1e. Check Register • • fie .
06/25/91 City of Chanhassen Page 1
PAYROLL CHECK REGISTER
JUNE 28, 1991
Check Emp Check Direct
lirNumber Nbr Employee Name _ Amount Deposit
007434 1201 ASHWORTH, DONALD 1,237.54 ***
r 007435 1202 ENGELHARDT, KAREN J 805.59 ***
007436 1203 DUMMER, NIRRI 367.20 ***
007437 1206 SCHULLER, NORMA L 498.71 ***
007438 1207 BURMEISTER, GINA 448.03 ***
lir . 007439 1209 OPHEIM, JANANN O. 660.69 ***
007440 1210 GERHARDT, TODD R. 955.47 ***
'41 007441 1301 MEUWISSEN, MARY JEAN 652.85 ***
li 007442 1303 CHAFFEE, THOMAS L. 1 , 146.60 ***
007443 1304 O'KONEK, KARI D. 640.76 ***
007444 1305 EIDAM, ELIZABETH A. 665. 16
IL 007445 1701 BREHM, CURTIS 159. 35 ***
007446 2102 DUNSMORE, CAROL M. 674.72 ***
007447 2504 KIRCHMAN, STEVE A. 890.56 ***
007448 2505 BARRE, CARL E. 893. 12 ***
L 007449 2506 LITTFIN, MARK G. 914.51 ***
007450 2507 NELSON, STEVEN D. 851.69 ***
007451 2510 HARR, SCOTT 1 ,070.93
I 007452 2511 DEBNER, RANDY L. 657. 35 ***
007453 2513 KOENIG, BETH A. 608.66
007454 2514 TORELL, STEVEN B. 695.61 ***
007455 2515 DUMMER, ANDREA K. 350 .08
007456 2604 ZYDOWSKI , ROBERT A. 595.60 ***
007457 3102 MEUWISSEN, KIM T. 238.49 ***
007458 3103 FOLCH, CHARLES D. 1,081 . 01 ***
1r 007459 3106 REMER, DANIEL R. 749.43 ***
007460 3107 HEMPEL, DAVID C. 943. 14
007461 3201 SCHLENK, GERALD W 822.88 ***
I 007462 3205 WEGLER, MICHAEL 961 .82 ***
007463 3206 PETERS, GARY 477.26
007464 3207 THEIS, JAMES M. 692.28 ***
lir 007465 3208 SAUTER, STEPHEN M. 690.66 ***
007466 3209 ROJINA, ROBERT S. 639.84 ***
007467 3701 BROSE, HAROLD 928.77 ***
0 007468 3702 GOETZE, DUANE E. 902.66 ***
IL 007469 3703 SIEGLE, CHARLES J. 636.36 *** •
007470 3801 GREGORY, DALE J. 684.05 ***
007471 3802 SCHMIEG, DEAN F. 757.80
IL 007472 3803 SCHMIEG, DARYL 444.39
007473 3804 SCHMIEG, DANA 363.74
007474 3805 FILER, CHARLES A. 817.83
007475 3807 HAAR, LORI R. 179.66
16 007476 3812 SCHINDLER, HEATHER K. 197.68 -
007477 3813 BIESE, TONY G. 215.92
007478 3820 ERNY, ROGER L. 175.79
IF 007479 3830 DUMMER, SCOTT D. 362.49
007480 3833 MULARIE, KELLY J. 153. 10
007481 3841 WOLF, CHARITY 97 .56
007482 3850 AUSETH, SAMUEL 273. 48
007483 4202 HOFFMAN, TODD °` u
007484 4501 RUEGEMER, GERALD G. 718.58 ***
L11111111111111111111111111111111111111101111111.1111111111111111MMOMMININIMMINI
06/25/91 City of Chanhassen Page 2
PAYROLL CHECK REGISTER
JUNE 28, 1991
Check Emp Check Direct
1rNumber Nbr Employee Name Amount Deposit
007485 4502 MURPHY, CERISSE L. 346.95
007486 4503 HAAS, DEANNE M. 210. 40
007487 4504 JOHNSON, DEBORAH A. 175. 86
007488 4602 FURBER, ADAM C. 331 .74
007489 5202 OLSEN, JOANN 412 . 94 ***
007490 5203 CHURCHILL, VICTORIA E. 757 . 49 ***
007491 , 5206 AL-JAFF, SHARMIN M. 723. 72 ***
007492 5210 KRAUSS, PAUL M. 1 , 322. 43 ***
007493 7201 BOUCHER, GERALD 1 , 005 .52 ***
007494 7202 KERBER, ARTHUR M. 793 . 56
007495 7203 ZIERMANN, CURTIS 738 . 42
007496 7206 CHIHOS, CHARLES G. 650 . 86
007497 7208 FELTMANN, ARNOLD E. 656 . 20
**** Grand Totals ****
40,602 . 21
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CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 1
CHECK # A M O U N T C L A I M A N T P U R P O S E
033816 128.93 MN. COMM OF REVENUE SALES TAX PAYABLE
033817 2,113.20 GRAYBOW-DANIELS COMPANY WAGE DEDUCTIONS PAYABLE
033818 584.40 UNUM CONTRIBUTIONS, INSURANCE
033819 500.00 LEONARD KISKIS ESCROW PAYABLE Landscaping Escrow
033820 11.13 AT & T TELEPHONE
033821 5.00 AMERICAN PAGING INC TELEPHONE
033823 1,583.64 CUSTOM QUICK PRINT PRINTING AND PUBLISHING July 4th Brochure
033824 1,755.74 MN STATE TREASURER SURTAX PAYABLE
AND-R E F U N D
033825 10,296.00 METRO WASTE CONTROL COMM R E F U N D
AND-S A C PAYABLE
033826 500.00 NOREEN RACHOR ESCROW PAYABLE Landscaping Escrow
033829 1,243.35 NORTHERN STATES POWER CO UTILITIES
033831 160.67 MN. DEPT. OF NATURAL FEES, SERVICE Cost share program with
RESOURCES Eden Prairie for Eurasian W4termilfoil
033832 1,773.00 DESIGN FLAGS & FLAGPOLE REP.& MAINT.- BLDG & GND Flag & Flagpole for Fire Station
033833 30.00 MN STATE TREASURER FEES, SERVICE Wastewater renewal fee for
sewer license
033834 30.00 MN STATE TREASURER FEES, SERVICE Water license renewal
033835 95.00 LEAGUE OF MINN CITIES TRAVEL & TRAINING
033837 20.00 MN PUBLIC WORKS ASSOC. TRAVEL & TRAINING Storm water workshop
033838 115.00 SEMINARS INTERNATIONAL TRAVEL & TRAINING "Guilt-Free Assertiveness" Seminar
033839 48.00 PUBLIC EMPLOYEES P.E.R.A. PAYABLE
033840 5,574.21 PUBLIC EMPLOYEES P.E.R.A. PAYABLE
AND-CONTRIBUTIONS, RETIRE.
