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<br />, <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />r. <br /> <br />/ IIRW Cow <br />Owner Copv <br />Contractor Copy <br />Inspector Copy <br /> <br />APPLICATION FOR PAYMENT <br /> <br />NO. 4 <br /> <br />Project ARDEN MANOR PARK IMPROVEMENTS <br />MCCLUNG DRIVE DRAINAGE IMPROVEMENTS <br />Owner CITY OF ARDEN HILLS <br />Owner's Project No. Engineer's File No. 37951-012-0101 <br />Contractor NADEAU UTILITY, INC. <br />Application Date 2/14/00 For Period Ending 1/28/00 <br /> <br />-------------------------------------------------------------------- <br /> <br />-------------------------------------------------------------------- <br /> <br />STATEMENT OF WORK <br /> <br />Original Contract Amount <br /> <br />$ 158,617.45 <br />$ 10,934.40 <br />$ 169,551. 85 <br />$ 161,993.40 <br />$ 0.00 <br />$ 161,993.40 <br />$ 8,099.67 <br />$ 153,893.73 <br />$ 144,571.90 <br />$ 9,321.83 <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 5.00% Retainage <br /> <br />Amount Due to Date <br /> <br />Less Previous Payments <br /> <br />Payment Due this Application <br />