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❑ Engineering Copy <br />❑ Finance Copy <br />❑ Contractor Copy <br />CITY OF ARDEN HILLS <br />CONTRACT VOUCHER <br />Contract Date: March 28, 2011 <br />Payment No. : 1 <br />Partial Payment <br />SS-11-07 2011 Sanitary Sewer Lining Project <br />CONTRACTOR: <br />Insituform Technologies USA, Inc. 636-530-8621 <br />580 Goddard Avenue 920.924.4320 <br />Chesterfield, MN 63005 <br />Remit Payment to: <br />PO BOX 674060 <br />Dallas, TX 75267-4060 <br />Total of Contract <br />% of Contract Complete <br />Value of Work Completed <br />5% Retainage <br />Previous Payments <br />Payment Due This Voucher <br />DATE: <br />DATE: <br />DATE: <br />Funding <br />Phone <br />Fax <br />$399,444.50 <br />82.9% , <br />$331,326.30 <br />$16, 566.32 <br />$0.00 <br />$314,759.99 <br />City of Arden Hills Mayor <br />City Administrator <br />Contractor's Representative <br />Sanitary Sewer Enterprise Fund <br />$ 314,759.99 <br />602-48519-45900 <br />Total $ 314,759.99 <br />