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APPLICATION AND CERTIFICATE FOR PAYMENT Page1 of 2 <br /> <br />TO (OWNER): City of Elk River ~ Pat Klaers <br /> <br />PROJECT: Elk River Public Safety Facility <br /> <br />APPLICATION #: 15 <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: 10/1/03 <br />PERIOD TO: 10/31/03 <br /> <br />CONTRACTOR'S PROJECT #7713 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 Dryden Excavating 6,738.00 <br /> 3 Omann Brothers, Inc. 23,750.00 <br /> 5 iDryden Excavating 3,395.00 <br /> 10 !Serice Construction, Inc. 49,444.00 <br /> 12 Western Steel Erection, Inc. ~ <br /> 39 Schindler Elevator Corporation 6,884.00 <br /> 40 !Northern Air Corporation _~,%66-633~ <br /> 43 Sentra-Sota Sheet Metal, Inc. 14,195.85 <br /> 44 Direct Digital Controls, Inc. 3,641.00 <br /> 45 Collins Electrical Construction Co. 3,519.23 <br /> Kraus-Anderson Construction Co. 866.00 <br /> TOTAL~ ~ <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~Certified ../._~f _~_~ .__C)_~ ..... <br /> <br /> <br />