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<br />. <br /> <br />. <br /> <br />. <br /> <br />AUG-09-2000' 15:33 <br /> <br />BRW <br /> <br />612 373 6526 P.03/07 <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.1 <br />FINAL PAYMENT <br /> <br />Project: <br />Owner: <br />Owner No.: <br />Contractor: <br />BRW Job No.: <br /> <br />2000 Seal Goating Project <br />City of Arden Hills <br /> <br />ALLIED BLACKTOP <br />37951-017-2001 <br /> <br />Application Date: <br />For Period Ending: <br /> <br />8/14/00 <br />8/4100 <br /> <br />Original Contractor Amount: <br />Contract Amendments: <br />Contract Amount To Date: <br />Total Amount to Work Complete To Date: <br />Material Suitably Stored On-Srte but not <br />Incorporated into Work: <br />Gross Amount Due To-Date: <br />Less 0.00% Retainage: <br />Amount Due To-Date: <br />Less Previous Pavments: <br />Total Due This Application: <br /> <br />$40,562.50 <br />$8,323.64 <br />$48.886.14 <br />$48.886.14 <br /> <br />$0.00 <br /> <br />$48.886.14 <br /> <br />$0.00 <br /> <br />$48,886.14 <br /> <br />$0.00 <br /> <br />$48,886.14 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed to- <br />date. <br />Contractor: ALLIED BLACKTOP <br />By: Date: <br />The work on this project and the application for payment have been reviewed and the <br />amount shown is recommended for payment. <br />SRW, Inc. <br />By: Date: <br />APPROVED FOR PAYMENT <br />Owner: City of Arden Hills <br />By: Date: <br />.....--,_.~_...~-,.~.......__.....--'....~'-,.,._~..~-~---_. <br />