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0 <br /> 0 <br /> C) <br /> C <br /> Cn <br /> APPLIGATION AND CERTIFICATE FOR PAYMENT,containingcn <br /> APPLlGAT1ON NUMBER: 1 � <br /> APPLICATION DATE: 11/25/2018 m <br /> In tabulations below,amounts are stated to the nearest dollar. PERIOD TO: 11 30 2018 0 <br /> DESIGN-BUILDER'S PROJECT NO.: 19 036 -00 <br /> Use Column(I)on Contracts where variable re#ainage for line items may apply. m <br /> Item Description of Work o <br /> p Scheduled WORK COMPLETED Stored Total Completed and Balance Retainage T <br /> No, Value PreviousrApplf.,'atio, <br /> s Materials Stored to Date To Finish 0' <br /> 0 <br /> Applications 00 <br /> (A) Lumn Sum {g) Cn <br /> (G) (D) 3 (F) (G)(D+E+F) % (H)(C-G) {IJ cmo <br /> rn <br /> 71 <br /> A <br /> Link Building-Additional o <br /> Sealants/Water Repellent $ 12,320.00 $ 12,320,00 $ 0.00 $ 12,320,00 100% $ 0.00 <br /> o_ <br /> TOTAL BILLING $ 12,320,00 $ $ 12,320.00 $ m <br /> $ 12,320.00 100% $ $ - m <br /> V <br /> C7 <br /> C7 <br /> m <br /> cn <br /> w <br /> co <br /> Continuation Sheet <br /> Page 2 of 2 <br />