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0 <br />• <br />i� <br />APPLICATION AND CERTIFICATE FOR PAYMENT AIA DOCUMENT G702 PAGE ONE OF PAGES <br />PROJECT: A City Hall Building for the City <br />(name, address) of La Porte, Harris County, Texas <br />604 West 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 />I APPLICATION DATE: April 3, 1978 APPLICATION NO: 6 <br />ATTN: Mr. Jack Porterfield PERIOD FROM: March 1, 1978 TO March 31, 1978 <br />in previous months b <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. present t status of the account for this Contract is as follows: <br />, <br />Change Orders approved <br />ADDITIONS $ <br />DEDUCTIONS $ <br />TOTALS <br />Net change by- Change Orders $ <br />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: ��rl— Date: April 3, 1978 <br />ORIGINAL CONTRACT SUM .......................$ 663,000.00 <br />Net change by Change Orders ................... $ 0.00 <br />CONTRACT SUM TO DATE .......................$ 663,000.00 <br />TOTAL COMPLETED & STORED TO DATE .......... $ 485,428.00 <br />(Column G on G702A) <br />RETAINAGE 1f1 % .........................$ 48,542.80 <br />or as noted in Column I on G702A <br />TOTAL EARNED LESS RETAINAGE .................. $ 436,885.20 <br />LESS PREVIOUS CERTIFICATES FOR PAYMENT ........$ 330,095.70 <br />CURRENT PAYMENT DUE ......................... .106, 789.50 <br />Subscribed and swo before me this. 3rd day of April 19 78 <br />Notary Public: � �Q <br />My Commission expires: ? Ma Ch 197 7- <br />In accordance with the Contract and this Application for Payment the Contractor is entitled to payment in the amount shown above. ❑ OWNER <br />Ar itec <br />>K] ARCHITECT (3) <br />© CONTRACTOR(file) <br />By: © Mr. Jim Gross <br />This sate is not negotiable. It is p le only to the payee named herein and its issua yment and acceptance are without prejudice to any rights of the Owner or Contral&nder their Contract. <br />ICUMENT G702 • APPLICATI(A< AND CERTIFICATE FOR PAYMENT • MARCH 1971 EDITION • AIA® <br />9 THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., N.W., WASHINGTON D. C. 20006 <br />