033841 15,880.42 STATE BANK OF CHANHASSEN F.I.C.A. PAYABLE
AND-FED. INCOME TAX PAYABLE
AND-CONTRIBUTIONS, RETIRE.
033842 2,453.25 U.S.C.M. DEF. COMP. PROG DEFERRED COMPENSATION .
033843 25.00 GREAT-WEST LIFE ASSUR.CO DEFERRED COMPENSATION
033844 247.50 MIDAMERICA MUTUAL LIFE CONTRIBUTIONS, INSURANCE
UM a N - NM ME - NM - - ME - MI �■■ r I - s -
• • w r MI I all MI MN • M — • = OM MN — Mt —
CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 2
CHECK 4i A M O U N T C L A I M A N T P U R P O S E
033845 1,668.80 U.S. WEST COMMUNICATIONS TELEPHONE
033846 _ 10,000.00 GMAC MORTGAGE OTHER ACQUISITION COSTS
033847 2,284.00 GRAPHIC COMMUNICATIONS FEES, SERVICE T-Shirts & July 4th Flyer
AND-SUPPLIES, PROGRAM
033848 938.18 MN VALLEY ELECT CO-OP UTILITIES
033849 2,000.00 POSTMASTER POSTAGE
033850 2.74 AT & T TELEPHONE
033851 250.00 SCOTT A ROOF ESCROW PAYABLE Landscaping Escrow
033852 378.32 MINNESOTA MUTUAL LIFE LIFE INS DED PAYABLE
AND-CONTRIBUTIONS, INSURANCE
033853 100.00 ANIMAL ADVENTURE FEES, SERVICE Program for Playground
033854 91.50 THE FRIENDS OF THE MPL FEES, SERVICE Minneapolis Planetarium
033855 110.00 CHILDRENS MUSEUM FEES, SERVICE
033856 140.25 STEVE NELSON INS., GENL LIABILITY Reimbursement for broken
glasses
033857 225.00 WOODLAND HILLS REFUNDS PAYABLE Park Deposit
033858 5.00 MNAPA TRAVEL & TRAINING
033859 35.17 SUBWAY TRAVEL & TRAINING
033860 100.00 SCHIFFELLY PUPPETS SUPPLIES, EQUIPMENT Playground Program
033861 5,388.67 MN. COMM OF REVENUE MINN INCOME TAX PAYABLE
033862 14,176.24 STATE BANK OF CHANHASSEN F.I.C.A. PAYABLE
AND-FED. INCOME TAX PAYABLE
AND-CONTRIBUTIONS, RETIRE.
033863 5,158.54 PUBLIC EMPLOYEES P.E.R.A. PAYABLE
AND-CONTRIBUTIONS, RETIRE.
033864 2,453.25 U.S.C.M. DEF. COMP. PROG DEFERRED COMPENSATION
033865 25.00 GREAT-WEST LIFE ASSUR.CO • DEFERRED COMPENSATION
033866 .00 VOIDED CHECK MISC CONTRACT SVCS
033867 25.00 LEAGUE OF MINN CITIES TRAVEL & TRAINING Legislative Update Conference
033868 577.49 UNUM CONTRIBUTIONS, INSURANCE
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CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 4 .
CHECK 4$ A M O U N T C L A I M A N T P U R P O S E
043823 525.00 TODD ALCOTT SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043824 995.00 ALPHA SOFTWARE CORP SUPPLIES, PROGRAM
043825 70.00 AMERICAN BAR ASSOCIATION SUBSCRIPT. & MEMBERSHIPS
043826 15.00 AMERICAN PAGING INC TELEPHONE
043827 34.95 ANDERSON'S AUTOMOTIVE REP.& MAINT.- VEHICLES Front End Alignment
043828 29.80 EARL F. ANDERSEN & ASSOC SIGNS AND SIGNALS Street Sign Plates
043829 252.00 CHARLES ANDING SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043830 280.00 SCOTT ANDING SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043831 179.00 APPLE VALLEY RED-E-MIX MAINTENANCE MATERIALS Concrete
043832 200.00 DONALD ASHWORTH MILEAGE
043833 392.00 JACK ATKINS SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043834 802.00 DUANE AUSETH SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043835 43.24 AUTO CENTRAL SUPPLY SUPPLIES, EQUIPMENT Oil Filters
043836 818.89 BRW, INC. FEES, SERVICE
043837 464.00 BRIAN BENIEK SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043838 46,955.52 BEIVTEC ENGINEERING CO AWARDED CONST CONTRACTS
043839 1,386.00 BIFFS, INC RENTAL, LAND & BLDGS. Portable Toilets
043840 375.00 CRAIG BLECHTA SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043841 108.72 GERALD BOUCHER UNIFORMS & CLOTHING Work Shirts
AND-TRAVEL & TRAINING Mileage for Water School
043842 861.00 GEOFFREY BREAULT SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043843 287.00 ED BRION FEES, SERVICE Softball Umpire
043844 197.14 BROWNING-FERRIS CLEANING & WASTE, REMOVAL City Hall
043845 140.19 BUSINESS ESSENTIALS INC SUPPLIES, OFFICE
043846 39.99 CABIN FEVER SUPPLIES, PROGRAM Fish Scale
SPORTING GOODS
043847 224.00 DAVID CARLSON SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043848 161.33 CARLSON'S AUTO PARTS SUPPLIES, VEHICLES
AND-MAINTENANCE MATERIALS
CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 5
CHECK # A M O U N T C L A I M A N T P U R P O S E
043849 231.93 CELLULAR ONE TELEPHONE
043850 224.00 MARK CHALUPSKY FEES, SERVICE Softball Umpire
043851 32.65 CITY OF CHANHASSEN TRAVEL & TRAINING Petty Cash Reimbursement
043852 15.00 CHANHASSEN FIRE DEPT FEES, SERVICE
043853 4,294.00 CHAN FIRE RELIEF ASSN SALARIES & WAGES, TEMP. F.D. $1.00 per man per call
043854 15.00 CHASKA PARTS SERVICE INC SUPPLIES, VEHICLES Brake Clinic
043855 242.53 DONALD CHMIEL TRAVEL & TRAINING MN League of Cities Conference
A
043856 140.85 CONSOLIDATED PLASTICS CO SUPPLIES, EQUIPMENT x
043857 210.00 FRED COULTER SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043858 59.20 CUSHMAN MOTOR VEHICLES REP.& MAINT.- EQUIPMENT Brushes for Ball Field
043859 8.10 DELEGARD TOOL COMPANY SUPPLIES, EQUIPMENT
043860 483.00 DOBBS TEMPORARY SERV INC FEES, SERVICE
043861 5,131.00 DOLLIFF INSURANCE INC. WORKMENS COMP.
