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CONSTRUCTION PAY VOUCHER <br />vstimate Voucher Number: 8 Date: <br />;M 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 />APPROVED FOR PAYMENT, THIS VOUCHER <br />APPROVALS <br />1,420,498.13 <br />7,330.59 <br />0.00 <br />1,427,828.72 <br />0.00' <br />1,467,091.12 <br />-39,262.40 <br />1,467,091.12 <br />0.00 <br />1,446,113.12 <br />20,978.00 <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 lent of this voucher. <br />Signed: <br />a.„J•✓ <br />nstruction Observer <br />Signed•_�LZ%�.,.�_ <br />�Pfoject Manager/Engineer <br />S. R. lE 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: ,S. R. 1ile:d(r14 LTJC— <br />Date: 1/-1 -9°) Title pnoit[' Mcivaje�/ <br />Signed By 21 <br />CITY OF LINO LAKES <br />Checked By: <br />Approved for payment: <br />Authorized Representative <br />Date: Date: <br />PAGE 1 <br />