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AINU t.lLK i li iU\ I L I UK TAI .MUN ITOOWNU: OirolOfoAO -----------------------------------------------------ISSI Erown KomI Sooih CrrtoJEiy. MN S5S25flOMCONnUCTOROONTlACr FOR;Krmcr/Davit I’KOJLCf:VL\ ARC Jiri FCr - ® N I t* /O4 (tiikMtM iM t|is oil irvri tulc)TAl.l (»NI. oyOrono Cky llall/Poliia and Public Woiki BiiililingBoai man Kiooi rfiMCi 2V2 Nofih Sfcorul Siiffi Minncapolii. KIN &S401 AITUr^MlON NOmuon TOPNojKrr NO(i)NriRAC:r hAlF:DlMiitmikxi IOC n OWNERr~) ARcHiTErrQ CONTRACrOKCONTRACrOR'SAPPUCATION FOR PAYMENTAppRailM k mid* fef Pkyincni, ai thown below. In <onne<il<m with ih* Cuiitrju Cuminu«iiun Sheet <br />AlA Dorufiiciii C70S. It aiuched. <br />1 ORIGINAL OONTHACTSirKt. <br />t NcichanfcbrQiaiiftOfdefu.k**#**^* .»»• »•« •• <br />CONTTUCT SUM TO DATT (line I li T) ..__ <br />total CXIMiUTtO k STORED TO DATE <br />RtTAINAGt <br />of Go«npl<l^«l Work <br />(Column D li E on CTOS) <br />of Stofed Material <br />(Coluro r on CTOS) <br />Totti Rcmlni|c (Unt «a li SR or <br />Toial In Column I of CTOS) <br />TOTAL lAKNID LESS lETAlNACt.. <br />(U m4I«mU»c ITo«I) <br />US mvious CUTinCATES FOR PAVMCNr. <br />(Um • Rom price CcriMkaie) <br />CURXDfrrATUEKTDUl <br />MLANa TO nrasa PLUS RETAINAG( <br />(U m SiHiUae*) <br />RsnHBr y i»^i i^i ▼AD6mr>NS <br />pim^aut mnntin <br />Ripraani dOaTi <br />uaszr Touir <br />r bp 0»nRe Ordetr <br />2.92500 <br />250 00 <br />3,17500 <br />3,17500 <br />3,17.*; 00 <br />2,857 50 <br />31750 <br />biniictioNs <br />The iindettlgned t^xiituior cetiillet that lu the be« o( the Cxmifacioi't liKiwIedge, Inlotmailitn and belief ihe Wink lut ried bp ihii A|>|>IUail»n lot Payment has been <br />foil,pitted in accoidaitte with the Conitarl: <umenii, ihai all amoonu have been <br />paid Ity the («nliarioi lot U'oik lot wliifh pieviuus t>iiirifaies (o< Payment wrie <br />l.vied and payii.cnu it.tived horn the Owner, and that tuiirni (MyiMtni siiuwn <br />hcfcin it nuwdur <br />CONTlUcnoR; Kfrmcr/Davu <br />l>aie: <br />Suie of <br />County of: <br />Subteribrd and viM»rn to before <br />nw IN* day N <br />Noury Public <br />My Commluion esptrei <br />ARCHITECT'S C;ERT’IHC’u\TE FOR PAYMENT <br />Inatcoidante wlih the (ioniiafi IhKumenu. based <hi on site obaeivailoni snd the <br />data (Ompiising the above application, the Auhiteci teiones to die Owner that to die <br />best of the Atchliefi I knowledge. Infoin aiiun and belief die Work haa ptogretaed aa <br />indicated, the ,,.uliiy of the Woik 1s In ar curdarwe with the C^Minci l».«umenis. and <br />die Coniratiui Is entitled to psymeni <d the AMOliNT CUn iflED. <br />AMOUNT OR nm ft.. <br />mn^rm m lAu m»4 0m 1M4 SU4 iMmi -n ikmm^ U <br />€0mfarm la lA# imu/^ ) <br />ARtjinicr <br />I>air; <br />Thiir^nifiaic U not nrgksublc The AKB HINT C lirriFlED iT^aVabic only to the— <br />Caontfa* tor named herein Iteiiaiue, |>a>meni and atcepiaiue of payment me idthmM <br />prejudi, e io any nghu «f the Obmer o# CUmtrmtaf under ihit OmiraM 1 <br />** low AM) ctmncaTi k>« pAn4tKr*i«»f ir>nirm*AiA*i»«^Mi ANtucAW iNnnvii o# AtcatfncTi i7»» Ntw \^jiu antnui nw <br />DC. fomiivi* Wa»iifiUiU«n»ai-apadna«^s,iM»iii «.pn%iMU.. .•<.ti..i^iisfi«4ga«, <br /><;T0E I9V2