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<br />Engineers & Architects <br /> <br />Owner: City of Centerville, 1880 Main St., Centerville, MN 55038-9794 Date: November 11, 2000 <br />For Period: October 27,2000 to November 10, 2000 Request No: 2 <br />Contractor: Penn Contracting, Inc., 13025 Central Avenue NE, Blaine, MN 55434 <br /> <br />. ~ J Bonestroo <br />~ Rosene <br />'1\/1 AnderH/( & <br />,~, Associates <br /> <br />REQUEST FOR PAYMENT <br />LIFT STATION NO.2 RENOVATION <br />BRA FILE NO. 616-99-112 <br /> <br />SUMMARY <br /> Original Contract Amount $ 68,696.00 <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 $ 110,805.72 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 110,805.72 <br />8 Less Retainage 5% $ 5,540.29 <br />9 Subtotal $ 105,265.43 <br />10 Less Amount Paid Previously $ 41,714.50 <br />11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 2 $ 63,550.93 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br /> <br />!)<<<<pl/'..-L . <br /> <br />Approved by Contractor: <br /> <br />a;~ <br /> <br />Pto~ . <br /> <br />Approved by Owner: <br />CITY OF CENTERVllLE <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />request 2 <br />