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<br />Payment Request <br /> <br />99. <br /> <br />PROJECT: <br />OWNER: <br />CONTRACTOR: <br />ENGINEER: <br /> <br />ODOR CONTROL IMPROVEMENTS <br />City of San Marcos, Texas <br />Sryan Construction Company <br />Camp Dresser & McKee <br /> <br />Project Numbers <br /> <br />720 <br />11854 <br /> <br />PAYMENT PERIOD FROM:_Nov. 30, 1999_TO:_Dec. 23, 1999_ <br /> <br />REQUISITION NO. _5 - Final_ <br /> <br />SUMMARY OF PAYMENT REQUISITION VALUES FROM ATTACHED TABULATIONS <br /> <br />ORIGINAL CONTRACT AMOUNT <br />APPROVED CHANGE ORDERS <br />CURRENT CONTRACT AMOUNT <br /> <br />$205,265.00 <br />$508.00 <br />$205,773.00 <br /> <br />Total Value of Original Contract Completed <br />Extra Work on Approved Change Orders <br />Materials on Hand <br />Total Value of Work to Date <br />less Amount Retained at 5% <br />Net Amount Earned on Contract <br />less Amount of Previous Payments <br /> <br />(Attachment "A" consisting of 1 pages) <br />(Attachment "S" consisting of 1 pages) <br />(Attachment "C" consisting of 0 pages) <br /> <br />$205,265.00 <br />$508.00 <br />$0.00 <br />$205,773.00 <br />$0.00 <br />$205,773.00 <br />$195,484.35 <br /> <br />$10,288.65 <br /> <br />100.00% <br /> <br />SAlANCE DUE THIS STATEMENT <br /> <br />Percentage of Contract Paid to Date <br /> <br />The undersigned contractor certifies that aU work, induding materials on hand, covered by this Periodical Payment <br />has been completed or delivered in accordance with the Contract Documents, that all amounts have been paid by <br />him for work, materials, and equipment for which previous Periodical Payments were issued and received from the <br />Owner, and that the current payment as shown is now due. <br /> <br /> <br />Con1rador: BRYAN CONS11<UCTlON COMPANY by: ~ d~ <br />Date: [Jet, 23. /ri? <br />/ <br />~.hvL <br /> <br />Subscribed and sworn to before me this ;2 M day of <br /> <br />.1999. <br /> <br />Notary Public: <br /> <br /> <br /> <br />JACQUELINE BLAIR <br />Notary Public State of Texas <br />My CommIssion Expires <br />JANUARY 4, 2003 <br /> <br />My Commission Exp;res: ~ IA tuj ~ ,;;003 <br /> <br />Recommended for Payment By: <br /> <br /> <br />> / <br />(t-{U (~ <br />Date <br /> <br /> <br />\ ,\~Q-J C~ L <br />~Inance <br />City of 8<fn Marcos . <br />&v \{ It 100 Q,'" <br /> <br />1-\ I ~ 00 <br />Date <br />