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APPLICATION AND CERTIFICATE FOR PAYMENT aia documlnt C702 unsitucimns on fcvotsc sidoi iwaoNioi rwr«.Kraus Anderson Const. Co. 525 South 8th Street Minneapolis, Minnesota 55AOA Orono City Ilnll/Puhllc Works Al’l’tICAIION NO; 1I’lKIOD lO: 1-31-9)VIA (ARCimiCTl:IKOM iCONlKAt'lOK;:Twin City Acoustics, Inc.8731 Bass Lake RondCONIKPUi\l; IWWjje, Minnesota Acoustical Construction >ARCIIIUCT'S I’ROjlCT NO;Uibtrihutum to:□ OWNIKU AKcnmcr□ CONIKACIOKnuCONiKACT (MTf 5-11-92CONTRACTOR'S APPLICATION FOR PAYMENT Applicalion is made lor Paymenl, as shown below, in connection with the Contract. Cuntinuation Shed, AIA Document G7Ui, is allached.OtANC.l OKOtR SUN\MAKY 1. ORIGINAL CONTRACT SUM 6,0QQ.QQChan^;e Orilers a[)proved in pri*\ioos months t)v OwnerlOIALApproved this NUinth NuniherP.R. il22 P.R. nt i> iifitfiiiii V ^\ADDiriONSjam !i U W'J *3,353.0030.00 <br />”3 .Ib . 00 <br />1)11 )UC I IONS 2. Net tlun|;e by Chaii(’C Orders...........................................S____;;37383^0-----' ■T. CONIRACT SUM lO OAIC (Line 1 t 2)......................% 9j 38StOO ^ 0PP^r»•!. TOIAL COMPLE1EU & SIORED lO DATE...................% 9; 303TOe-A^(('oliirnn G on G70I)REIAINAGE:a. __ol Completed Work S ~“938t09________(Column D 4- E on G70t)1).____% ol Stored Material S______________(Column F on G7U I) <br />total Retaina|;e (Line Sa f Sb or <br />Total in Column I ol G7(H)...........................................i -930-rOe- C<ro,ff-r> <br />llu! ufulersij^»ned Contrailor cerlilies th«it to the bes, ol the Contrartor's knowledjje, <br />inlurmation and beliel the VVr)fk covered by this A|>plication lor Payment has been <br />(ompleted in acconlance with the Contrart Documents, that all amounts havx* bi^^'n <br />paid bv ihe ConUat loi lor Work lor vvbidi previous Cr^rlihcalcs lor Payment were <br />iHsued and payments receivr»d trom the Owner, and that luffcnl payment shown <br />lieri** * IS mm due. <br />h. lOIAl lAHNlD LESS RLIAINACI .......................................$ -AlMSiflg <br />.1 less Line 'i total) <br />7. LESS PREVIOUS CIRTiriCATES TOR <br />PAYMENT dill*' (» Irom jirior Ceitilicate).................% <br />n. CURRENT PAYMENT DUE......................................................S ^ <br />'I. HAIANCI TO riNISM, PIUS RtlAINACIi..........................S <br />d im* T less Line (>) <br />Cl pa aV' <br />f. .r^>'rf'>^OK: Twl^fcl ty^Jeou:^ xs, Inc. <br />By; <br />Duvr*—Bfiuker -- V <br />Stale ol; Minnesota <br />Subscribed and sworn to b/loft w <br />Notary Public: <br />./I--.Dale: ^J^tuiary My ('ommission expires^ <br />ARCHITECT'S CERTIFICATE FOR PAYMENT <br />In au ofdanre with the Contrai I Dor umenis, ba‘.ed on on site observ.ilions and the <br />data I iMiiprismj* Ihe abovi* applic.iiion. the An hiti‘i t c erlilies to the < )wner that to the <br />best III thr Au liilec I s knowledge, mtormation and beliel Ihe Work has projpessed as <br />indiealod, iIm* (|u»ility ol tlu* Work is in a( torclance with the C cmIracI I >oi uments, ami <br />I tie ( rmlra* tor is rr it it led to payment ol the AMOUN I Cl RIIIIII). <br />AMOUNT CLIUHILD <br />(AtUih ej^/)/.mahon it jmnttni cvililivd ditfers Itom the nmount applied tui.l <br />Ak( Mine I: <br />lly:.. Dale: <br />Ibis Certiluale is not m*}»,olialee. Ihe AMOiiNI CIRTIlirD is payable only lo the <br />Contractor named herein. Issuance, payment and a< ceplarue ol paymeiu . -•* vvithoul <br />prejudue to any rights ol Ihe (>wner or C'onirador under this Conlic^i • <br />AU UUi UMINI C.;iu • AIM IN A.M> i UllIK All M )K IVUMINI • MA> I'WI lOIIIUN • AIA’ • f i mi <br />IMl ASM k UAN t.AsmOH Of AKlIiru Is I. V» NIW UlVk AVINOI. NW. W'AM IIN(,ION. DC C702 19a3 <br />WAIimfiG: Unlic«n»rd p#Yo«ocopyinq vlolales U.8 corv**<|M taws khd If iub|f cl lo <br />• <br />APPLICATO5^FROM (CONTR 8731 BassCONtKACr FOCONTRytCHANCE OREChange Ordci previous monApproved thisNumberP.R.tfe <br />Net change b’ <br />paid by the Co <br />issued and pay <br />hcreir^ is now c <br />CONI <br />-f)ave-Brd <br />ARCHITI <br />In accordance v <br />data c vimpristn^ <br />best o( the Arch <br />indicated, the c( <br />the Contractoi <br />At* (MKUMtNT C <br />UH AMIHCAN »