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<br />toe <br /> <br />17 2005 16:28 <br /> <br />BONESTROO ROSENE ANDERLIK <br /> <br />6516361311 <br /> <br />p.1 <br /> <br />jU BonestrOO <br />Rosene <br />II::JI Andeilik & ' <br />'liJ1 Associates <br />Engileefs , Architects <br /> <br />Owner: Ci of Cenlerville.1880 Main Sl Centerville. MN 55038 <br />For Period: 3/112005 to 3/17/2005 <br /> <br />Date: <br />Re uest No: <br /> <br />March 17.2005 <br /> <br />Contractor. American Tank'$&Mces Inc:,DBA Hone Contractin .3174 R n Ln., St. Paul, MN 55117 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />POND AND DITCH IMPROVEMENTS <br />: BRA FILE NO. 616-04-140 <br /> <br />, <br /> <br />SUMMARY, <br />1 OriQinalCOntracl Amount $ 77.725.00 <br />2 Change Order - Addnion $ 0.00 : <br />3 Change Order - Deducllon $ 0.00 <br />4 Revised 'Contract Amount $ 77,725.00 <br />5 Value Completed to Dete, $ 55.390.70 <br />6 Malerlal on Hand ' $ 0.00 <br />7 . Amount Earned $ 55.390.70 <br />8 Less Relainage 5% $ 2,769.54 <br />9 Subtotal S 52,621.17 <br />, 10 Less Amount Paid Previously' $ 0.00 <br />11 Liquidated damages - $ 0.00 <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 1 $ 52.621.17 <br /> <br />Recommended for Approval by:, , : <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br /> <br />--;~~W~~ <br /> <br />Approved by Contractor: , <br />AMERICAN TANK, SERVICES INC. <br />DBA HOLTE CONTRACTING <br /> <br />Approved by Owner. <br /> <br />CITY OF CENTERVILLE <br /> <br />Specified ContraCt Completion Date: <br />Mav 27. 2005 " " <br /> <br />Date: <br /> <br />Post-It" Fax No1e <br /> <br />7671 <br /> <br /> <br />1.$'" <br /> <br />TG <br /> <br /> <br />Phone## <br /> <br />Phone' <br /> <br /> <br /> <br />