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STATE OF MINNESOTA - DEPARTMENT OF TRANSPORTATION <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 /> M A T E R I A L O N" H.A N D <br /> BACKS HE ET AD JU'S TMENTS <br /> <br /> Voucher No. 12 For W~rk Performed up to August 26, 2003 on~Con~ract Z00516 Sheet No: 30 <br /> <br /> Unit Mult To Date To Date <br /> item Nu~ber Descript~un Unit Price Fac=or Quanti~y Amount <br /> <br />Group Number: 001 ...................................... ~ .............................. ~ .............................................. <br /> <br /> Type of Work: Grading <br /> 2105.523-00010 C0~940N BORROW (LV)(S.A.~3} M3 5.77 !.0000 14,971.00 86,382.67 <br /> <br /> ADD COMMON BORROW TO GROU~ 001 FOR S,A.#3 WOOD WALL. <br /> <br /> Type of Work: Grading <br /> <br /> 2422.604- WOOD WALL (S.A.#3) ~ 118.00 1.0000 1,$52.00 183,136.00 <br /> <br /> S.A.~3 FOR PAY~ FOR WOOD WALL. <br /> <br /> Subtotal for Group 001 is $269,518.67 <br /> <br />Group Number: 007 ................................................................................................... ~ ................ <br />Type of Work: Grading <br />0000.000-00000 EXI~P~A STORM SEWER FOR 149~h(S.A.#2) L~-$ 1.00 1.0060 109,239.39 109,239.39 <br /> <br /> S.A,#2 FOR EXT1RA STORM SEWER WORK FOR 149~h AS REQUESTED BY CITer OF <br /> <br /> RAMSEY. <br /> <br />Type of Work: Grading <br />2422.604- WOOD WALL(S.A.~3) <br /> <br /> $.A,#3 FOR PAYMENT FOR WOOD WALL. <br /> <br />118.00 i.0000- 469.00 55,342.00 <br /> <br /> Subtotal for Group 007 is $164,581.39 <br />To=al for all F~erial On Hand creaged as Backshee~s is 434,100.06 <br /> <br />S.P. ~3q~BER 199-010-03 <br /> <br />FOR WORK COMPLETED AS OF 08/26/2003 <br /> <br />Contract Number: Z00516 <br /> <br />-269- <br /> <br /> <br />