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<br /> ' APPLICATION AND CER1IFICATE FOR PAYMENT ,11A angel cm • ma net 01Iva
<br /> MOO MAMA!1 CITY HAIL ' ARCHITECT:iTECT: The Hillhousc•ltells Croup, Ltd.
<br /> iddteli Louisville, Colorado 4, ' .
<br /> .; . 4 ' I 'ARCNITECT'S PROTECT NO: ..
<br /> TO ., The City of Lo tisvillo i CONTRACTOII:' Caakexcial industiraltoastruction, Inc.
<br /> . 7491bin Street . ' 1. ' • -
<br /> . '
<br /> Louisville, Co1orado CONTRACT FOR: General Construction I.
<br /> ... % • r •
<br /> ' APPLICATION DATE: Jttgle 23, 1980 APttIcATION NO: 6
<br /> ATTyt Kr♦ 1a t'A♦ M r1 PEKIoo nom: 1980 TO
<br /> A
<br /> ' CHANCE ORMEB SUMMARY Applkation Is made for Pdymcnt as shown below,in connection with the Contract '
<br /> Cremation Sheet ALA Document C/a,is attached. .
<br /> AOOflIO'6$ DtDUCTIQNS$
<br /> in p Tbe present status of the account for this Contract is as follow,•
<br /> TOrt 15S 5415
<br /> Subwerero Ch L--
<br /> . . . ., ORIGINAL CONTRACT SUM $. _�� � ,.��•
<br /> veer Approved Net change by Change Orden .,,.s____i_____908 !7 8 . S
<br /> idatt)
<br /> ' 763,449,78
<br /> #1 6/19/80 71908.75 CONTRACT SUM TO DATE ,.,,,..,.•.. .,, .3 ......
<br /> TOTAL COMPLETED A STORED TO DATE ms
<br /> (Column G nn G702A)
<br /> 0',,.. .. VITALS S � RTAINAGE..--..—...%K , .5. . t
<br /> tl '
<br /> , �' . 1ry 6,,, 7rdn .. _
<br /> n,as noted in Column I on C7ft ''
<br /> • ' ti TOIAL 1ARNEI) US$RETAINAGE .. . . ..•, s a�"8 2M IS
<br /> 144' Cototado cooly et. Door
<br /> . , ` , 303 482,f10
<br /> •
<br /> t c«•twicw wet� t►*W k cswwd by NI np9IM LESS PREVIOUS CUTIfiCAT(S 101 FOMENT ,•,, S._.,. ._...- ...
<br /> •ale lnt hob,,A $r1 woe*IA 1cwwSM a*A 1M Contract
<br /> '. Z"tritirciter„=iwrittl Mr for tMSAt for wh(� - s ie4 a+1 ya1n�rr reuiw�l irron CURRENT PAYMENT our ...,.. ... . ........... 1
<br /> 004 0001,04 Thar rAr ewrtIN pro thaws hare*n now dot.
<br /> i 'Mil 1' . , 1 ,1 IAL t 1$Y'R�,`nox, N. subrtrhod«n0 to bey�•mt thh . ,pry n1 (�AP.I u
<br /> Notary Public' , V. ,
<br /> 'I Jute li, 1''4
<br /> b. �' !FAO Dot � t � $p Comnrt�r��'�rr~:
<br /> . *aoardane 0111 tlto • • and INi Apelkaden for Newt do Canttacsor b anutkli so payment In the MA shown above. 0,OWNER
<br /> Q ARCHITECT
<br /> Ace t:Tie �iwr, LT* , , 0 CONTRACTOR •
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<br /> ' . ,t Tbndu r>'AM*WA' ,N 1+104 f M IM IMMI ranted herds aM 1t�her n. pl tnI I aotePwitt air w�!Nut p►cwdKt to irw bias d rhl t)rnrrrM Ctlu�krlr under**CO,
<br /> • • •••„P4."1 tun ntnnrrtt;POI MrmtNT•MARCH ten two 4 AA •,
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