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<br />PROJECT PAYMENT STATUS <br />OWNER CITY Of CENTERVILLE <br />CITY PROJECT NO. 200902 <br />BONESTROO FILE NO. 000616-091700 <br />CONTRACTOR FOREST LAKE CONTRACTING <br /> <br />CHANGE ORDERS <br />No. <br /> <br />Date <br /> <br />Description <br /> <br />Amount <br /> <br />1 8120/2009 ThIS Change Order provides for adjustments to this prowa See $5U0716 <br /> Change Order <br /> Total Change Orders $51,30716 <br /> <br />PAYMENT SUMMARY <br />N <br /> <br />T <br /> <br />P <br /> <br />R <br /> <br />d <br /> <br />o. From 0 ayment etamage Camp ete <br />1 0510412009 05119/09 17,622.50 927 50 18,55000 <br />2 OS/20/2009 06/17/09 102,976.20 6,347.30 126,946.00 <br />3 06/18/2009 07115/09 194,885.21 16,60442 332,088.33 <br />4 07/16/2009 08120/09 <68,672.87 30,74509 614,90187 <br /> <br />Material on Hand <br /> <br />TOlal Payment to Dale $584,156.78 Orioinal Contract $ 1,351,73725 <br />Retalnaqe Pay No. 4 30,745 09 Change Orders $5U07.16 <br />Total Amount Earned $614,901.87 Revised Contract $1,403,04441 <br /> <br />/51f509170REO<l ~Js <br />