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Nov 17 2004 8:51 BONESTROO ROSENE RMDERLIK 6G16361311 P.2 <br />l/lBoneitrao <br />£[jRosene <br />nAnderiOcSi <br />|\j| Associates <br />Engineeri 4 ArcMiects <br />Owner: City of Orono, P.O. Box 66. Crystal Bay. MN 55323-0066 Dale:November 17. 2004 <br />For Period: 9/6/2004 to 11/1 //2004 Request No:1 <br />Contractor: G. L. Contractino (nc.. 4300 WHiow Drive. Medina. MN 55340 <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />GARDEN LANE SANITARY SEWER EXTENSION <br />BRA FILE NO. 139-04-149 <br />SUMMARY <br />1 <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />9 <br />10 <br />11 <br />12 <br />Original Contract Amount <br />Change Order - Addition <br />Change Order - Deduction <br />Revised Contract Amount <br />Value Completed to Date <br />Material on Hand <br />Amount Earned <br />Less Retainage 5% <br />Subtotal <br />Less Amount Paid Previously <br />Liquidated damages - <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />25,757.98 <br />$ <br />$ <br />0.00 <br />0.00 <br />$. <br />$, <br />$ <br />$ <br />» <br />$ <br />$ <br />$ <br />$ <br />25.757.98 <br />24,750.88 <br />0.00 <br />24.750,88 <br />1,23/54 <br />23^513.33 <br />0.00 <br />0.00 <br />23.513.33 <br />Recommended for Approval by: <br />BONESTRCX), ROSENE, ANDERLOC & ASSOCIATES, INC. <br />Approved by Contractor. <br />O. L. CONTRACTING INC. <br />Approved by Owner <br />CITY OF ORONO <br />Spocifiod Contract Completion Dato: <br />October 31,2004 <br />Date: <br />IdWMiMKeQt.Ato <br />>•!