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CONTRACTOR'S RECAPITULATION <br />Well House No, 4 <br />CITY OF Ramsey <br />BMI PROJECT NO.: M21.37017 <br />TOTAL WORK COMPLETED WELL HOUSE NO, 4 l <br />$286,200.00 <br />TOTAL WORK COMPLETED TO DATE <br />$286,200.00 <br />$5,724.00 <br />RETAINED PERCENTAGE 2% <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) <br />$0.00 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br />$28b,476.00 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br />$185,355.83 <br />PAY CONTRACTOR PER ESTIMATE NO. 5 <br />$95,120.17 <br />Certificate for Partial Payment <br />I hereby certify that, to the best of my knowledge and belief, all items quantities <br />of work and material shown on this Estimate are correct and that all work has <br />performed in full accordance with the terms and conditions of the Contract <br />between the Owner and the undersigned Contractor, and as amended by any <br />authorized changes, and that the foregoing is a true and correct statement of <br />contract amount for the period covered by this Estimate. <br />Contractor: Rice Lake Construction Group <br />P.O. Box 517 <br />Deerwood, MN 56444 <br />4/14..._x67)-----;-------- <br />and prices <br />been <br />for this project <br />the <br />By <br />Name `� Title <br />Date 9/0g <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: OL ON & NK, INC., ENGINEERS, 7533 SUNWOOD DRIVE, <br />•l S N <br />By ,..—_�.- , PROJECT <br />SUITE 206 <br />ENGINEER <br />Paul Sa , P.E. <br />Date C2 <br />APPROVED FOR PAYMENT: <br />OWNER: City of Rams y--. <br />By At' <br />Name T itle ate <br />