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APPLICATION AND CERTIFICATE FOR PAYMENT Page l of 2 <br /> <br />TO (OWNER): City of Elk River - Pat Kiaers <br /> <br />PROJECT: Elk River Public Safety Facility <br /> <br />APPLICATION #: <br /> <br />PERIOD FROM: <br />PERIOD TO: <br /> <br /> 21 <br /> <br />4/1/04 <br />4/30/04 <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 />Amount Certified __~_~__(~_~_°L_ ~ <br />B Date: .... <br /> Tushie Montgomery And Associates <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 4 Duncan Concrete, Inc. 9,481.60 <br /> 6 Century Fence Company 3~376.60 <br /> 9 Molin Concrete Products Co. 2,679.00 <br /> 15 Kremer & Davis, Inc. 1,1 55.00: <br /> 16 Custom Drywall, Inc. 5,618.00 <br /> 22 'Twin City Tile & Marble Co. 5,576.46 <br /> 27 Marsden Building Maintenance LLC 554.00 <br /> 36 Custom Expressions 2_11.25 <br /> 42 Northern Air Corporation 14~447.60 <br /> TOTAL: ~ <br /> <br />CONSTRUCTION ARCHITECT <br />MANAGER: Kraus-Anderson Construction Tushie Montgomery CONTRACTOR'S PROJECT #771 3 <br /> 200 Grand Avenue <br /> Saint Paul, MN 55102 CONTRACT DATE <br /> <br /> <br />