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<br />~n ~ Bonestroo <br />f! Rosene <br />U Anderfik & <br />.~. Associates <br />Engineers & Architects <br /> <br />Owner' Citv of Centerville, 1880 Main Street, Centerville, MN 55038-9794 Date: Sentember 30, 2004 <br />For Period: Auousl31, 2004 to September 30, 2004 Reouest No: 3 <br />Contractor. Maauire Iron, Inc., PO Bax 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 />SUMMARY <br />1 Original Contract Amount $ 943,115.35 <br />2 Change Order - Addition $ <br />3 Change Order - Deduction $ <br />4 Revised Contract Amount $ 943,115.35 <br />5 Value Compieted to Date $ 489,553.00 <br />6 Material on Hand $ 22,851. 03 <br />7 Ameunt Eamed $ 512,404.03 <br />8 Less Retainage 5% $ 25,620.20 <br />9 Subtotal $ 486,783.83 <br />10 Less Ameunt Paid Previously $ 161,583,63 <br />11 Liq uidated Damages $ 0,00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 3 $ 325,200,20 <br /> <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLlK & ASSOCIATES, INC, <br /> <br />r <br /> <br /> <br />Approved by Owner: <br />CITY OF C ILLE <br />I <br /> <br /> <br />Ci <br /> <br />Specnied Centract Completion Date: <br /> <br />Date DcJ, Ir;,; UXJi <br /> <br />61603130 Reo, 3_x1s <br /> <br />c. <br />