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APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of 2 <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: Elk River Public City Hall <br /> <br />APPLICATION #: 12 <br /> <br />CONSTRUCTION <br />MANAGER: <br /> <br />Kraus-Anderson Construction <br />200 Grand Avenue <br />Saint Paul, MN 55102 <br /> <br />ARCHITECT: <br /> Tushie Montgomery <br /> <br />PERIOD FROM: 7/1/03 <br />PERIOD TO: 7/31/03 <br /> <br />CONTRACTOR'S PROJECT #7751 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 George F. Cook Construction Co. 31,390.07 <br /> 3 RHC Construction, Inc. <br /> 7 Minnetonka Iron Works 1,662.50 <br /> 22 Steinbrecher Painting, Inc. <br /> 23 Marsden Building Maintenance, L.L.C. 2,671.02. <br /> 36 Weidner's Plumbing & Heating 3,790.50 <br /> 37 Direct Digital Controls, Inc. 4,805.00 <br /> 38 Reliance Electric 15,252.00 <br /> 39 Systems Management & Balancing 2,804.40' <br /> Kraus-Anderson 3,286.00 <br /> TOTAL: <br /> <br />'A'~CHITECT'S CERTIFICATE FOR PAYMENT <br />In accordance with the Contract Documents, based on <br />on-site observations and the data comprising the <br />above situation, the Architect certifies to the Owner <br />that to the best of the Architect's knowledge, <br />information and belief the Work is in accordance with <br />the Contract Documents, and the Contractors are <br />entitled to payment of the AMOUNT INDICATED. <br />Amount Certff, ie~/~ ._'~_~_l__~/,/(__~_,,Z_~d~_ <br /> B~_~~~~-~-_'_~~D a t e :___ -~-/-_~_~ ~ <br /> ~hie~ome. An Associates <br /> <br /> <br />