1 1 99 en . 2009-01-01T11:22:00 12345 2009-01-01T11:22:00 App For Payment Execution Time: Ordered By: Job Id: Comment: Order Time: Report: Printed By: Current Time: Current Date: Page -------- End of Report -------- Rep. Params: IFS Applications Created: none Notes: No data found Contract No: Application No: Add Retention Released Add Taxes Application for Payment Balance Due Less Deductions Less Discount Less Paid to Date Less Retention Removed Items THIS IS NOT A TAX INVOICE Total Amount Due Value of work applied for (see attached breakdown) Visit Address,Invoice Address,Phone,Fax,Bank Giro,Postal Giro,Tax Number Deduction Percent: Discount Percent: Retention Percent: Bal Due: Paid To Date: This Tax Amount: Prev Tax Amount: Used Tax Amount: This Afp Total Due: This Used Ret Released: This Used Deduction: This Used Discount: This Used Tot Retvalue: This Afp Total Value: Prev Afp Total Due: Prev Used Ret Released: Prev Used Deduction: Prev Used Discount: Prev Used Tot Retvalue: Prev Afp Total Value: Afp Total Due: Used Ret Released: Used Deduction: Used Discount: Used Tot Retvalue: Afp Total Value: Currency Code: Customer Name: Contract Ref: County: City: Zip Code: Address6: Address5: Address4: Address3: Address2: Address1: Our Ref: Pay Terms: Pay Due Date: Customer No: Contract Name: Afp No: Contract No: Val Date: Afp Date: Cust Cert No: Page Footer1: Page Footer2: Page Footer3: Page Footer4: Address Position: Document Footer: Document Address: Rev Seq: Rev Contract Sales Val: Tot Contract Sales Val: Line Name: Line: Revenue Value Adj: Total Valuation: Co Number: Change Status: Item Name: Item No: Line Name: Line: Revenue Value Adj: Total Valuation: Co Number: Change Status: Item Name: Item No: Text1: Text2: Text3: Text4: Text5: Text6: Text7: Text8: Text9: Text10: Text11: Text12: Text13: Text14: Text15: Text16: Text17: Text18: Text19: Text20: Text21: Text22: Text23: Text24: Text25: Text26: Text27: Text28: Text29: Text30: Text31: Text32: Text33: Text34: Text35: Text36: Text37: Text38: Text39: Text40: Is Free Text:

Contract No: Afp No: Line No: Item: Description Of Work: Scheduled Value Base: Scheduled Value Change Orders: Scheduled Value Total: Work Completed From Previous: Work Comp From Prev Percent: This Period Percent: Total Completed And Stored: G Percentage: Retainage: Materials Presently Stored:

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