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Pay Estimate Summary Sheet <br />IP 08T37 County Pond Storm Sewer Outlet <br />City of Ramsey <br />Estimate no !~ <br />CHANGE ORDER NO <br />TOTAL WITH CHANGE ORDERS $ 392,249.17 <br />STORED MATERIALS $ <br />TOTAL, COMPLETED WORK TO DATE $ .336,529.35 . <br />TOTAL 'WORK COMPLETED PLUS STORED MA i ERIALS $ 336,529.35 <br />RETAINED PERCENTAGE 5% $ 16,826.47 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 319,702.89 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 309,828.59 <br />PAY CONTRACTOR PER ESTIMATE NO. 4 $ 9,874,30 <br />Certificate for Partial Payment <br />I hereby certifiy that, to the best of my knowledge and belief, all items, quantities and prices <br />of work and material shown on the this Estimate are correct and that all work has been <br />performed in full accordance with the terms and conditions of the Contract for this project <br />between-owner and the undersigned Contractor, and as amended by any authorized <br />changes and the foregoing is a true and correct statement of the contract amount for the <br />period covered by this estimate. <br />Contractor; Northwest Asphalt, Inc. <br />13y flV ~4~/Y ~/~V <br />ame Title <br />Date r~3 /0 5 <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY F R MSEY <br />By Civil Engineer II <br />Leonard Linton, PE <br />Date ~'~Y7~~ <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />Name Title Date <br />