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, <br /> �� TION AND CERT►�tCA�'� �aR PAYM�i��_--- ����; ��ocu����_r�r c�ioz_-- ��,,�.< <,.F �,� ' ��,��-,�� <br /> APP�t.�� �. . <br /> I�1'I'LICi\TIO��� r�o: 1 Uislribution lo: <br /> ,=--= f'ROJC(=1: i'�c�i_l.er Re��La,:��mc�uL [� O�'dN1:R <br /> TO (U�vncr): CiCy of Uecatur <br /> Nc�t 1.1i �1.�rc��Cmr�n C 1'���nt ��I.RIOC) V f:(��•1: i� Z. �-] l�RC.I IIiCC�.I <br /> �I . 1'1_ar�i �„�•, l_� 3/�`� <br /> i C:i.vic Cci;l.cr r, ,, i�- ' � ` '"� <br /> � �``� �, Ti): L �•������� CI CONTh�\CIOI: <br /> ])CC£1LU1- � .I..L.L1I101.-`, G7_�.=-' �� <br /> .. GG'�" �_l <br /> 1-1 <br /> �� ��mcr,�. l�,I�.C1��f�_Ci"� �;ss:�.7 <br /> A�i7LNT101�l: <br /> II��:I.l. , ;;cl���ral l:z �� illileni.u��, r\rc.l�, i�.0i�11I���c�i" i _ �ri- I'I:c_��l.C:l h!i�. <br /> 'L'1_5 5r.�ul:h 1•1�� i.n <br /> O2_`�2�� �;.t;� c_.Oi!I Ri\(-.I (�:\I I.. ..l,�n��,�:'.,� �'� , �.�)`�`) __ - <br /> D�.c�L u r , I:1.:l.i.n o_i.., ��.v 2/—,�Do� ------------------- - <br /> ---- ------ ,�;���I��:.�li��n is in�iclr (cir I'��yint'nl, :iti ;lic>�:�n l�cic�::�, in Cc�nneClini� v;ilh Ilic C��ntr�ii'� <br /> NTRACTOR'S A�'PLICA�X�ION [=C)��. 1'/�YM6_NT �_��„��,,,�.,���,�, si,����, nin i��,<<��„��„� c�u_,, �. ;,��.,�_i,���, <br /> CO __ _------ ------- -I hc i�rE�;r�nl slalus o( �hc account (�� tl�is i:c�nlrict is �s �ullu4:-t: <br /> ----------- ,- ] ,�� E 3.GO <br /> CHANGE ORDER SUMMARY _______------ -- , -- <br /> c� _ <br /> — OltlGl�l�L CONTRnCI� SU�1 . . . . . . . . . . . . . . . . . . . . . . . �— <br /> Changc C)rdcrs ap��rovcci l�DDI(IONS <br /> DLDU(;710NS <br /> in prcvinus months by . . . . . . . . . . . .5----- — - <br /> Nct chai��� hy Ch�ng�� Ordcrs . . . . . . . <br /> p�vncr <br /> TOT,\l ----------- l`� ,��+3.�0 <br /> --- ------ ----- <br /> -----_� • . . . . . . S-= - <br /> _ ---- <br /> CON�I�RACI SU��1 l�0 Dn 1. . . . . . . . . . . . . . . . . . . <br /> A�)OiU�qci ��ii5 \liinl�i - <br /> v�n,bc� t),�c np -- . . . . 518,516.00 <br /> --- �IUTAL CO�'v11'l.{:Y[D & STORLD 70 f)AiE . . . . . - <br /> (Colunin G c>n G70:1) 1,851.60 <br /> RL-1 nW�GE _-10—�'� . . . . . . . . . . . . <br /> . . . . . . . . . . . .5— ------ <br /> or lotil in Colui�in I un C�iO3 _16 664.40 <br /> - . . . . . . . . . . .� ' --- - <br /> __,_ -- — "1O1��L [i\RNt=t� LLSS IZC:7nW�GE . . . . . . . <br /> TOT��LS ---- -- , <br /> 1ct �hanp,c by Ch,nE;c Ordcrs __ -_ I.I:SS 1'REVIOUS CEK(IFIUTES FOR Pnl'MEN�T� . . ' . . . . 