Laserfiche WebLink
<br />CONTRACTOR'S COpy <br />FOR YOUR FILE <br /> <br />-#- <br /> <br />Bonestroo <br /> <br />Owner: Cltv of Centerville, 1880 Main S1, Centerville, MN 55038 Date: September 21, 2009 <br />For Pellod 8121/2009 to 9/21/2009 Reauest No: 5 <br />Contrattor Forest lake Contractina, 14777 lake Dr, Forest lake, MN 55025 <br /> <br />CONTRACTOR'S REQUEST FOR PAYMENl <br />PELTIER lAKE DRIVE STREET AND UTILITY IMPROVEMENTS <br />80NESTROO filE NO 000616-09169-0 <br />CITY PROJECT NO 200901 <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 /> $ 1,534,085 11 <br />$ 265,418.85 <br />$ 0.00 <br /> $ 1,799,503.96 <br /> $ 937,330 11 <br /> $ 0.00 <br /> $ 937,330.11 <br /> $ 46,86651 <br /> $ 890,46360 <br /> $ 784,940.93 <br /> $ 0.00 <br />5 $ 105,52267 <br /> <br />Recommended for Approval by: <br />BONESTROO <br /> <br />~~ <br /> <br />Approved by Contractor <br />FOREST LAKE CONTRACTING <br /> <br />Approved by Owner: <br />CITY OF CENTERVILLE <br /> <br />Specified Contract Completion Date: <br /> <br />Date <br /> <br />B1609169REQ5 xis <br /> <br />61 <br />