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• <br />r� <br />city- (1, <br />) a MIN <br />CITY OF NEW BRIGHTON <br />ENGINEERING DEPARTMENT <br />PROJECT NO. 09-3, CLEVELAND AVENUE LIFT STATION 7 & FORCEMAIN IMPROVEMENTS <br />PARTIAL PAYMENT 1 <br />DATE: AUGUST 13, 2009 <br />FUND: 402.40903.8751 <br />CONTRACTOR: ELLINGSON COMPANIES <br />58113 STATE HIGHWAY 56 <br />WEST CONCORD, MN 55985 <br />PHONE: (507)527-2294 <br />FAX: (507)527-2296 <br />A. Original Contract Amount <br />B, Total Additions <br />Change Order 1 <br />C. Total Deductions <br />D. Total Funds Encumbered <br />E. Total Value of Work Certified to Date <br />F. Less Retained Percentage (5%) <br />G. Less Total Previous Payments <br />H. Approved for Payment this Voucher <br />1. Total Payments Including this Voucher <br />J. Balance Carried forward <br />$180,090.04 <br />$0.00 <br />$1,759.50 <br />$0.00 <br />$181,849.54 <br />$134,134.20 <br />$6,706.71 <br />$0.00 <br />$127,427.49 <br />$127,427.49 <br />$54,422.05 <br />This is to certify that the items of work shown in the Statement of Work Certified herein have been <br />actually furnished for the above mentioned projects in accordance with the plans and specifications <br />heretofore approved and that the total work is 74°x, complete as of August 13.2009._ <br />I hereby recommend t this r. <br />Grant M. WWft--, P. Ef r Date <br />Director of Public Works <br />City of New Brighton <br />This is to certify that to the beat of my knowledge, information, and belief, the quantitates and values <br />of work certified herein are a fair approximate estimate for the period covered by this voucher. <br />ELLINGSON COMPANIES <br />