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<br />EN6IN&U':S eOPY\ <br /> <br />.- <br /> <br />Bonestroo . <br /> <br />Owner: City bf Centerville, 1880 Main Street, Centerville, MN 55038 Date: October 24, 2007 <br />For Period: . 8/30/2007 to 10/24/2007 Reauest No: 3 AND FINAL <br />Contractor: Gustafson ExcavatinQ Inc., 6610 410th Street, North Branch, MN 55056 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />2007 FAIRVIEW STREET IMPROVEMENTS <br />BONESTROO FILE NO. 000616-06148-0 <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 0% <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 />4,720.00 <br />6,142.97 <br /> <br />3 AND FINAL <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Recommend.ed for Approval by: <br />BONESTROO <br /> <br />.441'./ r- <br /> <br />~.........-..=..... -~ <br /> <br />Approved by Contractor: <br />GUSTAFSON EXCAVATING INC <br /> <br />Approved by OWner: <br />CITY OF CENTERVILLE <br /> <br />~ <br /> <br />- ~- <br />~'" - <br /> <br />218,721.25 <br /> <br />217,298.28 <br />217,298.28 <br />0.00 <br />217,298.28 <br />0.00 <br />217,298.28 <br />200,894.39 <br />0.00 <br />16,403.89 <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />61606148REQ3Final.x1s <br /> <br />4J- <br />