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CONTRACTOR'S PAY REQUEST NO. 3-FINAL <br />BALDUR PARIS ROAD IMPROVEMENTS <br />CITY OF ORONO <br />Bill PROJECT NO. C13.109535 <br />TOTAL AMOUNT BID PLUS APPROVED EXTRA WORK _......... ...... ................................................. <br />TOTAL, COMPLETED WORK TO DATE..a............................................................................................. 3 <br />TOTAL, STORED MATERIALS TO DATE............. ............. ....................... _........................................ .... $ <br />DEDUCTION FOR STORED MATERIALS USED IN WORK COMPLETED.......................................... <br />TOTAL. COMPLETED WORK & STORED MATERIALS ........................................................................ $ <br />RETAINED PERCENTAGE ( 0%) ................................ _................ ....................................,... $ <br />TOTAL AMOUNT OF OTHER DEDUCTIONS................................................................................ S <br />NET AMOUNT DUE TO CONTRACTOR TO DATE............................................................................... $ <br />TOTAL AMOUNT PAID ON PREVIOUS ESTIMATES..................................................................... $ <br />PAY CONTRACTOR AS ESTIMATE NO. 3- FINAL......................................................... $ <br />Certificate for Final Payment <br />I hereby certify that, to the best of my knowledge and belief, all items quantities and prises <br />of work and material strewn on Oris Estimate are correct and that all work has been <br />performed in full accordance with the berms and conditions of the Contract for this proJeet <br />between tis Owner and it* undersigned Contractor. and as amended by ary <br />authorized changes, and that the foregoing is a true and correct sta e"IMA of the amount <br />fortha Final Estimate, # atthe provisions of M. S. 290.92 have been complied Wkh and that <br />all claims against me by ressom of the Contract have been paid or satisfactorily secured. <br />Contracter: GMH ASPHALT <br />9160 LAKETOWN RD <br />CIAA563 <br />By V <br />Nam Title <br />Date <br />$143,523.00 <br />177,080.24 <br />127,080.24 <br />125.616.39 <br />1,449.85 <br />CHECKED AND APPROVED AS TO QUANTITIES AND AMOUNT: <br />BOLTON & MENK, INC..,�ENGINEERS, 2638 SHADOW LN, SUITE 200, CHASM MN 55.918 <br />By ? N r , CONSULTANT CITY ENGINEER <br />DAVID P. MARTINI, P.E. <br />Date <br />APPROVED FOR PAYMENT: <br />Owner. CITY OF ORONO, MINNESOTA <br />Itamoe <br />