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w <br />as <br />m <br />0 <br />m <br />m <br />0 <br />0 <br />0) <br />LL <br />N <br />0) <br />m <br />C7 <br />N <br />0 <br />m <br />0 <br />mot- <br />0 <br />0 <br />0 <br />0) <br />0 <br />w <br />0 <br />❑) <br />(0 <br />0 <br />0 <br />c--6; <br />nc <br />APPLICATION FOR PAYMENT <br />Application No.: <br />Project: City of Ramsey Public Works <br />CD 0 <br />CN <br />N N <br />� 1 <br />0 <br />CL <br />Application Date: <br />E <br />2 <br />LL <br />19520-0180 <br />195200180-051205 <br />-Commitment <br />2.F.O <br />os0 <br />0 U U_ 15 <br />❑ c U <br />co <br />0 0 0 <br />aioo� <br />v 0� <br />m <br />43 <br />u)o.O0 <br />E 2 <br />U <br />0 0 5 <br />O <br />o -❑ N a <br />> 0 <br />0 _c!', <br />E <br />-in cif <br />a) a. c: a� <br />a] E <br />as <br />a 0 Q <br />'❑ <br />r N <br />a � <br />a.. 0 <br />Q E .- -a <br />U (J} {6 <br />U.�>� <br />o 2 s • <br />0 . <br />a a)ui 2 <br />U > C a o <br />a� �•a c <br />o L <br />172 a� <br />! 1 ! <br />C L] U 0 <br />0 CD 1.000 0_ -- <br />0 <br />0 <br />0 <br />0, <br />00 <br />1. ORIGINAL CONTRACT AMOUNT <br />0 <br />0 <br />2. NET CHANGE BY CHANGE ORDERS <br />0 <br />0 <br />0 <br />C: <br />CO <br />3. CONTRACT SUM TO DATE <br />11/25/2020 <br />CONTRACTOR: <br />4. TOTAL COMPLETED AND STORED TO DATE <br />D <br />Cl] (I) <br />c <br />5 <br />0 <br />U <br />5. RETAINAGE <br />0 <br />0 <br />U <br />0 <br />co <br />5.00% of Completed Work <br />0 <br />co <br />-o <br />Subscribed and sworn to before me this <br />(Columns D + E) <br />a <br />[o <br />z <br />5.00% of Stored Materials <br />My commission expires: <br />LL <br />c <br />5 <br />0 <br />0 <br />ARCHITECTS CERTIFICATE FOR PAYMENT <br />Total Retainage <br />(Line 5a + Line 5b OR Sum of Column 1) <br />o � <br />0 ❑ <br />FA c.7 cE- <br />COo Ca <br />co U <br />a d ❑ g 0 0 <br />-coo- —E <br />F-a 2 0 E 8 <br />-I U g . Q <br />Q] <br />as 0 _� E <br />.Q ( g U 0 <br />N 0 <br />Q U ❑ <br />o _ � <br />L <br />a U <br />L�7 c U a <br />U (ti as <br />C N 2 0 CL7 <br />❑ ❑ :' <br />a7a)-co 0(0 <br />2U -c <br />O 2 a) .0 f a) 0 <br />01 <br />-�� L <br />5a Y u] <br />cz -o › 0 g i <br />0 5 U i.L C5] u7 <br />- j i o 1 2 <br />o. Oa L: -C <br />U o W T ❑ <br />❑Qt.[U�l O o <br />0 a] C <br />U"U 2 CoriL.L E = <br />Q LJ.. c <br />�, 0E •To w i <br />85- oc: 2a <br />s :s as °- Z a. c <br />°m zs <br />a°'F5 sU <br />c8fl2 Q :Lc. <br />6. TOTAL EARNED LESS RETAINAGE <br />(Line 4 less Line 5 Total) <br />7. LESS PRIOR CERTIFICATES FOR PAYMENT <br />(Line 6 from prior Certificate) <br />0 <br />N <br />0 <br />ft <br />8. CURRENT PAYMENT DUE <br />0 <br />m <br />Ctl <br />0 <br />00 <br />ft <br />9. BALANCE TO FINISH, INCLUDING RETAINAGE <br />ARCHITECT: <br />(Line 3 less Line 6) <br />of <br />co <br />m <br />DEDUCTIONS <br />CD <br />a <br />0 <br />0 <br />0 <br />0 <br />ADDITIONS <br />O <br />O <br />69. <br />0 <br />0 <br />0 <br />O <br />0 <br />0 <br />CHANGE ORDER SUMMARY <br />Total changes approved in previous months <br />J <br />0 <br />NET CHANGES by Change Orders <br />