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APPLI(OON AND CERTIFICATE FOR PAYMEAIA DOCUMENT G702 instructions on reverse side PAGE ON40 PAGES ( ) 3 G TO OWNER: PROJECT: APPLICATION NO.: Distribution to: Saint Anthony Village. S A V Liquor PERIOD f O: 6 El OWNER 3301 Siler Lake Road 6/30/98 St.Anthony ,MN 55418-1699 PROJECT NOS.: 97467 ARCHITECT ARCH PROJ NO: 95-08-1179 CONTRACTOR FROM CONTRACTOR: Lund Martin Construction VIA ARCHITECT: K K E Architects. Inc. CONTRACT DATE: 6/24/97 g Accounting 3023 Randolph St N E 300 First Avenue North APPLICATION DATE: 6/30/98 LJ Minneapolis,MN 55418 Minneapolis,MN 55401-168 INVOICE NO: CONTRACT FOR: General Construction CONTRACTOR'S APPLICATION FOR PAYMENT The undersigned Contractor certifies that to the best of the Contractor's knowledge,infor- mation and belief the Work covered by this Application for Payment has been completed Application is made for payment, as shown below, in connection with the Contract. in accordance with the Contract Documents, that all amounts have been paid by the Continuation Sheet, AIA Document G703, is attached. Contractor for Work for which previous Certificates for Payment were issued and pay- ments received from the Owner, and that current payment shown herein is now due. 1. ORIGINAL CONTRACT SUM. . . . . . . . . . . . . . . . . .S 714,100-00 CONTRACTOR- 2. Net change by Change Orders . . . . . . . . . . . . . . .S 62,150 00 art in onstruction 3. CONTRACT SUM TO DATE (Line I t 2). . . . . . . .S 776,5150 00 By: Date: Jul}-16, 1998 4. TOTAL COMPLETED & STORED TO DATE . . . . . .S 776,250 00 State of: MN Greg Kupka (Column G on G703) County of: 5. RETAINAGE• Subscribed ande we 11 to before a. '%•of Completed Work 8 n on me this 16 day of Jul 98 ■ Y . (Columns D + Eon G703) LYNN R.BODENSTta:`d_i•; h. `%� of Stored Material 8_ 0.00 '''0,A FJ 3LIC-MINNE30Th (Column F on G7(13) Notar Ly nn Bodensteiner y Comm.Expires Jan,31,2000 Total Retainage (Line 5a + 5b or My Commission expires: 1/31/00 ■ Total in Column I of 6703) . . . . . . . . . . . . . . . . .S 0.00 6. TOTAL EARNED LESS RETAINAGE. . . . . . . . . . . .S 776,250.00 ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 less Line 5 Total) _LESS_O n 0.00 7. LESS PREVIOUS CERTIFICATES FOR-PAYMESNT�$ In accordance with the Contact Documents,based on on site observations and the data (Line 6 from prior Certificate) • • E 678,395.00 comprising this application, the Architect certifies to the Owner that to the best of the Architect's knowledge,information and belief the Work has progressed as indicated,the 8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . . Q7 Assi nn quality of the Work is in accordance with the Contract Documents,and the Contractor is entitled to payment of the AMOUNT CERTIFIED. 9. BALANCE TO FINISH, INCLUDING RETAINAGE (Line 3 less Line 6) S n an AMOUNT CERTIFIED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S (Attach explanation if aniount certified differs front the etniount applied for. Initial CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS all figures on this Application and on the Continuation Sheet that are changed to . Total changes approved in conform to r 11111 cert' ied.) previous months by Owner See Attached Pa e 3 Chan a Orders ARCHITE bill Y Total approved this Month By: Date: TOTALS This Ce ti Icate is not negodab e.The AMOUNT CERTIFIED is payable only to the Con- NET CHANGES by Change Order tractor named herein. isstla ce, payment and acceptance of payment are without prejudice w any rights oft Owner or Contractor under this Contract. v AIA DOCUMENT G702•AFPLICATION AND CERTIFICATE FOR PAYMENT• 1992 EDITION •AIA® ©1902 •TIIE AMERICAN INS'T'ITUTE OF ARCHITEM, 1735 NEW YORK A lk AVENUE, NW, WASHINGTON, D.C. 200(Ar5292 • WARNING: Unlicensed photocopying violates U.S. copyright laws and will subject the violator to legal prosecution. G702-1992 CAUTION:You should use an original AIA document which has this caution printed In red.An original assures that changes will not be obscured as may occur when documents are reproduced.