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2024 Rejuvenator Project Quote Final Pay Voucher 1 <br />Client: City of Lino Lakes Contractor: Allied Blacktop Company <br />600 Town Center Parkway 10503 89th Avenue North <br />Lino Lakes, MN 55014-1182 Maple Grove, MN 55369 <br />WSB Project No.: 024622-000 <br />Client Project No.: <br />State Project No.: <br />Federal Project No.: <br />rtnntrarct Amount <br />Funds Encumbered <br />wsb <br />Original Contract <br />$136,000.00 <br />Original <br />$136,000.00 <br />Contract Changes <br />$0.00 <br />Additional <br />N/A <br />Revised Contract <br />$136,000.00 <br />Total <br />$136,000.00 <br />Work Certified To Date <br />Base Bid Items $80,600.00 <br />Contract Changes $0.00 <br />Material On Hand $0.00 <br />Total $80,600.00 <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 />$80,600.00 <br />$80,600.00 <br />$0.00 <br />$0.00 <br />$80,600.00 <br />$80,600.00 <br />Percent Retained: 0% <br />Percent Complete: 59.26% <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 />Approved By WSB Approved By Allied Blacktop Company <br />Signature <br />Date <br />Approved By City of Lino Lakes <br />Signature <br />Date <br />Signature <br />Date <br />Page 1 of 2 <br />