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_ <br /> =� = IA 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 11 ,2007 <br /> In tabulations below, amounts are stated to the nearest dollar. <br /> Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: SEP 30,2007 <br /> ARCHITECT'S PROJECT NO: 184 <br /> A R C U E F G H <br /> WORK COMPLETED MATERIALS TOTAL <br /> PRESENTLY COMPLETED BALANCE <br /> SCHEDULED FROM PREVIOUS % RETAINAGE <br /> ITEM DESCRIPTION OF WORK VALUE APPLICATION THIS PERIOD STORED AND STORP.D (G = C) FINISH (IFVARIABLF. <br /> NO. (NOT IN TO DATE (C G) RATE) <br /> (U + E) D OR E) (D+E+F) <br /> 000.5 CO #5 57. 59- 0.00 57 .59- 0.00 57.59- 100.0 0.00 0.00 <br /> 0006 CO #6 919762.38- 0.00 0.00 0.00 0.00 0.0 91 ,762.38- 0.00 <br /> 108,702.90 1 ,773 ,564.91 35 , 137 .99 0.00 1 ,808,702 .90 100.0 0.00 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 G703Tu — 1992. CopyrightQ) 1963, 1965, 1966, 1967, 1970, 1978, 1983 and 1992 by The American Institute of Architects. All rights reserved. WARNING: This <br />AIA® 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, e-mail <br />The American Institute of Architects' legal <br /> counsel, copyright@aia.org. <br />