br />`TOTAL COMPUTED
<br />AND STORED
<br />TO DALE
<br />"•"" ' ' E1
<br />l
<br />'. i
<br />G'•C1
<br />I
<br />i
<br />I: \L �� _E
<br />TO fI\15H
<br />L -G
<br />4IN ,�"=
<br />!
<br />Previous
<br />Applications
<br />-`FIs Application I
<br />Work i ace
<br />Suot id Materia's .
<br />(not in D or E
<br />362
<br />367
<br />E/M WIRE, PIPE, DUCT,
<br />DEVICES
<br />2,500.00
<br />2,500.00
<br />. 2,500.00
<br />100
<br />250.00
<br />363
<br />364
<br />GYP BD T0'WALLS
<br />3,050.00
<br />3,050.00
<br />i 3,050.00
<br />100
<br />305.00 1
<br />364
<br />365
<br />CEILT(;GS
<br />3,500.00
<br />3,500.00
<br />3,500.00
<br />100
<br />350.00
<br />364
<br />366
<br />DOORS & HARDWARE
<br />2,000.00
<br />2,000.00
<br />2,000.00
<br />100
<br />i
<br />=00.9
<br />364
<br />368
<br />PAINTING •
<br />2,000.00
<br />2,000.00
<br />i 2,000.00
<br />100
<br />200.00 '
<br />367
<br />369
<br />E/M EQUIP, FIXTURES
<br />TRIM
<br />5,000.00
<br />5,000.00
<br />5,000.00
<br />100
<br />500.00
<br />368
<br />370
<br />CARPET & BASE ,
<br />2,000.00
<br />2,000.00
<br />2,000.00
<br />100
<br />200.00 '
<br />36
<br />371
<br />SPEC. ITEMS. & ACCESS. 1
<br />1,000.00
<br />1,000.00
<br />1,000.00
<br />100
<br />• 100.00
<br />370
<br />372
<br />SEATS, .:1 F r r'l•:ORK &FIN CARP,
<br />13,000.00
<br />13,000.00
<br />13,000.00
<br />100
<br />1.300.00
<br />372
<br />373
<br />?
<br />INSPECT & CORRECT
<br />500.00
<br />250.00
<br />250.00
<br />500.00
<br />100
<br />..
<br />50.00
<br />.
<br />1
<br />i
<br />1
<br />.
<br />i
<br />PAGE TOTAL j 34,550.00
<br />34,300.00
<br />250.00
<br />i 34,550.00
<br />:1,592,500.0
<br />' 3,455.00 1
<br />159,250.00
<br />TOTAL OR SUB TOTAL
<br />„.592,.500.0Q1'591,000.00
<br />1,500.00
<br />AIA DOCUMENT G703 CONTINUATION SHEET ' • APRIL 1978 EDITION • AIA0 • © 1978
<br />THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 L:_',V YORK AVE., N.W., WASHINGTON, D.C. 20006
<br />6703—i:73
<br />
|