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<br />~ <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.2 <br /> <br />t.m Copy <br />;':CIy Copy <br />Contractor Copy <br />IlllIp€Ctor Copy <br /> <br />- <br /> <br />Project: <br />Owner: <br />Owner No.: <br />Contractor: <br />URS Job No.: <br />Application Date: <br />For Period Ending: <br /> <br />2006 Pavement Management Program 1 Ridgewood Neighborhood <br />City of Arden Hills <br /> <br />Arnt Construction <br />31809837 <br />9/6/2006 <br />9/1/2006 <br /> <br />Original Conlract Amount: <br />Contract Amendments: <br />Contract Amount To Date: <br />Total Amount of Work Complete To Date: <br />Materiat Suilably Stored On-Site but not <br />Incorporated Inlo 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 Applicalion: <br /> <br />$1.808,584.32 <br />-$105,270.16 <br />$1,703,314.16 <br />$786,673.38 <br /> <br />$0.00 <br />$786,673.38 <br />$39,333.67 <br />$747,339.71 <br />$487,812.59 <br />$259,527_12 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed <br /> <br /> <br />'odo'o. C~~~~N~~ C7 <br /> <br />By: t/ ~ ~ \j Date: 9- &. -0 <== I <br /> <br />- <br /> <br />The work shown on this project and the application lor payment have been reviewed <br />and the amount shown is recommended for payment. <br /> <br />By: <br /> <br /> <br />Date: 9- 6'06 <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: <br /> <br />. <br /> <br />1 of 10 <br />