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05/03/12 FAA/Application for Payment #6Administration Memorandum Date: May 3, 2012 From: Gary Gates.. HLN-61 0 2725 Skyway Dr; Ste 2, Helena, MT 59602 (406) 449-5230 To: Accounts Payable Branch, AMZ-1 10 Subject: ACTION: Application for Payment Number: 6 Partial Kalispell City Airport Kalispell, MT AIP Project No. 3-30-0043-003-2010 Grant Contract Number: DOT-FAI ONM-2032 A scanned copy of FAA Form 5100-60 is submitted for payment. Based on the ,representation and certification contained in the payment request, I find the amount of $3,040 (shown on line'b') to be an allowable project cost, not previously paid, and approved for payment, a. Accumulated previous payments......... $84,953.00 b. Amount approved this payment ........... $3,040-001 c. Total accumulative payments .... ...... $87,993.00 d. Maxim urn grant amount ..................... $92,91 MO e. Remaining balance ........................... $4,917.00 G4y/Gates, HLN-610 I Attachment cc: ANM-613 City of Kalispell Stelling Engineers, Jeff Walla USSTFORRFIDABUR �UMAYREPGPTAND OMIS APPROVAL MO,0248-6=2 F OR =4 N-C., L 1X1 CPIH MCRUAL DOTTAA Six RUPLC�YER VENT 1-ICATKIN 17- ACC�-T la- da. 100 NWA No wan PIE'.'T ORGAN'IZAT 1ON e. PA,(-'E OW W K~H _11 231 IstAymue East Sly 16in man =a KaldpWl, MT 59MI Am. w'd Ci A�3sipi"A_PCN -7 TWM N11 - — — — — — — — — — P"Mroyevowc I �fzhnite_, S�2,625 Cal d- I,,,, E� cngine a ring fee�; 5K AN Wd &IMmit cc! ------------------------ ----------- ------------- ------------ -------- ReNGWO eVEwe i 1,- C Pi, me:1ts b Fndivldvals nn­d . ...... ... ------ SS cc .... ....... am MMME!! M! Ccnctroctimn and ,,o:,cct FqOpTera 07 — --------------------- Im rJ io. Dedvct;ms f'fsprm S 8,3 2 5, 00 ... i Nowl KQQJ: Smoot F&eQ 5h. W "19 SF 7 9 3,0-0 T t Federa: payrner,!F praviousy mquasted I ----------- PafL i aim! -.7,m RTR�fcftL RSWRT SMMTM VE ja RECREMI 1 CMI MM 0 Me bek of my Wcaele and is RO be mud CWS 0, bawemw% em i- ancaluce wn! me lerms of Te pned ard 10 mmemermenFlom Maws Hamm 1 14091 752-7701 Om nVa nm nd twi pre-vvrn:! I an inspectioi ta:� een peronrrea ow M IGI L jnNT E i won'e i$ iiiactcrdanc—:ith tire iefms ofT^e a,,*rerd, Ib I AN WAK tom"'I �_,T!K)RiZED FOR LCCIALRE -CC, iUN W PU W­,, FUZOA EMON TMKE vyla�r 4_,V3 CFCd;'Zr '.! 12 1 !1, ZIProject-Ac-, iveW rpwLsl�_ Ks 1 !spell Ci t�'Q—M-201 GTifwtsTF F?'SIR,- R W VaUMMM 0 MR M 60-&