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l/jl Bonestroo <br />SdSRosene <br />vSAnderiik& <br />^ \ Associates <br />engineer! 4 Archicecti <br />Owner: City of Orono, 2750 Kelly Parkway, Orono, MN 55232 Date:September 6, 2000 <br />For Period:July 31 , 2000 to August 31 , 2000 Request No:4 <br />Contractor Ford Construction Co. Inc., PO Box 667, Excelsior, MN 55331-0667 <br />REQUEST FOR PAYMENT <br />FERNDALE LIFT STATIONS AND HWY <br />BRA FILE NO. 139-99-107 <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 />m <br />Ir <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 />AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />5 <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />5 <br />$ <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />Approved by Owner: <br />CITY OF ORONO <br />Specified Contract Completion Date: <br />October 31, 2000 <br />rf4u«t4 <br />305,886.00 <br />305,886.00 <br />198,091.89 <br />0.00 <br />198,091.89 <br />9,904.59 <br />188,187.30 <br />121,234.25 <br />66.95305 <br />Date: