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<br />, <br /> <br />J1j:oo <br />G Anderfik & <br />1~1 Associates <br />&Igineers & ArthIlects <br /> <br />Owner: City of Centerville, 1880 Main St, Centerville, MN 55038 Date: September 10, 2003 <br />For Period: 819/2003 to 9/1 012003 Reauest No: 2 <br />Contractor: Dave Perkins ContractinQ Inc., 14230 Basalt St NW, Anoka, MN 55303 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />PELTIER PRESERVE UTILITY & STREET IMPROVEMENTS <br />BRA FILE NO. 616-03-129 <br /> <br />SUMMARY <br />1 Original Contract Amount $ 503,307.00 <br />2 Change Order - Addition $ 0.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 503,307.00 <br />5 Value Completed to Date $ 357,424.50 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 357,424.50 <br />8 Less Retainage 5% $ 17,871.23 <br />9 Subtotal $ 339,55328 <br />10 Less Amount Paid Previously $ 141,498.70 <br />11 Uquldated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 2 $ 198,054.58 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br /> <br />J~~ <br />." <br />Approved by Contractor: <br />7. ~~N1RACT1HG IHe <br /> <br />~#N{lf/--/LU~- <br /> <br />Approved by Owner: <br />CITY OF CENTERVlLLE <br /> <br />Specified Contract Completion Date: <br />May 15, 2004 <br /> <br />Date: <br /> <br />61603129REQ2 <br />