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Uuner'ti Project -No. . 19U1-4 <br />APPROVAL UI: PAYMENT <br />N'a, I <br />project 1982 Seal Coat Improvement <br />e- 46 <br />('umrucwr ......Allied Blacktop Co. <br />Contract For .......1982 Scal.CoaC ProjecC <br />Contact Date ......... AYril., 2G.r...1982................. Application Date . Auyust 5, ......,,,1982 <br />................. <br />Application Amount..............552,390.,A.... .._............. ..I ... . For Period finding ._Ju1X..31�..1982......... <br />To City of Mounrls View, M.innesota.. ..... ............................. .......................... <br />IMAM <br />Attached hereto in the Contractor's Application for Payment for Work accomplished under the above contract through <br />the date indicated above. Accompanying the Application is the Contractor's Allidavit slating that all previous payments to <br />him under this contract have been applied by him to discharge in fall all of his obligations in connection with the work <br />covered by all prior Applications for Payments. <br />In accordance with above contract the undersigned approves payment In the Contractor of the Amount Due as shown <br />below. <br />Date <br />By <br />By........................................................................ <br />. ............... <br />Clerk -Administrator <br />SI'A'I'fiMl N'I' 01; WORK <br />Original Contract Price <br />S..'?IOM-edA.... <br />Work to Date <br />$ <br />... �2,390r42,,,. <br />Net Change Orders <br />$......., <br />0.00.... <br />Amount Retained(7.95%) <br />5...,4,1fi5.52 <br />Current Contract Price <br />S <br />... 52,85.4.89 <br />Sub. Total <br />Work to be Done <br />$ <br />......... .00 .... <br />Previous Payments Approved <br />$......... <br />��.... <br />Amount Due This Payment <br />$.,,48,224.91 <br />NSPE 1910-8-C (1970 Edition) <br />0 1970, National Society of <br />P :r•»•4nal En -,torso <br />