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2023 Seal Coat and Crack Fill <br />Project <br />Final Pay Voucher 1 <br /> <br /> Page 1 of 3 <br />Client: City of Lino Lakes Contractor: Allied Blacktop <br /> 600 Town Center Parkway 10503 89th Avenue North <br /> Lino Lakes, MN 55014-1182 Maple Grove, MN 55369 <br /> <br /> <br />Contract Amount Funds Encumbered <br />Original Contract $91,384.10 Original $91,384.10 <br />Contract Changes $0.00 Additional N/A <br />Revised Contract $91,384.10 Total $91,384.10 <br /> <br />Work Certified To Date <br />Base Bid Items $95,379.00 <br />Contract Changes $0.00 <br />Material On Hand $0.00 <br />Total $95,379.00 <br /> <br />Work Certified <br />This Voucher <br />Work Certified <br />To Date <br />Less Amount <br />Retained <br />Less Previous <br />Payments <br />Amount Paid <br />This Voucher <br />Total Amount <br />Paid To Date <br />$95,379.00 $95,379.00 $0.00 $0.00 $95,379.00 $95,379.00 <br />Percent Retained: 0% Percent Complete: 104.37% <br /> <br />FINAL PAY VOUCHER <br />I hereby certify that a Final Examination has been made of the noted Contract, that the Contract has been completed, that the entire <br />amount of Work Shown in this Final Voucher has been performed and the Total Value of the Work Performed in accordance with, and <br />pursuant to, the terms of the Contract is as shown in this Final Voucher. <br /> <br />Approved By WSB Approved By Allied Blacktop <br /> <br /> <br />Signature Signature <br /> <br /> <br />Date Date <br /> <br />Approved By City of Lino Lakes <br /> <br /> <br />Signature <br /> <br /> <br />Date <br /> <br /> <br /> <br />WSB Project No.: 021124-000 <br />Client Project No.: <br />State Project No.: <br />Federal Project No.: