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h- <br />- •♦ V <br />r 'I <br />^ I Bonestroo <br />^SRosene <br />v|| Anderii(& <br />|\ I Associates <br />Cfl9«iN«l(A((hrtfcti <br />Owner City of Oorto PO Box 66 Orono, MN, 55323-0066 Date: December 9, 2002 <br />For Period: 5/30/2002 to 12/5/2002 Request No.1 <br />Contractor Automatic Systems C^ompany 2400 W Cly Rd D PO Bex 120359. SI Paul, MN. 55112 <br />CONTRACTOR'S REQUEST FOR PAYMENT <br />ORONO SC^VDA SYSTEM <br />BRA FILE NO 139-01-113 <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 Anwunt Paid Previously <br />Liquidated damages - <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO <br />174.328 OC <br />$ <br />$ <br />0 00 <br />000 <br />s <br />s <br />s <br />$ <br />s <br />$ <br />$ <br />$ <br />$ <br />174,328 00 <br />111.128 00 <br />000 <br />111.128 00 <br />5.556 40 <br />105.571 60 <br />000 <br />000 <br />105.571 60 <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />See attached (or signature <br />Approved by Contractor <br />AUTOMATIC SYSTEMS COMPANY <br />Approved by Owner: <br />CITY OF ORONO <br />See attached for signature <br />Specified Contract Completion Date <br />_________December 16,2002 <br />Dale: <br />*, <br />U