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STATE OF MINNESOTA - DEPARTMENT OF TRAlqSPORTATiON <br /> <br />S T A T E M E N T O F W O R K C E R.T I F I E D <br /> <br /> BACKS HE ET ADJUSTMENTS <br /> (NOT ASSOCIATED WiTH CHAi~GE ORDERS) <br /> <br /> voucher No. 12 For Work Performed up to August 26, 2003 on Contract Z00516 Sheet No: 22 <br /> <br /> Unit Mult To Date To Date Fed <br /> !zem Number Description Unit Price Factor Quantity <br /> <br />Group Nu~Der: 004 <br /> Type of Work: Ot~=r Category: Othmr Payments / Credits Per Specs. <br /> <br /> 0000.000-00000 DELAY AND EX~ WO~ ~IM (S.A.~4) L.S. 498.84 1.0080 1.00 498.84 <br /> <br /> This i~em is justified by Sp~cifica%ion 1403 <br /> <br /> ~I~ D~ ~OM D~YS ~ ~ WORK O~D BY ~ STATZ ~ ~ <br /> <br /> CI~ OF ~EY. <br /> <br /> Su3utotal for Group 004 is $498.84 <br /> <br />Group Number: 005 <br /> T~e of Work: Other Category: Miscellaneous <br /> <br /> 2184.503-00024 REMOVE CONC.DR%~Y.PV~. m2' 5.98 1.0000 49.80 293.02 <br /> This i~em is j~tified by Other <br /> ~D REMO~ CONC.DR~.P~. TO GROUP 005. <br /> <br />T~rpe of Work: Other Category: <br />2531.507-00080 200 mm CONC.DRVWY.pV~qT. ~ <br />This i=em is justified ~y Other <br /> ADD 200 mm CONC~DR~%~Y.PVW/~T. TO GROUP 005. <br /> <br />Miscellaneous <br /> <br /> 42.84 1.0000 <br /> <br />49.-00 2,099.16 <br /> <br />T%rpe of Work: Finishing/Agriculture <br /> <br />257!.501-05040 CONIFEROUS ~E 1.2m ~Uf B&8 <br /> <br />This item is justified by Other <br /> <br /> CI~/ OF P~AMSEY ADDED TWO CONIFEROUS TREES TO THIS GROUP. <br /> <br />Type of Work: Finishing/Agricul=ure . <br /> <br />2575.523-00013 EROSION CON/~ROL SL;~TS CATEGORY 3 <br /> <br />This iaem is justified by Other <br /> <br /> ADD EROSION CO~rfROL ~LJ~NKETS TO GROUP <br /> <br /> Ca=egory: Misoellaneous <br /> <br />TREE 205.00 1.0000 <br /> <br /> Category: ENosion Control Iaems <br /> <br />M2 1.2~ <br /> <br />369.00 <br /> <br />1,252.00 1,565.00 <br /> <br />Type of Work: Other <br /> <br />2564.604-00054 ZEBRA CROSS-WALK-EPOXY <br /> <br />This item is justified by O~her <br /> <br /> ~DING ZEBRA CROSS-WALK TO GROUP 05. <br /> <br /> Cacegoz-y: Misoellaneous <br /> <br />m2 47.22 1.0000 <br /> <br />62.16 2,935.i9 <br /> <br />LOW S.P. NUMBER 199-010-03 <br /> <br />FOR WORK COMPLETED A~ OF 08/26/20~3 <br /> <br />Contract Number: ZOOSl~ <br /> <br />-261- <br /> <br /> <br />