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PROJECT NAME: ATLANTIC BOULEVARD PARKING AREA <br />Project No. IRC -1719 <br />Payment Application No.TM <br />PREVIOUS II I I I DttLtalYl.0 I v <br />1-1 11 -lrAI 111 Ani 1?AT1r1A1 TuIC DCDIAII TnTAI MMPI FTFn •/ MATERIALS FINISH <br />KM <br />�.,;��•-. <br />'� r }� <br />sC•y!� - +N..#��; <br />QUANTITY <br />,. ��'. .. a:..n <br />TOTAL <br />f�ia..3 �',� f.r i'�4'. <br />.'fid �, ^,:� �y. =°;?1t :.I �,'�a � .� ; �A � ` ,+i" ' .lr'$�,., .na � �.. dr, <br />SUBTOTAL <br />1 1 1 <br />1 1 1 1 1 1 1 1 1 ■ 1 1 1 1 1 1 <br />t <br />y q. +e1 '9" yrr <br />Y'�'o4 esfi'R <br />�'+r#.k'• :N' g "Ye.''"ph�t ry j�N�y=�., <br />v4,at .M�i*J"i• '1 V -V -N.=�:L% {' 1-'w?`2s �;�$'� -K. <br />- - - � - � <br />TOTAL <br />e <br />M <br />AMOUNTGRAND <br />• 1 TO DATE111 <br />MATERIALS STORED TO DATE111 <br />SUB -TOTAL• 1 1 COMPLETED <br />DATE <br />RETAINAGE AT 10% <br />TOTAL• 1' 1 AND STORED <br />PREVIOUSLESS <br />AMOUNTDUE CONTRACTOR <br />111 <br />1 11 <br />$0.00 <br />1 I1 <br />I II <br />F:\PubllcWorks\ENGINEERING DIVISION PROJECTS\1719 Atlantic Blvd Parkng Area Project\1-Admin\Bid Documents\Master Contract Documents\00622-Contractor's Application for Payment Spreadsheet Ezample.doc <br />