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2015-242A
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2015-242A
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Last modified
3/31/2017 10:13:46 AM
Creation date
1/19/2016 10:39:24 AM
Metadata
Fields
Template:
Official Documents
Official Document Type
Contract
Approved Date
12/15/2015
Control Number
2015-242A
Agenda Item Number
8.K.
Entity Name
Timothy Rose Contracting
Subject
Contract Documents & Specifications
Old Dixie Highway Resurfacing
Area
71st St. to CR 510 Old Dixie
Project Number
1138
Bid Number
2016001
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PROJECT NAME: Old Dixie Highway Resurfacing from 71St Street to County Road 510 <br />Project No. 1138 <br />Payment Application No. F3. <br />• <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1138-OId Dixie Hwy Resurfacing -71st St to CR 510\Admim\bid documents\Master Contract <br />Documents\00622-Contractor's Application for Payment Spreadsheet Example.doc <br />SCHEDULED VALUE <br />. <br />WORK COMPLETED: . <br />% <br />MATERIALS <br />BALANCE TO <br />FINISH <br />PREVIOUS <br />APPLICATION <br />THIS PERIOD <br />TOTAL COMPLETED <br />Item <br />No. <br />Description <br />Unit <br />Quantity <br />Unit Price <br />Amount QUANTITY TOTAL <br />QUANTITY <br />TOTAL <br />QUANTITY <br />TOTAL <br />STORED <br />QUANTITY <br />TOTAL <br />, M £- err� , it.. <br />rn. ' 4"i <br />_S`,kY'i�c"'-nh3p�n.tts!' <br />9 ¢ai�w Th'ti. a <br />7"' N i'°"Y� <br />_ -tu.�� <br />F..sT <br />•�A14- `..,/.57 . <br />; <br />t �.. . �.•{'35.+ aYb • `i - <br />Coo i:.>...ris. <br />''pe -4, ' <br />... <br />SUBTOTAL <br />, SUBTOTAL <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />Sx',.. +,• ,^`fir - f7�...AIM <br />^�^.•�•str <br />WAb <br />1���4i� <br />•::�u <br />Heraw•u' <br />7'. " <br />WIM"F <br />:i C <br />t�'�� • <br />EMICM2 .x, <br />FORCE <br />ACCOUNT <br />1 <br />LS <br />YYLGMAM, <br />tilf. LLSSttTAISM. <br />/nM;gaB <br />vi^ ..F6 <br />pMALAvt_ - 'y SE <br />�4' Y7R <br />kirateNNIM <br />GRAND TOTAL <br />TOTAL 1 0.00 <br />_ 1 <br />1 <br />1 <br />I <br />AMOUNT COMPLETED TO DATE <br />MATERIALS STORED TO DATE <br />SUB -TOTAL MATERIALS STORED AND COMPLETED TO <br />D DATE <br />m RETAINAGE AT 10% <br />rn TOTAL COMPLETED AND STORED LESS RETAINAGE <br />IV <br />r..) LESS PREVIOUS PAYMENT <br />o) <br />AMOUNT DUE CONTRACTOR <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1138-OId Dixie Hwy Resurfacing -71st St to CR 510\Admim\bid documents\Master Contract <br />Documents\00622-Contractor's Application for Payment Spreadsheet Example.doc <br />
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