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w 09/08/99 09:01 0 :02/04 NO:958 <br />Borwitroo <br />Rosene <br />Owner; ritv of Orono. 2730 Kelly Parlwav. PO Box 66. Crystal Bay. MN 55323-00- Date: September 8. 1999 <br />*iFor Period. July 23.1999 to August 18.1999 Associate^ <br />Request No: 4 & Final Revised <br />bWttAitfwniContractor: GMT Construction. Inc.. 2750 102nd Street SE, Delano. NTN 55328 <br />REQUEST FOR PAYMENT <br />LIFT STATION NO. 13 REHABILITATION <br />BRA FILE NO. 139-9M00 <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 OVo <br />9 Subtotal <br />10 Less Amount Paid Previously <br />II AMOUNT DUE THIS REQUEST FOR PAYMENT NO. <br />S <br />2 <br />3 <br />4 <br />5 <br />6 <br />7 <br />S <br />S <br />U91.00 <br />4 & Final Revised <br />S, <br />S <br />s <br />s <br />$ <br />s <br />s <br />$ <br />Recommended for Approval by: <br />BONESTROO, ROSENE, ANDERLIK & ASSOCLATES, INC. <br />Approved by Owner: <br />CITY OF ORONO <br />Specified Contract Completion Date: <br />MAY 31,1999 _________________ <br />Date: <br />K:\139\l399a80U\WORD\REQUEST4WB2 <br />107.900.00 <br />109,291.00 <br />109,291.00 <br />0.00 <br />109,291.00 <br />0.00 <br />109,291.00 <br />103.787.00 <br />5.504.00