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<br />F <br /> <br />,.' <br /> <br />'1 <br /> <br />a Bonestroo <br />II::. Rosene <br />1\1 Anderlik & <br />m Associates <br />Engineers & Architects <br /> <br />Owner: Citv of Centerville, 1880 Main St.. Centerville, MN 55038 Date: October 8, 2004 <br />For Period: 9/1/2004 to 10/8/2004 Renuest No: 5 <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 />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 Relainage 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 />$ 1,629,911.25 <br /> <br />$ C74,848.00 <br />$ 0.00 <br /> <br />5 <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />$E= <br />( <br /> <br />1,704,759.25 <br /> <br />1,502,377.02 <br /> <br />0.00 <br /> <br />1,502,377.02 <br /> <br />75,118.85 <br /> <br />1,427,258.17 <br /> <br />1,180,564.38 <br /> <br />000 <br />246,693.79 -..,.~) <br /> <br />Recommended for Approvai by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br /> <br />~Amww!l)~ <br /> <br />::;> <br /> <br />Approved by Contractor: <br />~CON~TING <br />{lit . ~t G7 <br /> <br />v <br /> <br />Specified Contract Completion Date: <br />May 5, 2005 <br /> <br />Approved by Owner: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Date: 6+. f 20~ 'f <br />/ <br /> <br />61603133REQ5.x1s <br />