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11-12-19-R
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Attachment B <br />CITY OF ARDEN HILLS <br />1245 West Highway 96 <br />W Arden Hills ve 55112 <br />Project R-0104152-000 -Tennis Court Improvements At Cummings and Royal Hills Park <br />Pay Voucher No. 2 <br />Contractor: Bituminous Roadways, Inc. City Project No. 19 -PARK -001 <br />1520 Commerce Drive For Period: 10/01/2019 - 10/31/2019 <br />Mendota Heights, MN 55120 <br />Contract Amounts <br />Original Contract <br />$ 303,782.00 <br />Contract Changes <br />0 <br />Revised Contract <br />0 <br />Work Certified to Date <br />$ 254,214.00 <br />Base Bid Items <br />$ 254,214.00 <br />Backsheet <br />0 <br />Change Order <br />0 <br />Supplemental Agreement <br />0 <br />Work Order <br />0 <br />Material on Hand <br />0 <br />Total $ 254,214.00 <br />Work Certified <br />This Pay Voucher <br />Work Certified <br />to Date <br />Less Amount <br />Retained <br />Less Previous <br />Payments <br />Amount Paid This <br />Pay Voucher <br />Total Amount <br />Paid to Date <br />$ 131,137.00 <br />$ 254,214.00 <br />$ 12,710.70 <br />$ 116,923.15 <br />$ 124,580.15 <br />$ 241,503.30 <br />Percent retained 5% <br />Amount Paid This Pay Voucher <br />$ 124,580.15 <br />This is to certify that the items of work shown in this certificate of Pay Voucher have been actually furnished for the work comprising the <br />above mentioned projects in accordance with the plans and specifications heretofore approved. <br />Approved By:1&-A <br />WSB ADDroved Bv: Bituminous Roadways. Inc. <br />111/ <br />Projectyager,CONTRACTOR SIGNATURE <br />November 5, 2019 November 5, 2019 <br />Date Date <br />Approved By: CITY OF ARDEN HILLS <br />CITY OF ARDEN HILLS <br />Date <br />K:1014152-000I4dminlConstruction AdminlPay ApplicationslPay Application #21 <br />Page 1 of 4 014152-000 PV2 110419VO 1 Cover <br />
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