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CITY OF ARDEN HILLS <br /> 1245 West Highway 96 <br /> Arden Hills MN 55112 <br /> wsb Project R-0104152-000-Tennis Court Improvements At Cummings and Royal Hills Park <br /> Pay Voucher No.4 <br /> Contractor: Bituminous Roadways,Inc. City Project No. 19-PARK-001 <br /> 1520 Commerce Drive For Period: 01/01/2020-05/29/2020 <br /> Mendota Heights, MN 55120 <br /> Contract Amounts <br /> Original Contract $ 303,782.00 <br /> Contract Changes $ 19,219.00 <br /> Revised Contract $ 323,001.00 <br /> Work Certified to Bate <br /> Base Bid Items 303,057.00 <br /> Backsheet 0 <br /> Change Order $ 19,219.00 <br /> Supplemental Agreement 0 <br /> Work Order 0 <br /> Material on Hand 0 <br /> Total $ 322,276.00 <br /> Work Certified Work Certified Less Amount Less Previous Amount Paid This Total Amount <br /> This Pay Voucher to Date Retained Payments Pay Voucher Paid to Date <br /> $ 217130.00 $ 322,276.00 16,113.80 $ 286,088.70 $ 20,073.50 $ 306,162.20 <br /> Percent retained 5% <br /> Amount Paid This Pay Voucher $ 20,073.50 <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 above <br /> mentioned projects in accordance with the plans and specifications heretofore approved. <br /> Approved y: WSB Appro y� Biturni ou oad ways,Inc. <br /> 01-or <br /> pmi artager Contractor <br /> 6/17/2020 6/17/2020 <br /> Date Date <br /> Approved By: CITY OF ARDEN HILLS <br /> CITY OF ARDEN HILLS <br /> Date <br /> K.-W14152-000Wdminiconsfrucfion AdminlPay ApplicafionslPay Application#4Wrchlvel <br /> Page 1 of 1 06-17-2020 014152-000 PV4VQ 1 Cover <br />