AND-INS., GENL LIABILITY,
043862 39.00 DON'S SOD SERVICE LAND,PURCHASE & IMPROV.
043863 231.00 DAVID DRESSLER SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043864 373.70 DRUMMOND AMERICAN CORP SUPPLIES, PROGRAM
043865 197.14 E 0 S CORPORATION FEES, SERVICE
043866 212.50 BETTY EIDAM SALARIES & WAGES, TEMP. F.D. Secretary
043867 615.00 GREGORY EIDAM SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043868 344.00 KAREN ENGELHARDT FLEX PLAN PAYABLE
043869 4,185.84 WM ENGELHARDT ASSOC, INC OUTSIDE ENGINEERING FEES
AND-FEES, SERVICE
043870 713.23 FADDEN PUMP COMPANY REP.& MAINT.- EQUIPMENT Repair pump seals & bearings
• L.S. #2
043871 33.68 FEED RITE CONTROL CHEMICALS Chlorine Test Pills
043872 256,884.38 FIRST TRUST AMT TO BE PROV FOR DEBT G.O. TI Bonds of 1987
AND-DEBT PRINCIPAL
AND-DEBT INTEREST
AND-BONDS PAYABLE - G.O.
all all lla all 111111 all MN III. all 11111 all MI MN all ll la 11.11 MS MIL MI
1 - 1 .- 1 - - 1 1 1 - 1 r 1 1 1 M S
CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 6
CHECK * A M O U N T C L A I M A N T P U R P O S E
..
043873 108,387.50 FIRST TRUST DEBT INTEREST G.O. Bonds of 1987
043874 1,450.00 FIRST TRUST DEBT INTEREST 1987 Equipment Certificate L.
043875 104,808.88 FIRST TRUST AMT TO BE PROV FOR DEBT G.O. Municipal Bldg. Bonds of 1980
AND-DEBT PRINCIPAL .,.
AND-DEBT INTEREST
AND-PAYING AGENT FEES
AND-BONDS PAYABLE - G.O. ,_
043876 215,962.50 FIRST TRUST AMT TO BE PROV FOR DEBT G.O. Refunding Bonds of 1983
AND-DEBT PRINCIPAL .
AND-DEBT INTEREST
AND-BONDS PAYABLE - S/A
043877 361,207.50 FIRST TRUST AMT TO BE PROV FOR DEBT G.O. Refunding TI Bonds of 1983
AND-DEBT PRINCIPAL
AND-DEBT INTEREST
AND-BONDS PAYABLE - G.O.
043878 144,198.38 FIRST TRUST AMT TO BE PROV FOR DEBT G.O. Bonds of 1983
AND-DEBT PRINCIPAL
AND-DEBT INTEREST
AND-PAYING AGENT FEES
AND-BONDS PAYABLE - S/A
043879 210.00 FISHER-MINCER MAINTENANCE MATERIALS Pulverized black dirt
043880 268.61 ALCATEL FRIDEN REP.& MAINT.- EQUIPMENT .
043881 301.00 SCOTT FRANZEN SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043882 95.89 GLENCOE UNIFORMS UNIFORMS & CLOTHING CSO
043883 225.00 GLENROSE FLORAL FEES, SERVICE June Plant Maintenance
043884 34.00 GOVT FINANCE OFFICERS BOOKS & PERIODICALS
043885 483.00 DON GRAY SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043886 1,013.00 DALE GREGORY SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043887 660.00 ROBERT HALVERSON SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043888 1,433.11 HAMMEL, GREEN & FEES, SERVICE
043889 149.51 SCOTT HARR FLEX PLAN PAYABLE
AND-TRAVEL & TRAINING
043890 32.99 DAVE HEMPEL FLEX PLAN PAYABLE
043891 231.00 HAMID HOODEH SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 7
CHECK # A M O U N T C L A I M A N T P U R P O S E
043892 486.00 TOM KELLY SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043893 448.00 MICHAEL KERBER SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043894 112.00 JAMES KIECKSEE SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043895 118.75 PAUL KRAUSS FLEX PLAN PAYABLE
043896 17,575.00 LANO EQUIPMENT, INC. OTHER EQUIPMENT Ford Tractor & Mower
043897 745.00 MARK LITTFIN SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043898 707.00 DEAN LOKKEN SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
•
043899 110.80 LONG LAKE FORD TRACTOR SUPPLIES, EQUIPMENT
043900 25.00 MN CRIME PREVENTION SUBSCRIPT. & MEMBERSHIPS
043901 240.00 MN DEPT OF PUBLIC SAFETY FEES, SERVICE
043902 21.60 MN DEPARTMENT OF REVENUE MOTOR FUELS & LUBRICANTS Special Fuel Tax
043903 711.00 JAMES MC MAHON SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043904 175.00 RAY MC MULLEN SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043905 667.00 ERIC MEESTER R E F U N D Park & Trail Fees
043906 371.00 SHELLEY MEHL SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043907 90.11 MENARD"S REP.& MAINT.- BLDG & GND
043908 485.00 METAFILE INFORMATION SUPPLIES, PROGRAM
043909 129.00 METRO SYSTEMS OFFICE EQUIPMENT
043910 47,657.00 METRO WASTE CONTROL COMM REMITT TO OTHER AGENCIES
043911 484.62 KIM T. MEUWISSEN FLEX PLAN PAYABLE
043912 183.62 MIDWEST ASPHALT CORP. MAINTENANCE MATERIALS Blacktop
043913 42.50 MILLIE'S DELI FEES, SERVICE
