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•^4 <br />AFfUCATlON AND CWTIFICATE FOR FAYMCWT (SUBSTITUTE AIA DOCUMENT 0702)»*CI OM 0* i <br />TOIOWMIQ: C«Cv«IUntUto <br />IM4 Pttk A««nwa <br />tan« L«k«. MN SS2M <br />MOACT; UMf Uk« SlAMA <br />340 W«e«» Omt <br />l»nf llM. MN SS354 <br />AmiCAnON NO: 3 <br />MfmTO; 3«M*v-02 <br />niOM iCOimiACTOIN: RtcNon <br />3490 AiwMAtii INW Noftfi. S*M« 101 <br />MN 99447 <br />VU (AimnCT) HV OfM» <br />332 NofiTi 2t4 9tf««« <br />MN 99401 <br />AACMTfCrt <br />MOACTNOi 1919 01 <br />CONTflACT foil Oimm C»wtmc—« •CONTfUCr OATf: <br />CONTRACTOR S AFftlCATION FOR PAYMENT <br />CHANGE ORDER SUMMARY <br />Cn*r«0« 0»4«rs aporoirtd <br />pr«v«ul montn* by 0«n«r <br />total <br />Approved trot MontA <br />NktfTiMf Ottt App(o%«d <br />totals <br />AOOlTlONS <br />000 <br />OCOlJCriONS <br />0 30 <br />im: 4* 0«dtt <br />AoDt»cattcA If maij« for PayrAdnt, •• tnoMO m eoAn«ct»o<i <br />Mim IA« Ccntrjct. Cootiruiltion Sr>Mt. Subttitut* AlA Oocu>n«nt <br />G703 if attacriAd <br />•••••••ft- <br />Th« wri«4*ti«r«Pd CoAtracior c«ft*r«« tf^t 10 tt»o Mil oi tA# CoodOCIO* t <br />4AO*<odfO **rymotiOA ood b«t«r tr»# viip*t co»0«9d Oy iro* Aee«c*iioi* <br />tot POyiApnt fiM OOOA COtApNtOd •» 0CCO«04nC« M«(fl tA« Cotnrtcl <br />OoctonoAti. lAOt ot ortipwnii Ao«o troo*! aod by lAO Co«l'*ct0« »o* Wo*4 rat <br />tttocfi proyieut C#tt>K4ttt tot foymoni ««tt •atuod and p«*mtntt «tCO*«td <br />botn tha Oa«^. ond lAoi cutr*rt pt»rTH#rti tAo*n ,% no« dw« <br />CONTRACTOR Rochon CorpotPliOA <br />C«*« 1. 3002 <br />I OtoClNAL contract SUM <br />3 Nft by Cripnga OtPt't <br />3 contract Sum to oati (itfN i *Mi.. <br />4 total COMRlETiO & STORED TO 0AT| . <br />iC oA^tm G on C703i <br />9 RETA.SAGE <br />p or Coti-pNtod wotL <br />O • I Cl 0703' <br />b ol Sta^oc Maionpi <br />P on G7C3> <br />ToIA fWl*n>30 IL«iO 9p • 9b pt <br />ToiA it* CoA<tnn t of C703l ........ <br />6 TOTAL lARMO LESS R£tannage - - <br />IL^ 4 tptt L<np 9 TotA) <br />7 LESS to»fV!0uS CIRTkt.CATCS TOR <br />AA>N!CNT (Imp 6 »»Pin pnot Cptti*<tttl <br />• CURPCNT PAYMCrrT DUE <br />9 BALANCE TO FlNiSH R,.uS PETAlNAGf <br />(Ln« 3 l«tt L<rt« 9( <br />1.981.000 00 <br />OOO <br />I 911.000 00 <br />97 760 93 <br />4 986 03 <br />9M72 90 <br />18 91280 <br />74 3S9 90 <br />1 888 127 90 <br />State of U.nn«»dta Ca^t# of Hannppy* <br />SobtciApd and tnem to bpt»i« mp thil Ut Pa <br />IMMMMMMMMMIAT^^^A^A A AAAAAAARRAA i I <br />xjfiv JULIE K. ANDERSON i <br />NOTARY PUBLIC - MINNESOTA : <br />^Va^My Comm. Enpirst Joiv 31.200S ;My Comm. ExpirBO Joiv 31.200S ; <br />Noiaty Rubi< <br />M. Conwr.st^n p.p^vs jA^^Vy 31. 2009 <br />ARCHlTfCT 9 CIRTiPiCATf FOR AAVM8NT <br />to PCCOtdAKP nnri tf«P Contract Oocunpnit ba*Pd on on Mt 9btPtvat«r| <br />pnd tbp data cotnpnppig thp abo^o appaca«<en. ihp Atcrwipci comApt to tbp <br />0«nr ibat rp ti«p Mti or tr»p Atcrwipct t tnoiptgdgp «ifpnnatdn pnd bo^* ir*o <br />Wort bat ptoerptsod at tftocttpd. tbp P«a>>l. ot inp Wort .t n PCCOtHtr^O <br />VkUb l^« ConKKt OoCwmcntB tnd tn« C»n|/aclO« >t pn|<ti«l tO paymo>«< <br />«r tbp AMOUNT CERTlfliO <br />AMOUNT CtRTmfO.f A>Jt^ <br />atnJLnt appl7;lAttacb t*pt«\aton A amovini ettbfpd ANati ftptn tbp am# <br />/l/» <br />apbtod tot I <br />I iMil nP9Pi abp Tr»p AMOwrtT CERTiFiED ia pa.ati a <br />r actot nptppd nptppt latwanct paytnpni and accppimcp <br />M.inpvl prvn#CC4 to any l•gM| ol tbP Onnpr or ConUKtui <br />Wttdpt tNt Contract