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<br />.. <br /> <br />\ <br /> <br />.~ Bonestroo <br />Il:II Rosene <br />111 Anderlik & <br />,~, Associates <br />Engineers & Architects <br /> <br />Owner: City of Centerville, 1880 Main St., Centerville, MN 55038 Date: June 9,2004 <br />For Period: 5124/2004 to 6/9/2004 Reauest No: 1 <br />Contractor: Dresel Contractinn, 24044 Julv Ave., Chisano Citv, MN 55013 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />2004 UTILITY AND STREET IMPROVEMENTS <br />BRA FILE NO, 616-03-133 <br /> <br />(l)JJ- L//;)-l/3/.fD-3DD <br /> <br />SUMMARY <br /> Original Contract Amount $ 1,629,911.25 <br />2 Change Order - Addition $ 0.00 <br />3 Change Order - Deduction $ 0.00 <br />4 Revised Contract Amount $ 1,629,911.25 <br />5 Value Completed to Date $ 119,260.00 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 119,260,00 <br />8 Less Retainage 5% $ 5,963.00 <br />9 Subtotal $ 113,297.00 <br />10 Less Amount Paid Previously $ 0.00 <br />11 Liquidated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. $ 113.297.00 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br /> <br />7~~ W1a&::- ~ <br /> <br />Approved by Contractor: <br />DRESEl CONTRACTING <br /> <br />-ffAA-- I~ <br />,.. <br /> <br />Approved by Owner: <br /> <br /> <br />~.#4) <br />~~v <br /> <br />Specified Contract Completion Date: <br />May 5, 2005 <br /> <br />Date r ! ~ ;u;o'-l <br /> <br />61603133REQ1.xls <br /> <br />l___ _ <br />