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AIA Document G702 <br />APPLICATION AND CERTIFICATE FOR PAYMENT <br />N <br />c <br />w 0 <br />L_ <br />Z0 N 0 <br />c 0 Z <br />O O (I) r+ <br />V) U U <br />U O t N c`0 <br />a•C c c <br /><o. a Q 0 0 <br />0 <br />o <br />w d <br />,c .) <br />) a y • a ai <br />O 0 .0 C <br />c v m 0 <br />o a) m '0 c <br />Y a a o ,v-� <br />N N N N .c <br />ca —y <br />U C N • 0 L <br />N a) >3 c <br />c E m 3 <br />O >` L C 0 <br />‘-'- 0..0E0 <br />y <br />w T <br />° a ac) <br />TS c EE <br />0 N o >, <br />a .. ca c 0. <br />n c • B c <br />a <br />O N Nw t a <br />C a) <br />tC.- L.+ a) U (0 <br />w . 0 o 'O <br />0 <br />w 0 03 <br />I- <br />S • 0 c 0. c <br />04. 0 <br />0c 00 3 O <br />c w �L <br />U - L o <br />r O <br />.42 <br />0)• .880>_ <br />N 8 <br />C 13 0 <br />N • o. N C c <br />I— E .c 0 E <br />0) <br />c I -- <br />aU) 0 z <br />O CO W • <br />iiii <br /><° <br />U <br />Q^ <br />- 2 <br />C O 3 <br />c <br />o <br />_O Z a) <br />c <br />V <br />08 <br />r v <br />4- <br />i..., I C L <br />C "O Vz' Q) Q o U <br />m <br />M <br />M � <br />cmc o) U a 07 <br />O U CO LL <? J c N <br />0) U <br />c pOj c�0 ^ a o a <br />O a_, M Z< O • a. h (� <br />UO O LL R M Q m e <br />" CO co co �d <br />U N_ E 0 <br />M N- N O a Q <br />cNm I_ <7 <br />ca ci O O a) <br />• O > LL <br />+- <br />L_ c Nc <br />N f— <br />c Z . <br />rL. a c <br />O E O . <br />1-O Q8 <br />r <br />c <br />1. Original contract s <br />oo <br />O <br />O <br />O <br />toi <br />2. Net change by change Orders <br />BAYSHORE CONSTRUCTION,INC. <br />Contractor: <br />3. Contract sum to date (line 1 + 2) <br />Y <br />c0 <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />O <br />O <br />O <br />ER <br />O <br />O <br />O <br />69 <br />O <br />O <br />O <br />69 <br />o` <br />U <br />m <br />0 <br />U <br />0) <br />L. <br />.0 <br />m <br />N <br />0) <br />N <br />0 <br />O <br />0 <br />U <br />•0 <br />U LL <br />m F, <br />w � <br />w U <br />3 1- <br />Z <br />0• 0 <br />m <br />v 2 <br />8 Q <br />0 w <br />c 0 <br />N O <br />N <br />3 ▪ • > <br />m <br />a) a <br />o <br />0 d <br />= c <br />O a) <br />Q 0 <br />r- <br />O <br />c0 <br />N <br />AMOUNT CERTIFIED <br />C <br />d <br />E <br />w Y •o as <br />c0 O O Q. <br />1 CO 0 <br />C iii <br />.2 N ME QJ `� <br />0 N on -O = <br />V M a° M d M O +o+ 8 <br />O r9 E 0 0 0 0) o U a <br />To' O O W N C" l0 C9 E a) o <br />.d 0 +° o id o c t a 'O <br />,a O O 0 • +, o y y E w+ <br />d o o c c c "'1 N 0 0) <br />• E <br />in 7 7 r 7 II •47 '0 0 y <br />a. 0 0 0 0 0 0) S c <br />U • �)ci U UH U 7_1C <br />C. <br />O c 0 0. C <br />- CO :° H0 i <br />O lit! H M 0 0 0 <br />• 6 c6 <br />INDIAN RIVER COUNTY <br />w <br />z <br />0 <br />O <br />O <br />0 <br />U <br />a) <br />w <br />o ° <br />L <br />c d <br />O <br />() c0 <br />L C <br />C5 a) n <br />CO Ea N0 <br />`) 0. 0 <br />O 0O N <br />LL C8 : <br />▪ m <br />• c <br />• o <br />Z U <br />� C <br />o f0 <br />▪ 0 <br />Q <br />L • T O <br />~ 0. c <br />• 88 <br />cac a) <br />l0 <br />O) ua <br />I> • 0 O <br />_C <br />-,(E) <br />0 L <br />tl) <br />0) L c <br />m v (0 <br />°) <br />L-° E <br />0) C <br />a) C <br />U <br />FL- a <br />Deductions <br />$0.00 <br />($942.15)I <br />in <br />00 <br />ai <br />O <br />14) <br />N <br />c <br />'a <br />o <br />o <br />u, <br />0 <br />N <br />co <br />u <br />ca <br />$0.00 <br />Q <br />CHANGE ORDER SUMMARY <br />Total changes approved <br />previously by Owner <br />Total approved this Month <br />TOTALS <br />V,Pt changes by change order <br />