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4.l. Application for Payment #2 - Valley Oak Addition Phase III
' � • - %�-�38 —� CITY OP RC?SEMt?UNT APPLICATION FOit PAYMENT NO. Z.. CITY FROJECT NO: I �U 5EH FILE NQ; S I� J � PR(�JECT: V o�.�l�P,.y �a.k f�Gd, -fio't� - �a.� � � CONTRACTOR: /��bSe+- �kt�vc,'floM. CO CONTRACT DATE: ���8___ __ �SO� pc,Po.►,-{' �V�/w. APFLICATIQN DI�TE: � /Cj�cJPj---- /�!lb�s.� �� �'�'I Z FOR PERiOD ENDING; � IS/VS a-r Total Contract Amount S �C?�t40 �9 •rotal Amount Earned S� �� �j�,�--- Material Suitably Stored on Site, �.� Not Incorporated into Work , S Z-O�'7 Contract Change Order No. Percent Completa S Contract Change Order No. Percent Complete $ Contract Change Order No. Percent Complete S GROSS AMOUNT QUE . . . . . . . . . . . . . . . . . . . . S_�gj 9'�� "" ,r � LESS J $ RETAINAGE . . . . . . . . . . . . . . . $ Z-9 4S b� . a...r3 AM�UNT DUE TO AATE . . . . . . . . . . . . . . . . . . . $ SS� 9'�� f �� LESS PREVIOUS APPLICATIONS . . . . . . . . . . . S Z•�PS� "'-' AMOUNT DUE THIS APPLICATIUN . . . . . . . . . . . $ ��/$7 �� - PR D: - 8 -ZC-_8° ichard M. f , City E ginear rector af Public Works � /