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<br />, <br />" <br /> <br />v <br /> <br />ENGI'NEERJ\seCi)Pv:1 <br /> <br />-# <br /> <br />Bonestroo <br /> <br />Owner: City of Centerville, 1880 Main Street, Centerville, MN 55038 Date: <br />for Period: 9/7/2007 to 1/1712008 Request No: <br />Contractor: Burschviiie Construction, Inc, 11440 8th Street NE, PO Box 65, Hanover, MN 55341 <br /> <br />January 17,2008 <br />7 I <br />I <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />BACKAGE ROAD AND 21ST AVENUE UTiLITY AND STREET IMPROVEMENTS <br />BONESTROO fiLE NO. 000616-05143-0 <br /> <br />SUMMARY <br />1 Original Contract Amount $ 1,118,25190 <br />2 Change Order - Addition $ 40,03916 <br />3 Change Order - Deduction - $ 0.00 <br />4 Revised Contract Amount $ 1,158,29106 <br />5 Value Completed to Date $ 1,155,81258 <br />6 Material on Hand $ 000 <br />7 Amount Earned $ 1,155,81258 <br />8 Less Retainage 2% $ 23,11625 <br />9 Subtotal $ 1,132,69633 <br />10 Less Amount Paid Previously $ 1,117,96039 <br />11 Liquidated damages - $ 000 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 7 $ 14,73594 <br /> <br />Recommended for Approvai by: <br />BONESTROO <br /> <br /> <br />(f t::; <br />~8~ <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />Specified Contract Completion Date: <br /> <br />Date 1- AQ)-ffi <br /> <br />-1 Om605143REQ7.xls <br />