Laserfiche WebLink
'Alt4O 1=1(10/" <br /> CONTRACT SUMMARY: <br /> 1 - Orisinal contract unount . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . S 426,380.25 <br /> 2 - Additions approved to date(Itemize)(Nos. 1 & 2 ). . . . . . . . . . . . . . . S 40,616.00 <br /> 3 - Deductions approved to date(Itemize)(Nos. none . . . . . . . . . . . . . . . S — 0 <br /> 4 - Revised contract amount to date . . . . . . . . . . . . . . . . . . . . . . . =466,996. 25 <br /> STATUS OF ACCOUNT: <br /> 5 - Contract amount to date. . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . .. . . . . . . . S 466.,966.25 <br /> 235,472.04 <br /> 6 - Value of completed work to date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X�6f <br /> 7 - Material stored on site(Attach Schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S <br /> 8 - Less 5 per cent retained . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S <br /> 223,698.44 <br /> 9 - Total earned less retained amount. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f 2i28.i-8�L7.-56i-lli-4 <br /> 10 - Total of estimates previously approved . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . S <br /> 223,698.44 <br /> 11 - Amount due this estimate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;_ 2$11 IF <br /> OOVAL OF FIELD SUPERVISOR: CERTIFICATE OF CONTRACTOR:' <br /> I (We) certify that all work for which this request for-payment <br /> Q;,4) L wade hu been completed in full.. according to the plan, <br /> and speei$eations and terms of the contract docaments. 1 <br /> (We) also certify t6t payment has been made for all just claims <br /> Date C.,1,21&X for labor, material and services in connection with the work <br /> performed on all preceding estimates. <br /> APPROVAL OF (ARCHITECT) (ENGINEER): MIDWEST ASPHALT CORPORATION <br /> Firta Name <br /> The .cork of the project and this estimate have been examined <br /> and the amount shown is recommended for payment. <br /> t"VJ Title <br /> Sign `I <br /> /- Date " ume 2 (} I ciqq <br /> Date r/'J Z` �L ' <br /> APPROVAL OF DEPARTMENT: AUDITOR: <br /> ay <br /> Date <br />