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<br />. <br /> <br />" <br /> <br />~ Bonestroo <br />II:JI Rosene <br />n Anderlik & <br />. ~. Associates <br />Engint~rs & A<<hitetts <br /> <br />Owner: City of Centerville, 1880 Main St., Centerville, MN 55038 Date: Auaust 6, 2002 <br />For Period: 6/13/2002 to 8/6/2002 Renuest No: 1 <br />Contractor. Earth Burners Inc.. 5910 Fremont St., Duluth, MN 55807 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />CSAH 14 WATER MAIN EXTENSION <br />BRA FILE NO, 616-01-123 <br /> <br />SUMMARY <br /> Original Contract Amount $ 158,803.00 <br />2 Change Order - Addition $ 0.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 158,803.00 <br />5 Value Completed to Date $ 122,323.00 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 122,323.00 <br />8 Less Retainage 5% $ 6,116.15 <br />9 Subtotal $ 116,206.85 <br />10 Less Amount Paid Previously $ 0.00 <br />11 Liquidated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. $ 116.206.85 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERlIK & ASSOCIATES, INC, <br /> <br />~~ w;~..- <br /> <br />~ <br /> <br />Approved by Contractor: <br />EARTH BURNERS INC <br /> <br />~# <br /> <br />.-/ <br /> <br />Approved by Owner: <br /> <br />~~ <br /> <br />t};" Ad~,1-<1vcx.40lr <br /> <br />Specified Contract Completion Date: <br />September 13, 2002 <br /> <br />Date:~ <br /> <br />I~ Za;z.. <br />. <br /> <br />4~q-Lflq~5- 300 <br /> <br />61601123REQ1.xls <br />