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Pay Estimate Summary Sheet <br />IP 08 -22 Sunfish Lake Park <br />City of Ramsey <br />February 5, 2010 <br />Estimate no 5 <br />CHANGE ORDER NO $ 644.44 <br />TOTAL WITH CHANGE ORDERS $ 271,252.28 <br />STORED MATERIALS $ - <br />TOTAL, COMPLETED WORK TO DATE $ 268,295.14 <br />OTAL WORK COMPLETED PLUS STORED MATERIALS $ 268,295.14 <br />RETAINED PERCENTAGE 5% $ 13,414.76 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 254,880.38 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 253,185.47 <br />PAY CONTRACTOR PER ESTIMATE NO. 5 $ 1,694.91 <br />Certificate for Partial Payment <br />I hereby certify 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: erican Libe Construction <br />By <br />Name Title <br />Date Z — A h o <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By Civil Engineer II <br />eonard Lin n, PE <br />Date �l -0 <br />A PPROVED FOR PAYMENT: <br />OWNER: City of Ram <br />l <br />By <br />Name Title Date <br />