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r Owner: City of Centerville 1880 Main St. , Centerville MN 55038 Date: June 6 2013 <br /> For Period: 5/1/2013 to 6/6/2013 Request No 1 <br /> �nbet Contractor: Northdale Construction Co. Inc., 9760 71st St. NE Albertville, MN 55301 <br /> CONTRACTOR'S REQUEST FOR PAYMENT <br /> 2013 STREET AND UTILITY IMPROVEMENTS <br /> STANTEC PROJECT NO. 193801520 <br /> SUMMARY <br /> 1 Original Contract Amount $ 1,533,650.86 <br /> 2 Change Order - Addition $ 0.00 <br /> 3 Change Order - Deduction $ 0.00 <br /> 4 Revised Contract Amount $ 1,533,650.86 <br /> 5 Value Completed to Date $ 233,184.54 <br /> 6 Material on Hand $ 0.00 <br /> 7 Amount Earned $ 233,184.54 <br /> 8 Less Retainage 5% $ 11,659.23 <br /> 9 Subtotal $ 221,525.31 <br /> 10 Less Amount Paid Previously $ 0.00 <br /> 11 Liquidated damages - $ 0.00 <br /> 12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 1 $ 221,525.31 <br /> Recommended for Approval by: <br /> STANTEC <br /> Approved by Contractor: Approved by Owner: <br /> NORTHDALE CONSTRUCTION CO., CITY OF CENTERVILLE <br /> Specified Contract Completion Date: Date: <br /> 19380152ORE01 dsm <br /> 20 <br />