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<br /> . . <br /> URS Copy <br /> ;r- City Copy <br /> . APPLICATION FOR PAYMENT Contractor Copy <br /> PAYMENT NO.4 InSpB~~tor Copy <br /> Project: 2006 Pavement Management Program / Ridgewood Neighborhood <br /> Owner: City of Arden Hills <br /> Owner No.: <br /> Contractor: Amt Construction <br /> URS Job No.: 31809837 <br /> Application Date: 10/24/2006 <br /> For Period Ending: 1 0/20/2006 <br /> Original Contract Amount: $1,808,584.32 <br /> Contract Amendments: -$105,270.16 <br /> Contract Amount To Date: $1,703,314.16 <br /> Total Amount of Work Complete To Date: $1,381,216.14 <br /> Material Suitably Stored On-Site but not <br /> Incorporated Into Work: $0.00 <br /> Gross Amount Due To Date: $1,381,216.14 <br /> Less 5.00':{, Retainage: $69,060.81 <br /> Amount Due To Date: $1,312,155.33 <br /> Less Previous Payments: $919,493.49 <br /> Total Due This Application: $392,661.84 <br /> . I hereby certify that all items and amounts shown are correct for the work completed <br /> to date. <br /> contra~~STR <br /> By: Date: /0 - Jo- 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 /> By: hu~ Date: 10-;10-0(' <br /> APPROVED FOR PAYMENT <br /> Owner: City of Arden Hills <br /> By: Date: <br /> . <br />