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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 APPLICATION #: <br /> <br />19 <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: 2/1/04 <br />PERIOD TO: 2/29/04 <br /> <br />CONTRACTOR'S PROJECT #7713 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 6 Century Fence Company 29~654.25 <br /> 20 Garage Door Store 4,850.00 <br /> 21 Empirehouse~ Inc. 4,125.37 <br /> 45 Collins Electrical Construction Co. ~ <br /> Kraus-Anderson Construction Co. 6,999.63 <br /> TOTAL: ~ <br /> <br />~,RCHITECT'S CERTIFICATE FOR PAYMENT <br />In accordance with the Contract Documents, based on <br /> <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 ¢~:2~'~f'! (~;'~---~- _ __ <br /> <br /> Tushie Mohtgomery And Associates <br /> <br /> <br />