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<br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />NOU-09-2000 07:54 <br /> <br />BRW <br /> <br />612 373 6526 P.Ol/06 <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.1 <br /> <br />Project: <br /> <br />Water Main Improvements Project, <br />Old Highway 10 <br />Arden Manor Park Improvements <br />City of Arden Hills <br /> <br />Owner; <br />Owner No,: <br />Contractor: <br /> <br />DAVE: PERKINS <br />CONTRACTING INC. <br />37951-018-01 01 <br /> <br />BRW Job No.: <br /> <br />Application Date; <br />For Period Ending: <br /> <br />11/13/00 <br />11/3/00 <br /> <br />Original Contract Amount: <br />Contract Amendments; <br />Contract Amount To Date: <br />Total Amount of Work Complete To Date: <br />Material Suitably Stored On-Site but not <br />Incorporated into Work: <br />Gross Amount Due To-Date: <br />Less 5.00% Retalnage: <br />Amount Due To-Date: <br />Less Previous Payments: <br />Total Due This Application; <br /> <br />$227.828.00 <br />$0,00 <br />$227,828,00 <br />$91,695.00 <br /> <br />$0.00 <br /> <br />$91.695.00 <br />$4,584.75 <br />$87,110.25 <br />$0.00 <br /> <br />$87.110.25 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed Io- <br />date. <br />Contractor: DAVE PERKINS CONTRACTING INC. <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 />BRW, Inc. <br />By: Date: <br />APPROVED FOR PAYMENT <br />Owner: City of Arden Hills <br />By: Date: <br /> <br />Page 1 of 5 <br />