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010500 <br />010600 <br />020500 <br />020502 <br />021000 <br />021001 <br />021002 <br />030500 <br />030501 <br />030502 <br />040500 <br />041000 <br />042000 <br />055000 <br />CO #001-1 <br />CO #001-2 <br />CO #001-3 <br />CO #001-4 <br />4,580.00 4,580.00 0.00 0.00 4,580.00 100.00 229.000.00 <br />26,100.00 26,100.00 0.00 0.00 26,100.00 100.00 1,305.000.00 <br />49,080.00 49,080.00 0.00 0.00 49,080.00 100.00 2,454.000.00 <br />17,575.00 17,575.00 0.00 0.00 17,575.00 100.00 878.750.00 <br />57,775.00 23,000.00 0.00 0.00 23,000.00 39.81 1,150.0034,775.00 <br />47,640.00 0.00 47,640.00 0.00 47,640.00 100.00 2,382.000.00 <br />63,500.00 63,500.00 0.00 0.00 63,500.00 100.00 3,175.000.00 <br />17,565.00 17,565.00 0.00 0.00 17,565.00 100.00 878.250.00 <br />7,530.00 7,530.00 0.00 0.00 7,530.00 100.00 376.500.00 <br />10,000.00 10,000.00 0.00 0.00 10,000.00 100.00 0.000.00 <br />6,010.00 0.00 2,000.00 0.00 2,000.00 33.28 100.004,010.00 <br />6,465.00 0.00 0.00 0.00 0.00 0.00 0.006,465.00 <br />120.00 0.00 0.00 0.00 0.00 0.00 0.00120.00 <br />8,020.00 8,020.00 0.00 0.00 8,020.00 100.00 401.000.00 <br />648.00 648.00 0.00 0.00 648.00 100.00 32.400.00 <br />468.00 0.00 0.00 0.00 0.00 0.00 0.00468.00 <br />1,529.00 0.00 0.00 0.00 0.00 0.00 0.001,529.00 <br />91,482.00 91,482.00 0.00 0.00 91,482.00 100.00 4,574.100.00 <br />416,087.00 319,080.00 49,640.00 0.00 368,720.00 88.62 17,936.0047,367.00 <br />To:H+U Construction <br />From (Subcontractor):Empirehouse Inc. <br />Project:Lake Elmo City Center (M) <br />Application and Certificate For Payment -- page 2 <br />Application No: 9 Date: 02/01/23 <br />Item <br />Number Description <br />Scheduled <br />Value <br />Work Completed <br />Previous <br />Application This Period <br />Materials <br />Presently Stored <br />Completed and <br />Stored to Date <br />% <br />Balance to Finish <br />Retention Memo <br />Bonds <br />Submittals/PM/CAD/Admin <br />SF Metal Materials <br />CW Metal Materials <br />Jeld-wen Vinyl Windows <br />StormDefend Windows <br />Bullet Resistant Windows <br />SF Glass Materials <br />CW Glass Materials <br />Skyligtht Glass Material <br />Interior Glass Materials <br />Heavy Wall Glass Materia <br />Mirror Materials <br />Testing <br />Precast Revisions Billing Total <br />Change Door 110 to All Glass Billing <br />Total <br />All Glass Door 205A Billing Total <br />Add Curtainwall Billing Total <br />Application Total <br />Period To: 02/28/23 <br />Contractor's Job Number: 21153