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<br />æ UTo: <br /> <br />, <br /> <br />æ <br /> <br />.. <br /> <br />~, <br /> <br />r- <br />.... <br />If) <br />(!i) <br />r- <br />m <br />æ <br /> <br />.. <br />~ <br /> <br />~ <br /> <br />I <br /> <br />~ <br />~ <br />~ <br />I <br /> <br />~I. <br /> <br />I-t <br />:i <br />.... <br />:r <br /> <br />~ <br />~ <br /> <br />¡ <br />r- <br />... <br /> <br />Æ <br />I <br />ai <br />, <br />~ <br />~ <br /> <br />=_":'--'-===""-:-:--:~=;==-:--=-=='-.....--=--::o_._- -::-.==-.- -.-- -:"':~"" ~..=:. --"-"=""'-"-""""~"n..........,....",..~.=-.=-.....--, ...,..~... -. <br />. . <br /> <br />MHS <br /> <br />Project: Paris Sports Complex - <br />Contract fl6 Concrete Flatwork & Park <br />Amenities <br /> <br />Owner: City or Paris <br />Contract Time: 120 Days <br />Contract O..te: May 12, 2003 <br />Begin ConstrucUon: July 11. 2003 <br />Completlo." Q.at!'= - N~v...m~e!.. 8._2I!D~ <br /> <br />._~-._, . .;..~~_. <br /> <br />r..amwlloo. ,.., <br />~,I... IS II , <br />1"'oJ.'""" <br />'" IOJ )81.:0" <br /> <br />7 <br />Application II £.t:T_P\UoIAbc, <br /> <br /> <br />From: ~ To <br /> <br />~~jO1- <br /> <br />Attn: . Mark H. Spencer <br /> <br />- - - -- - - - -. - - - - - - -- <br /> <br />Project flD2-DO8 <br /> <br />. . - - - - - - - - - - - - - - - - - - <br /> <br />Appll cation for Payment <br /> <br />AppflC8'ion Is mad. for P8rm.rrt as shown below In COIIfltÇ ion will the Conlracl. <br /> <br />---.--.---. --------- -.----.------.- <br />------...... .._....._ç~an~!p.!.Ci8r -~~!'!!!!!~_.._- "'--'-""-- <br /> Addlions Ded"ctlon~ <br />Change Orders approved In <br />prevIous months by Owner Z \~.(X) <br /> Totals: . <br />Approved this month <br /> - <br /> Totals: I 2 \3();O:) <br /> . \ <br />Nel Change ZJt?aO.oo <br /> <br />The present slaWs of .~ øccount for U\1s CoJllracl is a$ follow!>: <br /> <br />ORfGINAlCONTRACTSUM..., "'" '-""" ""'" <br /> <br />$ <br /> <br />171.000.00 <br /> <br />Netchangl by Chang. Order... . . . . , . . . . - . " . " " , ,. I '2 1'31:) .00 <br />I <br /> <br />CONTRACT SUM TO DATE........................ $ [73, rzo.oo <br /> <br />TOTALCOMPlETED&STOREDTODATE............ $ 173) 130.òo <br />A/P$ <br />RETAINAGE - %...,.."...,..:..,..,.....IQda)SI~ <br /> <br />LESs PREVIOUS CERTlFfCATES FOR PAYMENT.., ....$ /ss .Bn,Oê) <br />. <br /> <br />. I <br />In accordance with the Conflact [)oçum.nts, ~sed on OII-sie observ8flolls <br />and the .JOlla c:omprlslng the ablWlllppllo811on. the Consultant certifles.to the <br />Owner that It. Work ha~ pnlgres1ledlo the point indicat_d; that Ie lhe best <br />of hillcnowledge. infClmation and be ef. 111. qll8li1y of the Work is In lIÇÇord- <br />anoe With Contract Docummh; and that !he CDnhctor 5 entilled to pay,""nt <br />01111- CURRENT PAYMENT DUE. . <br /> <br />CURRENTPAYMENTDUE..,..,........_....,.....S~ <br /> <br />The undersigned Contractor certif"8 that II) !he best 01 11, knowledge. information and <br />belief the WOfk. CI)Ve«ed by this Applic:atil)n for Payment h.. been c::ompleled in ac;cor- <br />dllnce ",ith !he Contract documents. that all amounts have been paid by him for Work <br />for which P"VIe"s Cet1IIc:ales for P8)'I'Il8nt ""'" Issued and þ8rlnellls IPCetv.d r,OII\ <br />the Ow418r, and th~ cuI/llnl raynillfil shown herDin is 110W dl.lø. <br /> <br /> <br />By: <br /> <br />CONTRACTOR: <br />HillIard & Sons CDn <br /> <br />by Owner. <br /> <br /> <br />Dale: &>-1-04- <br /> <br />By: <br /> <br />c:" <br /> <br />'lfiard, .gecrelarynrtoasur., <br /> <br />-. <br /> <br />=-'-""-:;- ....-,..=.......,.._._11 <br /> <br />- --- ..--. -.._--- --.....-- . <br />