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PAYMENT APPLICATION NO.3 <br /> CONTRACT SUMMARY: <br /> 1 - Original contract amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $570.547.33 <br /> 2 - Additions approved to date(Itemize)(Nos. none ) . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . $ 0 <br /> 3 - Deductions approved to date(Itemize)(Nos. none 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 0 <br /> 4 - Revised contract amount to date . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .. . . . . .. . . . . . . . . . . . . . $570.547.33 <br /> STATUS OF ACCOUNT: <br /> 5 - Contract amount to date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $570.547.33 <br /> 6 - Value of completed work to date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $556.760.22 <br /> 7 - Material stored on site(Attach Schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ NA <br /> 8 - Less 5 per cent retained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 27.838.01 <br /> 9 - Total earned less retained amount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $528.922.21 <br /> 10 - Total of estimates previously approved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $499.633.71 <br /> 11 - Amount due this estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 29.288.50 <br /> APPROVAL OF FIELD SUPERVISOR CERTIFICATE OF CONTRACTOR: <br /> I (We)certify that all work for which this request for payment is <br /> made has been completed in full, according to the plans and <br /> Date specifications and terms of the contract documents. I (We)also <br /> certify that payment has been made for all just claims for labor, <br /> material and services in connection with the work performed on <br /> APPROVAL OF ENGINEER: all preceding estimates. <br /> The work of the project and this estimate have been <br /> examined and the amount shown is recommended for NORTHDALE CONSTRUCTION CO., INC. <br /> p ent. Firm Name <br /> Signature Signature <br /> Date October 7 1997 Date October 7. 1997 <br />