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APPLICATION AND CERTIFICATE FOR PAYMENT <br /> <br />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 #: <br /> <br />16 <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 />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 2 Dryden Excavating Inc. 1,974.00 <br /> 8 Western Steel Erection Inc. ~, ~:~_. ~ ~ <br /> 9 Regal Contractors Inc. 1 5,200.00 <br /> 10 George F. Cook Construction Co. 3,418.61 <br /> 1 2 Olympic Wall Systems, Inc. /--~(~<:t '-- ~ <br /> 18 Empirehouse, Inc. ~ <br /> 19 Twin City Tile & Marble Co. 13,300.00 <br /> 22 Steinbrecher Painting, Inc. 29,829.75 <br /> 34 Albers Mech~ni~l Services, lnc~ .~~ <br /> 36 Weidner's Plumbing & Heating "~)~g2~:)"- ~ <br /> 37 Direct Digital Controls, Inc. 10,368.00 <br /> 38 Reliance Electric 12,920.00 <br /> Gresser Companies, Inc. /" 9,500.00 <br /> 'Kraus-Anderson Construction Co. 22,342.00 <br /> <br />TOTAL: ! 8.0,9 ;r ~ -$8 <br /> <br />PERIOD FROM: <br />PERIOD TO: <br /> <br />CONTRACTOR'S PROJECT #7751 <br /> <br />11/1/03 <br />11 /30/03 <br /> <br />CONTRACT DATE <br /> <br /> --'4, I <br /> <br />ARCHIIECT'S C[RIIFICAIE FOR PAYMENI <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 />,mery And Associates <br /> <br /> <br />