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<br />FEB-01-2001 11:27 <br /> <br />BRW <br /> <br />512 373 5525 P.03/07 <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.1 <br /> <br />Project: <br /> <br />2001 Sanitary Sewer Rehabilitation Project <br />Lift Station #B Reconstruction <br />City of Arden Hills <br /> <br />e <br /> <br />Owner: <br />Owner No,: <br />Contractor: <br /> <br />GRIDOR CONSTRUCTION, <br />INC. <br />37951-016-0101 <br /> <br />BRW Job No.: <br /> <br />Application Date: <br />For Period Ending: <br /> <br />2/5/01 <br />1131101 <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% Retainage: <br />Amount Due To-Date: <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />$302,484,00 <br />$0.00 <br />$302.484.00 <br />$11,382.80 <br /> <br />$0.00 <br />$11,382.80 <br />$569.14 <br />$10,813.66 <br />$0.00 <br />$10,813.66 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed to- <br />date. <br /> <br />Contractor: GRIDOR CONSTRUCTION, INC. <br /> <br />By: Date: <br /> <br />. <br /> <br />The work on this project and the application for payment have been reviewed and the <br />amount shown is recommended for payment. <br /> <br /> <br />BRW, Inc. <br />By: <br /> <br />Date: li1.lJlol <br /> <br />APPROVED FOR PAYMENT <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: <br /> <br />e <br /> <br />Page 1 of 5 <br />