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Construction Pay Voucher <br /> Voucher No. 5 Date: November 5, 1999 <br /> WSB Project No: 1065.22 Period Ending: November 3, 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 $859,760.34 <br /> Less Retained Percentage 5.00% $42,988.02 <br /> Less Previous Payments $652,457.82 <br /> Total Payments Incl.This Voucher $816,772.32 <br /> Balance Carried Forward $69,459.39 <br /> Approved for Payment This Voucher $164,314.50 <br /> Approvals <br /> WSB&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 October 31, 1999, is as indicated herein and we hereby recommends 97^%o <br /> payment of this voucher. <br /> Signed: Signed: <br /> o ruction 015server Project Manager/Engineer <br /> Northdale Construction Co. <br /> This is to certify that to the best of my knowledge, information, and belief,the quant' 'es and values of w rk c ified herein <br /> is a fair approximate estimate for the period covered by this voucher. <br /> Contractor: (Z` �'�(�`���-�S�' Signe 0 <br /> Date: /�/�- Title: <br /> City of St.Anthony <br /> Checked by: Approved for Payment: <br /> Authorized Representative <br /> Date: Date: <br />