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<br />'I <br /> <br />J1]j Bonmo <br />--=- Rosehe <br />'iii AndellDt& <br />,~, Asmdates <br />Er9llR1ll~kMms <br /> <br /> <br />Of CenlervIDe. 1880 Main C&nlervltl9 MN 55D38 <br />For Periad: 1011412005 tD 1212B1ZCtS <br />Contraclor: 1'1 Pltlcess eontnlIs 566D ~Ave. No. stDlwaler: InN 6SOB2 <br /> <br />CON"IRACTbR'S REQUEST FOR PAYMENT <br />SUPERVISORY CON"6ROl AND DATA ACQUISITION PROJECT <br />BRA ~LE NO. 000816-04136-0. <br /> <br />SUMMARY <br />1 Original Con1nIctAmount <br />2 Chanue Order.. Addition S <br />3 0hM!Ie 0n:Ier- DerJuctian $ <br />4 ReYlsad ConIrIld Amount <br />5 Value CompteJsd to Dale <br />6 M8lerlaI on Hand <br />7 An1oun1 Eamed <br />8 I.Gs Rela'inage 0% <br />9 SI.Ibfotal <br />10 LmIlI Ammmt PaId PrevJously <br />11 UquJdated damages ~ <br />12 AMOUNT DUe nus REQUEST FOR PAYMEI'tr NO 3 AND FINAl.. <br /> <br />I <br />Recommended fot AppI'CMlJ by: <br />BONES1ROD, ROSENE, ANDERLIK & ASSObAn:s, me. <br /> <br />~ <br /> <br />5, <br /> <br />158.437.0D <br /> <br />2.335.00 <br />6.184JJD <br /> <br />s <br />s <br />I) <br />8 <br />S <br />S <br />S <br />a <br />$ <br /> <br />152.BD8.oD <br />152.608.0D <br />O.DD <br />152.G08.CJl) <br />D.OO <br />1S2.6DB,OO <br />150.852.40 <br />0.00 <br />1.~.I!! <br /> <br />Apprtlved by Can!laclor. Approved by Owner: <br />TEI..I!METRY PROCESS CONTROLS INC.. CITY OF CENTERVILlE <br />~ } G:iJ...1lj~jrPc.. <br /> <br />Spedlled Con1ract CDmpleDon Dale: Dale: <br />June 1. 2DOS <br /> <br />01111413li111!OlP1RA1ll1= <br />