CONTINUATION SHEET                                                           AIA DOCUMENT G703                                               PAGE 1 OF 1
  AIA Document G702, APPLICATION AND CERTIFICATION FOR PAYMENT, containing                                                APPLICATION NO:
  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:
                                                                                                                              PROJECT NO:
    A                     B                         C                D                E                F                      G                     H              I
   ITEM         DESCRIPTION OF WORK            SCHEDULED             WORK COMPLETED                MATERIALS          TOTAL           %          BALANCE       RETAINAGE
   NO.                                            VALUE       FROM PREVIOUS      THIS PERIOD       PRESENTLY       COMPLETED        (G ÷ C)     TO FINISH     (IF VARIABLE
                                                                APPLICATION                         STORED         AND STORED                     (C - G)        RATE)
                                                                  (D + E)                           (NOT IN          TO DATE
                                                                                                    D OR E)          (D+E+F)
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  AIA DOCUMENT G703 · CONTINUATION SHEET FOR G702 ·  1992 EDITION · AIA · © 1992                                                                               G703-1992
  THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, N.W. WASHINGTON, D.C. 20006-5292