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rrl.tI <br />APPUCATION ANDCERTinCATE FOR PAYMENT <br />TO (OWNER): City of Orcno <br />133S Brown Road South <br />Crystal Bay, MN 55323 <br />OONSTFUCTION <br />MANMaER: Kraus-Andar&on Construction <br />525 South Eighth Street <br />Mtrvieapotis. MN 55404 <br />PROJECT: Orono City Hall/Police <br />and Public Works Buiiding <br />ARCHITECT: Boamian Krcos Pfister <br />222 North Second Street <br />Minneapolis, MN 55401 <br />Page 1 of 1 Pages <br />APPLICATION NO: RHeen <br />PERIOD FROfA April 1 .1993 <br />PERIODIC: April 30. 1993 <br />ARCHITECTS PROJECT NO: 1124.C4 <br />CONTRACT DATE: November 12, 1991 <br />r- <br />SECTION CONTRACTOBSUPPUER CURFtENT PAYhCNT DUE <br />06200 Goebel Fixture • Ratatnage $4,059.00 <br />08440 LaForoe Hardware • Retainage $4,113.50 <br />09500 Twin City Acoustics - Flr»al and Retainage $8,037.00 <br />02200 Stelninger Construction $29,502.50 <br />08410 HoTer Glass .$495.00 <br />15500 National Automatic Spdrtkier ■ Retainage $5,317.00 <br />ni9o Ackley-Oombach • Final and Retainage $4,552.00 <br />r <br />ARCHITECTS CERTIFICATE FOR PAYMENT <br />In accordance with the Contract Documents, based on <br />oM-sile observations and the data comprising the <br />above situation, the ArcMiect certifies to the Owner <br />that to the best ol the Architect's knowledge, <br />information arKf belief the Work e in accordance with <br />the Contract Doctments, and tha Contractors are <br />entllo-d to payment of the AMOUNT INDICATED. <br />ARCHTECT: <br />By:Date: