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PROJECT NAME: Old Dixie Highway Resurfacing (From the I.R.F.W.C.D. North Relief Canal to 71st Street)
<br />Project No. 1137
<br />Payment Application No.
<br />F:\Public Works\ENGINEERING DIVISION PROJECTS\1137-OId Dixie Hwy Resurfacing IRF North Relief Canal to 71st St\Admim\bid
<br />documents\Contract Documents\00622-Contractor's Application for Payment Spreadsheet Example.doc
<br />SCHEDULED VALUE
<br />PREVIOUS
<br />APPLICATION
<br />WORK COMPLETED
<br />THIS PERIOD
<br />TOTAL COMPLETED
<br />%
<br />MATERIALS
<br />BALANCE TO
<br />FINISH
<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
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<br />SUBTOTAL
<br />SUBTOTAL
<br />0.00
<br />0 .0r• 0
<br />0.00
<br />0.
<br />0C. 0
<br />0.00
<br />0.00
<br />0.00 0
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<br />FORCE
<br />ACCOUNT
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<br />GRAND TOTAL
<br />TOTAL
<br />0.00
<br />1
<br />1
<br />AMOUNT COMPLETED TO DATE
<br />MATERIALS STORED TO DATE
<br />SUB -TOTAL MATERIALS STORED AND COMPLETED TO
<br />DATE
<br />m RETAINAGE AT 10%
<br />0
<br />rn TOTAL COMPLETED AND STORED LESS RETAINAGE
<br />N
<br />^' LESS PREVIOUS PAYMENT
<br />6
<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\1137-OId Dixie Hwy Resurfacing IRF North Relief Canal to 71st St\Admim\bid
<br />documents\Contract Documents\00622-Contractor's Application for Payment Spreadsheet Example.doc
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