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<br />APPLICATION FOR PAYMENT <br />FINAL PAYMENT <br />NO. 1 <br /> <br />. <br /> <br />Project 1999 SEAL COATING PROJECT <br />CITY OF ARDEN HILLS <br />Owner CITY OF ARDEN HILLS <br />Owner's Project No. <br />Contractor <br />Application Date 9/13/99 <br /> <br />Engineer's File No. 37951-008-4001 <br /> <br />For Period Ending <br /> <br />8/31/99 <br /> <br />-------------------------------------------------------------------- <br /> <br />-------------------------------------------------------------------- <br /> <br />STATEMENT OF WORK <br /> <br />Original Contract Amount <br /> <br />$ 25,970.00 <br />$ 0.00 <br />$ 25,970.00 <br />$ 25,635.48 <br />$ 0.00. <br />$ 25,635.48 <br />$ 0.00 <br />$ 25,635.48 <br />$ 0.00 <br />$ 25,635.48 <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 />