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<br />.- <br /> <br />Bonestroo <br /> <br />OWner: CilV 01 Centetville, 1880 Main St., Cenlerville, MN 55038 Date: February 21,2008 <br />FOE Period: 11/2112007 to 212112008 Request No: 5 <br />Contractor: Precision Excavatlnl1 & Gradll1Q, UC 2104 Pierce/Saint Croix Rd., 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 Uquidated damages - <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO <br /> <br />$ <br /> <br />s <br />s <br /> <br />950.00 <br />0.00 <br /> <br />5 <br /> <br />S <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Recommended fOf Approval by: <br />BONESTROO <br /> <br /> <br />.:!z <br /> <br />PRECISION EXCAVATING" GRADING LLC <br /> <br />Approved by Owner: <br />CITY OF CENTERVllLE <br /> <br />297,494.75 <br /> <br />298,444.75 <br />278,786_99 <br />0.00 <br />278,786.99 <br />13,939.35 <br />264,847.64 <br />247,374.67 <br />0.00 <br />17,472.97 <br /> <br />SpeciRed Contract Completion Date: <br /> <br />Date: <br /> <br />618OB147.OREQ5 lds <br />