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<br />j Boneslroo <br />-=- Rosene <br />U Anderlik & <br />1 ij 1 Associates <br />Engineers & Architects <br /> <br />Owner. City of Centerville, 1880 Main Street, Centerville, MN 55038-9794 Date: December 21, 2004 <br />For Period: October 31,2004 to December 31,2004 Request No: 5 <br />Contractor: Maguire Iron, Inc., PO Box 1446, Sioux Falls, SD 57101 <br /> <br />( <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 Compleled to Date $ 663,366.10 <br />6 Material on Hand $ 0.00 <br />7 Amount Earned $ 663,366.10 <br />8 Less Retainage 5% $ 33,168.31 <br />9 Subtotal $ 630,197.79 ( <br />10 Less Amount Paid Previously $ 590,867.79 <br />11 Liq uidated Damages $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 5 $ 39.330.00 <br /> <br />Recommended for Approval by: <br /> <br /> <br />B~/n27-.0 <br /> <br /> <br />Approved by Contractor. <br />MAGUIRE IRON INC. <br /> <br />Approved by Owner. <br />CITY OF CENTERVlLLE <br /> <br />See Attached <br /> <br />(:;t~~~'~~h <br /> <br />Specllied Contract Completion Date: <br /> <br />Date: <br /> <br />1_\ l:u,J?,.O(j y <br />r { <br /> <br />( <br /> <br />61603130 Req 4 <br />