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CONTINUATION SHEET AIA DOCUMENT X703 page 2 of 2 pages <br /> AIA Document G702, APPLICATION AND CERTIFICATE FOR PAYMENT, APPLiCATION NO.: 3 <br /> containing Contractor's signed Certification, is attached. APPLICATION DATE: 28-Aug-97 <br /> In tabulations below, amounts are stated to the nearest dollar. CONTRACT NO: <br /> Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: <br /> PURCHASE-ORDER NO.: <br /> A B C D E F G H I <br /> WORK COMPLETED MATERIALS TOTALLY <br /> PRESENTLY COMPLETED BALANCE RETAINAGE <br /> ITEM DESCRIPTION OF WORK SCHEDULED FROM PREVIOUS THIS PERIOD STORED AND STORED % TO (IF VARIABLE <br /> NO. VALUE APPLICATION (NOT IN TO DATE (G/C) FINISH RATE) <br /> (D+E) D OR E) (D=E+_F) (C-G) <br /> 1 DEMOLITION OF BUILDING(L.S.) 115,947.25 110,149.89 0.00 0.00 110,149.89 95% 5,797.36 <br /> 2 ASBESTOS REMOVAL 48,400.00 48,400.00 0.00 110.00 48,400.00 100% 0.00 <br /> 3 BOND 2,502.75 2,502.75 0.00 0.00 2,502.75 100% 0.00 <br /> 4 CHANGE ORDER#1 3,850.00 0.00 3,850.00 0.00 3,850.00 100% 0.00 <br /> 5 CHANGE ORDER#2 18,240.00 0.00 18,240.00 0.00 18,240.00 100% 0.00 <br /> i <br /> • <br /> 188,940.00 161,052.64 22,090.00 0.00 183,142.64. 97% 5,797.36 0.00 <br />