The words contained in this file might help you see if this file matches what you are looking for:

...Application and certificate for payment aia document g instructions on reverse side page of pages to owner project no distribution period architect contractor from via s contract date the undersigned certifies that best knowledge information belief work covered by has been completed in accordance with documents all total complete stored amounts have paid which previous applications were issued payments column received current shown herein is now due retainage a change order summary d e b material f orders approved months additions deductions line or earned less this month certificates number prior balance finish plus state county totals subscribed sworn before me day notary public...