Aia Document G702 - 1992 Page 2
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®
AIA
Document G703™ – 1992
Continuation Sheet
AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT,
APPLICATION NO:
containing Contractor's signed certification is attached.
APPLICATION DATE:
In tabulations below, amounts are stated to the nearest dollar.
PERIOD TO:
Use Column I on Contracts where variable retainage for line items may apply.
ARCHITECT'S PROJECT NO:
A
B
C
D
E
F
G
H
I
WORK COMPLETED
TOTAL
MATERIALS
COMPLETED
RETAINAGE (IF
FROM
ITEM
SCHEDULED
PRESENTLY
%
BALANCE TO
DESCRIPTION OF WORK
AND STORED
VARIABLE
PREVIOUS
(G ÷ C)
NO.
VALUE
STORED (NOT
FINISH (C - G)
THIS PERIOD
TO DATE
RATE)
APPLICATION
IN D OR E)
(D + E + F)
(D + E)
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
$0
$0
$0
$0
$0
0.00%
$0
$0
GRAND TOTAL
$0
$0
$0
$0
$0
0.00%
$0
$0
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