043914 61.40 MN. CONWAY FIRE & SAFETY REP.& MAINT.- EQUIPMENT Air Mask Repair
043915 4,449.37 MINN.-VICTORIA OIL CO. MOTOR FUELS & LUBRICANTS
043916 '43.82 MINNETONKA PHOTO LABS SUPPLIES, EQUIPMENT
AND-SUPPLIES, PROGRAM
AND-PRINTING AND PUBLISHING
043917 90.00 MOORE SIGN & LETTERHOUSE FEES, SERVICE Re-letter July 4th Banner
all IIIIIII En 1111111 MI an MI IIIIII MI - - OM MI 111111 ME IIIIII 1.111 III. all
MS • • Mill NM MN NM MN MI MI E MIll MI • Mr all
4
4 CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 8
CHECK * A M O U N T C L A I M A N T P U R P O S E 4
043918 507.00 ROBERT MOORE SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043919 2,433.37 WM. MUELLER & SONS, INC. MAINTENANCE MATERIALS Blacktop
043920 2,970.07 MUNICIPAL CODE CORP. PRINTING AND PUBLISHING
043921 132.00 NEENAH FOUNDRY CO MAINTENANCE MATERIALS Curb Box
043922 2,689.92 NORTHDALE CONST CO INC AWARDED CONST CONTRACTS
043923 34,963.32 NORWEST BANK MINNESOTA DEBT INTEREST G.O. Water Revenue Bonds of 1990
043924 56,426.67 NORWEST BANK MINNESOTA DEBT INTEREST G.O. Bonds of 1990
043925 25,895.00 NORWEST BANK MINNESOTA DEBT INTEREST G.O. Corporate Purpose Bonds 1989
043926 29,575.00 NORWEST BANK MINNESOTA DEBT INTEREST Taxable G.O.TI Bonds of 1989
043927 206,262.50 NORWEST BANK MINNESOTA DEBT INTEREST G.O. Bonds of 1989
043928 4,080.00 NORWEST BANK MINNESOTA PAYING AGENT FEES TI Bonds of 1981
043929 208.33 JOANN OLSEN FLEX PLAN PAYABLE
043930 197.57 ORR-SCHELEN-MAYERON FEES, SERVICE
043931 931.46 PARKSIDE PRINTING, INC. FEES, SERVICE July 4th Posters, Business Cards
AND-PRINTING AND PUBLISHING Scott Harr, July 4th Flyer
043932 612.00 RONALD PAYNE SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
AND-TRAVEL & TRAINING State Fire School
043933 5,386.00 PC EXPRESS FEES, SERVICE
043934 44.50 PHASOR ELECTRIC REP.& MAINT.- UTILITY
043935 183.21 PEOPLES NATIONAL BANK RENTAL, EQUIPMENT
043936 25.03 PIONEER RIM AND WHEEL CO SUPPLIES, EQUIPMENT .
043937 292.50 PUBLICORP, INC. FEES, SERVICE
043938 111.90 QUALIFIED LABORATORIES SUPPLIES, VEHICLES
043939 526.30 RAMSEY COUNTY FEES, SERVICE Data Processing Services May
043940 32.00 SCOTT REIN FEES, SERVICE Softball Umpire
043941 8.66 REYNOLDS WELDING SUPPLIES, EQUIPMENT
AND-SMALL TOOLS & EQUIP.
043942 391.00 RICHARD RICE SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
CITY OF CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 9
4
CHECK # A M O U N T C L A I M A N T P U R P O S E
043943 891.00 RIDGEVIEW MEDICAL CENTER FEES, SERVICE F.D. Physicals
043944 67.65 ROAD RUNNER FEES, SERVICE
043945 148.71 SANCO, INC REP.& MAINT.- BLDG & GND
■y,
043946 626.00 STEVE SAUTER SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
• '043947 336.00 STEVE SCHEID SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043948 250.00 DEAN SCHMIEG - CLEANING & WASTE REMOVAL Public Works, June
l..
043949 305.00 SERVICEMASTER FEES, SERVICE Carpet cleaping, Public Safety
043950 119.73 SHAKOPEE MARINE REP.& MAINT.- EQUIPMENT F.D. Outboard Motor
043951 252.00 JEFF SLATER SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043952 193.50 STACO, INC. SUPPLIES, PROGRAM Printer Ribbons, Software
AND-SUPPLIES, OFFICE
043953 617.09 STS CONSULTANTS LTD FEES, SERVICE
043954 1,437.51 STUART-HOOPER COMPANY PRINTING AND PUBLISHING Purchase Orders, Bldg. Inspection
Forms
043955 5.00 JANET SWEET R E F U N D Picnic Kit
043956 770.50 JIM THEIS FLEX PLAN PAYABLE
• AND-SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043957 208.33 STEVE TORELL FLEX PLAN PAYABLE
043958 87.10 TRIARCO ARTS & CRAFTS SUPPLIES, EQUIPMENT Playground
043959 15.00 TWIN CITY WATER CLINIC DEVELOPMENT INSPECTION
043960 147.00 STEVE UNDIS SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043961 210.00 DENNIS UNZE SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91 ■,.
043962 9,462.21 VANDOREN-HAZARD FEES, SERVICE
AND-LAND,PURCHASE & IMPROV.
043963 238.00 RANDY WAHL SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043964 39.00 WASTE MANAGEMENT-SAVAGE CLEANING & WASTE REMOVAL Recycling Service
043965 7,448.55 WATER PRODUCTS CO. MERCHANDISE FOR RE-SALE Water meters, remotes, horns
& fittings
043966 ' 250.00 DR. ROBERT WELCH SALARIES & WAGES, TEMP. Medical Director, F.D.
