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APPLICATION FOR PAYMENT NO. 2 <br /> To: City of St. AnthoU(OWNER) <br /> From: Magney Contruction, Inc. (CONTRACTOR) <br /> Contract: Contract B <br /> Project: Maintenance Work at the G.A.C. Water Filtration Plant <br /> OWNER's Contract No. ENGINEER's Project No. <br /> For Work accomplished through the date of 08-14-99 <br /> 1.) Original Contract Price: $ 27,900.00 <br /> 2.)Net change by Change Orders/Written Amendments (+-) $ 4,009.00 <br /> 3.) Current Contract Price (1 plus 2): $ 32,809.00 <br /> 4.) Total completed and stored to date: $ 32,809.00 <br /> 5.) Retainage (per Agreement): <br /> 014 of completed work $ om <br /> 014 of stored material: $ Qm <br /> Total Retainage: $ om <br /> 6.)Total completed and stored to date less retainage (4-5) $ 32,809.00 <br /> 7.) Less previous Application for Payments: $ 31, 61 8.55 <br /> 8.) DUE THIS APPLICATION (6-7) $ 1640.45 <br /> Accompanying Documentation: <br /> CONTRACTOR'S Certification: <br /> The undersigned CONTRACTOR certifies that(1)all previous progress payments received from OWNER <br /> on account of Work done_under the Contract referred to above have been applied on account to discharge <br /> CONTRACTOR's legitimate obligations incurred in connection with Work covered by prior Applications <br /> for Payment numbered 1 through 2 inclusive; (2)title of all Work,materials and equipment incorporated <br /> in said Work or otherwise listed in or covered by this Application for Payment will pass to OWNER at <br /> time of payment free and clear of all Liens,security interests and encumbrances(expect such as are <br /> covered by a Bond acceptable to OWNER indemnifying OWNER against any such Lien,security interest <br /> or encumbrance); and(3)all Work covered by this Application for Payment is in accordance with the <br /> Contract Documents and not defective. <br /> Dated August 16. 1999 agney onstruction Inc. (contractor) <br /> By. C <br /> Mark C. Magney,Presi =. <br /> State of MLAN L County of w i�/ .r....�..,. <br /> Subscribed an sworn to fore me this / day of 1999. ---- <br /> pq ELA M. CRIEGO <br /> Notary Public /o1/YYl �i( -- -' ':2 .1.•MINNESOTA <br /> • <br /> My Commission expires: e <br /> _: ras Jan.fit.2000 <br /> `�• . <br /> Payment of the above AMOUNT DUE THIS APP L ATION is recommended. <br /> Dated Ah. lie o' <br /> . By <br />