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APPLICATION AND CERTIFICATE FOR PAYMENT Page1 of Z <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: Elk River Public City Hall <br /> <br />APPLICATION ~¢: 24 <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: 7/1/04 <br />PERIOD TO: 7/31/04 <br /> <br />CONTRACTOR' S PROJECT #7751 <br /> <br />CONTRACT DATE <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 8 ;Western Steel Erection~ Inc. 2,575.00 ,~ <br /> 1 0George F. Cook Construction Co. 1 2,611.35 / <br /> 1 2Olympic Wall Systems~ Inc. ~,OO0.00 <br /> 1 7Garage Door Store 610.00 / <br /> 23 ~larsden Building Maintenance LLC 5t873.40 ~,' <br /> 39 Systems Management & Balancing 1,345.20 ~,' <br /> <br /> Al <br /> In <br /> a[ <br /> t~ <br /> in <br /> t? <br /> el <br /> A <br />TOTAL: <br /> <br /> :HITECT'S CERTIFICATE FOR PAYMENT <br /> accordance with the Contract Documents, based on <br />,n-site observations and the data comprising the <br /> ,ve situation, the Architect certifies to the Owner <br /> <br />hat to the best of the Architect's knowledge, <br /> 'mation and belief the Work is in accordance with <br /> Contract Documents, and the Contractors are <br />;ntitled to payment of the AMOUNT INDICATED. <br /> <br /> ~ount ('~-~Nfied ~_ __'~__.__~4__~~'_ _?_._~_C. <br /> <br /> ~shie~omery And Associates <br /> <br /> <br />