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<br />. <br /> <br />. <br /> <br />. <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.2 <br /> <br />URS Copy <br />City Copy <br />VC"nlractor~ <br />I, "tor Copy <br /> <br />ProJect: <br /> <br />CSAH 96 Landscape and Irrigation Improvement Project <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 />Margolis Company <br />31309929.00201 <br />7117/2006 <br />7/14/2006 <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 12.66% Retainage: <br />Amount Due To Date: <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />$176,732.50 <br />$0.00 <br />$176.732.50 <br />$171.844.10 <br /> <br />$0.00 <br />$171,844.10 <br />$21.755.46 <br />$150,088.64 <br />$137,513.11 <br />$12,575.53 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed <br />to date. <br /> <br />Coo""'oe Meego'" :"~ <br /> <br />By: D//ul-tZ ~. <br /> <br />r/ <br /> <br />Date: 7-/7-dh <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 />Date: 7-/l-06 <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: Date: <br /> <br />Page 1 of 5 <br />