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CONTRACTOR RECAPITULATION <br />Well No, 6 - Water Transmission Main <br />City of Ramsey, Minnesota <br /> <br />November 29, 2005 <br /> <br />TOTAL, COMPLETED WORK TO DATE <br /> <br />RETAINED PERCENTAGE --5% <br /> <br />TOTAL AMOUNT OF OTHER PAYMENTS OR (DEDUCTIONS) <br /> <br />NET AMOUNT DUE TO CONTRACTOR TO DATE <br /> <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES <br /> <br />PAY CONTRACTOR PER ESTIMATE NO. 4 <br /> <br />$ 86,736.00 <br />$ (4,336.80) <br /> <br /> 0 <br />$ 82,399.20 <br />$ 60,436.20 <br />$ '21,964.00 <br /> <br />CERTIFICATE FOR PARTIAL PAYMENT <br /> <br />I hereby certify that, to the best of my knowledge and belief, all items, quanitities, and prices of <br />work and material shown on the 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 the Owner and <br />the undersigned Contractor, and as amended by any au!horized changes, and that the foregoing <br />is a true and correct statement of the contract amount for the period covered by this Estimate. <br /> <br />CONTRACTOR: W.B. Miller <br /> <br />Name Title <br /> <br />DATE: //o2--/- ~...~ <br /> <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />BOLTFON & MENK, INC., 1960 PREMIERE DRIVE, MANKATO, MN 56001 <br />BY:../~ "'~''z '//~/''~ , PROJECT MANAGER <br /> <br />DATE; //'- ~' ~"~ ~" ~'"" <br /> <br />APPROVED FOR PAYMENT: <br />OWNER: CITY OF RAMSEY, MINNESOTA <br /> <br />Name <br /> <br />-231- <br /> <br /> <br />