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PROJECT NAME: 1st Street S.W. and 43`d Avenue Intersection Improvements <br />Project No. 1232 <br />Payment Application No. ' ^ <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1232-1st St SW213rd Ave Intersec Improv\Admim\bid documents\Master Contract <br />Documents\00622-Contractor's Application for Payment Spreadsheet Example.doc <br />SCHEDULED VALUE <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 <br />QUANTITY TOTAL <br />QUANTITY <br />TOTAL <br />QUANTITY <br />TOTAL <br />STORED <br />QUANTITY <br />TOTAL <br />pq <br />yew; w..;3:`v'}.V°.�.. "p'�""..t, a.„,� 7 3'° <br />?.. .•3 5 � ,�°'.'G.. ,e£°��•.:x�. <br />Y b' <br />ia� „Y3;:•.y:.i!a, ate.. a"r°`�,:�.«u" n.. e.<... :.F:� <br />f N' 1"•.� q,°5.tr{t.a=.d �.34P�e�.}i. <br />�r.i��: . •$i.:.. •a3a� ' <br />} •:8a9 re w;.':£Y: •.a' ".:lK. <br />P "zRl°� , .$;14+ �,g.,.q,. a ri.. <br />yy Y p ,��x <br />�3 .+t sg ,s�„9i' '� gA�,9' �'d"2^l w. 'a e :Yt t <br />Aafti'hi at'+ vi�� 6RYn»{\ dE�?" .» .SfCJ�X�P� <br />l��l�e'n`:. ��$,�...� '., <br />+-ry Y . tl <br />�< <br />g �?" 4r"3e+• fig_ S� <br />H �'°':� a.3' ei�t ..r <br />�E'*5, ' ".P °'.� J h <br />3}».} <br />3° v:.@. <br />.x <br />Yu 1 .. .Y �a2>"�'�+y .Ai <br />Y' ^7'�"; a <br />.�ia1'" <br />5 aA?Y <br />'�'w y' ::. <br />a <br />SUBTOTAL <br />SUBTOTAL <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />0.00 <br />f�ig f :'3•.i: a;. ,.t7t,76«->� ..�hR::P,yy$S gg�y�$'iy <br />14=°Pt.�.� " ..Deffii..W�DJY�ai� 1'i�i�$&S..S>,:tS? <br />y3� 4,pp'C ;3' <br />',SaS°e,C f.°..� :d»� <br />a�, g <br />.".''3;�iSd$t '��,h..'; .nil: <br />7,f.'tirl's YZ . •fig -... <br />�� .v.. ......� ��,'.�'.a�- ". �i e�„ <br />&� • a;�vr»>' <br />xe y <br />,3' ��i .i �• ,L't ,�4n�� <br />;4t"�"x81s'��.3:...�-'�" a�" �t'...��� <br />3i •. c",t, ..a$3.. F•'2 �'i z ':E': e.9h:. <br />�... .i:S7xaS � al Ja�:'� � �.eLe <br />."'��=.¢?vm,:ssw�,..d..�::.a>., <br />:: �0 <br />"ad0 :.»A}3�. .9`.' <br />I�:S:?.ea.A;�.S�C.i°�-"vt <br />ffiiID�' <br />FORCE <br />ACCOUNT <br />�1p, p y,LS py <br />�iis%��a'&ri:,. ^'.•':C;<'ei>Cx <br />`��'.F3».*'.P,.pffi <br />i <br />gg ;;yy�". <br />5 ua*:.t. <br />�, 7 <br />.ffi.. �$ <br />'' 9i' 7. wy. a,+ <br />��:��C�.•> r � <br />3 gp ��S rnC 71 FF' <br />MOsigh ?S°. �`a .=. itiV <br />4 '.� \$¢, z•R'J <br />GRAND TOTAL <br />TOTAL <br />0.00 <br />1 <br />1 <br />I <br />AMOUNT COMPLETED TO DATE <br />MATERIALS SPORED TO DATE <br />SUB -TOTAL MATERIALS STORED AND COMPLETED TO <br />D DATE <br />0 <br />m RETAINAGE AT 10% <br />0 <br />o TOTAL COMPLETED AND SPORED LESS RETAINAGE <br />N <br />^' LESS PREVIOUS PAYMENT <br />a) <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\1232-1st St SW213rd Ave Intersec Improv\Admim\bid documents\Master Contract <br />Documents\00622-Contractor's Application for Payment Spreadsheet Example.doc <br />