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CONTRACTOR'S APPLICATION FOR PAYMENT

APPLICATION AND CERTIFICATION FOR PAYMENTAIA DOCUMENT G702 PAGE ONE OFPAGESTO OWNER:PROJECT: APPLICATION NO:Distribution to:OWNERARCHITECTPERIOD TO:CONTRACTORFROM contractor :VIA ARCHITECT: PROJECT NO'S:COMMITMENT NO'SCONTRACTS tellar surfacesCONTRACT DATE: CONTRACTOR'S APPLICATION FOR PAYMENTThe undersigned contractor certifies that to the best of the CONTRACTOR'S knowledge, APPLICATION is made for PAYMENT , as shown below, in connection with the and belief the Work covered by this APPLICATION for PAYMENT has beenContinuation Sheet, AIA Document G703, is in accordance with the Contract Documents, that all amounts have been paid by the contractor for Work for which previous Certificates for PAYMENT were issued and payments received from the Owner, and that current PAYMENT shown herein is now ORIGINAL CONTRACT SUM $2.

CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge, Application is made for payment, as shown below, in connection with the Contract. information and belief the Work covered by this Application for Payment has been

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