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MAR 19 1991 BOOK Pt E <br />�J <br />APPLICATIOS FOR PAYMENT SO. 6 ' <br />To INDIAN RIVER COUNTY <br />Contract for SOUTH OCUNTY R.O. TREATMENT PLANT EXPANSION <br />OWNER's Project No. 41-05-012529-53 C, ENGINEER•s Project No. 6706-021 <br />For Work accomplished throuch the date of ,T A N U A R Y 24, 1 4 9 1 <br />ITEM <br />CONTFACTOWs Schcduic of Valucs <br />Work Compieted <br />Unit Pnce Quantity Amount <br />Quantity <br />Amount <br />S S <br />S <br />e <br />*SEE ATTACHED SCHEDULE <br />, <br />OF VALUES <br />Total <br />S <br />S <br />(Orig. Contract) <br />C.O. No. 1 <br />C.O. No. 2 <br />PFTn?W hULEmOF uVALUES <br />2.) STORED MATERIAL BACKUP <br />GROSS AMOUNT DUE ....:.................. <br />LESS % RETAINAGE ................... <br />AMOUNT DUE TO DATE ..................... <br />LESS PREVIOUS PAYMENTS ................ <br />AMOUNT DUE THIS YPICATION ......... <br />,705.793.00 <br />S 160.500.Q0 <br />S2 94 c; 2—U;p0 <br />S2 019,590.80 <br />S 6o5.7n2.2A <br />- <br />CONTRACTOWS Certification: <br />The undersigned CONTRACTOR certifies that (1) all previous progress payments received from OWNER on account of <br />Worts done under the Contract referred to above have been applied to discharge in full all obligations of CONTRACTOR <br />incurred in connection with Work covered by prior Applications for Payment numbered 1 through 6 inclusive; and <br />(2) title to all materials and equipment incorporated in said Work or otherwise listed in or covered by this Application for <br />Payment will pass to OWNER at time of payment free and clear of all liens, claims. security interests and encumbrances <br />(except such as covered by Bond acceptable to OWNER). <br />INSCHO-KIRLIN, II <br />/ " 30 .19 9� A DIVISION OF �3'(�HN J. KIRLIN, INC. <br />redInd,%n firer Ci %'• """ ��," �' 1L / COh OR' . <br />Dire c I n7li Z— �j 111I — <br />Asst pire:!,r� FRANK H. INSCHO, JR.!) -- VICE PRESIDENT <br />Enginser �-� �- ►►"'' <br />D lher <br />Payment of the above AMOUNT DUE THIS APPLICATION is recommended. <br />Dated ------- <br />By l9 — �/ <br />19 . <br />By ' <br />EICD,C No. 1910-8-E (1983 Edition) <br />Ptsparsd by the EA6w=n' Jo:at Coouaet Docuwats Coatmirtce and codon" by Tyr Asaodu.W Gam -al Cootrbaon of Ataerk- <br />00POO-in ._ _... .. • . . <br />29a <br />S <br />