PROJECT NAME: APPLICATION NUMBER: JOB ORDER NUMBER: APPLICATION DATE: FACILITY: PERIOD TO: (NTP?) DATE: CONTRACTOR: SCHEDULE 1 TO APPLICATION FOR PAYMENT COST BREAKDOWN BASED ON PROPOSAL SUMMARY CSI SECTIONS A B C D E F G H DESCRIPTION TOTAL AMOUNT TOTAL AMOUNT AMOUNT COMPLETED COMPLETED ON OF THIS SCHEDULED % COMPLETE TO DATE PRIOR APPLICATION APPLICATION RETENTION CSI Section VALUE TO DATE (C x D) FOR PAYMENT (E - F) (5% x E) No. .
PROJECT NAME: APPLICATION NUMBER: JOB ORDER NUMBER: APPLICATION DATE: FACILITY: PERIOD TO: (NTP?) DATE: CONTRACTOR: SCHEDULE 1 TO APPLICATION FOR PAYMENT COST BREAKDOWN BASED ON PROPOSAL SUMMARY CSI SECTIONS A B C D E F G H CSI Section No. . DESCRIPTION SCHEDULED VALUE % COMPLETE TO DATE TOTAL AMOUNT COMPLETED TO DATE (C x D) TOTAL AMOUNT COMPLETED ON PRIOR APPLICATION FOR PAYMENT AMOUNT OF THIS APPLICATION (E - F) RETENTION (5% x E)