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CITY OF HUGO <br />14669 Fitzgerald Avenue North <br />Hugo, MN 55038 <br />Project No. 01687-58 <br />Pay Voucher No. 4 <br />01687-58 <br />Project <br />Material Status <br />Estimated <br />Amount <br />No. <br />Quantity <br />Amount <br />Explanation <br />Amount <br />Line <br />Item <br />Description <br />Units <br />Unit Price <br />Contract <br />This <br />This <br />Quantity <br />Amount <br />Work Order No. 1 (see work order document for detailed <br />$29,969.95 <br />$29,969.95 <br />Order <br />Quantity <br />Pay <br />Pay <br />To Date <br />To Date <br />1 $29,969.95 <br />1 $29,969.95 <br />Voucher <br />Voucher <br />77 <br />2511.501 <br />RANDOM RIPRAP <br />CU YD <br />$90.00 <br />125 <br />0 <br />$0.00 <br />145 <br />$13,050.00 <br />CLASS V <br />78 <br />2511.515 <br />GEOTEXTILE <br />SQ YD <br />$2.85 <br />90 <br />0 <br />$0.00 <br />90 <br />$256.50 <br />FILTER TYPE IV <br />79 <br />2511.515 <br />GEOTEXTILE <br />S Y <br />$5.00 <br />20 <br />0 <br />$0.00 <br />20 <br />$100.00 <br />FILTER TYPE VII <br />80 <br />2557.501 <br />WIRE FENCE <br />LIN FT <br />$274.00 <br />53 <br />0 <br />$0.00 <br />0 <br />$0.00 <br />DESIGN 48V-9322 <br />Totals For Section SCHEDULE B - DRAINAGE AND UTILITY <br />$5,206.50 <br />$351,219.27 <br />IMPROVEMENTS: <br />Work Order 1 <br />STEEL SHEET <br />81 <br />2452.601 <br />PILING <br />LS <br />$29,969.95 <br />1 0 $0.00 1 <br />$29,969.95 <br />(TEMPORARY) <br />Totals For Work Order 1: $0.00 <br />$29,969.95 <br />Project Totals: $31,311.15 <br />$615,372.79 <br />01687-58 Contract Changes <br />Estimated <br />Amount <br />No. <br />Type <br />Date <br />Explanation <br />Amount <br />Paid <br />To Date <br />WO1 <br />Work <br />11/30/2015 <br />Work Order No. 1 (see work order document for detailed <br />$29,969.95 <br />$29,969.95 <br />Order <br />description) <br />Contract Change Totals: <br />1 $29,969.95 <br />1 $29,969.95 <br />Page 7 <br />