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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 />22 <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: 5/1/04 <br />PERIOD TO: 5/31/04 <br /> <br />CONTRACTOR'S PROJECT #7713 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 3 Omann Bros. Inc. 11,430.40~ <br /> 21 Empirehouse, Inc. 7,684.68 <br /> 26 Steinbrecher Painting~ Inc. 5,036.00 <br /> 28 Bartley Sales Co, Inc. 7,898.00 <br /> TOTAL: 32,049.08 <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 /> ~mery And Associ~t-es ' -~/~ .... <br /> <br /> <br />