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I r <br />If I Bonestroo <br />g=jg Rosene <br />«T]| Andcrlil(& <br />Associates <br />Arc^lte:tl <br />nuunor CiivofOrono PO Box 66 Orono, MN 55323*0066 Date September 20, 2004 <br />CmPpriod 12^2/2003 to 9/2S'2004 Request No 3 AND FINAL <br />Conirac'.or E J Mayers, 21360 Larkm Road. Corcoran. MN 55340 <br />CONTRACTOR’S REQUEST FOR PAYMENT <br />OLO LONG LAKE ROAD SEWER EXTENSION <br />BRA FILE NO 139-03-127 <br />SUMMARY <br />1 Original Conlract Amount <br />2 Change Order • Addition <br />3 Change Order • Deduction <br />4 Revised Contract Amount <br />5 Value Conipleted lo Date <br />G Matenai on Hand <br />7 Amount Earned <br />8 Less Reta nage 0% <br />9 Subtotal <br />10 Le^s Amount Paid Previous ’y <br />11 Liqu'daied damages - <br />12 AMOUNT DUE THIS REQUEST FOR PAYMENT NO <br />S <br />I <br />000 <br />0 00 <br />3 AND FINAL <br />Recommended for Approval by <br />BONESTROO, ROSENE. ANDEKLiK A ASSOCIATES. INC <br />App'ov«*d by Contr.ictot <br />E J MAYERS <br />P <br />Approved by O^ner <br />CITY OF ORONO <br />Specified Conlract Completion Date: <br />November 14 2003 <br />Date <br />39.950 00 <br />S 39.950 00 <br />$37,t52 00 <br />s 0 00 <br />$37.152 00 <br />s 0 00 <br />$37.152 00 <br />s 34 534 40 <br />$0 00 <br />s 2 617 60