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L. <br />??.0« CITY C? ::Y;.!0YTK r-i'-r'A 11*1 ‘j~‘ *1 *1 ' c . > I / f“ ! " • y ■ V'ti ; 'I/-:-.. .-.i. .•V. r. <br />I/U Boncitroo <br />MLM Rcscne <br />5jA Andcrfik & <br />AsiodMi <br />Cr9-r.ffri4Ar«mc*r.: <br />■------------------------------------------------------------------------ ------------------------------------------------------ ^ _ 1 <br />Own«r: C.ty of Plvrnou» 3400 Plvmaum Blvd PO aoir69. Plymau m. MN 55447-1-__Cstc: August 2- •yS3_ <br />For otncd. 7/2Q/99 ta 022199 Request No %/ <br />Conya*tcr S M Her.taea ft Scr.s •: 5S0 Quaver Ave Ste 200. PO Bex 59, Jertfar, VN. :?=2=_2 <br />REQUEST FOR PAYMENT <br />FEF.NOAL? ROAD UTILITV 4 STRT. IMPR .SAP152-113-01 4 laf-'TS-Oi <br />BRA *ILE no. 70-9S-303 <br />Plymcu-'l'K P>rpj. Mo. ^Oo7 <br />SUMMARY <br />1 On’ciral Ccr.fact A.xcuM <br />2 Char.fia Order - Addition <br />3 Chad'S* Order - Deduction <br />4 Rev’asd Contract A.'nc'jnJ <br />♦ ^ <br />7 <br />S <br />9 <br />10 <br />11 <br />1 ■> Vr ;:5 f <br />S <br />S <br />0 00 <br />Value Completed to Date <br />Materai on nano <br />S <br />T <br />1.113.2=3 <br />902 “c3.3lr <br />AmountSa-med / /o ^ * <br />Less Ratainage SVs <br />Subtotal <br />Less Amount Paid Previously <br />amount due this request for payment no <br />s <br />s <br />SCS.Tc* Sit/ <br />1J3.33 <br />5 <br />c <br />55T.c2s.29/' <br />611.-50 il3K <br />Recommended for Aporoval by; <br />BONESTROO, ROSENE, ANDERLIK & ASSOCIATES, INC. <br />6 M HENTCES & SONS INC <br />Approved by Owner. <br />CITY OF PLYMOUTH <br />Speci^ed Ccntrac: Ccnplel-sr* Dai*? <br />Sep’.enbeM, '^32 <br />-7" <br />Data <br />e 'jc-iT <br />♦rr.cK*! i*>