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<br />-#- <br /> <br />Bonestroo <br /> <br />Owner: Citv of Centerville, 1880 Main Street, Centerville, MN 55038-9794 Date: Mav 19, 2009 <br />For Period: 5/4/2009 to 5/19/2009 Reauest No: 1 <br />Contractar: Farest Lake Contractina, 14777 Lake Drive, Forest Lake, MN 55025 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />2009 STREET IMPROVEMENTS <br />BONESTROO FILE NO. 000616-09170-0 <br />CITY PROJECT NO. 2009.02 <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 Liquidated damages - <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br /> <br />$ <br /> <br />1,351,737.25 <br /> <br />$ <br />$ <br /> <br />0.00 <br />0.00 <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />1,351,737.25 <br />18,550.00 <br />0.00 <br />18,550.00 <br />927.50 <br />17,62250 <br />0.00 <br />0.00 <br />17,622.50 <br /> <br />Recommended for Approval by: <br />BONESTROO <br /> <br />tt~ <br /> <br />Approved li'y Contractor: <br />FOREST LAKE CONTRACTING <br /> <br /> <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />Spedfied Contract Completion Date: <br /> <br />Date: <br /> <br />6160917DREQ1.xJs <br /> <br />32 <br />