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<br />j/1 j Bonestroo <br />l:! Rosene <br />1\1IJ Ande~lil< &. <br />llH AssocIates <br />~ngineers & Architects <br /> <br />Owner: City of Centerville, 1880 Main St., Centerville, MN 55038-9794 <br />For Period: November 10, 2000 to December 31, 2000 <br /> <br />Date: December 29,2000 I <br /> <br />Request No: <br /> <br />3 <br /> <br />Contractor: Penn Contracting, Inc., 13025 Central Avenue NE, Blaine, MN 55434 <br /> <br />REQUEST FOR PAYMENT <br />LlFT STATION NO.2 RENOVATION <br />BRA FILE NO. 616-99-112 <br /> <br />SUMMARY <br /> Original Contract Amount $ 68,696.CO <br />2 Change Order - Addition $ 58.752.00 <br />3 Change Order - Deduction $ <br />4 Revised Contract Amount $ 127,448.00 <br />5 Value Completed to Date $ 130,585.72 <br />6 Material on Hand $ O.CO <br />7 Amount Earned $ 130,585.72 <br />8 Less Retainage 5% $ 6,529.2S <br />9 Subtotal $ 124,056.~3 <br />10 Less Amount Paid Previously $ 105.265A3 <br />11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 3 $ 18.791.CO <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br /> <br />D...,J ~~L---~ <br /> <br />Approved by GontraEt ': <br />C. P...EN...N. ..CON.tRAC. TI..G, .'.N...C...... <br /> <br />--1/ (' r <br />'. -!{J.~~t\ j"--t~\UkJ - //~ J ( f'P.S <br /> <br />c.....-- <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />request 3 <br />