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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 Safety Facility APPLICATION #: <br /> <br />1Z <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 #7713 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 Dryden Excavating, Inc. 475.00 <br /> 4 Duncan Concrete, Inc. 4,664.50 <br /> 7 North Metro Landscaping, Inc. 47,796.06 <br /> 8 Kelleher Construction 399.00 <br /> 14 George F. Cook Construction Co. ~~,O~~ <br /> 23 St. Cloud Acoustics, Inc. 1,353.75 <br /> 25 MCI Inc. 46,521.00 <br /> 35: Nielsen's Equipment & Design, Inc. 3,016.63 <br /> 39 Schindler Elevator Corporation 667.00 <br /> 44 Direct Digital Controls, Inc. 9,368.00 <br /> 45 Collins Electrical Contruction Co. ~ <br /> 46 Systems Management & Balancing 1,850.40 <br /> Kraus-Anderson 11,672.00 <br /> TOTAL: l_.6A,.Z2--9-:O~ <br /> <br />ARCHITECT'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 /> <br />Amount Certifiecl, <br />_~~/~~_ _ D a t e: _~_/~/~_ _ <br /> Tushie Mbntgomery And Associates <br /> <br /> <br />