request #4 4-23-04 001
Memo
To: Barb, Senior Accounting Cle~(C jl
From: Shelly, City Administrator
CC. Gary Carson, City Hall Improvement Pr ject Manager
Date: April 23, 2004
Re: Payment Request #4 for A.M. James Co., Inc. for City Hall Improvement Project
Attached you wII find Payment Request #4 for the City Hall Improvement Project. This pay request
has been reviewed by Project Manager Gary Carson and myself and is AUTHORIZED for payment.
Please process a voucher in the amount of $47,684.98 to A.M. James Company, Inc. with
the April 2eh batch of vouchers.
Please pay out of the Municipal Building Fund Line #302 594 19 62. Please give voucher to Gary
Carlson who will hand deliver payment to Jim Wright with A.M. James Co.
Thank you.
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APR-13-2004 04:14 PM P M. JAMES COMPANY 25- 265 1615 P.01
L pt . l_13i
Department otl..bm.aaIndustries 19311hi, STATEMENT OF INTENT TO
Prevailing Wage PAY PREVAILING WAGES
W 9015335 PDbllc Works Contract
www.lnl.wagovlprevailingimage
;25.00 Fllln Fen Rsc ulred
• This form roust be typed or printed in ink. Noma careslx
• Fill in all blanks or form will be removed for correction (ambaak). ts~ C, r. NT
• Please allow a minimum of 10 working days for processing. C AWr rPUam aNNr m axeRNwee)
7eU _Cvf~ U
APPIIOV®FORM WILL BE MAILED TOTHIli ADDRFM
Contractor, corii~ny or agency name, sources, city, stele & ZIP 14 130k
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Craft1trade and acmpttlnn(W NOT iii, appgaiece) pale( V, Pale OfhoWy Faemeldm.
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city. ewe, ZIPN Indicate anal dollar amount
Ce d':i oNr of ensnaa $
- - 1 hereby cmtlfy the the above inm is aerteal and Jut all
-'K a r-e yl l ~ 3 F. workers I employ on this Public Works Prgett will be paid no
8 C^' las than the Prevailing Wage Rao(s) as determined by the
Labaand orandIml
Jpl~~ { Ldumial Shtiatician oFtb enmant of du atria.
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APPROVED: Department of Labor and Industries tweed °y~
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D.p~dlakamdbAueb. ® STATE' "NT OF INTENT TO
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