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� <br />��� <br />-- .�.� <br />____ _ __ ��► <br />&..tls��i�c�at�� l�c. <br />Owner: City of Arden Hills <br />'�245 West Hig�way 9fi <br />Arden Hills, MN 55112 <br />For Period: 8f1412010 to 1011i2�1Ei <br />Contractor: T. A. Schiisky & Sons, Inc. <br />2370 �ast Hwy. 36 <br />North St. Pauf, MN 55909 <br />Fay Voucher <br />ARDH - 2090 Pa�ement Manage�'tent Praject <br />Client Con#ract No.: <br />Project No_: 01771-02 <br />Client P�oject No.: <br />Date: 1 Q!4l2U10 <br />Request �o.: 4 <br />P�'oieci Summar}( <br />1 Origfnal Canfract Amount $77g,7gg.67 <br />2 Cor�tract Changes - Addition $23,858.�6 <br />3 Contracf Changes - Deduction ($48,T69_08} <br />4 Revised Confracf Amount $755,488.65 <br />5 Value Compfeied ta Date $730,894.74 <br />6 Materiaf or� FEand $�.00 <br />7 Amount �amed $730,894.74 <br />S Less Retainage 5°/a $36,544.74 <br />9 S�btotal $694,3�0.00 <br />10 �ess Amaunt Paid Pre�iously $532,49824 <br />11 �iquidafed Damages $Q.OD <br />'!2 AMOEJNT DUL THIS PAY VOUCF[ER NQ. 4 $�8T,$5'�.80 <br />i�H1S f5 i0 CERTIFY THAT THE I�FEMS �F WQRK SHOWN 1N THIS CERTIFICAT� OF PAR�f[A� PAYMENT FiA1lE <br />BEEN ACTIlALLY FINISNED F�R 7WE WORK COMPRlS1NG THE ABOVE MEf�TION�f] PROJECiS [N <br />ACC�RDAf�CE WiTH THE F'�ANS AND SPECIF[CATfONS HERETOFORE APPROVED_ <br />Recommende�i farApprova! by: <br />WS & Ass ciates, I�c_ <br />� <br />ApPro�ed by Contractor: <br />T. A. Schifsky & Sons, tnc. <br />Specified Contract Completion Date: <br />5131/2�'[ 1 <br />Carnment_ <br />Co�structiar� Observer: <br />Appro�ed by Owne�: <br />City of Arden �iits <br />Date: <br />Page 1 <br />