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08-08-05
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08-08-05
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<br />. <br /> <br />. <br /> <br />. <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.8 (FINAL) <br /> <br />Project: <br /> <br />2003 Pavement Management Program <br /> <br />$1,903,526.10 <br />$126,487.94 <br />$2,030,014.04 <br />$2,029,044.99 <br /> <br />$0.00 <br />$2,029,044.99 <br />$0.00 <br />$2,029,044.99 <br />$2,018,899.77 <br />$10,145.22 <br /> <br />I hereby certify that all items a 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 />City of Arden Hills <br /> <br />ARNT CONSTRUCTION COMPANY, INC. <br />37951-023-0101 <br />8/8/2005 <br />7/30/2005 <br /> <br />Date: B- 3-0 <;~ <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 />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 /> <br />By: <br /> <br /> <br />By: <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: Date: <br /> <br />Date: fJ3.o~ <br />
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