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3.3. SR 04-21-2008
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3.3. SR 04-21-2008
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4/18/2008 1:38:02 PM
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4/18/2008 11:48:51 AM
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4/21/2008
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<br />0RIDOR CONSTR., INC. <br />3990 27TH STREET S.E. <br />BUFFALO, MN 55313 <br /> <br />(763) 559-3734 <br /> <br />Owner CITY OF ELK RIVER Date 3/28/2008 <br />For Period 2/24/2008 to 3/24/2008 Request No. 3 <br />Engineer BDM CONSULTING ENGINEERS, ST. PAUL, MN <br /> <br />W ASTEW ATER TREATMENT FACILITY PHASE II IMPROVEMENTS <br /> <br />SUMMARY: <br /> ORIGINAL CONrnACT AMOUNT <br />2 CHANGEORDER-ADDnlON $ <br />3 CHANGE ORDER - DEDUCTION $ <br />4 REVISED CONTRACT AMOUNT <br />5 VALUE COMPLETED TO DATE <br />6 MATERIAL STORED <br />7 AMOUNT EARNED TO DATE <br />8 LESS RET AINAGE - 0% <br />9 LESS AMOUNT PREVIOUSLY PAID <br />10 AMOUNT DUE THIS REQUEST <br /> <br />$ <br /> <br />3,594,700 <br /> <br />$ 3,594,700 <br />$ 471,944 <br />$ 0 <br />$ 471,944 <br />$ 0 <br />$ 115,802 <br />$ 356,142 <br /> <br />The undersigned Contractor certifies that to the best of Contractor's knowledge, <br />information and belief the Work covered by this Application for Payment has been completed <br />in accordance with the Contract Documents, that ail amounts have been paid by the Contractor <br />for Work for which previous Certificates for Payment were issued and payments received <br />from the Owner, and that current payment shown herein is now due, <br /> <br />CONTRACTOR: <br /> <br />GRIDOR CONSTR., INC. <br /> <br />ENGINEER: BDM CONSULTING ENGINEERS <br /> <br />By: <br /> <br />LQ <br /> <br />Date:~\~\~~ <br /> <br />By: <br /> <br />Date: <br /> <br />State of: MINNESOTA County of: WRIGHT <br /> <br />Subscribed ~ to befo~~e thi~ day o~ -0 b <br />NotarypubIi~m , <br />My Commission Expires: 1-31~ <br /> <br />Approved by Owner: <br />CITY OF ELK RIVER <br /> <br /> <br />Date <br /> <br />PAYXLS 3/28/2008 <br /> <br />EQUAL OPPORTUNITY EMPLOYER <br />
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