043967 378.00 MICHAEL WIBORG SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
- IIIIII OM 1111111 MI IIIIII IIIIII - 111111 - all 1111111 MI MI OM MI 111111 IMIlt IIIII
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 Mt 1
CITY or CHANHASSEN A C C O U N T S P A Y A B L E 07-08-91 PAGE 10
Ems,
CHECK # A M O U N T C L A I M A N T P U R P O S E
043968 307.00 WILCOX PAPER CO. SUPPLIES, OFFICE
043969 346.00 RICHARD WING SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043970 492.00 JOHN WOLFF SALARIES & WAGES, TEMP. F.D. Pay 4/1-6/30/91
043971 19.55 ZEE MEDICAL SERVICE SUPPLIES, OFFICE First Aid Supplies
043972 17.09 ZEP MFG. COMPANY SUPPLIES, VEHICLES
043973 13.62 ZIEGLER, INC. SUPPLIES, EQUIPMENT
151 , 1,748,718.41 CHECKS WRITTEN
TOTAL OF 204 CHECKS TOTAL 1,849,146.42
_ 4r ih fi�
G
��(� Planning Thresher Square Minneapolis
II
Bk YY Transportation 700 Third Street So. Denver
Engineering Minneapolis, Phoenix 003.
Urban Design MN 55415 Tucson INVOICE I
612/370-0700 St.Petersburg 6 2 3 4
B R W INC. Fax 612/370-1378 San Diego / lot)
ATTN: Mr. Charles Foich DATE: May 31, 1991 II
City Engineer
City of Chanhassen JOB NO: 7-8912, (62-9019) II 690 Coulter Drive
Chanhassen, MN 55317 -
1
PROJECT NAME: Lake Drive/Market Boulevard Construction Services I
INVOICE PERIOD: May 1-31, 1991 I
INVOICE #21
For Professional Engineering Services rendered in conjunction with the construc- I
tion of the Lake Drive/Market Boulevard Project (C.P. 88-22).
This billing includes employee hours related to the construction project I
finalling and project as-builts.
LAKE DRIVE INSPECTION
I
CLASSIFICATION HOURS
Sr. Associate 2.5 CITY OF : I Level IV 11.5 3
Staff Level III 0.6 MOM 1
1.6
JUN 18 1991
Salary Cost x 2.0 II$ 404.33 x 2.0 = Ell INEERiNG DEPT. - $ 808.66
Expenses:
Mileage $ 10.23 I
OTAL MOUNT DU 818.89 - I
.62t,-at=
o1/44
Ceti il-30f)
fr
I EOS CORPORATION 470 WATER STREET EXCELSIOR, MINNESOTA 55331 0300 a�
PROJECT: CITY HALL ROOF STUDY "/ INVOICE:, 6023
0
I7 EOS PJT 1: 91116
CITY OF CHANHASSEN INV DATE: 6/28/89
I 6GC COULTER DRIVETERMS: NET 15
Cr:AASSEN, MINNESOTA 55317
A 1.5 PER CENT PER MONTH SERVICE CHARGE -
ATTN: MR. DON ASHWORTH, CITY MANAGER ADDED TO ALL OUTSTANDING BALANCES
I
FOR SERVICES RENSEREC FROM APRIL 27 THRU MAY 31, 1991:
I CODE.!DES7:T=TIC! SILL RATES TOTAL
70.00 65,00 54.00 48.00 X8.00 28.00
I 002/ADMIN 1.00 65.00
013/MTG CNS_TN'S. 1.50 97.50
921`RESEA=C .50 32.50
ITOTAL HOB'S 3.00
TOTAL SF6I:E 195.00 $195.00
I ._A TS $0.00
IENE. _:EL ES 2.11 MILEAGE 2.14
AMOUNT DLE THIS S PERIOD $197.14
I
TS-AL PROJECT COST TO DATE:$ 197.14
ITOTAL A"CJNT REC'D TO DATE:$ 0.00
I
I
I J i I I 0I 1 1991
I r . . r ..l-.i;tyrlt-k t-IL•
THANK YOU
IORIGINAL-WHITE REMITTANCE-YELLOW - ACCOUN • -PINK
JV
II
WILLIAM R. ENGELHARDT ASSOCIATES , INC. I
Consulting Engineers
1107 Hazeltine Boulevard - Suite 480 ` .`
Chaska , Minnesota 55318 :; _ ;�: ,
TO: City of Chanhassen
690 Coulter Drive JUN (pi, II
Chanhassen, MN . 55317
• ' ' Job : T .H. 101 Right Turn Lane Inv . 1991 Date : 6/4/91
Bills Due Upon Receipt Please Detach and Return
II
•
Preparation of plans , specifications , bid documents , II
tabulation of bids , bid abstract
, Engineer, 7 hours @ $40.00/hour = $ 280.00
II
Engineering Tech, 1 hour @ $38 .00/hour = $ 38 .00
Clerical , 5. 5 hours @ $20. 00/hour = $ 110.00
II
Out-of-pocket expenses :
Spec printing = $ 128 .31 1
Postage = $ 28 . 70
Prints , 35 @ $1 .00/each = $ 35 .00
— ( 620 .01A
I �C75�, e4 eir-
i
6//7/q/
s-0— 4-752 1
1
- 1
Any amount 30 days or older will be subject to a 1- 1 /2%
monthly FINANCE CHARGE of an ANNUAL PERCENTAGE RATE of 18% _ 1
Current ( Over 30 days ! Over 60 days Over 90 days ! Over 120 days`
$620.01 I 1
I
•
WILLIAM R. ENGELHARDT ASSOCIATES , INC.
II
1
•
I1 CV ) , I
I WILLIAM R. ENGELHARDT ASSOCIATES , INC.
Consulting Engineers F,j.,,,,
1107 Hazeltine Boulevard - Suite 480 bet Via` ; • :
I Chaska , Minnesota 55318 -- i ` _
TO: City of Chanhassen �i ;f v
II 690 Coulter Drive vi)
Chanhassen, MN . 55317 l..e
4.
