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<br />GRIDOR CONSTR., INC. <br />3990 27TH STREET S.E. <br />BUFFALO, MN 55313 <br />(763) 559-3734 <br />Owner CITY OF ELK RIVER Date 1/24/2008 <br />For Period 1/14/2008 to 1/25/2008 Request No. 1 <br />Engineer BDM CONSULTING ENGINEERS, ST. PAUL, MN <br />WASTEWATER TREATMENT FACILITY PHASE II IMPROVEMENTS <br />SUMMARY: <br />1 ORIGINAL CONTRACT AMOUNT <br />2 CHANGE ORDER -ADDITION <br />3 CHANGE ORDER -DEDUCTION <br />4 REVISED CONTRACT AMOUNT <br />5 VALUE COMPLETED TO DATE <br />6 MATERIAL STORED <br />7 AMOUNT EARNED TO DATE <br />8 LESS RETAINAGE - 0% <br />9 LESS AMOUNT PREVIOUSLY PAID <br />10 AMOUNT DUE THIS REQUEST <br /> <br /> <br />The undersigned Contractor certifies that to the best of Contractor's knowledge, <br />information and belief the Work covered by this Application for Payment has been completed <br />in accordance with the Contract Documents, that all amounts have been paid by the Contractor <br />for Work for which previous Certificates for Payment were issued and payments received <br />from the Owner, and [hat current payment shown herein is now due. <br />CONTRACTOR: GRIDOR CONSTR., INC. ENGINEER: BDM CONSULTING ENGINEERS <br />By: l~.s~ 1`"""_ Date: ~~~~~~~ By: <br />State of: MINNESOTA County of: WRIGHT <br />Subscribed orn to befor tl}i~~ day of~^~ <br />Notary Publ' <br />My Commission Exptres: 1-31-2010 <br />$ 3,594,700 <br />$ 3,594,700 <br /> <br />$ 36,602 <br /> <br />$ 0 <br /> <br />$ 36,602 <br /> <br />$ 0 <br />$ 36,602 <br />Date: <br />Approved by Owner: <br />CITY OF ELK RIVER <br />Date <br />PAYXLS 1/24/2008 EQUAL OPPORTUNITY EMPLOYER <br />