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:Construcf ton.Pay Voucher <br /> Voucher No. 4 Date: August 17, 1999 <br /> ANhWSB Project No: 1065.22 Period Ending: August 15, 1999 <br /> Project: 1999 Street and Watermain Improvements <br /> Project Location: St.Anthony, MN <br /> Contractor: Northdale Construction Co. <br /> 14450 Northdale Boulevard <br /> Rogers MN 55374 <br /> Contract Date: February 1, 1999 Work Started: <br /> Completion Date: Work Completed: <br /> Original Contract Amount $886,231.71 <br /> Total Additions <br /> Total Deductions <br /> Total Funds Encumbered $886,231.71 <br /> Total Work Certified to Date $686,797:71 <br /> Less Retained Percentage 5.00% $34,339.89 <br /> Less Previous Payments $385,581.00 <br /> Total Payments Incl. This Voucher $652,457.82 <br /> Balance Carried Forward $233,773.89 <br /> Approved for Payment This Voucher $266,876.82 <br /> Approvals <br /> OUSE; & Associates, Inc. <br /> In accordance with field observation, as performed in accordance with industry standards, and based on our professional <br /> opinion, the materials installed are satisfactory and the work properly performed in accordance with the plans and <br /> specifications. <br /> The total work estimated to be completed as of August 15, 1999, is as indicated herein and we hereby <br /> recommend payment of this voucher. <br /> Signed: Signed: <br /> Construction Observer Project Manager/Engineer. <br /> Northdale Construction Co. <br /> This is to certify that to the best of my knowledge, information, and belief, the quantities and values of work certified <br /> herein is a fair approximate estimate for the period covered by this voucher. <br /> Contractor: Signed: <br /> Date: Title: <br /> City of St.Anthony <br /> 10 hecked by: Approved for Payment: <br /> Authorized Representative <br /> Date: Date: <br />