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APPLICATION AND CERTIFICATE FOR PAYMENT Page l of 2 <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: Elk River Public City Hall <br /> <br />APPLICATION #: 1 7 <br /> <br />CONSTRUCTION ARCHITECT <br />MANAGER: Kraus-Anderson Construction <br /> 200 Grand Avenue <br /> Saint Paul, MN 55102 <br /> <br />Tushie Montgomery <br /> <br />PERIOD FROM: 1 2/1/03 <br />PERIOD TO: 1 2/31/03 <br /> <br />CONTRACTOR'S PROJECT #7751 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 George F. Cook Construction Co. 7~472.40 <br /> 9 ;Regal Contractors Inc. 12,397.50 <br /> 10 George F. Cook Construction Co. 6~496.25 <br /> 13 Roof Tech, Inc. 755.25 <br /> 17 Garage Door Store 6,,096.1 5 <br /> 18 Empirehouse~ Inc. 4,11 0.45 <br /> 19 Twin City Tile & Marble C~. 8~550.00 <br /> 22 Steinbrecher Painting~ Inc. 10,616.25 <br /> 34 Albers Mechanical Services, Inc. 12,203.87 <br /> 36iWeidner's Plumbing & Heating 16,694.90 <br /> 37 Direct Digital Controls, Inc. 12,640.00 <br /> 38 Reliance Electric 4,790.85~ <br /> Gresser Company 6,650.00~ <br /> Gresser Company 603.00 <br /> Kraus-Anderson Contruction Co. 20,794.00 <br /> TOTAL: 130,870.87 <br /> <br />Amount C~_.r~i e d .~_~_ _~/_ ~ .~_O~_ _~1 <br /> Tffs'hie 2~yom ery. And Associates <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 /> <br />