I
Job : Frontier Trail Inv . 1992 Date : 6/4/91
IBills Due Upon Receipt Please Detach and Return •
II Inspection/Observation, (BA) 6 .5 hours @ $32 .00/hour
Meetings with contractor , distribute letters to
residents re: paving, observe driveway repair = $ 208 .00
IInspection/Observation , (HF) 23 hours @ $32 .00/hour
Meetings with contractor, observe raising of man-
II holes , castings , replacement of broken curb,
placement of wear course , site inspection = $ 736 .00
II 4011001111PP
J45 2 • ,3'l-e)
II
II
II
Any amount 30 days or older will be subject to a 1 - 1 /2%
IImonthly FINANCE CHARGE of an ANNUAL PERCENTAGE RATE of 18% .
Current (Over 30 days Over 60 days Over 90 days Over 120 days
1 $744 .00
WILLIAM R. ENGELHARDT ASSOCIATES , INC.
1
4/2-796
WILLIAM R. ENGELHARDT ASSOCIATES , INC.
Consulting Engineers
1107 Hazeltine Boulevard - Suite 480
Chaska , Minnesota 55318 pz
TO City of Chanhassen
690 Coulter Drive
Chanhassen, MN. 55317 JUN 07
Li !. ,
Job : Minnewashta Parkway Inv . 1993 Date : 614/91
Bills Due Upon Receipt Please Detach and Return
Engineers , 32 hours @ $50.00/hour
Study-State-Aid balances , study report additions ,
Neighborhood meetings , minutes of meeting, meetings
with city staff , preparation of maps , etc . , misc. = $ 1 , 600.00
Engineering Techs , 20. 5 hours @ $38 .00/hour 1
Labels for public hearing notices , details ,
•
maps , drawings = $ 779 .00 in
Clerical , 17 .5 hours @ $20 .00/hour
Report , meeting notes , miscellaneous = $ 350 .00
Out-of-pocket expenses : ,
Prints ( 54 x 102) @ cost = $ 41 .33 II Prints , 36 @ $1 .00/each = $ 36 .00
Postage = $ 15 . 50
21821 . 83
di
411 CZ /'7A/ 1
I
Any amount 30 days or older will be subject to a 1- 1/2%
monthly FINANCE CHARGE of an ANNUAL PERCENTAGE RATE of 18%
Current (Over 30 days ! Over 60 days cover 90 days ! Over 120 days
$2 , 821 . 83 ,
WILLIAM R. ENGELHARDT ASSOCIATES , INC.
I VanDoren
Hazard INVOICE
Stallings,Inc.
IArchitects • Engineers • Planners
Proj. No.: , 90-312-CO
I To:
City of Chanhassen Date: June 19, 1991
P.O. Box 147
Chanhassen, MN 55317
1
1 TEIS INVOICE IS DUE AND PAYABLE UPON RECEIPT
s I Re: South Lotus Lake UNITS RATES
Construction Staking & Observation
IIPeriod 05/01/91 through 05/31/91
II Principal Engineer 13.0 $65.00 $ 845.00
Junion Draftsperson 25.0 22.00 550.00
II Direct Expense - Mileage 138 0.25 34.50
IIAMOUNT DUE THIS INVOICE /; �L)I) $1,429.50
I t,(2
I 1/O Al 1
.Td
I .
X ) 1 --
i:.=C.'+∎iV7D
1 JUL 01 1991
1 CITY OF CHANHASbt>`\
VAN DOREN-HAZARD-STALLINGS, INC.
I BY
Max J. enberger, Vice sident
II3030 Harbor Lane North, Bldg. II, Suite 104, Minneapolis Minnesota 55447-2175 (612) 553-1950
riVa n DL,ren INVOICE I
1 Hazard
Stallings,Inc.
Architects • Engineers •Planners
II
Proj. No. : 88-320-DO
To: City of Chanhassen II 690 Coulter Drive - Date: June 19, 1991
Chanhassen, MN 55317
1
THIS INVOICE IS DUE AND PAYABLE DPON RECEIPT
.
Re: Lake Susan Park Improvements UNITS RATES
Construction Observation II
Period 04/01/91 through 05/31/91 II
Project Engineer <. 6.0 $65.00 $ 390.00 '
Sr. Engineering Technician 21.0 44.50 934.50
Project Representative 16.0 22.00 352.00
Direct Expense I
Photo Services 21.20
Freight 12.65 II
Photo Copies 5.00 II
Mileage 146 0.25 36.50
-------
AMOUNT DUE THIS INVOICE 3� $1,751.85
il
elL,A( g
X72 1
w
. .,1,/q+ I
I
JUL 01 1991
CITY OF CHANIHAs t.lv I
VAN DOREN-HAZARD-STALLINGS, INC.
SY 41/1
1
Max J. Daubenberger, Vice Pr ' ident
3030 Harbor Lane North, Bldg. II, Suite 104, Minneapolis Minnesota 55447-2175 (612)553-1950
1
- VanDoren INVOICE
Hazard
-,, Stallings,Inc.
I Pro j. No.: 91-302-B0
Architects • Engineers • Planners
To: City of Chanhassen Data: June 19 9 1991
I 690 Coulter Drive
Chanhassen, MN 55317
I
THIS ItrVOICE IS DVI MD ?AIAELI UP= :tsCESmT
IF
Re: Herman Field Park UNITS RATES
I
IPeriod 05/01/91 through 05/31/91
Principal Engineer 13.0 $75.00 $ 975.00
Senior Engineering Technician 26.0 50.00 1,300.00
I Junior Draftsperson 38.0 25.00 950.00
Clerical, Administrative 6.0 36.00 216.00
IIDirect Expense
Photo Services 6.62
I Photo Copies
Fax 39.60
5.50
Postage 2.13
IIMileage 1 196 0.25 49.00
IIAMOUNT DUE THIS INVOICE $3,543.85
//ill/ .
I . 1:
. /It la I
RECEIVED
I JUN 2 3 1991
IIICITY OF CHANHASSEN
VAN DOREN-HAZARD-STALLINGS, INC.
