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CONSTRUCTION PAY VOUCHER <br />Estimate Voucher Number: 2 Date: September 24, 1998 <br />OSM Project Number: 98136.00 Period Ending: August 10, 1998 <br />Project: 1998 SEALCOAT PROJECT CITY OF LINO LAKES <br />CITY OF LINO LAKES <br />Contractor: ALLIED BLACKTOP <br />10503 89TH AVENUE NORTH <br />MAPLE GROVE MN 55369 <br />Contract Date: May 26, 1998 Work Started: August 5, 1998 <br />Completion Date: August 15, 1998 Work Completed: September 7, 1998 <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 />55,912.50 <br />0.00 <br />0.00 <br />55,912.50 <br />0.00% <br />51,416.96 <br />4,495.54 <br />51,416.96 <br />0.00 <br />48,846.11 <br />APPROVED FOR PAYMENT, THIS VOUCHER 2,570.85 <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 7, 1998. <br />We herby recommend payment of this voucher. <br />Signed:/,L...._ Signed: construction Observer Proj nag ineer <br />ALLIED BLACKTOP <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: \c\, 4,S\4j Signed By fL_ <br />Date: *k',N Title <br />CITY OF LINO LAKES <br />Checked By: Approved for payment: <br />Authorized Representative <br />Date: Date: <br />PAGE 1 <br />