Attachment_5_-_AIA_Document_G703_Template.xls
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sheet 1
| CONTINUATION SHEET | AIA DOCUMENT G703 | /WGPD | ||||||||
| AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing | APPLICATION NO: | /wir.{d 25}~{r 6}/cf~~{L 6}~ | ||||||||
| Contractor's signed certification is attached. | APPLICATION DATE: | /wgpe | ||||||||
| In tabulations below, amounts are stated to the nearest dollar. | PERIOD TO: | /ru.{d 26} | ||||||||
| Use Column I on Contracts where variable retainage for line items may apply. | ARCHITECT'S PROJECT NO: | {L 5} | ||||||||
| {L 9} | ||||||||||
| A | B | C | D | E | F | G | H | I | /ru.{d 26}~ | |
| ACTIVITY | DESCRIPTION OF WORK | SCHEDULED | WORK COMPLETED | MATERIALS | TOTAL | % | BALANCE | RETAINAGE | ||
| ID | VALUE | FROM PREVIOUS | THIS PERIOD | PRESENTLY | COMPLETED | (G ÷ C) | TO FINISH | (IF VARIABLE | ||
| APPLICATION | STORED | AND STORED | (C - G) | RATE) | ||||||
| (D + E) | (NOT IN | TO DATE | ||||||||
| D OR E) | (D+E+F) | |||||||||
| PROJECT OVERVIEW | ||||||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
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| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
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| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| 0.00% | $0.00 | |||||||||
| CHANGE ORDERS | ||||||||||
| $0.00 | $0.00 | 0.00% | $0.00 | |||||||
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | 0.00% | $0.00 | ||||
| AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · © 1992 | G703-1992 | |||||||||
| THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5292 | ||||||||||
| $0.00 | 0.00% | $0.00 |
Page &P of &N &L&"Arial"&6AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 · 1992 EDITION · AIA · ©1992 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5232&R&"Arial"&8&BG703-1992
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