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4.3. SR 09-04-2012
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4.3. SR 09-04-2012
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8/31/2012 10:35:15 AM
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CONTRACTOR'S PAY REQUEST CONTRACTOR <br /> 2011 STREET IMPROVEMENTS OWNER <br /> CITY OF ELK RIVER ENGINEER <br /> BMI PROJECT NO. R13.103354 <br /> TOTAL,COMPLETED WORK TO DATE....................................................................................... $ 1,373,410.26 <br /> TOTAL,STORED MATERIALS TO DATE..................................................................................... $0.00 <br /> DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED..................................... $0.00 <br /> TOTAL, COMPLETED WORK&STORED MATERIALS............................................................... $ 1,373,410.26 <br /> RETAINED PERCENTAGE( 0.0% )...................................................................................... $ - <br /> TOTAL AMOUNT OF OTHER PAYMENTS OR(DEDUCTIONS).............................................. $ <br /> NET AMOUNT DUE TO CONTRACTOR TO DATE....................................................................... $ 1,373,410.26 <br /> TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES.................................................................. $ 1,206,738.69 <br /> PAY CONTRACTOR AS ESTIMATE NO. FINAL ......................................I...... $ 166,671.57 <br /> Certificate for Final Payment <br /> I hereby certify that,to the best of my knowledge and belief, all items quantities and prices <br /> of work and material shown on this Estimate are correct and that all work has been <br /> performed in full accordance with the terms and conditions of the Contract for this project <br /> between the Owner and the undersigned Contractor,and as amended by any <br /> authorized changes,and that the foregoing is a true and correct statement of the amount <br /> for the Final Estimate,that the provisions of M.S.290.92 have been complied with and that <br /> all claims against me by reason of the Contract have been paid or satisfactorily secured. <br /> Contractor: Redstone Construction <br /> P.O. Box 218 <br /> Mora,MN 55051 I, /� <br /> By Y► A e 1 U ,�f Q� 12- <br /> Name Title Date <br /> CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br /> BOLTON&MK, INC.,ENGINEERS,7533 S ood Drive,Suite 206 Ramsey, MN 55303 <br /> By CITY ENGINEER 1 <br /> Justin emrite, P.E. Title Date <br /> APPROVED FOR PAYMENT: <br /> Owner: Elk River, Minnesota <br /> By <br /> Title Date <br />
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