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HomeMy WebLinkAboutPay Auth-WACounty-CSAH 15 Phase 1 11-02-2016 City of Lake Elmo Payment Voucher Vendor: Washington County Public Works Payment Total: Invoice: 95358 - Payment 3 Invoice Date: 11/2/2016 Address: WACO Public Works Department 11660 Myeron Road North Due Date: 12/2/2016 Stillwater, MN 55082 Check# Fund Function Dept Account Description Amount Project No. 2013.127 46.46 CSAH 15 (Manning) & 10th Street Intersection Phase 1 Improvements Payment#4 Total: 46.46 Notes Payment#4- In accordance with the City/County Cooperative Ageement No. 10144. Paid to date = $32,907.56 (86.5%) of the Cooperative Agreement Amount of$38,029.38. Department Head Finance Director Wa WACO PUBLIC WORKS DEPT 11111gton 11660 MYERON RD N Invoice F linty STILLWATER MN 55082 Invoice Number: 97645 Account Number: 20498 Due Date 12/2/16 To: LAKE ELMO CITY 3800 LAVERNE AVE N Amount Enclosed: $ LAKE ELMO MN 55042-9629 Federal Tax IdAl-6005919 Please return top portion with payment. Thank You. Invoice Date Number Type Due Date Remark Amount 11/2/16 97645 Invoice 12/2/16 CSAH 15110Intersection $46.46 12/2/16 ****************************** 12/2/16 Construction Cost thru Partial 12/2/16 Estimate#5 12/2/16 ****************************** 12/2/16 City/County Cooperative 12/2/16 Agreement No. 10144 12/2/16 ****************************** 12/2/16 Payment due: 30 days I declare under the penalties of law that this account claim or demand, is just and correct Invoice Total $46.46 and no part of it has been paid. Please make check payable to Washington County and mail to the address above. Sales Tax Balance Due $46.46 Summary Billing Documentation City of Lake Elmo/Washington County Agreement#10144 Date:11/1/16 Work Certified Thru Partial Estimate:#5 Construction Cost Item No. Item Description Unit Bid Unit Price Agreement Quantity Work Certified Share Amount 2521.501 Concrete Curb&Gutter Design B424 LIN FT $ 13.80 1390 1390 50% $ 9,591.00 2521.501 6"Concrete Walk SQ FT $ 8.24 1010 1010 50% $ 4,161.20 2521.511 3"Bituminous Walk SQ FT $ 1.28 9160 9120 50% $ 5,836.80 Mobilization&Traffic Control LUM SUM $ 121,000.00 1 0.980 0.48% $ 569.18 Total Work Completed $ 20,158.18 Previously Paid for Construction $ 20,111.72 Amount Due $ 46.46