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z <br />PAGE ONE OF <br />CUMENT G702 <br />LLQ <br />1- <br />z <br />w <br />a <br />0. <br />0 <br />:L <br />V <br />LL <br />1- <br />w <br />V <br />z <br />0 <br />E" <br />o U w 0.,^0 C 0� <br />• C O <br />p; F aO �a <br />bgOb d <br />o zv te=.- z <br />3 .. .n 0 O O y •fl • VI <br />at ,..0 N <br />Q ❑❑❑❑❑ 0 =0 <br />E`4O-oE0 <br />00 0 p8,.. <br />N w 4° <br />� w p d <br />o .° E, a <br />\ N Y). N• V ai t <br />I� N �# ._ — �4 <br />t U �� <br />-E. .o <br />• b <br />O 0 O LN c> <br />N O D U Ill <br />U6 <br />co <br />,.1's C.,) CQ <br />t.G <br />APPLICATION NO: 00001 <br />a W <br />PERIOD TO: <br />PROJECT: Cent <br />PROJECT NOS.: <br />VIA ARCHITECT: TKDA <br />FROM CONTRACTOR: <br />0 <br />4') <br />v7 <br />z <br />5w <br />a <br />0 <br />0 <br />J <br />LL <br />0 <br />I.V <br />z <br />0 <br />CONTRACTOR: Car <br />o co co tn <br />O O O V <br />'O ,- l OD <br />o <br />•71- 00 N M <br />N <br />1. ORIGINAL CONTRACT SUM <br />2. Net change by Change Orders <br />3. CONTRACT SUM TO DATE (Line 1 ±2) <br />4. TOTAL COMPLETED & STORED TO DATE <br />(Column G on G703) <br />5. RETAINAGE: <br />(Columns F on G703) <br />z <br />Lu <br />a <br />cc <br />0 <br />H <br />U <br />1- <br />w <br />0 <br />V <br />w <br />i <br />LL <br />c0 N N s•^ <br />'7 ' U <br />.6 cts <br />vs .O ED <br />0 O CA <br />Ct <br />Z <br />O a+ -e <br />- <br />til i 0) CCS 1.. ,.En O al <br />0 .O O <br />t, <br />oCM <br />0 0 p ,-' �, <br />O <br />o ;3�A <br />.fl V. 4. y. f^-, <br />O Q 0 <br />A 0 0 c O <br />O O O Cd ,. <br />o • 4. <br />0 <br />Q • li <br />. c o p <br />Uyo3a <br />O <br />at) y 4 r-. <br />•b .0 7-. 4 -e <br />s.., y U -+ O o <br />Y <br />ct +, U c' 0 <br />6. TOTAL EARNED LESS RETAINAGE <br />(Line 4 less Line 5 Total) <br />7. LESS PREVIOUS CERTIFICATES FOR PAYMENT <br />(Line 6 from prior Certificate) <br />8. CURRENT PAYMENT DUE <br />O <br />O <br />AMOUNT CERTIFIED <br />d O <br />R Q <br />0 13 <br />p, <br />CS C9 <br />y O <br />5 <br />AU <br />� w <br />r <br />0 C3 "0 <br />.9 o <br />0 O N <br />CS U <br />Q. 0 <br />Q () <br />es w <br />0 r +0.. <br />O <br />O <br />° i F <br />0 4o <br />CS U <br />N <br />o. <br />V7 <br />O <br />w <br />z <br />W <br />0 <br />z <br />0 <br />-J <br />C) <br />S <br />N <br />LL <br />O <br />W y <br />U <br />Z M <br />JN <br />ca <br />of <br />E" <br />DEDUCTIONS <br />O <br />O <br />E9 <br />co <br />O <br />69 <br />O <br />O <br />69 <br />$4,831.00 <br />C/] <br />O <br />P. <br />qQ <br />O <br />0 <br />O <br />64 <br />$4,831.00 <br />$4,831.00 <br />1CHANGE ORDER SUMMARY] <br />Total changes approved in <br />previous months by Owner <br />Total annroved this Month <br />TOTALS <br />NET CHANGES by Change Order <br />G702 -1992 <br />1- <br />O • <br />°d <br />3 <br />W <br />N <br />O <br />a_ <br />tn" U 0, o <br />F .O. € <br />U w a <br />2c) vai <br />o'S t.. <br />G y.e <br />F 5 n <br />s. o <br />tn. m <br />4 yE <br />3N <br />U c <br />3° <br />A � <br />F:t <br />03 <br />• >. <br />as V <br />(4 r <br />• <br />® N @ <br />g _ I oo- <br />• z o); <br />o ! <br />E aW <br />q o„ <br />W o <br />a O -' <br />L ` <br />a <br />• 13 <br />(r vi <br />..zp <br />F ix <br />E <br />< t <br />U • <br />F <br />wad <br />U N s; <br />C . <br />C _ c <br />o 1.8 <br />E U g <br />a Zes <br />pmt <br />4t <br />o <br />0 ¢ e o <br />I-. 3 <br />Z 3z' <br />2 z c S <br />() Et <br />Da °v <br />