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<br />.tt <br /> <br />Bonestroo <br /> <br />Owner: City of Centerville, 1880 Main Street, Centerville, MN 55038-9794 Date: Seotember 5, 2007 <br />For Period: 8/7/2007 to 9/5/2007 Request No: 3 <br />Contractor: Veit & Comoanv, Inc, 14000 Veit Place, Roqers, MN 55374 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />2007 HIDDEN SPRING PARK IMPROVEMENTS <br />BONESTROO FilE NO. 000616-07155-0 <br /> <br />YO.}-- 4Sl.tJ'l-JOD <br /> <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 /> <br /> $ <br />$ 0.00 <br />$ 000 <br /> $ <br /> $ <br /> $ <br /> $ <br /> $ <br /> $ <br /> $ <br /> $ <br />3 $ <br /> <br />218,28100 <br /> <br />218,28100 <br />213,11235 <br /> <br />0.00 <br /> <br />213,li235 <br />10,65562 <br />202,45673 <br />152,25769 <br />000 <br />50,19904 <br /> <br />Recommended for Approval by: <br />BONESTROO <br /> <br />II~ <br /> <br />Approved by Connactor: <br />VEIT 8< COMPANY, INC. <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />tJ) -"I.~ f.",(' ..PI ~7 <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />61607155REQ3.x1s <br /> <br />12 <br />