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PROJECT APPLICATION AND PROJECT.CER, .,qCATE FOR PAYMENT <br /> <br />AIA DOCUMENT G722/CMa (Instructioos on ~everse side) <br /> <br />PAGE ONE OF P'AG'~S <br /> <br />H- <br /> <br />Z <br />0 <br /> <br />bd <br />Z <br />0 <br /> <br />>- <br />LU <br /> <br />0 <br /> <br />b_ <br /> <br />TO O\X/NEI{: Cily of Elk River <br /> <br /> 13065 Orono Parkway <br /> Elk River, MN <br /> Lori Johnson <br />ATTENTION: <br /> <br />PROJECT: <br /> <br />Northbound Liquors <br />1(~348 Evans Slr~t NW <br />Elk River, MN 55330 <br /> <br />PROJECT APPLICATION FOR PAYMENT <br />Application Ls made. (or Payment. as showo bdo~.; h, connection whh thc Projco. Project <br />Application Summary, AIA Oocumem G7251C.Ma, i5 auachcd. <br /> <br />I. TOTAL CONTRA~ SUMS (hem A To~Is) ~ 839. P61' <br />2. To~l net changes by Change O~em I 15,647 <br /> .(Item B Totals) 855,608 <br />5. TOTAL CONTRA~ SUM 10 DATE (i~,m C Totals) ~ <br /> <br />4. TOTAL COMPLETED & STORED TO DATE I 301,[!04 <br />('Item F ~)tala) <br />5. RETAINAGE (hem H Totals) I 15,064 <br /> 115,128 <br />6. LESS PREVIOUS TOTAL PAYMENTS 1. <br />(llem I Totals] <br />7. CURRENT PAYMENT DUE (Rcm J Totals) ] '1 1'71,1 <br /> 12 <br /> <br />The undersigned Con.,;Iruction Maoagel certific.,; Ih.at I0 <br />Manager's know'ledge, infosmation and belie{ {h~ Project Application roi ~ymcnt is an <br />a<cumle compilation of thc Con,melon' Appllcmion$ <br /> OeyMon¢ Con~Mon Comply <br />CONSTRt}CTION MANAGER:~ ~ <br /> ' ~_A. ' 7/16/97 <br />Bye _ . Date: <br /> <br />5~a~e of: <br />Coumy off Sco~ <br />Subscribed ~gd sworn lo belb~, <br />me this day or m~y 1997 <br /> DeMa K. Qu~ell <br /> 1/3 Da000 <br />Nolary Public: <br />My C Dram L~sion <br /> <br /> APPLICATION NO.: I')is~ribulion LO: <br /> PERIOD TO: 0] O OWNER <br /> PROJECT NOS.: 06130/97 0 CONSTRUCTION <br /> MANAGER <br /> 3460 <br /> [] ARCIIITECT <br /> <br />PROJECT CERTIFICATE FOR PAYMENT <br />· In acco{dance with ihe Contract Do<umcms, based oh on-$il~' observations and the data <br />comprising this Apptiotio[L the ConstTt~lion Manager and Arddteet certify ~o the Owner <br />thai to thc he_si of their k~ov,'ledge, info[matioi~ and belief the Work has progressed as <br />iJxdicated, the qu.ality of thc Wosk is iix accordance ~x'ilh the Coniract L~ocufltent$, and <br />the Contractors are emitled ti) paymem Gl the AMOUNTS C£RTIFIED. <br /> <br />171,112 <br /> <br />TOTAL OF AMOUNTS CERTIFIED ................ <br /> G mysl ono._C0nstmc tion Company <br />CONSTRUCTION MANAGER.'~ 7/16;97 <br /> <br />By: .' ~/~_' {~Ij ~ Date: <br /> <br /> Tushie-Montgomery & Associates. Inc. <br />ARCHI'fEeT: . . <br /> Gary Tushie, Presidcnl <br />By: Dme: <br /> <br />This Cerlilicat¢ is not negoliabl¢. The AMOUNTS CERTIFIED ace payable only to the <br />Contracto[s named in AIA Document G723/CMa, attached. I.¢,suar~e, paymcm and <br />tahoe of payment are withou! pse[udice to any ~ights of the Owner or the Contractor.~ <br />under their Contracts. <br /> <br />~,,~.~ AIA'DOCUMENT G722K:Ma * PlO)ECl' APPLIeAI'IO.'q ,~%q) PROJE~ CE~IFI(~ ~l PAYMENT · I~ EDISON · AIAe <br /> ~,1~2 · THE AM~(~N ~$TITL~E OF A~ItlTEC~. 1735 N~' ~ A~UL ~., ~&SHIN~N. D.C. ~92 <br /> WARNING: U~I~ ~~ v~ ~ ~t ~ ~ MIl ~ N ~ m ~ ~n. <br /> <br />Gi7221CMa--199 2 <br /> <br /> <br />