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I Bonestfoo <br />.Itoiene <br />|AssocMet <br />Ktn & AfcNf Ktf <br />Chtmar City of Ofono ■ PO BOX 66. Crystal Bay. MN 55323-0066 Date; October 10. 2005 <br />For P«rWv1r B/31/2005 to 10/10/2005 Request No:3 & FINAL <br />ria.«ir. Protective CoatiOQS. Inc.. N7670 State Highway 25. Menotrwnie, Wl 547M <br />CONTRACTOR'S REQUEST FOR PAYMENf <br />NAVARRE WATER TOWER REHABILITATION <br />BRA FILE NO. 000139*04146-0 <br />iMMARY <br />1 <br />2 <br />3 <br />4 <br />5 <br />Original Contract Amount <br />Change Order • Addition <br />Change Order - Deduction <br />Revised Contract Amount <br />Value Completed to Date <br />6 Material on Hand <br />7 Amount Earned <br />Leea Ratainage 0% <br />Subtotal <br />Less Amount Paid Previously <br />Liquidated damages - <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />8 <br />9 <br />10 <br />11 <br />12 <br />207.231.00 <br />s <br />$ <br />2.500.00 <br />0.00 <br />3 & FINAL <br />$209.731 00 <br />s 209.731.00 <br />s 0.00 <br />$209 731 00 <br />$0.00 <br />s 209.731.00 <br />$_ _ <br />199.244 45 <br />$0.00 <br />s 10.486 55 <br />Recommended for Approval by: <br />BONESTROO. ROSENE. ANDERLIK « MSOCIATES, INC. <br />//M * ''0. <br />Approved by Contractor: <br />CLASSIC PROTECTIVE COATINGS, INC. <br />Approved by Owner: <br />CITY OF ORONC <br />'-■.fcVr /ninr.rfgn ^ir.mrn.u'0G <br />Specified Contract Compleuon Date: <br />?r-, <br />Dale