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NEW <br />LOO M14045 Northdale Blvd <br />Rogers MN 55374 <br />CONTfLACTIN 78324,-,596 <br />Owner: City of Elk River <br />Application For Payment On Contract <br />Contract Sum to Date .............................. <br />Total Complete to Date ........................... <br />Total Retained .................................. <br />Total Earned Less Retained .......... <br />1 AM P51 53 <br />871,261.73 <br />Unit Billing <br />Application: 6 <br />Period: 11/2012021 <br />Job Location: <br />Orono Park Reconstruct <br />Contractor's Certification of Work <br />The undersigned contractor certifies that, to the best of the contractor's <br />knowledge, the work on the above named job has been completed in <br />accordance with the plans and specifications to the level of completion <br />indicated on the attached schedule of completion. <br />43,563.10 <br />827,698.63 Contractor:Date: 11/22/21 <br />Less Previous Billings ............................ 764,370.65 <br />Current Payment Due ............................ 1 63,327.98 <br />Balance on Contract .............................. 536,689.60 <br />Amount Certified: $63,327.98 <br />Landscape Architect . Date: 11 /23/21 <br />>� i' Iaq I a, <br />Terms: invoices are due and payable 300Y from the date of invoice. All overdue amounts will be charged a service charge of <br />18.00 % per annum. Please make checks payable to: New Look Contracting, Inc. <br />Thank you for your prompt payment. <br />