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[7$&.So <br />APPLICATION AND CERTIFICATE FOR PAYMENT .m nocnur., c.n,.TO (OWNINI: Cltl/ r,f Onnnr. --------------------------------------------------------------PKOIICT: Orono Cify Mail 4 PublicWorks huiliiimj .yTOtOWNIKi; City of Orono2750 Kelley Parkway Orono, MN 55356tHOM (CONTdACTOW: o.le Tile Conpeny4025 France Ave. No. Minneapolis, MN 55429 CONTRACT FOR: Ceramic Tile VIA .AUCMIUCII: ^CHANGE ORDFR SUMMARY ' ---------------------------1Change Orders approved in previous monibs by OwnerTOTAL additions 1,726.00 'deductionsApproved this Month 293.00 <br />207*. 00 <br />305.00 <br />Number OlKif^pIQycll1314 <br />15 <br />JUl 9»93 <br />ConsinifiKiu <br />TOTAIS 2.531 .on <br />4fuJ Ihiil cufreni pjymenl shownherein » now due <br />CONTRACTOR: <br />Ry: J <br />Dale Tile Co:.ipany <br />-Ifttlsutri_______Dalo: ^Ig l6 -M3__ <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />'*'!!** “I® based t.n on s.le observahons and ibe <br />........ <br />WARNING IInllr ••net'/i <br />(Insifuclions on levcrsc side! ivsci oni oi i -ai .ijAmiCATIONNO: 4 Dislribolion In;Retainane DOWNCR WKIODTf): 6/31/93 □ARCHIUCT□ CONTRACTORARCIIIUCT'S □l‘ROUCT NO: qCONTRACT DATf: 7/28/92 *....................1. ORIGINAL CONTRACT SUM t.......................................2. Nel change by Change Orders............ t 21,292.00d.n«nge uruers...................................( ^iWIrOO ZSZI.ctJ. CONTRACT SUM TO DATE (Line 1 i 2)................ i 2 3,823 rOOT TOTAL COMPLETED & STORED TO DATE.................! i 2 3^62 3.0 0(Column G on G70I)5. RETAINAGE:ol Completcu Work $ ________________ <br />(Column D + f on C7D J) <br />h------% ol Stored Alaterial $ <br />-0- <br />(Culumn F on C701) <br />Tolal Reiainage (line 5a + 5b or <br />T«)lal in Column I ol G701I............................. f -u- <br />I. TOTAL URNED LESS RETAINAGE............... X ?T,823.00 <br />(line 4 less line 5 Total) ~ ' <br />7 LESS PREVIOUS CERTIFICATES FOR <br />PAYMENT (line b from prior Ccrlilicale).............. 1 22,552.55 <br />a CURRENT PAYMENT DUE.............................................. 1,270.45 --------- <br />•> BALANCE TO FINISH, PIUS RETAINAGE.................. ] } _________ <br />---------------•'***'* ^ ____■,^**AAA**iyW»AAAAAAA/U W»AAA»^^M^« <br />My Commission espires: <br />,vify <br />AMOUNT CERTirifO..................................................... 4 <br />Ihis ( tiiilitjie IS not negnluble. Ihe AMOUNI ClRflFUl) is payable only lo ihe <br />m <br />•J