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<br />ENGINEER~S COpy I <br /> <br />.tt <br /> <br />Bonestroo <br /> <br />Owner: City of Centerville, 1880 Main St, Centerville, MN 55038 Date: July 15, 2009 <br />for Period: 6/18/2009 to 711512009 Reouest No: 3 <br />Contractor: forest lake Contractina, 14777 lake Dr, forest lake, MN 55025 <br /> <br />CONTRAaOR'5 REQUE5T FOR PAYMENT <br />2009 STREET IMPROVEMENTS <br />BONESTROO filE NO. 000616-09170-0 <br />CITY PROJEO NO. 2009.02 <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 />$ <br />$ <br /> <br />0.00 <br />0.00 <br /> <br />3 <br /> <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br /> <br />Recommended for Approval by: <br />80NE5TROO <br /> <br />It/y <br /> <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />$ <br /> <br />1,351,73725 <br /> <br />1,351,737.25 <br />332,08833 <br />0.00 <br />332,08833 <br />16,60442 <br />315,483.91 <br />120,598.70 <br />0.00 <br />194,88521 <br /> <br />Specified Contract Completion Date: <br /> <br />Date: <br /> <br />61609170REQ3.x1s <br />