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� CONTRACTOR'S GOPY <br /> FOR YOUR FILE <br /> � Owner: Ci of Centerville 1880 Main St. Centerville MN 55038 Date: ]ul 18 2011 <br /> ��' For Period: 3 18 2011 to 7/18 2011 Re uest No 2 <br /> Bonestroo Contractor: Ellin son Draina e Inc. 56113 State H. 56 P. O. Box 68 West Concord MN 55985 <br /> CONTRACTOR'S REQUEST FOR PAYMENT <br /> STORM WATER SUPPLY LINE (CONTRACT A) <br /> BONESTR00 FILE N0. 000616-08167-1 <br /> SUMMARY <br /> 1 Original Contract Amount $ 224,721.65 <br /> 2 Change Order - Addition $ 0.00 <br /> 3 Change Order - Deduction $ 0.00 <br /> 4 Revised Contract Amount $ 124,721.65 <br /> 5 Value Completed to Date $ 119,463.99 <br /> 6 Material on Hand $ 0.00 <br /> 7 Amount Earned $ 119,463.99 I <br /> 8 Less Retainage 5% $ 5,973.20 <br /> 9 Subtotal $ _ 113,490.79 <br /> 10 Less Amount Paid Previously <br /> $ _ 83,071.80 <br /> l i Liquidated damages - $ 0.00 �' <br /> 12 AMOUNT DUE THIS REQUEST FOR PAYMENT N0. 2 $ 30.418.99 <br /> Recommended for Approval by: <br /> BONESTROO <br /> , ���"/4,l�� _ <br /> Approved by Contractor: Approved by Owner: <br /> ELLIfifGSON �F�lfi kGE, Yi�C. CITY Q�F CEriiYEf�VILLE <br /> Specified Contract Completion Date: Date: <br /> . /! � <br /> 61608167-1 REQ2.xlsm <br />