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PAYMENT APPLICATION NO.4 <br /> #TRACT SUTAUKARY: <br /> 1 - Original contract amount ......................................................... $570.547.33 <br /> 2 - Additions approved to date(Itemize)(Nos. none 1.................................. $ 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 ............ ....................................... $579.427.68 <br /> 7 - Material stored on site(Attach Schedule) ... ............. ............................. $ NA <br /> 8 - Less 2.5 per cent retained...... . ............. ........................ ...... $ 14.485.68 <br /> 9 - Total earned less retained amount. .... ... . ............ ................. ....... ...... $564.941.60 <br /> 10 - Total of estimates previously approved ........ ....... .. ...... ............ ....... ... . . $528.922.21 <br /> 11 - Amount due this estimate ..... .. .... ... .. ... .. ... . . . ..... ......... ... ....... ... . . . $ 36.019.39 <br /> ROV F FIELD S E OR 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 !3 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 /> 7ent. Firm Name <br /> Signature - Signature':_ <br /> Date July 13, 1998 Date July 13. 1998 <br />