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Pay Estimate Summary Sheet <br />IP 12-23; Alpine Drive Reconstruction <br />SAP 199-107-009 <br />City of Ramsey <br />Estimate no 4 <br />TOTAL CONTRACT <br />TOTAL CONTRACT <br />$ 277, 861.67 <br />$ 277, 861.67 <br />STORED MATERIALS <br />TOTAL, COMPLETED WORK TO DATE $ 296,488.78 <br />TOTAL WORK COMPLETED. PLUS STORED MATERIALS $ 296,488.78 <br />RETAINED PERCENTAGE 2% $ 5,929.78 <br />NET AMOUNT DUE TO CONTRACTOR TO DATE $ 290,559.01 <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES $ 272,033.27 <br />PAY CONTRACTOR PER ESTIMATE NO. 4 $ 18.525.74 <br />Certificate for Partial Payment <br />1 hereby certify that, to the best of my knowledge and belief, all items, quantities and prices of work <br />and material shown on the this Estimate are correct and that all work has been performed in full <br />accordance with the terms and conditions of the Contract for this project between owner and the <br />undersigned Contractor, and as amended by any authorized changes and the foregoing is a true and <br />correct statement of the contract amount for the period covered by this estimate. <br />Contractor: North Valley , Inc <br />B�t <br />Name Title <br />Date 3,///42/-.3 <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />ENGINEER: CITY OF RAMSEY <br />By <br />Date <br />Leon.°rd Lfnton, PE <br />7/( <br />APPROVED FOR PAYMENT: <br />OWNER: City of Ramsey <br />Civil Engineer II <br />a ..p, s "` 4'. <br />By Name Title Date <br />