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PARTIAL PAYMENT REQUEST <br />Pay Requem No, 1 & Futai Ffaaff: 1120121 _ <br />T0: <br />MMM <br />Name of Owner. City of Paris <br />Owners Address: 135 SE tat Street Paris, TX 75460 <br />Engineer. Hayter Engineering <br />Engineers Address: 4445 SE Loop 286, Paris, TX 75460 <br />Project Name: 645 Johnson Woods Drive Channel Bank Stabilization <br />Project f4umber HEMSM <br />Contract Price (Including Change Orders): $60.318.33 (through CO iri) <br />... <br />OFi total Tatai <br />Original Original Bid oua mtv <br />lini <br />Item No. Description of item unit i Completed <br />Quantity Unit Price <br />Complet3ed Quwft <br />Prior t0 Completed <br />Total Value <br />Completed <br />This !doted <br />this <br />to Date <br />$4,000.00 <br />_. 2 BaMcad ,u si s. antl traffic hsndli 1 LS 3 2 SD000 <br />1 <br />2500.00 <br />Remove and di ofexrsab <br />spore rlg <br />1 <br />IT IT <br />.•.•..���,..� � <br />i <br />3 canaete lea wall 19 L 1 LS $ 285.00 <br />1 <br />$� 285,00 <br />Provide and insW gabion gaskets, stone, <br />1. kkbde and associated wok <br />87 <br />43,333.33 <br />®.. LS <br />2 <br />? <br />$W00 .- <br />a me Wn ofd ? <br />200.00 <br />Repair. regrading, and sodding of <br />lamporaryconstruction access easement <br />7 toy �r(ect CondltionS 1 LS 3 bODO t10 1 <br />1 <br />S 8 000.00 <br />L-- <br />3 - <br />i"0TALS <br />$0.318,33 , <br />Completed to Date. <br />$80,398.33 <br />Stored irlaterlat: <br />$0.00 <br />Completed and Stored to Data. <br />!60,398.33 <br />Less 10% Retairmge: <br />Less Previous Payments: <br />Amount Due This AWcatlon: <br />$W,31a38 <br />oarraeroree1readee tDftber0r6b1 MedK.1)89preVdmspreperspaymeshemelu0a1vmownerma0caatofwrltdene,edrnecaebauhmaEanappkdae.oea.am3ut+re� ►k n+moDf e.Nwnu <br />bamme0Tanefb wufooveWbyp WAppkvftmfw Pay%9itie efdWatkmabfg. eedogtNeoeKiex@orafed nealdwohro9wWaaidadbwowwMbyaicApokwfm brP*rwtea pare%Owl <br />amm otpom N <br />fee and der of ar Llus.seclelbldreeb aM (eexapta¢4 nansoven� by a eaN aeoe(�ktr+Ovnaidmmirykp Oanrayeiaa mY euehf)err, eer,�yfK,ermtraiaerAerwes); aad� mt pradc0ermed byfi <br />Appreefenfr Paymma B bnocrdmwa vdlh tlrc CafdractOouoieafe ted 8 n�ddeoffim. <br />�i <br />Engineer Signature arW Date: �� 4 �'�� <br />�.. ` , , `� <br />•. <br />Owner Signature and Date:. _„a __ �_ _ .•_ .•_ <br />__...... <br />Gonbaztw Signature and Date: •_--� .�� �_ � �! <br />On-Slte Observer Signature and Oats <br />