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CCP 07-12-1999
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CCP 07-12-1999
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5/8/2007 1:15:10 PM
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11/13/2006 11:12:02 AM
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<br />l <br /> <br />.' <br /> <br />APPLICATION FOR PAYMENT <br />FINAL PAYMENT <br />NO. 3 <br /> <br />Project <br /> <br />LIFT STATION #3 RECONSTRUCTION PROJECT <br /> <br />Owner CITY OF ARDEN HILLS <br />Owner's Project No. <br />Contractor JAY BROS., INC. <br />Application Date 7/12/99 <br /> <br />.-' ...", <br /> <br />I BRW Copy <br />Owner Copy <br />Contractor C(JfjIj . <br />Inspo>dw ~ <br /> <br />For Period Ending <br /> <br />Engineer's File No. 37951*006*0101 <br /> <br />6/30/99 <br /> <br />-------------------------------------------------------------------- <br /> <br />-------------------------------------------------------------------- <br /> <br />STATEMENT OF WORK <br /> <br />Original Contract Amount <br /> <br />Net Change By Contract Amendment <br /> <br />Contract Amount to Date <br /> <br />Total Amount of Work Completed to Date <br /> <br />Material Suitably Stored on Site but not <br />Incorporated into Work <br /> <br />Gross Amount Due to Date <br /> <br />Less 0.00% Retainage <br /> <br />Amount Due to Date <br /> <br />Less Previous payments <br /> <br />Payment Due this Application <br /> <br />$ <br />$ <br /> <br />$ <br /> <br />69,593.00 <br /> <br />0.00 <br /> <br />69,593.00 <br /> <br />$ <br />$ <br /> <br />68,180.75 <br /> <br />0.00 <br /> <br />$ <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />68,180.75 <br /> <br />0.00 <br /> <br />68,180.75 <br /> <br />60,673.41 <br /> <br />7,507.34 <br /> <br />. <br /> <br />. <br />
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