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<br />.. <br /> <br />Bonestroo <br /> <br />Owner: Citv of Centerville, 1880 Main Street, Centerville, MN 55038 Date: November 20, 2007 <br />For Period: 10/1812007 to 11/20/2007 Reauest No: 4 <br />Contractor: Predsion Excavatina & Gradina llC, 2104 Pierce/Saint Croix Road, Baldwin, WI 54002 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />OLD MIll ROAD UTILITY AND STREET IMPROVEMENTS <br />BONESTROO FILE NO. 000616-06147-0 <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 /> <br />$ <br />$ <br /> <br />0.00 <br />0.00 <br /> <br />4 <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Recommended for Approval by: <br />BONESTROO <br /> <br />t%-~ <br /> <br />Approved by Contractor: <br />PRECISION EXCAVATING Be GRADING LLC <br /> <br />(L:"~ <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />297,494.75 <br /> <br />297,494.75 <br />260,394.39 <br />0.00 <br />260,394.39 <br />13,019.72 <br />247,374.67 <br />142,623.50 <br />0.00 <br />104,751.17 <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />61606147-0REQ4.lds <br /> <br />/& <br />