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� Owner: Ci of Centerville 1880 Main Street Centerville MN 55038-9794 Date: November 9 2010 <br /> � For Period: 9/1/2010 to 11/9/2010 Re uest N� 2 AND FINAL <br /> i g01125t1"00 Contractor: As halt Surface Technolo ies Cor . PO Box 10 <br /> Z5, St. Cloud MN 56302 <br /> CONTRACTOR'S REQUEST FOR PAYMEN7 <br /> 2�10 SEAL COAT <br /> BONESTR00 FILE N0. 000616-10172-0 <br /> SUMMARY <br /> 1 Originai Contract Amount $ 147,521.55 <br /> 2 Change Order - Addition $ 0.00 <br /> 3 Change Order - Deduction $ 5,090.90 <br /> 4 Revised Contract Amount $ 142,430.65 <br /> 5 Value Completed to Date $ 141,027.05 <br /> 6 Material on Hand <br /> $ 0.00 <br /> 7 Amount Earned $ 141,027.05 <br /> 8 Less Retainage 0% $ 0.00 <br /> 9 Subtotal $ 141,027.05 � <br /> 10 Less Amount Paid Previously $ 125,553.80 ' <br /> 11 Liquidated damages - ' <br /> $ 0.00 <br /> 12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 2 AND FINAL $ 15,473.25 I <br /> I <br /> E io1- `1��yu _ s�� ', <br /> Recommended for Approval by: � <br /> BONESTROO � <br /> ��� <br /> Approved by Contractor: Approved by Ow�er: <br /> ASPHALT SURFACE TECHNOL IE� CORP. CITY OF CENTERYILLE <br /> ary . o ice- re nt <br /> Specified Contract Completion Date: Date: <br /> - <br /> 616-10172REQ2Final xlsm <br />