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- T <br /> = : I Document G703TN - 1992 <br /> Continuation Sheet <br /> AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, APPLICATION NO: 14 <br /> containing Contractor' s signed certification is attached. APPLICATION DATE: OCT It 52007 <br /> In tabulations below, amounts are stated to the nearest dollar. SEP 30,2007 <br /> Use Column I on Contracts where variable retainage for line items may apply. PERIOD T0: <br /> ARCHITECT'S PROJECT NO: 184 <br /> A B C D E F G H <br /> WORK COMPLETED MATERIALS TOTAL <br /> BALANCE <br /> PRESENTLY COMPLETED RFARIAGE <br /> ITEM DESCRIPTION OF WORK <br /> SCHEDULED FROM PREVIOUS % ICI (IF VARIABLE <br /> NO. VALUE APPLICATION THIS PERIOD STORED AND STORED(NOT IN TO DATE (G . Q FINISH RATE) <br /> (D + E) D OR E) (D+E+F) (C - (i) <br /> SPECIALTIES <br /> 666 TOILET PARTITIONS 4, 155 .00 55585 .00 0.00 0.00 5,585.00 134.4 1 ,430.00- 0.00 <br /> 673 FLAGPOLE 25010.00 19573 .25 0.00 0.00 15573 .25 78 .3 436.75 0.00 <br /> 675 1DENT. DEVICES-MAT. 31,050.00 15570.97 0.00 0.00 1 ,570.97 51.5 11479.03 0.00 <br /> 685 METAL SHELVING 1 ,000.00 426.72 0.00 0.00 426.72 42.7 573 .28 0.00 <br /> 686 BATH ACC.-MAT:. 4,065 .00 31,502. 74 0.00 0.00 31502.74 86.2 562.26 0.00 <br /> 689 CULTURED MARBLE 85100.00 71779.34 0.00 0.00 7,779.34 96.0 320.66 0.00 <br /> 714 RESIDENTIAL ADPL. 15 ,900.00 15,553 . 59 294 .25 0.00 15 ,847.84 99.7 52. 16 0.00 <br /> 723 GEAR HOSE & LOCKER ACCE S 11 ,498 .00 10,057. 88 0.00 0.00 10,057.88 87.5 1 ,440. 12 0.00 <br /> 742 CASEWORK 34,264.00 34,264.38 0 .00 0.00 349264.38 100.0 0. 38- 0.00 <br /> MECHANICAL <br /> 785 PLUMBING 31 ,280.00 35,939.30 54.00 0.00 35,993 .30 115 . 1 4,713 .30- 0.00 <br /> 788 SPRINKLER SYSTEM 55,000.00 54,800.00 0.00 0.00 54,800.00 99.6 200. 00 0.00 <br /> 793 HVAC 104,457 .00 102,885 .00 0.00 0.00 102,885 .00 98 .5 1 ,572.00 0.00 <br /> 800 KITCHEN HOOD 131,000.00 13,084.45 0.00 0.00 13,084 .45 100.6 84.45- 0.00 <br /> 803 L/P TANK 81000.00 6,041 .07 496. 50 0.00 6,537.57 81 .7 1 ,462 .43 0.00 <br /> ELECTRICAL <br /> 811 ELECTRICAL S .C. 148,400.00 149,255 .25 301 . 53 0.00 149,556.78 100.8 11156.78- 0.00 <br /> 827 GENERATORS 385500.00 385380.00 0.00 0.00 38,380.00 99.7 120.00 0.00 <br /> 901 CONSTRUCTION FEE 190,069.00 190,069.00 0.00 0.00 1901,069.00 100.0 0.00 0.00 <br /> 0001 CO # 1 173 ,665 .25- 165 ,240. 15- 81425 . 10- 0.00 173,665 .25 100.0 0.00 0.00 <br /> 0002 CO #2 52,823 .90- 52,578. 34- 245 . 56- 0.00 52,823 .90 100.0 0.00 0.00 <br /> 0003 CO #3 27, 198 .25- 245885 .98- 2,312 .27- 0.00 27, 198.25- 100.0 0.00 0.00 <br /> 0004 CO 94 10,692 .27 0.00 1Q692 .27 0.00 10,692.27 100.0 0.00 0 .00 <br /> 429,752 . 87 428,063 .47 855 .62 0.00 428,919.09 833 .78 0.00 <br /> CAUTION : You should sign an original AIA Contract Document, on which this text appears in RED. An original assures that changes will not be obscured. <br /> AIA Document G703T• - 1992. Copyright © 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This <br />Ale Document is protected by U.S. Copyright <br /> Law and International Treaties. Unauthorized reproduction or distribution of this AIA® Document, or any portion of it, may result in severe civil and criminal penalties, <br />and will be prosecuted to the maximum extent <br /> possible under the law. Purchasers are permitted to reproduce ten (10) copies of this document when completed. To report copyright violations of AIA Contract Documents, <br /> e-mail The American Institute of Architects' legal <br /> counsel, copyright@aia.org. <br />