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<br />JiW BoneSlroo <br />-=- Rosene <br />1iI AnderlU( &. <br />.~. Associates <br />Engineers & Architetts <br /> <br />Owner City ot Centerville, 1880 Main Street, Centervnle, MN 55038-9794 Date: Seotember 30, 2004 <br />For Period: Auoust 31,2004 to September 30,2004 Request No: 3 <br />Contractor Manuire Iron, Inc" PO Box 1446, Sioux Falls, SO 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 /> Original Contract Amount $' 943,115,35 <br />2 Change Order - Addttion $ <br />3 Change Order - Deduction $ <br />4 Revised Contract Amount $ 943,115,35 <br />5 Value Completed to Date $ 489,553,00 <br />6 Material on Hand $ 22,851.03 <br />7 Amount Earned $ 512,404,03 <br />8 Less Retainage 5% $ 25,62020 <br />9 Subtotal $ 486,783,83 <br />10 Less Amount Paid Previously $ 161,583,63 <br />11 Liquidated 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 />~ <br /> <br /> <br />Approved by Owner: <br />CITY OF C ILLE <br />I <br /> <br /> <br />Specified Contract Completion Date: <br /> <br />Date Od, IS; Zoot <br /> <br />61603130 Reg 3J<ls <br />