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<br />f <br /> <br />e <br /> <br />e <br /> <br />. <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.2 <br /> <br />Project: <br /> <br />2004 Pavement Management Program <br />Edgewater Avenue Neighborhood <br />ADDENDUM NO.1 <br />City of Arden Hills <br /> <br />Owner: <br />Owner No.: <br />Contractor: <br /> <br />ARNT CONSTRUCTION <br />COMPANY, INC. <br />31809367.00101 <br /> <br />BRW Job No.: <br /> <br />Application Date: <br />For Period Ending: <br /> <br />9/7/2004 <br />9/4/2004 <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 /> <br />Total Due This Application: <br /> <br />$1,059,189.76 <br />$0.00 <br />$1,059,189.76 <br />$761,582.36 <br /> <br />$0.00 <br /> <br />$761,582.36 <br />$38,079.12 <br />$723,503.24 <br />$227,906.99 <br /> <br />$495,596.25 <br /> <br />By: <br /> <br /> <br />I hereby certify that all' ms and amounts show <br />date. <br /> <br />Contr <br /> <br />V+:~ <br />CGNraclorCopy <br />lnIpector Copy <br /> <br />are correct for the work completed to- <br /> <br />Date: <br /> <br />'3 - /7 - oy <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 />By: <br />/ <br /> <br />Date: <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: <br /> <br />r;- 8'0; <br /> <br />Page 1 of 9 <br />