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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 #: 14 <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: 9/1/03 <br />PERIOD TO: 9/30/03 <br /> <br />CONTRACTOR'S PROJECT #7751 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 George F. Cook Construction Co. 48,430.71 <br /> 7 Minnetonka Iron Works, Inc. 5,662.00 <br /> 9 Regal Contractors Inc. 14,250.00 <br /> 10 George F. Cook Construction Co. 3,244.97 <br /> 13 ~,oof Tech, Inc. 16,663.00 <br /> 34 AIbers Mechanical Services, Inc. 38,100.00 <br /> 35 Tri-State Fire 2,584.00 <br /> 36 Weidner's Plumbing & Heating 11,149.00 <br /> 37 Direct Digital Controls, Inc. 5,904.00 <br /> 38 Reliance Electric 22,609.75 <br /> Kraus-Anderson 23,986.00 <br /> TOTAL: 192,583.43 <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 ~__ ~_-__~"__~__-~__- ._~.~. <br />Tu~l'e MC;C,~orhery And Associates <br /> <br /> <br />