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<br />APPLICATION FOR PAYMENT <br />PAYMENT NO.7 <br /> <br />URS Copy <br />J(' Gii" (~o'JlI <br />{'" - .~. " ..'(' .1 <br />C(;;;;:r;-,G?or C;{)py <br />Insp,,~:;c,. <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 Manageme,nt Program / Ridgewood Neighborhood <br />City of Arden Hills <br /> <br />Amt Construction <br />31809837 <br />3/6/2007 <br />3/2/2007 <br /> <br />Original Contract 7'!.mount: <br />Contract Amendments: <br />Contract Amount To Date: <br />Total Amount 01 Work Complete To Date: <br />Material Suitably Stored On-Site but not <br />Incorporated Into Work: <br />Gross Amount Due To Date: <br />Less 1,00% Retalnage: <br />AmGunt Due To Date: <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />$1,808,584,32 <br />$1,207,30 <br />$1,809,791,62 <br />$1,754,319.91 <br /> <br />$0,00 <br />$1,754,319.91 <br />$17,543.20 <br />$1,736,776.71 <br />$1,611,780.96 <br />$124,995.75 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed <br />to date, / <br /> <br />con~ JrT qo~ue<O~ <br />By: ,t/ ~ ~ \/ Date: 3~~~o7 <br />v <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 />By: <br /> <br /> <br />,~ <br /> <br />Date: :5. t.o > <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: <br />