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APPLICATION FOR PAYMENT <br />PARTIAL PAYMENT NO. 2 <br /> <br />Project <br /> <br />Owner <br /> <br />Project No. <br /> <br />Contractor <br /> <br />Application Date <br /> <br />FOX KNOLL <br /> <br />City of Ramsey <br /> <br />95-15 <br /> <br />H & M Asphalt <br /> <br />Engineer's File No.7112.t0-03 <br /> <br />11--07-95 <br /> <br />For Period Ending 10-31-95 <br /> <br />Original Contract Amount <br /> <br />Contract Amendments <br /> <br />Adjusted contract Amount <br /> <br />STATEMENT OF WORK <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />120,636.50 <br /> <br />120,636.50 <br /> <br />115,897.47 <br />5,794.87 <br />110,102.60 <br />64,436.12 <br />45,666.48 <br /> <br />Total Work C~mpleted To Date <br /> <br />Less 5 % Retainage <br /> <br />Amount Due To Date <br /> <br />Less Previous Payments <br /> <br />Payment DuelThis Application <br /> <br />Pa~e I o~ 6 <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br />$ <br /> <br /> <br />