BY
IMax J. D ubanberger, Vica r*sidont
I3030 Harbor Lane North, Bldg. II, Suite 104, Minneapolis Minnesota 55447-2175 (612)553-1950
VanDoren I
INVOICE
Hazard
Stallings,Inc. I
Architects • Engineers • Planners Proj. No.: 91-306-A0
To: City of Chanhassen
690 Coulter Drive - Date: June 19, 1991
Chanhassen, MN 55317
1
THIS INVOICE IC DUE AND PAYABLE UPON RECEIPT 1
Re: Lake Ann Park Picnic Shelter UNITS RATES 1
Period 05/01/91 through 05/31/91 1
Principal Planner 8.5 $75.00 $ 637.50 il
Principal Engineer 8.0 75.00 600.00
Direct Expense 1
Mileage 128 0.25 32.00
1
AMOUNT DUE THIS INVOICE $1,269.50 1
5� 1
uif i
it
o1
zil41 1
RECEIVED
JUN 211391
CITY OF CHANHASSEN 1
F
VAN DOREN-HAZARD-STALLINGS, INC.
I
BY ..vc t L✓ I
Max J. Dnbenberger, vicegotaident
3030 Harbor Lane North, Bldg. II, Suite 104, Minneapolis Minnesota 55447-2175 (612)553-1950 1
i
I Van Doren INVOICE
Hazard
Stallings,Inc.
IArchitects • Engineers • Planners Proj. No. : 91-309-AO
Ifo:
City of Chanhassen Date: June 19, 1991
690 Coulter Drive
Chanhassen, MN 55317
II
THIS INVOICE IS SUE AND PAYABLE UPON RZCEIPT — •
lir II Re: Pheasant Hill Park Master Plan UNITS RATES
IPeriod 05/01/91 through 05/31/91
I Principal Planner/Landscape Architect 1.0 $75.00 $ .75.00
Assistant Planner/Landscape Architect 29.0 36.00 1,044.00
II
Direct Expense
II Blueline 13.25
Mylar 12.69
Photo Copies 3.57
IMileage 76 0.25 19.00
IIAMOUNT DUE THIS INVOICE $1,167.51 •
I .�
ligi
I I
Lt 114 1 REZC IV rED
JUN 21 1991
ICITY OF CHAVHASSEN
VAN DOREN-HAZARD-STALLINGS, INC.
I BY4A �. �J
Max J. anberger, Vice Paident
I3030 Harbor Lane North, Bldg. II, Suite 104, Minneapolis Minnesota 55447-2175 (612)553.1950
VanDoren 1
Hazard INVOICE
Stallings,Inc.
Architects • Engineers • Planners
Proj. No.:
91-313-AO
To:
City of Chanhassen Date: June 19; 1991
690 Coulter Drive
Chanhassen, MN 55317 '
• THIS INVOICE IS DUE AND PAYABLE UPON RECEIPT '
UNITS RATES '
Re: City Center Tennis Courts
Period 04/29/91 through 05/31/91
Principal Planner 4.0 $75.00 $300.00
1
TOTAL AMOUNT DUE THIS INVOICE $300.00 I
t//
7/ JJ
/g/
iU
N211991
CITY OF iCHANH°`SSEN
•
1
VAN DDOORREN-HAZARD-STALLINGS, INC.
BY' /
Max J. ubenberger, Vice resident
3030 Harbor Lane North, Bldg. II, Suite 104, Minneapolis Minnesota 55447-2175 (612)553-1950
Please• Remit to: Invoice Number : 06-22868
I STS CONSULTANTS , LTD
P.O. BOX 75077 Invoice Date : 06/11/91
CHICAGO, IL 60675-5077 Customer Code : 136140-09
ICustomer P0:
TERMS: DUE UPON RECEIPT STS Office : 06 MIN DMD
STS Job Number: 06-94905YF
Bill Thru Date: 06/01/91 9122
1
TO:
ICity of Chanhassen If you have questions
690 Coulter Drive regarding this invoice,
P.O. Box 147 please call Diane Desotelle
1 Chanhassen, MN 55317-0000 at ( 612 ) 559-1900.
ATTN: Charles Folch Thank you. .
UNIT
1
DESCRIPTION UNITS PRICE EXTENDED TOTAL
1 Engineering services associcated with soils remediation and
petrofund reimbursement for a former underground storage tank
site at Lot 1, Arbor Park West in Chanhassen, Minnesota.
ENVIRONMENTAL
1 Consultant hrs 3.50 80.00 280.00
Technical Support Staff, hrs 0.75 45.00 33.75
• Senior Technician, hrs 4.00 50.00 200.00
1 Mileage 125.00 0.44 •55.00
Miscellaneous Expenses 2.29 1.15 2.63 571.38 C.,
Subtotal $571.38
IENVIRONMENTAL PREMIUM ( 8.0%) 45.71 16
TOTAL AMOUNT DUE $617.09
1 OeOF
ci5‘1)
I
CITY OF ClitallIASSEE
I JUN 1:; 1991
ENGINEERING'NEE ING' DEPT.
1 .
I
IA FINANCE CHARGE OF 1 1/2% PER MONTH ( 18% ANNUALLY) WILL BE ADDED
TO ALL INVOICES UNPAID AFTER 30 DAYS
I
FfIub{icor Inc.
J/64 Century Plaza (612) 341-3646
11 Third Avenue South FAX (612) 341-4148 I
Minneapolis, MN 55404
STATEMENT OF SERVICES '
otL 14 .o
June 17, 1991
Mr. Don Ashworth
�
City of Chanhassen /<;-5 '
690 Coulter Drive
Chanhassen, Minnesota 55317 '
PLEASE MAKE CHECK PAYABLE TO PUBLICORP, INC. '
FOR PROFESSIONAL SERVICES RENDERED through May 31, 1991 relating to our below
referenced files and detailed on the attached pages.
CA135-05: Grocery J Store Project $ 292.50
CURRENT AMOUNT DU E $ 292.50
1
I
I
1
JUN 19 1991
CITY OF CHANHASSEN
l fj , •-�3
-
f orr j 2021 East Hennepin Avenue
Scheleri '
I Minneapolis,MN 55413 Engineers
Maeron& 612-331-8660 Surveyors Invoice
c Associates,1i . FAX 331-3806 Planners
IIi�/J
tJune 11, 1991
•
II City of Chanha:.3en
Attn: Mr. Charles Folch
690 Coulter Drive, #147 Comm. No. 110-4630-00
II Chanhassen MN 55317
In conjunction with the Chanhassen Waste Water Scada System. Time and expenses
ilfor the month of May, 1991.
