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Home My WebLink About4.m. Approve Application for Payment #3, Country Hills Addition, Contract #1986-4 ..� * y��,�i�n � CITY OP ROSEMQUNT `��1 �' APPLI�TION FOR PAYMENT .;, NO. � CITY PROJECT NO: ��-- �' SEH FILE NU: Cal�f S'4' PROJECT: G,Q6��'`/�'__�'ll�G'S �TL�� CONTRACTOR: /��c�* 4.0�..� Co r�. CON'TRACT DATE: �t5�Z.�ti�I gi t� /��l �e ��'. I�J�cr AFPLICATI�N DATEz � �S� S9 . �t^- ��c�.S� /�/U. ��.543� FOR PERIOLI ENDING: I��t S9 ; t7 P� Total Contract Amount S�"`�a �'3�' �' Tatal Amount Earned S ��_�"" Material Suitably Stored on Site, { Not Tncorpc�rated into Wark s_ _�. � Contract Change Qrder No. Percent Complete $ ' � Contract Change �rder No. Percent Complete $ _ _ Contract Change Qrder No. Percent Gomplete S --- cRoss �ovrrT nv� . . . . . . . . . . . . . . . . . . . . . s 36c5,�689 °� LESS S $ RfiTAINRGE . . . . . . . . . . . . . . . . . . . $ I �34 4S �A_--- _ P,M{?UNT I3UE T� DATE . . . . . . . . . . . . . . . . . . . . $ 34"S,�54 �3 0`� LESS PREVIQUS APPLICATIONS a� . . . . . . . . . . , S 341, �o -- oz AMOUNT DUE THiS APPLICATI�N . . . . . . . . . . . S 7, IS3 �3 _��__._ _____ 02° 02� � d� 025 � :��'3 �. `:� �!1rt�) Riehard M. H , 025 C�.ty Engineer/ i eetor of Public Works Q25r 025E , PAGE