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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> APPLICATION FOR PAYMENT <br /> <br /> Estimate No 3 <br /> For Period Ending: 8/512006 <br /> Fund Numbers City Project No. 06-1 <br /> Class of Work: NW Quadrant Phase 1 Grading Improvements <br /> Location of Work: New Brighton, MN <br /> Payment to: North Pine Aggregate, Inc- <br /> Address: 14551 Lake Drive <br /> Forest Lake, MN 55025 <br /> Telephone- (651) 464-6802 <br /> Fax Number, (651) 464-8456 <br /> Date of Contract. 5/2/2006 <br /> <br /> A. Original Contract Amount $ 816,880-70 <br /> B. Total Additions $ 404,630-68 <br /> C.. Total Deductions $ - <br /> D. Total Funds Encumbered $ 1,221,511.38 <br /> E. Total Value of Work Certified to Date $ 845,825,17 <br /> F. Less Retained Percentage (5%) $ 42,291.26 <br /> G. Less Total Previous Payments $ 376,350 87 <br /> H. Approved for Payment This Voucher $ 427,183.04 <br /> 1. Total Payments Including This Voucher $ 803,533.91 <br /> J- Balance Carried Forward $ 417,977.47 <br /> --------------------------------------------------------------1-------------------------------------- <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 69% completed as of 8t5/2006. <br /> I hereby recommend payment of this voucher. <br /> Prepared By. Kimberly Benson <br /> Date: 8/10/2006 <br /> Checked By: Jon Horn <br /> Signed By: • 2lr. <br /> Grant ffels <br /> Public W s Director <br /> W----------------------------------------------------------------------------------- <br /> This is to certify that to the best of my knowledge, information, and belief, the quantitites and values <br /> of work certified herein are a fair approximate estimate for the period covered by this voucher. <br /> Contractor- N rth Pine Aggregate Inc. <br /> Signed By: <br /> Date: iy- 'c <br />