II DIRECT PERSONNEL COST <f
D. Sharpe 3.00 hours @ $29.27 per hour $ 87.81
IIFactor x 2.25
This Invoice $ 97.57
1 d4
, 1,0 P
i .3
I
i.0.3 ,4-36
I
I
ITOTAL AMOUNT BILLED TO DATE IS $11,894.29
RZCEIVED
JUN 21 1991
CITY OF CHANHASSEN
I !declare under the penal a of penury that this cie,
.E lust and correct and of no per f it hoa been paud a.....„
Sionature
II
kS-138 •
II
CITY OF CHANHASSEN I
ESTIMATE FOR PAYMENT ON CONTRACT
Date 6-20-91 Estimate No. 3 For Period from 12-3-90 to 6-20-91 , - I
City Improvement Contract No. : 85-13B
Name of Project: Chanhassen Lakes Business Park 5th Addition Watermain & Street Improvem
II
RCM Project No. : 10077.03
% Complete After This Estimate: 100% - FINAL
II
ORIGINAL CONTRACT AMOUNT $133,411.50
CHANGE ORDERS: I
TOTAL ADDITIONS
SUB TOTAL $133,411.50
II
TOTAL DEDUCTIONS
CONTRACT AMOUNT TO DATE $133,411.50
TOTAL COMPLETED TO DATE $134,496.02 I
MATERIAL STORED $0.00
TOTAL COMPLETED AND STORED $134,496.02
LESS RETAINAGE 0% $0.00 II
TOTAL EARNED LESS RETAINAGE $134,496.02
Est. No. 1 Amt. $110,918.77
IIEst. No. 2 Amt. $20,887.33
33517
II
TOTAL ESTIMATES $131,806.10
AMOUNT DUE THIS $2,689.92 II
Payment requested this 20th day of Approved and recommended for payment
June, 1991. this 20th day of June, 1991.
II
Contractor: Project Engineer:
NORTHDALE CO. RUCTION CO, , NC. RIEKE CARROLL MULLER ASSOC. , INC,
II
14450 Nor •_ e :l-Va. A
Ro• _ - i 55374 / I) )
By i ) _ APPROVED: I
r.
By By Y'
ity ineer ;Of—
I
��/F� a`•- Fir C F:�_ �'?RSF , By
'fifth
n I :^,
I ,-.;,. _�7���� City Manager
II
1-2D1
'' �'� '' ,; By
• : un OM
MA DOCUMENT C702
itoommgpmeeignimpetyr
TO (Owner):
PAGE oNE of Pk•CTS
•PROJECT: APPLICATION NO:
City of Chanhassen Supervisory Control 6 Data Distribution to:
690 Coulter Drive
Acquisition System ❑ OWNER
Chanhassen, MN 55317 • PERIOD FROM: ❑ ARCHITECT
City Project No. 90-3 T • 00 ❑ CONTRACTOR
ATTENTION: Dean Sharpe • (pa ❑
OSM CONTRACT FOR: • ARCHITECT'S ❑
Bentec Engineering Corporation PROJECT NO: 4630
13050 Pioneer Trail
•
CONTRACTOR'S APPLICATION FOR PAYMENT 11 ■ — CONTRACT DATE: 28 Au•ust 1990
Application is made for Payment,as shown below, in connection with the Contract.
"� CHANCE ORDER SUMMARY Continuation Sheet,AIA Document 0703,is attached.
Change Orders a The present status of the account for this Contract is as follows:
PProv ADDITIONS DEDUCTIONS
O previous months ORIGINAL CONTRACT SUM
Owner 1.-221.1212.99........__
TOTAL
A roved this Month
---y,,—�Q4—,�_ y-. .. Net change by'Change Orders •
tl
Number Date A Fi�HM .. •
P roved T
III t,�y ��` ����= '1 OF cNIYU,r cCONTRACT SUM TO DATE 270 596.00 _•'�, 1. '\��1 �'"''`���� TOTAL COMtsLETEp
&STORED TO DATE e_ 1- 537 00
�1 1 MAY _ t ` (Column G on G703)
k t. � ,Q 1991 IIETA,NACE_]:Q..n I one 19.95 .70 `
OTALS
u or total in Column I on 0703 s
Net chin.e by Chan,e Orden `, �'7�1,� l f 7 TOTAL EARNED LESS RETAlNACE
The undersigned Contractor certifies that to the�best +• j• $ 179.583.30
information and belief the Work covered °f his knowledge, LESS PREVIOUS CERTIRCATES FOR PAYMENT $ 132 627.78 —__
f Payment has been completed in accordance with the Contract Doc r
,..J ments, that ad amounts have been paid by him for Work for whit• MM"M"""^iw w.AA"
p
•
revious Certificates for Payment were issued and ./
previous
the Owner,and that r Payment payment shown and payments a�e BRUCE ^M �
N
(1111PRIPMMIll
OTARY r ft--' �� ENp PAYMENT
CONTR "•R; $ NU7 c pC NL;_Mte,� ENT DUE
/ :'�r` State ob Minnesota County
7 �'f IrdT
- `� " to before me .1 Court • y Scot�1 403-475/
Sy: �A 1
/ 5/13 •y and a
Date: it - gbh : f
AR HITECT'S CERTIFICATE FOR -----" ommission4 n expt ; March 5, 1996
•
OR P »':,4'140% a1n.,.r
.In accordance with the Contract Documents.based on on-site obse .w is o.ewnw.. •y t UNflEa p certified differs from the aunt a
••ons and the data comprising the above application, the Arch►te ; fir h ea/Anal/on
• to the Owner that the Work has progressed to the i ti «•+wane_ice ITECT: applied/a.)
hat to the M•"'+•"�•tMwlflc+utrac nor�yrr_
best of his knowledge, information and belie M. .*mire�eraeer
'tie Work is in accordance with the Contract Doc ..�.ocyn�,
�e rwr s.a.t•elwe•r�,wr.
Contractor is entitled to payment of the AMOUN �'� ," Date:
= ertificate is not negotiable. The AMOUNT CERTIFIED is
a. °'"'"'• "~ an* • herein. Issuance, payment and acceptance of payable only to the Contractor
r '+ of the Owner or Contractor under this Contract, payment are without prejudice to any
''1N AND CERTIFICATE FOR My , r, Pj. 97.
'"ECTS. 17)5 NEW YORK A N• '0` ;MAO 1974
SMtr. . N n n r f .'nMb