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SECTION 00622 - Contractor's Application for Partial Payment <br />Application for Payment No.9 FINAL. <br />For Work Accomplished through the period of 01/01/14 through 02/28/14 . <br />To: Indian River County (OWNER) <br />From: Timothy Rose Contracting, Incorporated <br />Contract: 1102 <br />Project: Old Dixie Highway Sidewalk Improvements from 8th Street to S.R. 60 <br />OWNER's Bid No. 2012052 <br />ENGINEER I.R.C. Public Works. <br />(1) Attach detailed schedule and copies of all paid invoices. <br />1. Original Contract Price: <br />2. Net change by Change Orders and Written Amendments (+ or -): <br />3. Current Contract Price (1 plus 2): <br />4. Total completed and stored to date: <br />5. Retainage (per Agreement): <br />$325,518.37 <br />$96, 803.57 <br />$422,321.94 <br />$415,717.80 <br />0% of completed Work: $0.00 <br />% of retainage: $ <br />Total Retainage: $0.00 <br />6. Total completed and stored to date Tess retainage (4 minus 5): $415,717.80 <br />7. Less previous Application for Payments: $371,953.18 <br />8. DUE THIS APPLICATION (6 MINUS 7): $43,764.6j2 <br />CONTRACTOR'S CERTIFICATION: <br />I hereby certify that the labor and materials listed on this request for payment have been used in the <br />construction of this work and payment received from the last request for payment has been used to <br />make payments to all subcontractors, laborers, material men and suppliers, except as noted below. <br />Dated 63/6 G(/ q <br />State of F-10 <br />By: <br />Timothy Rose Contracting, Incorporated <br />(CONTRACJR) <br />County of j'u', ri e YI <br />Subscribed and sw. n to b • = this <br />day of �a v4. <br />Notary Public <br />My Commissi <br />pees: <br />00622 - 1 <br />C:1Users\Owner\Documents\Old Dixie Hwy Sidewalk Imps\Cover PA # 9 FINAL.doc <br />401'to VICKIE LEE WRIGHT <br />4 Notary poplls-11110 of WWI <br />�` 'h' My Comm on Exp. MIfslt11, 2016 <br />k jole Commlubn NO. EE 171452 <br />Page 1 of 2 <br />67 <br />