5---�- — <br /> Thc undcrsigned ContraUor ccrtitic�ih�l lo thc bcst oi his kno�vl�clE;c, <br /> infurmalion and bclic( thc \1�ork cuvcrcd by lhis Application (or <br /> Pa�•ment l�as �ee� com�;le�ed in accord.i�ce ��•i�li �he Con�r�ct Docu- `,�6,G64.90 <br /> ments, lh.�t all �mounls hivt bcen paid b}' him (or Vdork (or which . . . . . . . . . . . . . r--- -- --- <br /> C�)12R[:N�I f'��lYt��iENT [)UE . . . . . . . . ___ <br /> ��icvinus Ccrli(icales (or I',iymcnt ��•crc iss�cd ,nd p�ynunls rcc�'ivccl _ ,- -------�-- <br /> irom th�_ Owncr, and lh�t currrnl payn�enl sho�vn h��r�in is no�v du�t. Cc�ur;;' c�(: <br /> C 1',I.ccl.r:i c�i l. l;c.-�. <br /> il�l�: U(: Ci;. ' Ui �n <br /> CONTf::\CT . It�'�. ��»•���� Pluint�i_n�;, lleatin�, � ' <br /> ,. <br /> `_;ul�sciihccl an�l s`vc�in ln I>c(oi�: inc U�i, � <br /> � lvotary f'ul�lic: <br /> D a t c:�- ------------\1 y-( ��_n i�i i s;_i o i i c>>:�_��c'�- - . -------------------------- <br /> i 13 y�.- ---— -- _� -=--------- <br /> - - -- " . -�6f�'--�'-`�'.�v_--- <br /> /� ` /� ��_�V � i\hl(�Ui�;l (:I {:l I111.!, , , �!i.:i f��rJ <br /> /�.��1.����, �C��,7 Cl�l�,rl�1CA�1 k ��CZ ��/1 Y IY� �:\(t,t�li �:tj>I,indfinn i( tun��u�tl r.crlii;��c� ii,f�:;; Irr,ri th�t ,: �. ;:;�i ;f I <br /> i � , � r r�....,. <br /> r�i�.�.� i ��_ ..i . <br /> In iCCuiclinCc �•:il�h I�IC (,OnlriCt DoCuinci�l5, l�n5cu ��n �;n-iil�' `v,)5t1�- I <br /> vaUons an�� il�c d.il�� ruin��ricm�; lhc al�ovc a��plicati��n, li:c Archilrcl � l` - --- --- <br /> _ - <br /> �_crULrs ;o th�: C.)v;ncr ihat thc �\'orG: ha, pro};tcz�,cd Io ih�. ��uin� l'\'' -� ---- - - -- — , --- ` <br /> j��- � �"���-�� � . <br /> r�cl'�r.a�cc?; th:�l lo Ihr l,e:l o( hiz 4:no�•,Icdgc, in(nr�nalion :.nd I�clic�, �� `.',i_;U`;l `{I,.-'.' ,il� ��, ��a•;�I,l�� n��ly ! � ; �c l.c,; , <br /> - Il�c r��i;,lily of Ihc \":c�r'�: i; in ;tcCord�ncc ��:illi 1!�i i_i,nlr,�rt l�ir�.u- lhl�, C .:;�li�-.11c i�, nnt n��}�,uti.iV�l��. Ih�� ;'.. r , ,•,, �,.�i ;�r;• ,,:.ilhuu', �ri��utli�:� <br /> ' » �nien� c�( ;! � P,i`:1 IJFI l � . ,r,.��i,�i�Cc ��� <br /> �r C� r[�.n�c�l Lrr�•in. I�,�,uancc, ;�.�yii`�_nt ,�n<, <br /> i���ni;; incl ll>>l llir_`�bntr�Clur i5 cnlillC:�l<� � � , <br /> i• ri;;!�ls ui ll��� Uwncr n� �:��nl�,r_lor ��nU�� ',,',��` �.-�;nir;� .t -- ---- - <br /> CLP.iI; �D. ---------------_-------- <br /> r ._�_. -- - -----r`„ ;\!r�`� ' �'; i�11i'� ��7�)x -- <br /> nIA OU(.i)1�1�NT G702 ' ,�{'i'I.IC:\TIC)!•! r\�!D CERTIiIC,L.IC (()i; I'i\'i�.1�.Ill ' r`,i'Kil i7711 iUlf� _ • <br /> . ���� ... „�,..� � .�cnr�ii: r.c .,ui'u�Tcrlc ��:�r, +.ic�v vri.��,' .��;;>.:t+� <br /> :J '�'J ,..Al',IiXi 1(1:� (1 (� 7f�('dl(. <br />