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I <br />I 'SCHEU3LE "C" - RESTORATION & MISC. CONSTRUCTION (IMP. PRCJ. <br /> Estimated <br />IItem ~_~ntity <br /> <br /> 90-3) <br /> <br /> Used Unit <br />To Date Price <br /> <br />Extension <br /> <br /> 1. 2575.501 Turf Establi~t <br /> 2. Bituminous Pavement Removal <br /> 3. Bituminous Pavement Restoration <br /> 4. Remove & Re-Lay 15"&24" C~4P Culv. <br />I TOTAL SCHE///LE "C": <br /> <br />i LS 1 LS $750.00 <br />200 SY 156 SY $1.00 /SY <br />200 SY 378 SY $14.50 /SY <br />i LS 1 LS $1,600.00 <br /> <br />I TOTAL WORK COMPLETED TO DATE: <br /> Less Pay Estimate No. 1: <br /> <br />iWE RECOMMEND FINAL PAYMENT OF: <br /> <br /> Please verify the above amounts and the receipt of the following from the <br /> contractor prior to making final payment. <br />I1. Certificate of claims payment (lien waiver), 2. Affidavit for payment of State taxes (Minn. State Tax Form 134), <br /> 3. Letter of consent from surety firm. <br /> <br />ICONTRACTOR: Certification by Contractor: I certify that all items and <br />amounts shown are correct for the work completed to date. <br /> <br />i <br />I <br />I <br /> <br />INIAND UTILITY CONSTRUCTION <br />Signed: <br /> <br />Title: Date: <br /> <br />HAKANSON ANDERSON ASSOCIATES, INC. <br />Signed: <br /> <br />Title: <br /> <br />CITY OFRAMSEY <br /> <br />I <br />I File: <br /> <br /> Signed: <br /> <br /> Title: <br />RA8:02-11 <br /> <br />Date: <br /> <br />$750.00 <br />$156.00 <br />$5,481.00 <br />$1,600.00 <br /> <br /> $7,987.00 <br /> <br />$39,113.80 <br />$36,445.61 <br /> <br />$2,668.19 <br /> <br /> <br />