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G703 UNIT PRICING PROJECT: Corkle Gravel Pit Green Earth Environmental Inc. Page 1 of 1 <br /> Document G702,APPLICATION AND CERTIFICATE FOR PAYMENT, containing APPLICATION NUMBER: 7292 <br /> Contractor's signed Certification is attached. <br /> APPLICATION DATE: September 26,2016 <br /> Use Column I on Contracts where variable retainage for line items may apply. PERIOD TO: September 26,2016 <br /> PROJECT NUMBER: 16-1058 <br /> A B C D E F G H 1 <br /> Item Description of Work Schedule Work Completed Materials Total Completed % Balance Retainage <br /> # Unit Cost of From Previous This Stored&Used and Stored to Finish <br /> Unit Type Values Application(s) Period Prior+Current To Date <br /> Seeding Native 491.00 Amt 982.0 982.0 982.0 0.00 <br /> 1 Qty 2.0 2.0 2.0 100.0 0.0 0.00 <br /> Hay Mulch 925.00 Amt 462.50 462.5 462.5 0.00 2 Qty 0.5 0.5 0.50 100.00 0.00 <br /> 0.00 <br /> Mowing 95.00 Amt 190.0 190.00 190.0 0.0 <br /> 3 Qty 2.0 2.00 2.00 100.00 0 0 0.00 <br /> Spread Topsoil 95.00 Amt 190.0 190.00 190.0 0.0 <br /> 4 Qty 2.00 2.0 2.00 100.00 0 0 0.00 <br /> Lodging/Perdium 610.00 Amt 610.00 610.0 610.00 0.0 <br /> 5 Qty 1.0 1.0 1.00 100'0 0.0 0.00 <br /> GRAND TOTAL: F 1 - T� 100.0 0.0 0.0 <br /> A=Line Item Number B=Brief Item Description C=Total Value of Item D=Total of D and E From Previous Application(s)(If Any) E=Total Work Completed For This Application <br /> F=Materials Purchased and Stored for Project G=Total of All Work Completed and Materials Stored for Project H=Remaining Balance of Amount to Finish 1=Amount Withheld from G <br /> ` TORGO SOFTWARE www TorgoSoflware=m 01996-2009 ALL RIGHTS RESERVED <br />