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STATE OF H!}~ESOTA - DEPARTMENT OF T~NSPORTATION <br /> <br /> S TAT EMENT O F WORK C E RT I F i E D <br /> <br />i NC E NT ! VE / D I S I NC E NT i VE PAYMENTS <br /> <br /> Voucher No. i1 For Work Performed up to August 12, 2002 on Contract Z00516 Sheet No: 27 <br /> <br /> Unit Mult To Date To Date <br /> item Number Description Unit Price Factor Quannlty Amount <br /> <br /> Bituminous Incentive / Disincentive Lump Sum $ 1.00 1.0000 0.00 0.00 I <br /> BITL~INOUS INCENTiVE/DISINCENTIVE IRA. <br /> <br /> Subnona! for Group 006 is $0.00 'l <br /> <br />Group Number: 007 ....................................... ~ .......................... ~ ................................................ I <br /> Bi~umznous Incentive / Disincentive Lump Sum $ 1.00 1.0000 57.13 57.13 <br /> <br /> BIT~4INOUS INCENTIVE/DISINCENTiVE IRA. <br /> <br /> Sub~o~a! for Group 007 is $57.13 <br /> Total for all Incentive / Disincentive Pay Items is 5,829.25 I <br /> <br />LOW S.P. NI3MBER 199-010-03 <br /> <br />FOR WORK COMPLETED AS OF 08/12/2002 <br /> <br />Con~ract Nu.f0er: Z005t6 <br /> <br />-192- <br /> <br /> <br />