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<br />APPLICATIONI AND CERTIFICATE FOR PAYMENT AIA DOCUMENT C702 PACE ONE OF PAGES
<br />PROIECT: ARCHITECT:
<br />La Porte Public Library Reed & Clements, AIA
<br />name. ,,ddre;<t La Porte, Texas
<br />ARCHITECT'S PROJECT NO: 7401
<br />TO '0%%ner, City of La Porte, Texas
<br />CONTRACTOR: Smith Engineering Co.
<br />CONTRACT FOR: Additions and Alterations to the La Porte
<br />Public Library
<br />APPLICATION DATE: APPLICATION NO:
<br />May 12, 1976 Eight
<br />:\TTN: PrRIOD FROM. March 1, 1976 TO May 12, 1976
<br />CH'.A\GE ORDi R SUMMARY Application is made for Payment, as shown below, in connection with the Contract.
<br />i C�anq,e Order. approved
<br />ADDITIONS $
<br />DEDUCTIONS $
<br />n 1)—Ovlou< mon!hc by
<br />TOTAL
<br />1 � I"I'4 r •�r11'U�l (I
<br />' +11a1r ,I
<br />1 112/1/75
<br />415.00
<br />2 2/18/76
<br />358.50
<br />3 1 4/7/76
<br />1480.64
<br />4 419 76
<br />895.00
<br />i o,rALS
<br />\r•t rhanf;r! by Change C)rdr•rs S
<br />2432.14
<br />scale jexas county of: Harris
<br />Th,• 11ndr•r%it;nr•rl Conlrar.Ifor rc-rtifivs I}1al the Work covered by this Appli•
<br />d'A�WI, for 11,lyrrl,•111 11.1% hvnrt ('oni ,hated in accurdan CC wllh the Contract
<br />!hat all amount. havr liven paid by him for Work for which
<br />,n•r.n•n C:rl,iicalc•s for I'aymen! were issued and payments received from
<br />O..nvr• ar.d Ih,tt the current payment shown herein is now clue.
<br />Smith; n i n
<br />Crinlr6Clur Eg' eering Co.
<br />fly:' Date: 5/12/76
<br />Continuation Sheet,AIA Document G702A, is attached.
<br />The present status of the account for this Contract is as follows: .
<br />ORIGINAL CONTRACT SUM . . . . .................. S— 70.900. n0
<br />Net change by Change Orders , , _. , , , . , . , , , ,$ 2.432.14
<br />CONTRACT SUM TO DATE .. , , , , W ......... . . . . . . ... 73.332.14
<br />TOTAL COMPLETED & STORED. TO DATE ....... , ..s67.850.00
<br />(Column G on G702A)
<br />RETAINAGE 0 % .. ..........:....5 0
<br />or as noted in Column I on �G702A
<br />TOTAL EARNED LESS RETAINAGE .W................s 67,850.00
<br />LESS PREVIOUS CERTIFICATES FOR PAYMENT , . , . , . , , $ 60,165.00
<br />CURRENT PAYMENT DUE .... . . . ............ . . . ..$ 7,685.00 ` f
<br />Subscribed and sworn to before me this / '�Ul day of
<br />Notary Public: �g-A.L.�,
<br />My Commission expires: v 1
<br />/—"%%
<br />In acSordance with the Contract and this Application for Payment the Contractor is entitled to payment in the amount shown above, ❑ OWNER
<br />Archilict: REED AND CLEMENTS, AIA ❑ ARCHITECT
<br />❑ CONTRACTOR
<br />fly: D
<br />TI f.•!rr 1r• ,I t II• I II I ❑
<br />11 , r , , .I �n ,. n, !,,, 1.1 , r , I 1. p,1ya , r• on y it) I W pWryee,namr'd herrnl anti !Is Nsuance, I1ayn1�n1 :utd acceptanre arewithout prejudice to any rights of the Owner or Contrartjimncter their Contract.
<br />10CUMIW702 • APPLICATION AND CERTIFICATE FOR PAYMENT • MARCH 1971 ED • AIAO
<br />illr AMr1:ICAN INSTITUTE: Of ARCHIT[CTS, 1715 Nf:W YORK AVE„ N•W., WASI IINGT ), C. 210006
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