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APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of 2 <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: Elk River Public Safety Facility APPLICATION #: <br /> <br />CONSTRUCTION ARCHITECT: <br />MANAGER: Kraus-Anderson Construction <br /> 200 Grand Avenue <br /> Saint Paul, MN 55102 <br /> <br />Tushie Montgomery <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 1 Dryden Excavation 30,732 <br /> 5 Dryden Excavation 12,714 <br /> 8 Kelleher Constr. 52,702 <br /> 10 Serice Constr. 173,613 <br /> ~' ~ Kremer & Davis 14,250 <br /> 19 Glewwe Doors 2,712 <br /> 28 Bartley Sales 85 <br /> 29 Bartley Sales 618 <br /> 40 Northern Air 33,321 <br /> 41 Tri-State Fire 2,090 <br /> 42 Northern Air 36,005 <br /> 43 Sentra-Sota 8,550 <br /> 45 Collins Elec. 61,750 <br /> Kraus-Anderson 37,429 <br /> 0 <br /> 0 <br /> 0 <br /> 0 <br /> TOTAL: 466,571 <br /> <br />PERIOD FROM: 9/30/02 <br />PERIOD TO: 9/30/02 <br /> <br />CONTRACTOR'S PROJECT #7713 <br />CONTRACT DATE <br /> <br />REVISED <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 /> <br />