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CONSTRUCTION PAY VOUCHER <br />Estimate Voucher Number: 3 Date: <br />OSM Project Number: 98045.00 Period Ending: <br />Project: <br />98 WEAR & TRAIL PAVING, LINO LAKES <br />LINO LAKES <br />CITY OF LINO LAKES <br />Contractor: NORTH VALLEY, INC <br />4105 85TH AVE NORTH <br />BROOKLYN PARK MN 55443 <br />June 30, 1999 <br />June 30, 1999 <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 />APPROVED FOR PAYMENT, THIS VOUCHER <br />APPROVALS <br />235,414.00 <br />39,535.27 <br />0.00 <br />274,949.27 <br />0.00% <br />317,117.60 <br />-42,168.33 <br />317,117.60 <br />0.00 <br />294,252.64 <br />22,864.96 <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 June 30, 1999. <br />We herby recommend payment of this voucher. <br />Signed: ce-,,« - <br />nstruction Observer <br />Signed: <br />Proj-J nager/Engineer <br />NORTH VALLEY, 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: North Valley, Inc. Signed By <br />Date: <br />July 20, 1999 Title <br />Brad Schmidtbauer <br />President <br />CITY OF LINO LAKES <br />Checked By: <br />Approved for payment: <br />Authorized Representative <br />Date: Date: <br />PAGE 1 <br />