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1 eones:m Owner: City of Centerville 1880 Main Street Centerville, MN 55038 Date: March 10, 2000 <br /> • v Rosene <br /> • Anderfik & For Period: Start to December 20, 1999 Request No: 11/Final <br /> Associates <br /> Engineers a Arc incts Contractor: Rehbein, Inc.. P.0.Box324, Hugo, MN 55038 <br /> REQUEST FOR PAYMENT <br /> ACORN CREEK <br /> BRA FILE NO 616-98 -801 <br /> SUMMARY <br /> 1 Original Contract Amount $ 528,193.30 <br /> 2 Change Order - Addition $ <br /> 3 Change Order - Deduction $ <br /> 4 Revised Contract Amount $ 590,555.30 <br /> 5 Value Completed to Date $ 588,492.24 <br /> 6 Material on Hand $ <br /> 7 Amount Earned $ 588.492.24 <br /> 8 Less Retainage 0% $ 0.00 <br /> 9 Subtotal $ 588.492 24 <br /> 10 Less Amount Paid Previously $ 562,876.24 <br /> 11 AMOUNT DUE THIS REQUEST FOR PAYMENT NO. 11/Final $ 25.616.00 <br /> Recommended for Approval by: • <br /> BONESTROO, ROSENE, ANOERLIK & ASSOCIATES, INC. <br /> 7/01146 <br /> Approved by Contractor: Approved by Owner: <br /> REHBEIN, INC. CITY OF CENTERVILLE <br /> Specified Contract Completion Date: Date: <br /> Spring, 1999 <br /> Requestpaymentl 1 xis <br />