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Get Id Contractor Request For Payment

CC Date Name and Location of Project Name and Address of Contractor Request No. For Period TO ANALYSIS OF CONTRACT AMOUNT TO DATE (1) Original Contract Amount $ (2) Net Amount of Change Orders through CO# $ (3) Adjusted Contract Amount (Line 1 + Line 2) (1) (2) 0.00 $ (3) ANALYSIS OF WORK PERFORMED (Attach Pay Estimate Breakdown) (4) Value of Work Performed from Column 4 of Estimate Breakdown $ (5) Less Amount Retained Per Contract Terms ( $ % of Line 4 above) (6) Net Amount.

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