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CITY OF NEW BRIGHTON <br />ENGINEERING DEPARTMENT <br />PROJECT N0. 1043, 1STCINO AVENUE NW ALLEY SANITARY SEWER REPAIR <br />PARTUIL PAYMENT 1 <br />DATE: MAY 28,2010 <br />FUNO'402-410138]51 <br />CONTRACTOR: DAVE PERNINS CONTRACTING INC. <br />700 -143RD AVENUE NW SUITE 100 <br />RAMSEY, MN 55303 <br />PHONE: (783)427-0109 <br />FAX: (763),1274M <br />A. Original Centered Amount <br />B. Total AWihorra <br />Change Orden <br />C. Total 4Jrelcns <br />D. Total Funds Encumbered <br />E. Total Value of Work Cersfied to Dale <br />E. Less Retained Percentage Cl <br />G. Less Total Previous Payments <br />H. Appro -0for Pleased MIS Voucher <br />I. Total Payments Including Nis Voucher <br />J. Enhance Carried Fowrard <br />$28,74300 <br />$11,51 <br />$10,310.00 <br />$31,82445 <br />$1,51132 <br />$000 <br />$10,843.23 <br />$30,043.23 <br />$10,27477 <br />This is to certify that Ne items of shark shown in Ne Sgtement of War* Cent0ed herein have been <br />actually fumished he Ne above mereened projects In accordance wN Ne plans and speo0cations <br />hemadhore approved and Net the achal area is 79%complem as 0 Mas 28.2810. <br />I hereby remmmeNim <br />5/1 28I a <br />Grant Id Wyleds, PIE Usle <br />Director of Public Woks <br />CRY of New Brighton <br />This i3 b call Hurt to the best of my knowledge, informal and hese( the quantities and values <br />of shark hardest herein are a fair approximate es0male for the Ixricd covered by this voucher. <br />DAVE PERMS CONTRACTING INC. <br />