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Lake meeler sanitary sewer improvements 2026

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The document is a Contractor's Application for Payment form used in public works projects in Indiana. It certifies that the contractor has completed work according to contract documents and outlines the payment due, including details on total completed work, retainage, and previous payments. The form requires signatures from the contractor and a notary public.

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Click ‘Get Form’ to open the lake meeler sanitary sewer improvements document in the editor.
Begin by entering the Application Number and Public Works Project Number at the top of the form. This information is crucial for tracking your application.
In the Project Description section, provide a detailed overview of the work completed. Be specific to ensure clarity.
Fill in your Institution/Agency name accurately, as this identifies who is submitting the application.
Complete the Total Completed & Stored to Date section by calculating all work done and materials stored. Ensure you include any retainage amounts as specified.
Sign and date the form where indicated, ensuring that it is signed by a principal of your organization for validation.
Finally, review all entries for accuracy before submitting your application through our platform.

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Versions	Form popularity	Fillable & printable
2010	4.3 Satisfied (59 Votes)
2005	4 Satisfied (60 Votes)

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