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APPL TION AND CERTIFICATE FOR PAYM AIA DOCUMENT G702 (Instructions on reverse side) PAGED 3 PAGES TO OWNER: Saint Anthony Village PROJECT S A V Liquor APPLICATION NO.: 7 Distribution to: 3301 Siler Lake Road PERIOD TO: 8/13/98 ❑OWNER PROJECT NOS.: St.Anthony ,MN 55418-1699 97467 ARCHITECT ARCH PROJ NO: 95-08-1179 0 CONTRACTOR FROM CONTRACTOR: Lund Martin Construction VIA ARCHITECT: K K E Architects. Inc. CONTRACT DATE: 6124/97 - g Accounting 3023 Randolph St N E 300 First Avenue North APPLICATION DATE: 8/13/98 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, 2S 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- 1. ORIGINAL CONTRACT SUM. . . . . . . . . . . . . . . . . .8 714100 ments received from the Owner, and that current payment shown herein is now due. , .00 CONTRA OR -' Lu artin C struction 2. Net change by Change Orders . . . . . . . . . . . . . . .8 s6,R1n on 3. CONTRACT SUM TO DATE (Line I t 2). . . . . . . .8 7Rn,71n-nn By: Date: August 14 19AR 4. TOTAL COMPLETED & STORED TO DATE . . . . . .8 7Rn,71n nn State of: MN Willard D. Haro (Column G on G703) County of: H 5. RETAINAGE- Subscribed and sworn to before a. _% of Completed Work 8 n-nn me this 14 da of Au u ■ ■ (Columns D + E on G703) ''.G9EGORY E. KUPKA �+ NOTARY PUBLIC-MINNESOTA b. % of Stored Material 8 0.00 C = ,. My Comm pires Jan.31,2000 (Column F on G703) Notary Public: GreE.Kupka vvry m. ■ Total Retainage (Line 52 + 5b or M Commission expires: Total in Column I of G703) y p 1/31/00 . . . . . . . . . . . . . . . .8 0.00 6. TOTAL EARNED LESS RETAINAGE. . . . . . . . . . . .8 7Rn 71n tin ARCHITECT'S CERTIFICATE FOR PAYMENT (Line 4 less Line 5 Total) �EEgggg RIQ�j EERR --oo--� 0.00 In accordance with the Contract Documents,based on on-site observations and the data 7. LESS PREVIOUS CERTIF te) . . . FOR PA... .. .l S comprising this application, the Architect certifies to the Owner that to the best of the (Line 6 from prior Certificate) . . . . . . . . . . .'. . . . . .8 776,250 00 p g pp Architect's knowledge,information and belief the Work has progressed as indicated,the 8. CURRENT PAYMENT DUE . . . . . . . . . . . . . . . . .I 8 quality of the Work is in accordance with the Contract Documents,and the Contractor 9. BALANCE TO FINISH INCLUDING RETAINAGE is entitled to payment of the AMOUNT CERTIFIED. (Line 3 less Line 6) 8 n-nn AMOUNT CERTIFIED . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... .8 40 (Attach explanation if amount certified differs frorn the arnount applied for Initial CHANGE ORDER SUMMARY ADDITIONS DEDUCTIONS all figures on tl s p ltcatton and on the Continuation Sheet that are changed to Total changes approved In conform to th n certiji previous months by Owner See Attached(Page 3 Change Orders ARCHITECT Total approved this Month By Date: TOTALS1 This Certif to is not negotiable. he AMOUNT CERTIFIED is payable only to the Con- NET CHANGES by Change Order tractor named herein. Issuance payment and acceptance of payment are without prejudice to any rights of the wrier or Contractor under this Contract. AIA DOCUMENT G702•APPLICATION AND-CERTIFICATE FOR PAYMENT• 1992 EDITION•AIA® • ©1992 •THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVENUE, NW, WASHINGTON, D.C. 20006-5292 :•. WARNING: Unlicensed photocopying violates U.S. copyright lairs and will subject the violator to legal prosecution. G702-1992 9 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.