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<br />'\ <br /> <br />APPLICATION FOR PAYMENT <br />PAYMENT NO.6 <br /> <br />VRS Copy <br />'f..CiIy CoPY' <br />Ccn;~(ac!cr Copy <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 / Ridgewood Neighborhood <br />Crty of Arden Hills <br /> <br />Arnt Construction <br />31809837 <br />2/21/2007 <br />2/16/2007 <br /> <br />Original Contract Amount: <br />Contract Amendrnents: <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 2.00% Retainage: <br />Amount Due To Date: <br />less Previous Payments: <br />Total Due This Application: <br /> <br />$1,808,584.32 <br />-$105,270.16 <br />$1,703,314.16 <br />$1,644,674.45 <br /> <br />$0.00 <br />$1,644,674.45 <br />$32,893.49 <br />$1,611,780.96 <br />$1,549,341.69 <br />$62,439.27 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed <br />to date. <br /> <br />::"~7r:fl <br /> <br />Date: ;2 - J..;J. -c? <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 />Date: ;;. -?, 1- 0"/ <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: <br />