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<br />.. <br /> <br />.' <br /> <br />. <br /> <br />J[jj Bonestroo <br />Rosene <br />G Anderfik& <br />m Assodates <br />Engineers & Architects: <br /> <br />Owner. City of Centervme, 1880 Main Street, Centervilie, MN 55038-9794 Date: Auoust 30, 2004 <br />For Period: Mav 31, 2004 to Auoust 31, 2004 Reauest No: 2 <br /> . . <br />Contractor. Maauire Iron,lnc., PO Box 1446, Sioux Falls, SD 57101 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />500 MG SPHEROID ELEVATED STORAGE TANK <br />BRA FILE NO. 616-03-130 <br /> <br />PAID <br />SEP 2 2 2004 <br /> <br />CK# <br /> <br />943,115.35 <br />147,237.00 <br />22,851.03 <br />170,088.03 <br />8,504.40 <br />161,583.63 <br /> <br />64,825.15 <br /> <br />0.00 <br /> <br />~ <br /><" ~Oc/ <br />\00\ ....Ii ql'l.J ~ <br /> <br />SUMMARY <br />1 Original Contract Amount <br />2 Change Order - Addttion <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 /> <br />2 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC. <br /> <br /> <br />$ <br /> <br />943,115.35 <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Approved by Owner. <br /> <br />~r;#4) <br />eJq A~-fr~r <br /> <br />Specified Contract Completion Date: <br /> <br />~" <br /> <br />(~ Zt/)cf <br />. <br /> <br />Date: <br /> <br />61 B03130 Req 2.xIs <br />