Laserfiche WebLink
I/]I Bonestroo <br />^j^Roscnc <br />v=S Andertik& <br />|\|| Associates <br />I & Arcflittcts <br />Owner City of Ofono 2750 Kelly PIcwv. PO Box 219. Crystal Bay. MN. 55323-0066__Date ___October 6.1999 <br />For Period; 8/5/99 to 10/5/99 Request No: <br />Contractor Widmer Inc 4250 Creekview Circle. PO Box 219.. St Bonifacius. MN. 55375 <br />REQUEST FOR PAYMENT <br />ORONO ORCHARD SANITARY SEWER <br />BRA FILE NO. 139-98-101 <br />SUMMARY <br />1 <br />2 <br />3 <br />4 <br />5 <br />Original Contract Amount <br />Change Order - Addition <br />Change Order • Deduction <br />Revised Contract Amount <br />Value Completed to Date <br />6 Material on Hand <br />7 <br />8 <br />9 <br />10 <br />11 <br />$ <br />$ <br />50,678.50 <br />0.00 <br />Amount Earned <br />Less Retainage 5% <br />Subtotal <br />Less Amount Paid Previously <br />AMOUNT DUE THIS REQUEST FOR PAYMENT NO. _ <br />$, <br />$, <br />S <br />s <br />$ <br />s <br />s <br />s <br />Recommended for Approval by; <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />Approved by Ovmer. <br />CITY OF ORONO <br />424.71350 <br />475.392.00 <br />287.688.00 <br />0.00 <br />287.688.00 <br />14.384.40 <br />273.303.60 <br />217.147.91 <br />S6 155.69 <br />Specified Contract Completion Date; <br />October 15.1999 <br />Date: