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<br />, Inl Bonestroo
<br />I:! Rosene
<br />n Anderlik&
<br />,y, Associates
<br />Engineers & ArchItects
<br />
<br />Owner: C of Centerville 1880 Main St., Centerville, MN 55038 Date: November 18, 2002
<br />For Period: 12/13/2001 to 11/18/2002 Re uest No: 6 AND FINAL
<br />Contractor: ,Northda'ie'CotlsbiJction ca'm' ~r" Inc.,'1445O"Northdale Bi\)d:~R 9rS,MN 55374 :~';':';;<":~
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<br />CONTRACTOR'S REQUEST FOR PAYMENT
<br />HUNTERS CROSSING
<br />BRA FILE NO. 616-00-114
<br />
<br />SUMMARY
<br />1 Original Contract Amount
<br />2 Change Orc;fer - Addition
<br />3 Change Order - Deduction
<br />4 Reyi~ed ,Coi1tract AITtount
<br />5 Value Completed to Date
<br />6 Material oi1'H~;,d"
<br />7 Amount Earned
<br />8 . L~ss R,etalnage 0%
<br />9 Subtotal.'
<br />10
<br />11
<br />12
<br />
<br />$
<br />
<br />502,779.56
<br />
<br />$
<br />$
<br />
<br />0.00
<br />0.00
<br />
<br />Less ~~nt,p'c!id rreviously
<br />Liquidated damages -
<br />AMb~NT i;iLJ,E THIS REQUESt FOF~ 'PAYMENT N
<br />
<br />
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />$
<br />
<br />502,779.56
<br />,525,493.84
<br />0.00.
<br />525,493.84
<br />0.00
<br />525,493.84 -,
<br />,487,841.92
<br />00
<br />
<br />Recorilm~i:lded for'Approval by:, . .
<br />BO~ES~OO;~O,SE~~, ANDERLI~ ~ ASSOCIATES, INC.
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<br />Approved by Contractor:
<br />~NOR~D~E ~,~NSTRUcnON COMPANY tNC
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<br />Dam: ~;~~2-
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<br />Specified Contract Completil?n D~te:
<br />August 25, 2001
<br />
<br />B1BOO114REC6Flna1
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