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1. ORIGINAL CONTRACT SUM <br />CONTRACTOR: <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />p J v O O O <br />Ut <br />• Y <br />Y <br />1 <br />Y <br />a <br />4" 1 L <br />p •G <br />j v A 0. <br />h <br />L .4 O'C.. <br />C .., b L <br />Y v a O G� <br />W <br />C 77 C <br />P u G 0 <br />- N V <br />:�. Y 7 m C <br />J <br />t ` y C <br />C • <br />Z1 i ti f" , i..1 v 0 U 0 <br />c ti • \' 0 c - <br />o=�n6 c <br />W Z Y fa <br />{L '.55..s 'n C \ C U' <br />61 Z j r :Y y <br />2 Y u ~ a V <br />• ^ L <br />v <br />4'-: Sc0i¢m't -LI c. <br />2. Net change by Change Orders 3 <br />3. CONTRACT SUM TO DATE (Line 1 m 2) S <br />©00 <br />oe <br />-t. TOTAL COMPLETED & STORED TO DATE S <br />(Column G on G'03) ( 400 <br />5. RETAINAGE: C pc <br />a. _% of Completed Work $ , LJ /�' A/ <br />(Columns D + E on G'03) G�—�o 1 <br />b. • % of Stored Material 3 1ST <br />(Column F on G "03) 9 70 K. <br />Tool Rerainage (Line Sa + 5b or <br />Tonal in Column I of G -03) S ._ S_ 6. TOTAL EARNED LESS RETAINAGE f <br />9°— <br />(Line 4 less Line 5 Total) <br />LESS PREVIOUS CERTIFICATES FOR PAYMENT <br />(Line 6 from prior Certificate) 5 �. <br />iia. Lveaz <br />8. CURRENT PAYMENT DUE 3 j��� <br />9. BALANCE TO FINISH, INCLUDING RETAINAGE <br />(Line 3 less line Of S <br />-7 c-70 4F <br />CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS <br />Total changes approved in <br />previous months by Owner <br />Total approved this Month <br />TOTALS <br />NET CHANGES by Change Order <br />N 0 <br />N 0 <br />• 0 <br />w <br />,C <br />c <br />0 <br />E <br />0 <br />9 <br />c <br />a <br />c <br />3 <br />.2 U <br />a. <br />0 <br />w <br />0 <br />v ) co <br />LE a <br />r9 2 <br />a 0 <br />F O <br />S 0 <br />a <br />Vii c <br />F w <br />4) <br />i 0 <br />41 <br />7. u <br />C5 1 <br />.%744 t.. <br />v <br />J <br />-• I4 <br />0 <br />C <br />0 <br />• <br />a <br />C <br />a <br />.. •d <br />• e <br />C <br />d <br />C <br />w C <br />it <br />a <br />• ' 0 <br />U <br />0 <br />T <br />a 0 <br />rc to <br />LLg t <br />us 2 Cl <br />i t ac <br />c <br />• u <br />13 Ft 7 <br />3 <br />a , 0 <br />4 <br />q <br />b <br />� ^ <br />c <br />0 <br />s <br />C <br />III <br />a 3 <br />s a <br />0 <br />Z 0 7 g <br />N <br />q/ <br />0 <br />U <br />S 40 1. a6gd Page 66 1 Wd OZ: I£: LO 9661. '64 A!0P •A0P!JJ <br />