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<br />No. <br /> <br />RECOMMENDATION OF PAYMENT <br /> <br />OWNER's Project No. . . . <br /> <br />ENGINEER's Project No. <br /> <br />Project. . <br /> <br />--.-,.----. <br />---- . <br /> <br />CONTRACTOR <br /> <br />Contract For . . . . <br /> <br />Contract Date ............... <br /> <br />Application Date <br /> <br />Application Amount <br /> <br />For Period Ending <br /> <br />............................ . <br /> <br />To <br /> <br />OWNER <br /> <br />Attached hereto is the CONTRACTOR's Application for Payment for Work accomplished under the Contract through <br />the date indicated above. The Application meets the requirements of the Contract Documents and includes the CONTRAC- <br />TOR's Certificate stating that all previous payments to hi:rn under the Contract have been applied by him to discharge in <br />full all of his obligations in connection with the Work covered by all prior Applications for Payments. <br /> <br />In accordance with the Contract the undersignc~d recommends payment to the CONTRACTOR of the amount due as <br />shown below. <br /> <br />ENGINEER <br /> <br />Dated. <br /> <br />. . . . . . . . . . ,19. . . . . <br /> <br />By <br /> <br />---. <br />------ <br /> <br />STATEMI~NTgF WORK <br /> <br />Original Contract Price <br /> <br />$ <br /> <br />Work to Date <br /> <br />$ <br /> <br />Net Change Orders <br /> <br />$ <br /> <br />Amount Retained <br /> <br />$ <br /> <br />Current Contract Price <br /> <br />$ <br /> <br />Subtotal <br /> <br />$ <br /> <br />Work to be Done <br /> <br />~ <br /> <br />Previous Payments Recommended $ <br /> <br />Amount Due This Payment $ <br /> <br />NSPE.ACEC 1910-8.C (1978 Edition) <br /> <br />:':: 1978. Nal1ona] SOl-lety of <br />P,,)feSSlOnal Engineers <br />