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l>it« 1*1.I\ I il Ii I I. I « Mv I .% • .ill.iM 1 .t « *44 I « *»I \«.| «tOOWNU: QiyolOrofioISM Broim R omJ South CiyMlBn.MN &5S2S rkojux Orunu Cky liiill/l'ulke and Tutilii Wuiki iluilihiig Airi JI AMON NO IkKlOl) |0 PROjKn NO IOC|~1 owNe*nOM CONTRACTOR.Vohnoutka mARairrtcr IkiAfiiian PFiMcrTJTl Nor.h Second Siren Minne4fjolit. MN SS4UI C/iN^I K-ACn ;>.AIT I I AKciirrurrfONTHACfiV,CONTRACT lOfc <br />CONTRACTOR'S APPUCATION FOR PAYMENT <br />ApfdkmtkMi li madt for hqrmcfu. as ihown below. In connection idih the CunuAU Cymiiiuauun Slicet. <br />AIA Doemntfu G701 It aiiached. <br />1 ORIGINAL CX>N7RACr SUU <br />I Net ctungf by rhanfe Or den.. <br />CONTRACT SUM TO UAII (Line I k 2)...... <br />TOTAL ODMPLETCD k STORRD TO DATE <br />l»iG.‘288 00 <br />1 he undersigned C'A»niraru^r . ’ifies ihai to the be« o| fhe Coni, actor's kno«ded|e, <br />information and lielief die Wtuk covered by this Apftiicaiion for Paymeni fuw been <br />(onipleied 11 accordant e «v/ih itie CUiriiraci umeois. ihai all aruMinis have t>ren <br />paid by (he cVuiiiacior for Woik for %irtiuli previous Onificaies fur rayrneni teerc <br />iiRued a)id paymeiiit leteivrd fioni die Owner, and dial cmreni paTiiieni sliown <br />hcieiu IS now due <br />(1.815 53)(X*NIKA(:t(>K Volinoiiika <br />151,11217 <br />Oaie <br />154.141? 47 <br />RtTAMAGI: <br />a.of CoiBpIned Work <br />(CohmiBDartonGTOS) <br />Sta» • of <br />C'xitiniy of. <br />Subscribed and tvaoin lo before <br />mo thit day of <br />of Stored Material <br />(GofomroiiGTOS)Noisry Public: <br />My iNmrnission expires <br />ToiN RiiyAaia (Une %• A SR or <br />ToiN M Coliiaui 1 of G70S). <br />TOTAL lARNlli USA RETAIN ACL <br />(Una 4 kai Unci Total) <br />••«••••••••••*154.442 47 <br />7 LESS PREVIOUS CER llHf-ATE5 lOR PAWIf NI. <br />(UociRoin prior Ceiiilkaic) <br />118.908 17 <br />ARCHITECT'S CERTIOCATE FOR PAYMENT <br />In accordance %ndi ihe C'Amiraci iSorumenis, baaed on cm «te obamrationt and the <br />data coni|»rising the aiNwe applicaiion. the Art him i teninei lo die Osaner dtai lu the <br />best of the Afiliiieit s krtuiviedge. inftirmaiion arul tielief die Work has progressed as <br />indicated, the qualiry of the Wtnk is in acccndancc irlth the (amcraci IVtciansenis. acsd <br />the (Vmirat lor is eniiiled to pa>mcnt of the AMOi^T LFRTIF1EI> <br />f <br />CURRENT PAYMENT Din <br />RAlJkNCa TO PINISII. Plus RF1ACNAGK <br />(Una I lot U mI) <br />5.111 00 AMOl!Nr<4RI1MI.I>. <br />f Arr^^k m^anarian ^ dtffmt lAa anMonf a^/iad fm huumi <br />mU/igorca an rko and an fka CknlmMaCian SiUM ikaT ar« ckangad fa <br />tan/ana la Ikr aasaur.r tmlifttd j <br />OU n CI ORDU SUMMARY"ADhrTK^S DthUTIONS <br />Qmigc Orders approxad in <br />prsRdoua manihs by owner <br />Approved diii Uontk <br />t <br />[Nat charm by Qinngc G den ] <br />AJUJlflUT <br />l^aie <br />1 hit Cerlife ate is not fiegoiisMe The AMOUNT C I KIlkllO Ispayalde otsly to ilie <br />iA.tnuM*.tut named heiem lasAtame. payment and actepcaiueof payment arc snehostr <br />prejudke to any rights <d the Owner or i>jniractor ustder (hit raantrart <br />SMS HffticAiMt** AisuctmrKAfi »oi rAnttKiMRst ri»fiMm*AUMa«;*THf amip ]i an iNft nint ov AXtiinicTi nts niw witx axyni 'i nw <br />BC itHaxsivf * WAWriSM^ i»RaN««Mafa«MMffii^nBiMati i (•fm|a«Wm»«a»ai««SfnrHn n«tai«« «•r*7B2 im