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F <br />APPLICATION FOR PAYMENT NO. 1 <br />PROJECT Mounds view/sysco <br />OWNER city of Mounds view <br />OWNER'S Protect ND......,, 88:1.. I ENGINEER's Project No....4.1298 <br />...... <br />CONTRACTOR...faretti ............................ <br />............................................ <br />Contract For ... ••••... Contract Date `e t• 15, 1989 <br />For Work accompllahed through the date Df......... ('>ay7,7t,1989................. <br />STATEMENT Q WORK <br />Original Contract Amount s .. 517:929:50 Work To Date 242,808.00 <br />5............ <br />Not Change Orders 5............. Amount Retained ( s At) 12,140.40 <br />Current Contract Amount S... 4,7r9z9:50 subtotal 3.330,667,60 <br />Previous Payments Recommended S ...........• <br />Amount Due This Payment 5..230t6G7.60 <br />CONTRACTOR's Certification: <br />The ander.lpnca CONTRACTOR Saltines that (11 aN pre.Ia.d pteldeea Pfm.et. neoind Rua OWMER an *a ... n of Soft to.. <br />under the Can Mdat ,.fo.d bUon h... be.. gPI1N Or dbtNryo l.lNll .11 ealltnl... Of CONTRACTOR lhcw,.d In eeM..nINn SIM <br />Wert a... ad by Prla, ApPllutl.n. la, bymeml eemb...d I Ih,..eh ; In41.01.8 and tlt till. to all m.brlab Sad epaltnanl III.OrPOated In aid Walk e, atlbrwi.a listed In of uw,N by Into Aeollaetlon to, Payment will 9.43 to dWMell at U.,. of o y..nt <br />It.. and el.., at all it.... al.lm., 0... Hit Inb.. St. and enamaremeae ( ...... team a. odntrl by so., ......... It OWMRR 1. <br />Dated [ r n <br />' COCI CTOM =L� <br />ENGINEER'S ROCOIRM.ndatlor.: <br />This Application (with accompanying dp C,lM*"tatlpn) Matta the repuiramenta of the Contract 00oumanta and payment <br />of the above AMOUNT DUE THIS APPLICATION Is recommended. <br />/,,/� �/t�I �/ <br />DatedA/i�ra �f ,9. % Westwood Professional Services, Inc. <br />By ✓� �q <br />9y <br />