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��AI � � �:� A p � ocument G703 — 1992 Continuation Sheet AIA Document G702-1992,Application and Certificatfon for Payment,or G736-2009, Applicatlon No: 1 Projed Applicatfon and Project Certificate for P:ISD#728 Applicatlon Date: 4/30/2018 containing Contractor's sfgned certiflcation is at 11500193rd Avenue NE Pe�tod To: 4/30/2018 In tabulatfons below,amounts are in US dollars Elk River,MN 55330 Archibect's Project No: Use Column 1 on Contracts where variable retainage for line items may apply. Retainage Rate: 5% A B C D E F G H I WORK COMPLETED TOTAL FROM MATERIALS COMPLETED PREVIOUS PRESENTLY AND STORED TO BALANCE TO RETAINAGE ITEM DESCRIPTION Of SCHEDULED APPLICATION STORED DATE � FINISH (IF VARIABLE NO. WORK VALUE (D+E) THIS PERIOD (NOT IN D OR E) (D+E+F) (G/C) (C-G) RATE) �� s �o,sti.00 w.5n.00 to,st�.00 too�ie - 52s.s5 �Op��n&s S 16,287.00 2,500.00 Z,SOO.QO 15% 13,787.00 125.p0 Mobilizallon $ 9.827.70 - 0% 9,827.70 - GC's S 53,012.00 1.272.00 1,272.00 2% 51,740.Ob 63.60 Div 3 Concrete S 105,000.00 - 0% 105,000.00 . Met�l Fabrications S 879.90 - 0% E79.90 - Div 6 Wood $ 500.00 - 0% 500.00 F'mish CerpcntrY S 3,649.80 - 0% 3,649.80 - Div 7 S 7,047.00 - 0'/0 7,047.00 - Div.8Frames,Doors,andHDWR S II�100.00 - 0% 11�100.00 - Div.8 Window Install&Glezing S 1,520.00 - 0°!0 1,520.00 - Div.8 O.H.Doors S 9,425.00 - 0% 9.425.00 - Div9.FRP S 1,500.00 - 0% I.500.00 - Div.9 Drytvell S 9,600.00 - 0°/a 9,600.40 _ ITiv.9 Acoustical Ceilings � 3,500.00 - 0% 3,500.00 - Div.9 Restltent Flooriag $ 2,493.00 - 0% 2,493.00 _ Div.9 Paind� S 5.630.00 - 0% 5,630.00 - Div 10 $ 1,960.60 - 0% 1,960.60 .