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<br />APPLICATION FOR PAYMENT <br />PAYMENT NO.8 <br />FINAL PAYMENT <br /> <br />URS Copy <br />)fCily Copy <br />Contractor Copy <br />Inspector Copy <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 / Ridgewood Neighborhood <br />City of Arden Hills <br /> <br /> <br />Amt Construction <br />31809837 <br />3/31/2008 <br />11/21/2007 <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 0.00% Retainage: <br />Amount Due To Date: <br />Less Previous Payments: <br />Total Due This Application: <br /> <br />$1,808,584.32 <br />$7,478.74 <br />$1,816,063.06 <br />$1,775,340.44 <br /> <br />$O.OD <br />$1,775,340.44 <br />$0.00 <br />$1,775,340.44 <br />$1,736,776.71 <br />$38,563_73 <br /> <br />I hereby certify that all items and amounts shown are correct for the work completed <br />to date. <br /> <br />::rn.~z:zr- <br /> <br />-, ., - - <br />Date:-':;"-r.5~03 <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: "3 -.;2.5-0 i? <br /> <br />APPROVED FOR PAYMENT <br /> <br />Owner: City of Arden Hills <br /> <br />By: <br /> <br />Date: <br /> <br />1 of 11 <br />