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APPLICATION AND CERTIFICATE FOR PAYMENT Page1 of 2 <br /> <br />TO (OWNER): City of Elk River - Pat Klaers PROJECT: <br /> <br />CONSTRUCTION ARCHITECT <br />MANAGER: Kraus-Anderson Construction <br /> 200 Grand Avenue <br /> Saint Paul, MN 55102 <br /> <br />Elk River Public Safety Facility <br /> <br />Tushie Montgomery <br /> <br />APPLICATION #: <br /> <br />PERIOD FROM: <br />PERIOD TO: <br /> <br /> 23 <br /> <br />6/1/04 <br />6/30/04 <br /> <br />CONTRACTOR'S PROJECT #7713 <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 1 Daka Corporation 10,783.95 <br /> 1 8 Carciofini Caulkin~l Company 1,669.50 <br /> 29 Bartley Sales Company, Inc. 2,432.00 <br /> 43 Sentra-Sota Sheet Metal, Inc. 1,720.45 <br /> Kraus-Anderson Construction Co. 14,784.00 <br /> TOTAL: 31,389.90 <br /> <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />In accordance with the Contract Documents, based on <br />)n-site observations and the data comprising the <br />~bove 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 C~ied ____ _~?__.__~__~- <br /> <br /> <br />