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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 />5 <br /> <br />CONSTRUCTION <br />MANAGER: <br /> <br />Kraus-Anderson Construction <br />200 Grand Avenue <br />Saint Paul, MN 55102 <br /> <br />ARCHITECT: <br /> Tushie Montgomery <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 5 Dryden Excavating 10,117.50 <br /> 8 Kelleher Constr. 19,570.00 <br /> 1 0 Serice Constr. 166,327.00 <br /> 1Z Western Steel 14,250.00 <br /> 1 3 Regal Contract 28,499.70 <br /> 14 George F. Cook 10,101.54 <br /> 1 7 Weather Proof 46,837.05 <br /> 1 8 Carciofini Caulk 7,125.00 <br /> 19 Glewwe Doors 9,542.33 <br /> Zl Empirehouse 37,571.10 <br /> 40 Northern Air 16,198.00 <br /> 4;] Northern Air 45,505.00 <br /> 43 Sentra-Sota 29,160.40 <br /> 44 Direct Digital 2,824.00 <br /> 45 Collins Electric 93,603.80 <br /> Kraus-Anderson 45,963.00 <br /> TOTAL: 583,195.42 <br /> <br />PERIOD FROM: 12/1/02 <br />PERIOD TO: 12/31/02 <br /> <br />CONTRACTOR'S PROJECT #7713 <br />CONTRACT DATE <br /> <br />~,RCHITECT'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 />By: ate: ___ <br /> <br /> <br />