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PAYMENT APPLICATION NO.5 <br /> 04TRACT SUMMARY: <br /> 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 .... .. . . . .... . .. .. . . . . . .... $ 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 .. . .. . .. ... .... .. . . . .. . .. . . . .... . . . .. .... ... .. ... . . $579,714.78 <br /> 7 - Material-stored-on site(Attach-Schedule)—. <br /> ...0..--. ..... . . $ NA <br /> 8 - Less 0 per cent retained . .. .. . .. .... . ............ . ....... ... . .. . .. . ..... . . . $ 0,00 <br /> 9 - Total earned less retained amount.. ....... . .... . .. .... . ..... ....... ..... . .. .. .. . .. . .. . -$579.714.78 <br /> 10 - Total of estimates previously approved . . . . .... . .. . .. . . ... . . . .... . . .. .. . . . . .. . . . . . . . . $ 564,941.60 <br /> 11 - Amount due this estimate . . . . . . . . . . . .. . . . . .. ...... . . .. . .. . .... .. . ... . . . . . . . . . . . . . . . $ 14,773.18 <br /> OROV F FIELD S R 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 December 9. 1998 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 /> payment. Firm Name <br /> I A �AA <br /> V Signature <br /> ignature <br /> Date December 9 1998 Date December 9. 1998 <br />