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<br />, <br /> <br />. <br /> <br />. <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.7 I FINAL PAYMENT <br /> <br />Project: <br /> <br />2004 Pavement Management Program <br />Edgewater Avenue Neighborhood <br />ADDENDUM NO.1 <br />City of Arden Hills <br /> <br />URS Copy.....-- <br />City Copy <br />Contractor Copy <br />In~<;tQr Copy <br /> <br />$1,059,189.76 <br />$89,777.00 <br />$1,148,966.76 <br />$1,141,891.09 <br /> <br />$0.00 <br />$1,141,891.09 <br />$0.00 <br />$1,141,891.09 <br />$1,080,860.92 <br />$61,030.17 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed <br />to date. <br /> <br />Owner: <br />Owner No.: <br />Contractor: <br />URS Job No.: <br />Application Date: <br />For Period Ending: <br /> <br />ARNT CONSTRUCTION COMPANY, INC. <br />31809367.00101 <br />9/12/2005 <br />8/31/2005 <br /> <br />Date: 9 - {.,.~ay-- <br /> <br />The work shown on this project and the application for payment have been reviewed <br />and the amount shown is recommended for payment. <br /> <br />URS Cor /::ation <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 0.00% Retainage: <br />Amount Due To Date: <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />Co <br /> <br /> <br /> <br />By: <br /> <br /> <br />APPROVED FOR PAYMENT <br /> <br />. <br /> <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: 9-;'0 t <br /> <br />Date: <br />