Possible Payment Template

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Malahat

Nation
110
Thunder
Road
Mill Bay,
TO BC 2P4

CONTRAC
IOH
Bullt
Contracti
ng Ltd.

2620 Ross
Road,
Nanoose
Bay BC,
V9P 9A6
CONTRAC
TOR HST
NO.
THIS C CA • NOT NE IABLEANornts PAYABLE
CERTIFICATE SH.QLL BE CONSIDERED AN ACCEPTANCE BY THE ARCHITECT OF ANY WORKOR MATERIALS. ISSUANCE PAYMENT
ARE WITHOUT PREJUDICE TO ANY RIGHTS OF THE OWNER OR CONTRACTOR UNDER THE TERMS
WE HEREBY CERTIFY THAT THE CONTRACTOR IS ENTITLED TO THE SW OF:
One hundred seve six thousand one hundred
Inclusive of Harmonized Sales Tax HS
SUMMARY OF CONTRACT up TO AND INCLUDING CHANGE ORDERS NO.

CONTRACT AMOUNT
.2 TOTAL ADDITIONS
3 TOTAL DEDUCTIONS
4 TOTAL ADJUSTMENTS
5 CONTRACT TO DATE
6 TAL VALUE OF WORK DONE TO DATE (OWL, THIS PERIOD)
RETENTION BUILDERS' LIEN HOLDBACK
8 PAID TO DATE
g E OF WORK PREVIOUSLY CERTIFIED (O'NE 5, PREvmjs CERTIFICATE)

10 RETENTION: BULDERS• UEN HOLDBACK


PREVIOUSLY PAD
12 (F THIS CERTIFICATE (LONE 6 LESS LINE
13 RETENTION: BUILDERS LIEN HOLDBACK (EiNE 7 LESS L"•E 10)
PAID THIS CERTIFICATE (LINE 8 LESS
15 BUILDERS RETENTION HOLDBACK TO OATE (LINE 7)
BUILDERS LIEN RETENTION PREVIOUSLY RELEASED (LINE 18 PREV CERT.)
17 BUILDERS LIEN RETENTION RELEASED THIS CERTIFICATE
TOTAL 8UMOERS LEM RETENTION RELEASED
19 BALANCE BUILDERS RETENTION ACCOt.NT
m DEFICIENCY HOLDBACK PREVIOUSLY WITHHELD (LINE .23 PREV. CERT.)
21 DEFICIENCY HOLDBACK INCREASE
22 DEFICIENCY HOLDBACK RELEASE THOS PERIOD
23 DEFICIENCY HOLDBACK TOTAL
CERTIFI
.24 TOTAL VALUE Ohs 'S 7 enkE91
CONTRAC
T
BALANCE RI
25 LINE 5 NEC}
26 VAI LIF OF CONTEMP S UNDER CO
Bur NOT APPR
APPROVED SMK Ltd

SCOTT M KEMP, Armitect


DISTRIBUTION NUMBER #7

OWNER COOE
CONTRAC
TOR
[d a FILE

INVOICE
NO
INVOICE
DATE 01131/2019

CONTRAC
T
CONTRAC
T
DESCRIPTI Malahat Multi Buildi
THE CONTRACTOR NAMED NEITHER THIS CERTIF'CATE NOR
TERIALS. ISSUANCE PAYMENT AND ACCEPTANCE
THE CONTRACT,
six cents
nd one hundred sovon dollars and ei

THROUGH INCL.
EXCLUSIVE OF HST GST
9.95343 oa $0 tn
$0 (P $000
som
CONTRACT $0m -60.0)
8—34304
$1.078,02475 •mm
47 m

S882.271 57

$8.27 16 So.0Q
ret",
SIS, 753.18
519.575.32 $0.00
11) pm

1 w
CO soo
$000 d)
N ACCOt.NT .8107.22.47
$0.00 80.00
PERIOD W so,m
$0 8000
#0.@

S UNDER CO

10.2019
DAVE: 01/31/2019

177.86

TOTAL CERTIFICATE
-'.4,9634.004
0b
0
$0.00

Sl. 07002876k
5107802.47

83.22716
8794.044,
Sib9.YO•iS;
519.575.332
"74' 77.e

$00
"020
so.ox•

0 tv
$0
n co

DATE;

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