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APPLICATION AND CERTIFICATE . FOR PAYMENT AIA DOCUMENT C702 PAGE ONE OF PAGES <br />PROJECT: A City Hall Building for the City <br />(name, address) of La Porte, Harris County, Texas <br />604 tJest Fairmont Parkway <br />La Porte, Texas <br />TO (Owner) The City of , La Porte, Harris County, <br />Texas <br />ARCHITECT: Doughtie & Porterfield <br />ARCHITECT'S PROJECT NO: <br />CONTRACTOR: P. G. BELL CO. <br />CONTRACT FOR: A City Hall Building <br />APPLICATION DATE: February 3, 1978APPLICATION NO: 4 <br />• ATTN: Mr. Jack Porterfield PERIOD FROM: Jan. 1, 1978 TO Jan. 31, 1978 <br />CHANGE ORDER SUMMARY - Application is made for Payment, as shown below, in connection with the Contract. <br />Continuation Sheet, AIA Document G702A, is attached. <br />The present status of the account for this Contract is as follows: <br />Change Orders approved <br />ADDITIONS 5 <br />DEDUCTIONS $ <br />TOTA LS <br />Net change by Change Orders $ <br />a 0 State of: Texas County of: Harris - <br />The undersigned Contractor certifies that the Work covered by this Appli- <br />cation for Payment has been completed in accordance with the Contract <br />Documents, that all amounts have been paid by him for Work for which <br />previous Certificates for Payment were issued and'payments received from <br />the Owner, and that the current payment shown herein is now due. <br />Contractor: P. G. Bell Co. <br />By: - <br />Date: Februa <br />3, 1978 <br />ORIGINAL CONTRACT SUM ......................$- 663,000.00 <br />Net change by Change Orders ............. ....$ 0.00 <br />CONTRACT SUM TO DATE _ _ _ _ _ _ _ A 663, 000. 00 <br />TOTAL COMPLETED & STORED TO DATE ....... , .. $ 288, 984.00 <br />(Column G on G702A) <br />RETAINAGE in % $ 28, 898. 40 <br />or as noted in Column I on C702A <br />TOTAL EARNED LESS RETAINAGE .................. $ 260, 085.60 <br />LESS PREVIOUS CERTIFICATES FOR PAYMENT ........$ 209,578.50 <br />CURRENT PAYMENT DUE , .$ 50,507. 10 <br />Subscribed and sworn to before me this third day of February 1978 <br />Notary Public: <br />My Commission expires: 2 March 1979 <br />In accordance with the Contract and this Application for Payment the Contractor is entitled to payment in the amount shown above. ❑ OWNER <br />By': <br />T s C hcate is not negotiable. It is <br />/MfA DOt <br />01971 - <br />fR ARCHITECT (2) <br />JR CONTRACTOR <br />Mr. Jim Gross <br />nt and acceptance are without prejudice to any rights of the Owner or Contract(♦der their Contract. <br />FNT G702 • APPLICATION AND CERTIFICATE FOR PAYMENT • MARCH 1971 WON • AIA® <br />E AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE.. N.W., WASHINGTON, D. C. 20006 <br />6nly to the payee named herein and its issuance, <br />