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Interim payment certificate template

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Interim Payment Certificate No. Certificate Number

Period: from Period Start to Period End

Project: Project Name

Contract No.: Contract Number

Contractor: Contractor Name

Contract value: SAR Contract Value

Value of work done to date: SAR Cumulative Value

Previous certificates: SAR Previous Certificates

Value of work this period: SAR Period Value

Retention (Retention Rate%): SAR Retention Amount

Advance payment recovery: SAR Advance Recovery

Penalties and deductions: SAR Deductions

VAT (15%): SAR VAT Amount

Net amount due: SAR Net Due

Contractor: Contractor Signature – Consultant: Consultant Signature

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