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r <br /> r <br /> 1 <br /> ATTACHMENT A <br /> CONSULTANT ' S APPLICATION FOR PAYMENT NO. <br /> for <br /> To : INDIAN RIVER COUNTY PUBLIC WORKS DEPARTMENT <br /> Contract for WORK ORDER NO. _ TO THE PROFESSIONAL ENGINEERING <br /> SERVICES AGREEMENT — INDIAN RIVER COUNTY — <br /> INDIAN RIVER COUNTY PROJECT No . <br /> For Work accomplished through the date of <br /> Percent Percent Gross Contract <br /> Contract Complete Complete Amount Due <br /> Task Amount From This Pay This Pay <br /> (2) Previous Pay Request Request <br /> Requests (3) (2)x(3) <br /> Task 1 <br /> Task 2 <br /> Task 3 <br /> Task 4 <br /> Task 5 <br /> Reimbursable Ex enses 1 <br /> !!TOTAL GROSS CONTRACT AMOUNT DUE THIS PAY REQUEST <br /> AMOUNT OF RETAINAGE <br /> ( 10% of Total Gross Contract Amount Due This Pay Request) ( ) <br /> CONTRACT AMOUNT EARNED TO DATE <br /> (Total Gross Contract Amount Due This Pay Request minus Amount of Retainage) <br /> TOTAL AMOUNT PAID TO ENGINEER PRIOR TO THIS PAY REQUEST ( ) <br /> AMOUNT DUE THIS PAY REQUEST <br /> (Contract Amount Earned To-Date minus Total Amount Paid To Engineer Prior To This <br /> Pay Request) <br /> ( 1 ) Attach copies of all invoices for Reimbursable Expenses <br /> R\Public Works\Capital Projects\0222 ROADWAY PLANNING\Work Order.doc <br /> 8 <br /> PROJECT <br />