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From:
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<br />~ 3°'f,~
<br />~ ~~. CONTlNU/~TION SHEFT
<br />: ~, :'
<br />"` A/A DOCUMENT C703 (Ins~rucuons on rcverse side~ wa;~ pr n~c;ts
<br />~~ ..•.AtA DOCUmeot C702, APPUGTION MtD GfRTIF(GTE FOR Y.~YMENT, conqining ~ i~-,p„ ' AppLiUTION NUMBER:
<br />,,d '~ ~~~ Coninctofs signad CMi(Ication tt attached. ~
<br />~~;..In labulatlons below, amounls are stafed lo the ncarest dollar. APPLIGTION DATE:
<br />. °~• Use Col~mn 1 on Con[racls where wriab(e retainagc for Itne items ma a I. ~ AEAIOD j0: ,
<br />~ ~;:^ Y PP Y ARCNITEC7'S PRO)ECT NO: .. ~
<br />~f- 'A g ~ ~e2ment No.:
<br />~ ~ D E F C H
<br />DESCRIPt10N OF WORK I
<br />~ ~,l~' NO ~ SCHEDULFD WORK COMPtE(ED BAUNCE
<br />; ~• ' ' VALUE ~T~U~-+` TOTAC % RFTnINACE
<br />±;t ~.;~ FROM PREVIOUS TH15 PERIOD PRESENTLY COMPLETED (G+C) TO FINISH
<br />z•~~~' • APALIGTION STORED AND STOREO t~_~~
<br />~~'a' SD+E) lNOT Ik TO OnTE
<br />+`~ ~ ''~° D OR E) (D+E+F) •
<br />r4< t~ '.7 Mobilization /Prepayment 23,000.00 .23,000.00 p
<br />~,_. .
<br />"~~p~ 23, 000.00 7 00 0 0
<br />q`Ciil~~• • ~ .
<br />~""'~ ' 2. ~0~~1~' ~t~ 30, 718.00 0. 30, 718.00
<br />, 1,f~~'! . .
<br />~~~~ 30,718,00 100 0 1,535.90
<br />;~x °S , 3- Goodman Buildin
<br />f"' :
<br />p;;.,.t , 4 13,706.00 0 13,706.00 13,706.00 100
<br />~~"~r' 0 685.30
<br />x;z
<br />~'. ., 4. ~eri Buildin ' +
<br />,~~.~:~ 4 4,502.00 0 4,502.00 4,502.00 100 0
<br />~~"::: ' 2~25.10
<br />j~~~'~ ' 5. Liu Building ' 16 7 44.00 p ~
<br />~'~"'~' ~ 10,493.60 1~,493.60 65
<br />~ ~~ "• <~ . _ 5, 650.40
<br />:~~: V 524.68
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<br />~~~.~ . .. . .. . . . . . yf 9 ~ ~- ~-
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<br />• ' S9,419,60 82,419.60
<br />' 2970.98
<br />a e.1~ ~~ *n~iinrimt w~ i~i'~~iii N[w~r~opnx wv"~iNMin.'~u w~ w toit~oH •nu•. o isa~
<br />".,.~ ... ws+~u+cio++. o.c ~
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