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From: Precision Industrial CoIyStr~ctors, Inc.
<br />1395-D Downriver 1~ive
<br />Woodland, WA gg674
<br />.
<br />~J~~fAA ~ ~^` . 1
<br />`tY'A~iI., ~~ ~
<br />':CONTINUA,TION SNEF7
<br />:'•AfA Document C702. APPLIGTION M7D ~ERTIFIGiE FOR PAYMENT, contalning
<br />~ ContradoFS signad Certitiatlon Is attached.
<br />' In tabulaqons below, amounts are stated to the nearest dollar.
<br />~ Use ColUmn I on Contracts where vartable retainagc (or Itne items may apply.
<br />~ 8 C
<br />D
<br />~T~ ~FSqGPIION OF WORK ' ~ SCHEDULED
<br />' NO. WORK COMPt
<br />VALUE FROM PREV10U5 T}
<br />• APPLIG710N
<br />(D+E)
<br />~'~G~ ~
<br />~ APPLIUTION NUMBER;
<br /> AAPLIGlT10N DnTE:
<br /> PER10D j0: '
<br />ARGi~TEC7'S PROJECT NO; . . •
<br /> Agreement No,:
<br />E f C H I
<br />~ ~~u~
<br />'ERtOD PRESENTLY
<br />COMPLTED (G*C) BAUNCE REUIN/,GE
<br />TOFINISH
<br />STORED
<br />IAIM w AND STOREO (C-G)
<br />"~`~`~""
<br />„'~,•,,s=• ~ 1 Mobilization/Pre ~a
<br />F yment
<br />23
<br />000
<br />00
<br />' 2
<br />
<br />+~a~<Y~:;
<br />. , ,
<br />. 3 000.00
<br />. p
<br />K-=:
<br />~ta,::•.
<br />,~~i~!. . 'j
<br />.
<br />.
<br />y Centes
<br />~'t
<br />
<br />30,718.00
<br />
<br />30
<br />718
<br />00
<br />
<br />~
<br />I , ,
<br />. p
<br />;~j"~
<br />.,EW
<br />~
<br />r;~ht~ 3
<br />, ~O°~n Btv-l~g 13,706.00 13,"J06.00
<br />~
<br />~
<br />,
<br />'~ Y'•~;
<br />~~~r3;:'.,
<br />•::
<br />: 4
<br />~Beri Buildin
<br />, g
<br />
<br />4,502.00
<br />
<br />4,502.00
<br />
<br />p
<br />~.,~.
<br />.,
<br />:~!~6<''~•'
<br />~". t~4,;
<br />•
<br />~ .
<br />S .
<br />Liu Building
<br />16 144.00
<br />~
<br />10
<br />, 493.60 .
<br />
<br />5, 650.40
<br />-
<br />•:
<br />;.~;'~~" . 6 Goldber
<br />g Building
<br />16,204.00
<br />16
<br />204
<br />00
<br />
<br />. ,
<br />. p
<br />~`::,~'" 7 Senator Building
<br />;=~;:~;`.: • ~~ 2
<br />~~ 3 35,480.00 35,480.00 p
<br />,~a;
<br />~~ 1 27,767.00 27,767.00
<br />0
<br />: ;
<br />rS
<br />`. ,
<br />• 86,054.00 p
<br />86,054.00
<br />a
<br />.5:`` ~'~
<br />: t,;~i.; :
<br />,.
<br />r.:
<br />$ '
<br />-
<br />~~obilization
<br />800.00
<br />p
<br />,
<br />~ R~~ $~~.~0
<br />.. .
<br />Minus PreAaYment ,: . .. .
<br />:"~i~ .. ' ~• ~:,
<br />
<br />'~ (D+E+F) •
<br />23~000.00 100 p 0
<br />30,718,00 100 0 7,535.9C
<br />13,706.00 100 C , 685.30
<br />4,502.00 100 0 225.70
<br />16,144.00 100 0 ,807.20
<br />76,204.00 100 0 810.20
<br />35,480.00 700 0 1,774.00
<br />27,767.00 100 0 1,3gg_3g
<br />86,054.00 100 0 4,302.70
<br />800.00 100 p
<br /><22,200.00 Fr m prepa 362.52
<br />5`z ~/~ 7
<br />232,175.00, 1AOI 17,
<br />oocvw+cr wa. • ~ o r
<br />~~KN~~ µ~ CIRSIryCA7[ fOA MY6{~N7 • µ~y tf~ LDITION • AIA~.
<br />NAL~KNI MIIMI O/ MOi111CIS. i)IS H[w Y04Y AV[NV[. N.W.. W.W~wCTON. O 140]
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<br />
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<br />' Page 2
<br />Project: Salem Courthouse Squan=_ Project
<br />Asbestos Abatement & Demo
<br />A/A DOCUMENT C703 (Instructions on reverse c;ePi P..,,, ,..
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