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APPLICATION AND CERTIFICATE FOR PAYMENT Page 1 of z <br /> <br />TO (OWNER): City of Elk River - Pat Klaers <br /> <br />PROJECT: Elk River Public City Hall <br /> <br />APPLICATION #: <br /> <br />8 <br /> <br />CONSTRUCTION <br />MANAGER: <br /> <br />Kraus-Anderson Construction <br />200 Grand Avenue <br />Saint Paul, MN 55107. <br /> <br />ARCHITECT: <br /> Tushie Montgomepj <br /> <br />SECTION CONTRACTOR/SUPPLIER CURRENT PAYMENT DUE <br /> 9 Regal Contract 66,510.50: <br /> 10 George F. Cook 4~418.31 <br /> 14 Specia(t¥ Systems 13,938.40 <br /> 15 Carciofini Caulking 3,Z30.00 <br /> 18 Empirehouse 22,377.25 <br /> 34 Albers Mechanical 38,857.85 <br /> 35 ~Tri-State Fire Z,415.00 <br /> 36 Weidner Plumbing 4,605.60 <br /> 37 Direct Digital 5,319.00 <br /> Kraus-Anderson ;?7, 146.00 <br /> TOTAL: 188,817.91 <br /> <br />PERIOD FROM: <br />PERIOD TO: <br /> <br />CONTRACTOR'S PROJECT #?751 <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 /> · . jS,~I E~I"I,EI .~ <br />Amount <br /> Certified <br /> )_~ ~ Date: ~.'''0' <br /> Tushie Mor~omery And Associates <br /> <br />3/1/03 <br />3/31/03 <br /> <br />CONTRACT DATE <br /> <br /> <br />