Interior Fit-Out Payment Application

Project Name Application No. Date

Contractor Name Main Contractor/Client Name

Summary of Payment Application

Description	Amount
Original Contract Value
Approved Variations
Total Contract Value
Previously Certified
Current Application
Total Certified to Date
Retention (if any)
Net Amount Payable

Work Progress Details

Item	Description	Unit	Quantity	Unit Rate	Total	Previously Completed	This Period	Total to Date

Remarks

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