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<br />. n. Bonestroo <br />R Rosene <br />1iI Anderlik & <br />. u. Assodates <br />Engineers & Architects <br /> <br />Owner: City of Centerville, 1880 Main St., Centerville, MN 55038 Date: October 13, 2005 <br />For Period: 7/1/2005 to 10/13/2005 Request No: 2 <br />Contractor: Telemetrv Process Controls Inc., 5660 Memorial Ave. N., Stillwater, MN 55082 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />SUPERVISORY CONTROL AND DATA ACQUISITION PROJECT <br />BRA FILE NO. 000616-04136-0 <br /> <br />SUMMARY <br />1 Original Contract Amount $ 156,437.00 <br />2 Change Order - Addition $ 2,355.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 158,792.00 <br />5 Value Completed to Date $ 158,792.00 <br />6 Material on Hand $ 0.00 <br />7 Amount Eamed $ 158,792.00 <br />8 Less Retainage 5% $ 7,939.60 <br />9 Subtotal $ 150,852.40 <br />10 Less Amount Paid Previously $ 120,666.72 <br />11 Liquidated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 2 $ 30.185.68 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br /> <br />(~~-~ <br /> <br />Approved by Contractor: <br />TELEMETRY PROCESS CONTROLS INC. <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />See attached for signature <br /> <br />Specified Contract Completion Date: <br />June 1, 2005 <br /> <br />Date: <br /> <br />61604136REQ2.x1s <br /> <br />1\0 <br />