Line I - Line 2 ) 689,00000 689.000.00 4. TOTAL COMPLETED & STORED TO DATE............ S 548,592.40 (Cob= G on G703) s. RETAENAGE: a. jid% of Completed Work ( Column D E on G703) b. 10% of Stored Material ( Column Pon 0703 ) Total Retainage ( Line 5a + 51, or The und.csigned Contractor certifies tbst

From To 4 To To From From From To To To Change course code From To Reason for change: 0 Recalculated Grade Average E:1 ,(tudent Completed Work Other (explain below) - 1/0P S -71-t-7.57ca C2' r. APPROVAL SIGNATURES (two of three required) • • . aa'eairatto.7.7t. SIGNATURE OF AREA ADMI