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06-27-2005 Council Packet
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06-27-2005 Council Packet
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1/12/2023 9:48:03 AM
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AP»l^TIOIIiy«ClllWICATir0IIPAVMlllTtlUMTmiTgAUI)0Ct<tl6>tT07M)PAGl0Nt0^2Meil <br />IttiftfUAvanut <br />UfigUht.MNa63M <br />340\MMowOrlv» <br />Long Ute,MN 89366 <br />AFfUCATIOfi NO: 14 (RSVISEO) <br />OtmOOTO: 31-0ct04 <br />iCCONnUCTOII): Roctwi Coipofolon <br />MM Awvgeli Lono NoftL Suit 101 <br />RynOOH.MN 16447 <br />VIA (AIICMTttT): tlCV Ofoyp <br />222NorliM8lrotl <br />IAnnMpOlN,MN 56401 <br />ARCHITICrt <br />MIOJiCTNO:151601 <br />COmMCTROil; HoiWlCMMWiMM^IiMMi_______ <br />comiucnii^AmicATiOMFOiiPAv^ <br />CONTIUCTOATl: <br />iyOMOir <br />TOTAL <br />TOTALS <br />AOOmONS <br />2MM146 <br />6.66600 <br />5J0600 <br />OSOUCnONS <br />000 <br />2MSM40 <br />AppOcMon It nwM tar Ptymont M ihown b«iow. in connoellon <br />witi fit CorilrocL ConlriuMcm SItML SubtliM <br />GTOSitiMitd. <br />tin COMMOr CMto M to «W bMl Of M CerMCMH <br />iDf POyOMOl INO tow COMONM M ocooroonot «M< tw CoMtod <br />Doeumonk. OlOl W omooMO now tow tow by Olo Contodor lor WoA lor <br />oWdorWwCittlcottolbtnudonKrdoiioModondtoiidodotocdwd <br />tow Oio Ooiiof. dW Old cwod poyowoWdiin iwdn • iw» «• <br />cflwnMCTO^otnw co^otio <br />ptlt: Noi«nMM.2004 <br />1 ORK3INAL CONTRACT SUM. <br />2. NttCMnoiOyCntngtOtatrt............. <br />3 CONTRACT SUM TO OATS (lint 1«/*2) <br />4 TOTAL COMPLETED 6 STORED TO DATE. <br />(Column Q on 0703) <br />5 RETAINAGE <br />• _% of ComgUNd Work <br />(Column D«E on (3703) <br />b._% of Siortd Milinil <br />(Column P on (3703) <br />Tow RoMlntoi (Lint 8t«5b or <br />Tow m Column i of 0703^....... <br />6 TOTAL EARNED LESS RETAINAOE. <br />(Unt4ioMLlnt5Toial) <br />7 U88 PREVIOUS CERTIFICATES FOR <br />PAYMENT (Lint 6 bom pnor CtnScatt) <br />S CURRENT PAYMENT DUE <br />0 BALANCE TO FINISH. PLUS RETAINACSe <br />(Lint 3 loti lint 6) <br />1.660.970 00 <br />266.666 40 <br />2.236.06640 <br />2.236.65649 <br />000 <br />2.236.656.49 <br />*t •»• ••*»•*•«•«** <br />2.216.406 26 <br />17346 21 <br />000 <br />7-J SMItoT lAnnttoli Countyof; Htnntpin <br />SubtolbtO and twom 10bttort mt mm 111 ORf of NovtmMr. 2004 <br />Notary PubHc m ftmanwm <br />lOMirmc <br />moammmi <br />m accoiBmt Mil Oia Oonaad Ooeumtnii. bitad on on-tat obatrva6ont <br />and fit data compnNno fit about aoMcaaon. im Arcfiaaci otiiBai 10 <br />Otnar fiM 10 Iht boM of fit ARfiAKri imotAidoa. miDimaion and bMM mt <br />vtoiiiHooprooraiiadaiindicatad.iiOMioMyofO>aWomiainaccorMnco <br />Mth fio ConM OooumoniL and fit Confodor it onfiM 10 paymani <br />of fiO AMOUNT CERT1FW <br />AMOUNT CERT1F1IO. <br />(ABadi tipianatfon f amoimi <br />J <br />222^^ <br />nogotabit TtwAMOUNT <br />orfylofitConiraciornamtdritrtin itsuanct. pojAntnt and accopianct <br />of payrnom art wNioul proiiAtoa 10 any ngnii of tit Owntr or Contractor <br />undtr tvs Contract
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