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ro (OUNfcN,)i CITY or ORONO133S BROUN ROAD SOUTHCRYSTAL BAY, HH 6S3?3 PROJECT:CITY MAIL I PUBLIC WORKSGARAGEORONO, HN J rAPPIICAION NO:i.3fRON (CONTRACTOR)!ST. PAUL LINOLEUH S CARPET CO. XStS UNIVERSITY AVENUE ST. PAUL, RN SS1B4CONTRACT fORt RESILEINT FLOOR & CARPET VIA (ARCHITECT):BOARRAN, KROOS, PFISTER ANO ASSOCIATES RINREAPOLIS, RN PERIOD TO: 64/30/93ARCHITECT * S PROJECT NO:0 i t» t r 1 but i on lot_ _ OWNER_ _ ARCHITECTCONTRACTORCONTRACT DATE: 65/11/92:ONTRACTOR'S APPLICATION FOR PAYRENT Application is mads for Paymsnt, as shown btiou, in connsction with <br />ths Contract. Continuation Shsst, AIA Oocumtnt G763« is atlachtd. <br />1 CHAM6C OADCft SUAHAAY 1 1. ORIGINAL CONTRACT SUN. . . . . . .$36.553.66 <br />1 Chsngs Ordsrs approved in 1 ADDITIONS 1 DEDUCTIONS 1 2. Nat change by Change Orders.....»1 .314.66 <br />1 prsvious months by Ownsr 1 1 •! 3. CONTRACT SUM TO DATE (Line 112)1 39.867.66 <br />1 TOTAL 1 1 1 A. TTL CONPIETEO ( STOREO TO DATE)%39.667.66 <br />1 a1 ’ <br />1 Asarovsd this month 1 1 <br />■| (column u on u/vjj <br />I S. RETAINAGEt <br />1 Number 1 Data AoDrovsd L 1 1 •. f % of Compl.C.d Uork t .66 <br />1 1 1 1 1 (Column 0 •» E on G7B3) <br />1 1 1 1 1 b. f % of Stored Ndterial S <br />1 1 1 1 1 (Column F on G7S3) <br />1 1 1 I Total Rstainags (Lins 5a ♦ Sb oritotals 1 .66 1 .66 I Total in Column I of G763)....$3.986.76 <br />1 Nat Chanas bv Chanos Ordsrs _ _ _ _ _ _ _.tt. _ _ <br />1 6. TOTAL EARNED LESS RETAINAGE....1 35.866.36 <br />fh# undsrsigntd Contractor csrtifiss that to ths bast of ths Contractor's <br />mowisdos^ information and bsiisf ths work covsrsd by this Application for <br />^symsnt has bssn compistsd in accordancs with ths Contract Oocumsnts, that <br />ail amounts hsvs bssn paid by ths Contractor for Work for which prsvious <br />Csrtificatss for Paymsnt wars issusd and paymsnts rtcsivsd from ths Ownsr, <br />and that currant paymsnt shown hsrsin is now dus. <br />8 <br />9 <br />(Lins 4 lass Line S Total) <br />LESS PREVIOUS CERTIFICATES FOR PAYRENT <br />(Lins 6 from prior Csrtif.)...! 34.697,76 <br />CURRENT PAYRENT DUE. . . . . . S 1.16? <br />BAL. TO FINISH, PLUS RE IAlNAGE . ,S 3.986 <br />(Lins 3 lass lins 6)_ _ _ _ _ __ _ <br />. 7> \ t <br />CONTIIACTOII <br />■ yi <br />. PAUL LIPOieUP ( CA T CO. <br />Stats of: RINNESOTA <br />Subscribsd and sworn <br />Oats I 16/26/93 <br />No tar y Pjd^ 1 i <br />Ry Commlf^ol <br />ARCNXTICTVd CERTIFICATE FOR PAYRENT <br />In accorMncs with ths Contract Oocumsnts, bassd on on*sits <br />obsorvstsons and ths data comprising ths above application, ths <br />Architsot csrtifiss to ths Ownsr that to ths bsst of ths Architsct's <br />knowlsdgs. information and bsiisf ths Work has progrssssd as <br />indicatsd. ths quality of ths work is in accordancs with ths Contract <br />Ossumants, and ths Contractor is sntitlsd to paymsnt of ths <br />AROUNT CERTIFIED. <br />County B <br />b.foro STEFANIE J. STAR; <br />NOTAirNUfeuc <br />RAMSEY COUNTY <br />I%Cmml Elston Stpi Zi. 19.Cl <br />AROUNT CERTIFIED. . . . . .^. . . . . . . . . . . . . . . .I <br />(Attach sMplan. if amount cert, differs from ths amount <br />applled for. ) <br />ARCHITECT: <br />By:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _Oats: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ <br />This Csrtificats is not nsgotiabis. Ths AROUNT CERTIFIED is <br />payable only to ths Contractor named herein. Issuance, <br />paymsnt and acceptance of payment are without prejudice to <br />any rights of ths Ownsr or Contractor under this Contract. <br />AIA OOCURENT 6F63 - APPLICATION ANO CERTIFICATE FOR PAYRENT < RAY 19B3 EDITION <br />TNI ARERICAN INSTITUTE OF ARCHITECTS. W35 NEW YORK AVENUE, N.U., WASHINGTON, O.C.266b G762-1963