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Bonestrod <br />sigRosene iOwnen City of Orono. 2750 Kelly Parkway. PO Box 66. Crystal Bay. MN 55323-00 Date: February 25. 1999 <br />I <br />For Period: Start to February 25. 1999Andenikii <br />Asn>d^e]| <br />Efl^irUAntihtcJ <br />Request No: <br />Contractor GHT Construction. Inc., 2750 102nd Street SE, Delano. NTN 55328 <br />REQLTST FOR PAYMENT <br />LIFT STATION NO. 13 REHABILITATION <br />BRA FILE NO. 139-98-800 <br />SUMMARY <br />I 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 />8 Less Retainage 5% <br />9 Subtotal <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />S <br />S <br />10 <br />It <br />s <br />s <br />s <br />s <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />Approved by 0%vner: <br />CITY OF ORONO <br />Specified Contract Completion Date: <br />MAY 31. 1999 _____________ <br />Date: <br />K;\139\139-98-1\VVORCWtEQUEST.W82 <br />107.900.00 <br />S 107,900.00 <br />S 45,500.00 <br />S_____:‘0.972.28 <br />S 66.472.28 <br />3.323.61 <br />63.148.67 <br />0.00 <br />63,148.67