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CONSTRUCTION PAY VOUCHER <br />41pimate Voucher Number: 8 Date: <br />Project Number: 97041.10 Period Ending: <br />October 13, 1999 <br />September 30, 1999 <br />Project: WARE ROAD PAVING, DRAINAGE, LIFT STATION, UTILITY EXTENSIONS <br />CITY OF LINO LAKES <br />Contractor: S. R. WEIDEMA, INC. <br />17600 113TH AVENUE NORTH <br />MAPLE GROVE MN 55369 <br />Contract Date: Work Started: <br />Completion Date: Work Completed: <br />Original Contract Amount <br />Total Additions <br />Total Deductions <br />Total Funds Encumbered <br />Total Work Certified to Date <br />Less Retained Percentage <br />Less Previous Payments <br />Total Payments Incl This Voucher <br />Balance Carried Forward <br />1,420,498.13 <br />7,330.59 <br />0.00 <br />1,427,828.72 <br />_0,00t <br />1,467,091.12 <br />- 39,262.40 <br />1,467,091.12 <br />0.00 <br />1,446,113.12 <br />410APPROVED FOR PAYMENT, THIS VOUCHER 20,978.00 <br />APPROVALS <br />ORR- SCHELEN- MAYERON & ASSOCIATES, INC. <br />Pursuant to our field observation, as performed in accordance with our <br />contract, and based on our professional opinion, materials are <br />satisfactory and the work properly performed in accordance with the plans <br />and specifications and that the total work is: <br />100% completed as of September 30, 1999. <br />We herby recommend pa 'gent of this voucher. <br />Signed: �� Signed: /7/� <br />PYOject Manager /Engineer <br />nstruction Observer <br />S. R. ' : IDEMA, INC. <br />This is to certify that to the best of my knowledge, information, and <br />belief, the quantities and values of work certified herein is a fair <br />approximate estimate for the period covered by -this voucher. <br />Contractor: 5.R. W e .d i m q �7�1 C� Signed By 6t> - <br />Date: / / -! -9°) Title pnoJtcI- "FAIT 1/ <br />CITY OF LINO LAKES <br />Checked By: <br />Approved for payment: <br />Authorized Representative <br />Date: Date: <br />PAGE 1 <br />