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....... APPLICATION AND CERTIFICATE FOR PAYMENT <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: <br /> <br />Elk River Public City Hall <br /> <br />Page 1 of 2 <br /> <br />APPLICATION #: 1 9 <br /> <br />CONSTRUCTION <br />MANAGER: <br /> <br />Kraus-Anderson Construction <br />200 Grand Avenue <br />Saint Paul, MN 55102 <br /> <br />ARCHITECT <br /> <br />Tushie Montgomery <br /> <br />PERIOD FROM: 2/1/O4 <br />PERIOD TO: z/zg/oq <br /> <br />CONTRACTOR'S PROJECT #7751 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 3 RHC Construction~ Inc. 3~230.00 <br /> 7 Minnetonka Iron Works 1,865.80 <br /> 9 Regal Contractors Inc. 1,345.00 <br /> 10 George F. Cook Construction Co. 16,968.00 <br /> 1 6 Glewwe Doors, Inc. ~ <br /> 1 8 Empirehouse, Inc. 3,462.75 <br /> 20 Ceilings & Floors, Inc. 6,574.57 <br /> 21 Spectra/Contract Floorin9 Services 23,1 62.60 <br /> 22 Steinbrecher Painting Inc. ~L~'70'~ -9746~ <br /> 34 Albers Mechanical Services, Inc. 5,605.00 <br /> 36 Weidner's Plumbin9 & Heatin9 ~ <br /> 37 Direct Digital Controls~ Inc. 2,487.00 <br /> Kraus-Anderson Construction 16,912.30 <br /> TOTAL: '-967463-:-66 <br /> <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />th 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 />Am,~/Iied /z/~,~_.f __~,, '~' <br /> By~ 'w ...... <br />- T~ie ~ ,~pm~ry And Associates <br />oz <br /> <br /> <br />