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PROJECT NAME: ROSELAND LAKE CLEARING AND DREDGING <br /> Project No. 1219 <br /> Payment Application No. <br /> .- e <br /> PREVIOUS BALANCE TO <br /> 3-Wim - <br /> SCHEDULED VALUE APPLICATION THIS PERIOD TOTAL COMPLETED % MATERIALS FINISH <br /> Item <br /> No. Description Un_it _Quantity. U_nit Price Amount QUANTITY TOTAL QUANTITY TOTAL QUANTITY TOTAL STORED QUANTITY TOTAL <br /> ON <br /> r7 <br /> SUBTOTAL_, - , _,.S_UBTOT_AL 0.00 0.00 0.00 0.00 0.00 0.00 <br /> _ -_ _ v8 � 'c�„e z,`,p `� .� �$s�>s'�•m,. ,;:te. z A ic.�_ .z.��`"a,3 ''e3'e":. `.k''km .�.�,.. .�, <br /> FORCE <br /> ACCOUNT_.- -. 1_.,. _,_,LS <br /> GRAND TOTAL TOTAL 0.00 <br /> AMOUNT COMPLETED TO DATE $0.00 <br /> MATERIALS STORED TO DATE $0.00 <br /> SUB-TOTAL MATERIALS STORED AND COMPLETED TO <br /> y DATE $0.00 <br /> M RETAINAGE AT 10% $0.00 <br /> 0 <br /> 0 TOTAL COMPLETED AND STORED LESS RETAINAGE $0.00 <br /> N LESS PREVIOUS PAYMENT $0.00 <br /> m <br /> AMOUNT DUE CONTRACTOR $0.00 <br /> F:\Public Works\ENGINEERING DIVISION PROJECTS\1219-Roseland Lake Improvements\Admim\Master Contract Documents\00622-Contractor's <br /> Application for Payment Spreadsheet Example.doc <br /> _l <br />