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CD Stantec <br />Dwner. City of Centervile, 1880 Main St., Centerw'le, MN 55038 Date: June 6, 2017 <br />For Pedod: 5/1 /2(il7 to 6/6/2017 Request No: 1 <br />Contractor. VaWy Paving, Inc., 880 -13th Ave. E., Shakopee, MN 55379 <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />2017 THIN BITUMINOUS OVERLAY <br />STANTEC PROJECT NO. 193803766 <br />SUMMARY <br />1 Original Contract Amount <br />2 Change Order - Addition <br />3 Change Order - Deduction <br />4 Revised Contract Amount <br />5 Value Completed to Date <br />6 Material on Hand <br />7 Amount Earned <br />8 Less Retainage 5% <br />9 Subtotal <br />10 Less Amount Paid Previously <br />11 Liquidated damages - <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />Recommended for Approval by: <br />STANTEC <br />Approved by Contractor. <br />7271 <br />NG, INC. <br />Z& <br />Specified Contract Completion Date: <br />$ <br />194,463.30 <br />$ 0.00 <br />$ 0.00 <br />$ <br />194,463.30 <br />$ <br />23,469.20 <br />$ <br />0.00 <br />$ <br />23,469.20 <br />$ <br />1,173.46 <br />$ <br />22,295.74 <br />$ <br />0.00 <br />$ <br />0.00 <br />1 $ <br />22,295.74 <br />15 <br />Approved by Owner. <br />CITY OF CENTERVILLE <br />