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PROJECT NAME: 13th Street S.W. at 58th Avenue Bridge <br />Project No. 0530B <br />Payment Application No. <br />SCHEDULED VALUE <br />PREVIOUS <br />APPLICATION <br />WORK COMPLETED <br />Item <br />No. <br />Descri • tion <br />Unit Quanti Unit Price Amount <br />QUANTITY TOTAL <br />THIS PERIOD <br />QUANTITY j TOTAL <br />TOTAL COMPLETED <br />QUANTITY TOTAL <br />BALANCE TO <br />MATERIALS FINISH <br />STORED QUANTITY TOTAL <br />9-ZZ900 30Vd <br />SUBTOTAL <br />FORCE <br />ACCOUNT <br />SUBTOTAL 0.00 <br />GRAND TOTAL <br />TOTAL 0.00 <br />AMOUNT COMPLETED TO DATE <br />MATERIALS STORED TO DATE <br />SUB -TOTAL MATERIALS STORED AND COMPLETED TO <br />DATE <br />RETAINAGE AT 10% <br />TOTAL COMPLETED AND STORED LESS RETAINAGE <br />LESS PREVIOUS PAYMENT <br />AMOUNT DUE CONTRACTOR <br />F:\Public Works\ENGINEERING DIVISION PROJECTS\0530B 13th Street SW at 58th Ave Bridge\Admin\bid documents\Master Contract <br />Documents\00622-Contractor's Application for Payment Spreadsheet Example.doc <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />