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� <br />EXFI�IT A - INvO�CE <br />To: Mark Hagen <br />Minnesota Department of Transportation <br />Transportation Building, Mail Stop 680 <br />395 John Ireland Boulevard, <br />St. Paul, MN 55155 <br />copy: Bonnie Peterson <br />Project Manager <br />INVOICE NO. <br />Re: Mn/DOT Agreement No. 81361 <br />Contract Expiration Date: December 3 1,200 1 <br />Mn/DOT Agreement No. 81361 <br />Estimated Completion <br />Period Ending: <br />Invoice Date: <br />% <br />Project Description: <br />T.H. 36 Culvert Drainage Study <br />TOTAL TOTAL AMOUNT BILLED <br />CONTRACT BILLING PREVIOUSLY '�$ <br />AMOUNT TO DATE BILLED INVOICE <br />l. LiTMP SiTN1 AMOi1NT: $5,000.00 <br />NET EARNINGS TOTALS: $5,000.00 <br />TOTAL AMOUNT DUE THIS INVOICE: <br />FOR STATE USE ONLY <br />I certify that the above statement is just and correct and <br />payment has not been received. <br />Print Name: <br />Title: <br />Billing Address <br />Approved for Payment: <br />City of Roseville <br />2660 Civic Center Drive <br />Roseville, MN 55 113 <br />Date <br />