Laserfiche WebLink
<br />ENGINEER'S COpyl <br /> <br /># <br /> <br />Bonestroo <br /> <br />Owner: City of CenteNille, 1880 Main St, CemeNille, MN 55038 Date: June 17, 2009 <br />For Period: 5/20/2009 to 6/17/2009 Reauest No: 2 <br />Contractor: Forest Lake Contractinq, 14777 Lake Dr, Forest Lake, MN 55025 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />PELTIER LAKE DRIVE STREET AND UTILITY IMPROVEMENTS <br />BONE5TROO FILE NO. 000616-09169-0 <br />CITY PROJECT NO. 2009.01 <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 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 />$ 249,11625 <br />$ 0.00 <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />2 <br /> <br />Recommended for Approval by: <br />BONESTROO <br /> <br />df' ~_ <br /> <br />Approved by Contractor: <br /> <br />FOR~ CON:zp~ . jI <br />{" <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />$ <br /> <br />1,534,085.11 <br /> <br />1,783,201.36 <br />312,33271 <br />0.00 <br />312,332.71 <br />15,616.64 <br />296,716.07 <br />38,952.10 <br />0.00 <br />257,763.97 <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />61609169REQ2.xJs <br /> <br />24 <br />