Loading...
WA9401-CS 950103J(~N-0S-g5 TUE 09:4~~? s2s(~I~I~TE:0TURnL UTI"LITIE8 FRX N0. 817 926 4387 P. 01 ¢¢ ARCHITECTURAL UTILITIES, INC. DATE:. ATTN: FAX COVER SHEET 817/926-4377 OR FAX 8171926-4-387 ..~_"'Z..~r? --~ )/¢9-5' TIME:_._ COMPANY: SENT TO FAX NO. NO. OF PAGES (including cover sheet) 3 LT.J APPUCATION A.-Ni) CERTIFICATE FOI PAYMENT t t~=71)2!' ; r.: -' -; II!..i51rtK'~ On rever.~A_~!det , w~C;e ~ OF ~-~;LS ~. O, Box 478 ~atec ~ne ~o~ct CL') E1OWNEr Ooppell, TX 75019 FRC~I{CONTRACTORJ:ARCHI'i'ECI~RAL UTILITIES, P, O. Box 11586 Fort Worth, ~C 76110 CONTRACt FOR: (i 94-01 ) AUI Job # 94061 CONTRACTOR'S APPLICATION FOR PAYMENT AI)t)I'I IONS ULI.IU[:] IO~lS CItAI',K'~E ORL~R SUMMAgY Clmtge IDr(lers apptovt~f previous munihs by Owner _ TO(At. ' ' IN'M. ne..ber tale ApprovL,,tl TC)'IA!.5 Net chanl~e by Chatwgc~ Orders The ueqdersigc~ed Con, l raclor ce. ilie. s lha4 14) IhL l)tSl inf~'malkNi and Ijelie[ l|te Wn~k c~wt-.'ted ity Ihis Alq~iicalk:n Ior t'~.,L.t has !~.en complete:d in acct~d~eKt: wilh Ihe COalh';.l('| IJNR'IITIK:III.tl, tjhll all ,alr t).Lil-i,L~ jI~IP. [lq:e;I paid by Iho ConlrIK'k)r ((x Wurk I[ot wlak'h iHevi,uus ILTttli~f~'aN..s l¢~r I'aymen4 were issued at'K| [h~In(:nls receiw..tl ie'oln II~e (.h,v,l(.% hetein is now clue. ' +. CONTRACTOR: .. .. / · ._ the C0nlractm' is eretilled lo pi~)..Rml el file AMClC.IN] CERIlFIED, THE AMIRICAN IN~IIIUIL (~r AICIINi. CfS; !.,~ %; PERIOD I0:12/30/94 L1 ARCHITECT E] CONTRACTOR AR(;tlI'I'i!C'I"5 El PROJU.:T NO: · C(.NqTRACI' Al~f)licalicm is n,k~de: [or Payh~.ll, as d~t~t~ IM~v. in conneclion wllh ll~ C~ir~l. Cmfi~u~ioa S1~c4, A~ !~xl~ed 6793, is all~hed, 1. ORIGINAL CONTI~T SUM ....................... S 133,976,54 2. Nt4 ~h~Ge ~ ChanUe (kdeB ..................... 3. CONTR~T SUM m DAE (Line 1 ~: 23 .............. 4.1OML CO~ffEO & S~ID TO DATE ............ (Column G ~ GTO:I) / Complelt~ ~rk $ 4'956'16/ {Colgmn D + E on G~3}' E) .... % of Stor~l Malerial $ .,. '[Ot~ Reh.inage {t.k~e ~ .F 5b o¢ 'tt~lal in CoJun~s I of G7033 ..................... $ 4,95~. 6. Total ~AnMEb e~ ~taM~'. .................. (I. ine 4 I,Jss Li~ 5 ~Mal] 7. lE5s PliVI~5 CE~T~CAIE$ FOI PAYMINI [I.hte 6 hrmt I~r Cerlilicale) .........$ 0. p0 · ._= ,,. 8 A :e to nNnm, RUS retainaGe.. .......... lLine 3 ~ss Line 6) Slale O1: ~ Cc}urily t}l: 5ubscril~d and s~rrl I0 before nr~ lifts 3~ ~y oi Jas~ ,19 95 N~ary Public: J~ ~tliff ~' Q~mu~sion expin~: AMOUNI CERI'~IED ................................. $ (Alli~h expla,,ae~ if a,~t cetlii~d cliflets [t~r; the ii;~ a~ ARCHITECT: I!y: _ Date: Tfds Ct, fiifk:ale i.s m31 ,u;gcdiable. 1he AMOUNT Ct. RTIFIED is payable urdy to the C{NIIrilClOF rtafiN.'d hert'~tt, Issuance, paymedfi a~d ,'N;ctqllance o~ |h~¢,ment ire WilhUal I}fejudke: k~ arty ell|his t}i the Owner ¢Nr ClNllrldor ut~let this Cunh'ad. ~N-03-95 TUE 09:48 fiROHITEOTURAL UTILITIES FAX NO, 411mlz, l, tl 15ol, i 1o O. Ill 11586 11311 Illell, IX 71110 IIII(I I0 817 926 4387 P. 03 I I I I I g = 2" '/11'. / : 500 . i': $6,60 I 622: 1122; O: O: e O: O: -' Ol -- Oa CI: O: ;.,ill ~l'~U~l" - S49, ~61.64 80. Do I44, i05 · 41 /