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<br />e <br /> <br />e <br /> <br />. <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.2 <br /> <br />Project: <br /> <br />2005 Pavement Management Program <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 />31809691,00301 <br />9/21/2005 <br />9/17/2005 <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% Refainage: <br />Amount Due To Dafe: <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />~tR-S Cooy <br />, ..' ("0 ~, <br />C,....y"..:ot-.:.t <br />ContractOr Go;;y <br />I nspecto; <br /> <br />$1,375,247,66 <br />$0,00 <br />$1,375,247,66 <br />$441,124,30 <br /> <br />$0,00 <br />$441,124,30 <br />$22,056.22 <br />$419,068,08 <br />$289,021,88 <br />$130,046.20 <br /> <br />I hereby certify that all items and, mounts shown are correct for the work completed <br />to date, ,A <br />/' <br />/ <br /> <br /> <br />By: <br /> <br />Date: c; -;;;0- a<;/ <br />, <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 />< <br /> <br />/, <br />., <br />"</;/ /h~ ~ <br />/', .. ~ J- v '----- <br />, <br /> <br />URS Corporation <br /> <br />--, <br /> <br />By: ,~;t,(A,/) <br />,1- ! / <br />/ !/ <br /> <br />Date: 1- ,20- () t) <br /> <br />v <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: <br /> <br />Page 1 of 5 <br />