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<br /> IA
<br /> Document G703 -- 1992
<br /> Continuation Sheet
<br /> AIA Document G702-1992,Application and Certiflcation for Payment,or G736-2009, Application No: 9-Partial Retention
<br /> Projed Application and Project Certificate for P:ISD#728 Application Date: 12/31J2018
<br /> containing Contractor's signed certification is at 11500193rd Avenue NE Pe�1od To: 12/31/2018
<br /> In tabulations below,amounts are in US dollars Elk River,MN 55330 Archltett's Project No:
<br /> Use Column I on Contracts where variable retainage for line items may apply.
<br /> Retainage Rate: 5%
<br /> A B C D E F G H 1
<br /> WORK COMPLETED
<br /> TOTAL
<br /> FROM MATERIALS COMPLETED
<br /> PREVIOUS PRESENTLY AND STORED TO BALANCE TO RETAINAGE
<br /> ITEM DESCRIPTIOM OF SCHEDULED APPLICATION STORED DATE % FINISH (IF VARIABLE
<br /> N0. WORK VALUE (D+E) THIS PERIOD (NOT IN D OR E) (D+E+F) {G/C) (C-G) RATE)
<br /> aana � �o,si�.00 �o,s�i.00
<br /> io,si�.00 �oo�io _
<br /> Shop Arawings 3 16,287.00 16,287.00 16,287.00 100% _
<br /> o rr�Noa $ 9,827.70 4,827.70 9,827.70 100'/0 -
<br /> i
<br /> �� S 53,012.00 53.012.00 53,012.00 100'/0 . i
<br /> Div 3 Concrete $ 105.000.00 105.000.00 IOS,OU0.00 100% .
<br /> Metal Fabricatioas E 879.40 879.90 879.90 100'!0 .
<br /> Div 6 Wood $ 590.00 500,00 '
<br /> 500.00 100%
<br /> �nish Cacpcntry S 3,649.80 3,649.80 3,649.80 100% _
<br /> ,�
<br /> Div7 S 7,041.00 7,047.00 7,047.U0 ]00°l. _ ��
<br /> Div.8 FrameB,Doprs,aitd HDWR S 11,100.00 11,100.00 I1,100.00 ]00% _
<br /> Div.8�i5qdow install&Gln�rn8 S 1,520.00 1,520.00 1,52f1.00 100°!0 _
<br /> Div.8 O.H.Doors S 9,425.00 9,425.00 9,425.00 100% _
<br /> Div 9.FRP $ 1,500.00 I,S00.00 I,SOD.QO 100% _
<br /> IJiv.9 Dry�vall $ 9,60Q.0� 9,600.00 • 9,600.00 ]UO% _ I
<br /> Div.9 ACousdcal Ceilings S 3,500.00 3,500.00 3,500.00 100°!0 -
<br /> Div.9 Resilient Fiooring S 2,493.00 2,493.00 2,493.00 !00°10
<br /> Div.9 Paietin& 5 5.630.00 5,630.00 5,630.00 100'/0 -
<br /> Div 10 S 1,960.60 1,460.60 i,9b0.60 I00°/. _
<br />
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