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TranSystems Corporation - LGM Construction

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C-2-3<br />

APPLICATION FOR PAYMENT<br />

FedEx Central File No. Project No. Application No.<br />

FedEx Contract No. Period From _________ to<br />

Page ____ of _____<br />

A B C D E F G<br />

WORK COMPLETED (Gross Invoice Amt.)<br />

ITEM DESCRIPTION OF SCHEDULED Previous This Application for Payment Total %<br />

NO. WORK<br />

VALUE Application<br />

Completed (G/C)<br />

For<br />

& Stored<br />

Payment Work In<br />

Place<br />

Stored<br />

Materials<br />

(Not in D<br />

or E)<br />

To Date<br />

(D+E+F)

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