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TH 61 & 159th Street <br />Reconstruction <br />Pay Voucher 4 <br /> <br /> Page 1 of 8 <br />Client: City of Hugo Contractor: Arnt Construction Company <br /> 14669 Fitzgerald Avenue North 2190 Phelps Road <br /> Hugo, MN 55038 Hugo, MN 55038 <br /> <br /> <br />Contract Amount Funds Encumbered <br />Original Contract $2,161,729.90 Original $2,161,729.90 <br />Contract Changes $0.00 Additional N/A <br />Revised Contract $2,161,729.90 Total $2,161,729.90 <br /> <br />Work Certified To Date <br />Base Bid Items $2,091,116.08 <br />Contract Changes $0.00 <br />Material On Hand $0.00 <br />Total $2,091,116.08 <br /> <br />Work Certified <br />This Voucher <br />Work Certified <br />To Date <br />Less Amount <br />Retained <br />Less Previous <br />Payments <br />Amount Paid <br />This Voucher <br />Total Amount <br />Paid To Date <br />$122,645.53 $2,091,116.08 $104,555.80 $1,870,047.01 $116,513.27 $1,986,560.28 <br />Percent Retained: 5% Percent Complete: 96.73% <br /> <br />This is to certify that the items of work shown in this Pay Voucher have been actually furnished for the work comprising the above - <br />mentioned project in accordance with the plans and specifications heretofore approved. <br />Approved By WSB Approved By Arnt Construction Company <br /> <br /> <br />Signature Signature <br /> <br /> <br /> Date Date <br /> <br />Approved By City of Hugo <br /> <br /> <br />Signature <br /> <br /> <br />Date <br /> <br /> <br /> <br /> <br />WSB Project No.: 019275-000 <br />Client Project No.: <br />State Project No.: <br />Federal Project No.: