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Copy: <br /> <br />Re: <br /> <br />Mn/DOT Agreement No. 89336 <br /> <br />Exhibit B - Invoice <br /> <br />Consultant Services Section <br />Mflmesota Department of Transportation <br />Transpo~-cation BuiMing, Mail Stop 680 <br />395 John Ireland Boulevard <br />St. Paul, MN 55155 <br /> <br />Period Ending: <br />Invoice Date: <br /> <br />Greg Coughlin, Project !vlanager <br />Mark Hagen, Agreement Administrator <br /> <br />hNVOICE NO. <br /> <br />Project Description: Preliminary Design for T.H. 47 in Anoka County <br />State Project Number: 0206-60 <br /> <br />Contract Expiration Date: April i5, 2007 <br /> <br />Total <br />Contract <br /> <br /> N'~m'DOT Agreenxent Amount: <br /> <br />............... ?i %s <br /> <br />$200,000.00 <br />$200,000.00 <br /> <br />Total Amount <br />Billing Previously <br />to Date <br /> <br />Total Amount Due This Invoice: <br /> <br /> Billed <br /> This <br />h~voice <br /> <br /> Activity Total ~unonnt <br /> Code Billing to Previously <br /> Date Billed <br /> <br /> 1 t29' <br />'Must :na[cti Ncr ~zammgs '1 otal above <br /> <br />Billed This <br />Invoice <br /> <br />for Consuhant Serv cee Use Only <br /> <br />I hereby certify that the above statement is just and <br />correct and payment has not been received. <br /> <br />Signature: .__ <br />Print Name: <br />Title: <br /> <br />Billing Address: Anoka County Highway Dept. <br /> 1440 Bunker Lake Boulevard <br /> Andover, MN 55304 <br /> <br />Telephone: (763) 862-~1230 <br /> <br />Recomme. nded for Payment: <br />State Project Mauagcr <br /> <br />Approved for Payment: <br /> <br />A g~-eement Adminish'ator <br /> <br />-248--. <br /> Page 1 of 1 <br /> <br /> <br />