Laserfiche WebLink
<br />APPLICATION FOR PAYMENT <br /> <br />NO. 6 <br /> <br />, <br /> <br />jBRW Copy <br />Owner Copy <br />Contractor Copy <br />Inspector Copy e <br /> <br />Project WEST ROUND LAKE ROAD IMPROVEMENTS PHASE I <br />CITY OF ARDEN HILLS <br />Owner CITY OF ARDEN HILLS <br />Owner's Project No. Engineer'S File No. 37951-005-2301 <br />Contractor FOREST LAKE CONTRACTING <br />Application Date 10/12/99 For Period Ending 9/30/99 <br /> <br />-------------------------------------------------------------------- <br /> <br />-------------------------------------------------------------------- <br /> <br />STATEMENT OF WORK <br /> <br />Original Contract Amount <br /> <br />$ <br />$ <br />$ <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 />$ <br />$ <br /> <br />Gross Amount Due to Date <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Less 5.00% Retainage <br /> <br />Amount Due to Date <br /> <br />Less Previous Payments <br /> <br />Payment Due this Application <br /> <br />794,'725.05 <br /> <br />11,970.00 <br /> <br />806,695.05 <br /> <br />769,734.34 <br />0.00 e <br /> <br />769,734.34 <br /> <br />38,486.72 <br /> <br />731,247.62 <br /> <br />700,549.18 <br /> <br />30,698.44 <br /> <br />. <br />